Serveur d'exploration sur le patient édenté

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Clinical and radiographic changes at implants supporting single‐unit crowns (SCs) and fixed dental prostheses (FDPs) with one cantilever extension. A retrospective study

Identifieur interne : 006C93 ( Istex/Corpus ); précédent : 006C92; suivant : 006C94

Clinical and radiographic changes at implants supporting single‐unit crowns (SCs) and fixed dental prostheses (FDPs) with one cantilever extension. A retrospective study

Auteurs : Marco Aglietta ; Vincenzo Iorio Siciliano ; Andrea Blasi ; Anton Sculean ; Urs Br Gger ; Niklaus P. Lang ; Giovanni E. Salvi

Source :

RBID : ISTEX:DB6825327EA43335DEA901617BED7D603983684D

English descriptors

Abstract

To evaluate the clinical and radiographic changes at implants in posterior maxillary and mandibular areas supporting single‐unit crowns (SCs) and fixed dental prostheses (FDPs) with one mesial or distal cantilever extension after an observation period of at least 3 years.

Url:
DOI: 10.1111/j.1600-0501.2011.02391.x

Links to Exploration step

ISTEX:DB6825327EA43335DEA901617BED7D603983684D

Le document en format XML

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<div type="abstract">To evaluate the clinical and radiographic changes at implants in posterior maxillary and mandibular areas supporting single‐unit crowns (SCs) and fixed dental prostheses (FDPs) with one mesial or distal cantilever extension after an observation period of at least 3 years.</div>
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<title level="a" type="main">Clinical and radiographic changes at implants supporting single‐unit crowns (
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<affiliation>Corresponding author: Giovanni E. Salvi Department of Periodontology School of Dental Medicine University of Bern Freiburgstrasse 7 CH‐3010 Bern, Switzerland Tel: +41 31 632 35 51 Fax: +41 31 632 49 15 e‐mail: giovanni.salvi@zmk.unibe.ch</affiliation>
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Objectives
<p>To evaluate the clinical and radiographic changes at implants in posterior maxillary and mandibular areas supporting single‐unit crowns (
<hi rend="fc">SC</hi>
s) and fixed dental prostheses (
<hi rend="fc">FDP</hi>
s) with one mesial or distal cantilever extension after an observation period of at least 3 years.</p>
Material and methods
<p>Seventeen subjects with 19 implant‐supported
<hi rend="fc">SC</hi>
s and 21 subjects with 21 implant‐supported
<hi rend="fc">FDP</hi>
s fulfilled the inclusion criteria. All
<hi rend="fc">FDP</hi>
s were supported by two implants and had a span of 3–4 units. All reconstructions were incorporated in the posterior maxilla or mandible. The mesial and distal radiographic marginal bone loss from baseline (i.e. delivery of the reconstruction) to the follow‐up examination was averaged and compared between
<hi rend="fc">SC</hi>
s supporting one cantilever extension with that of implants supporting
<hi rend="fc">FDP</hi>
s adjacent to or distant from the cantilever extension. Changes in mean pocket probing depth (
<hi rend="fc">PPD</hi>
) were calculated and compared between the three groups.</p>
Results
<p>The mean observation period was 78.2 ± 34.5 months for
<hi rend="fc">SC</hi>
s supported by one implant and 67.8 ± 29.8 months for
<hi rend="fc">FDP</hi>
s supported by two implants. No implant loss occurred, yielding a 100% survival rate. At baseline, the mean radiographic bone levels ± 
<hi rend="fc">SD</hi>
were 2.6 ± 0.3 mm for implants supporting
<hi rend="fc">SC</hi>
s, 2.6 ± 0.3 mm for implants of
<hi rend="fc">FDP</hi>
s adjacent to the cantilever extension, and 2.4 ± 0.5 mm for implants of
<hi rend="fc">FDP</hi>
s distant from the cantilever extension. At follow‐up, the corresponding mean bone levels ± 
<hi rend="fc">SD</hi>
were 2.7 ± 0.4, 2.7 ± 0.5, and 2.8 ± 0.5 mm, respectively. No statistically significant differences (
<hi rend="italic"></hi>
>
<hi rend="italic"> </hi>
0.05) were observed comparing the mean marginal bone loss between the three groups. Moreover, mean changes in
<hi rend="fc">PPD</hi>
between baseline and follow‐up were not statistically significantly different (
<hi rend="italic"></hi>
>
<hi rend="italic"> </hi>
0.05) between the three groups.</p>
Conclusion
<p>The presence of one mesial or distal cantilever extension in the posterior maxilla or mandible does not jeopardize the marginal bone levels of implants supporting
<hi rend="fc">SC</hi>
s or short‐span
<hi rend="fc">FDP</hi>
s after a mean observation period of at least 5 years.</p>
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<title type="main">Objectives</title>
<p>To evaluate the clinical and radiographic changes at implants in posterior maxillary and mandibular areas supporting single‐unit crowns (
<fc>SC</fc>
s) and fixed dental prostheses (
<fc>FDP</fc>
s) with one mesial or distal cantilever extension after an observation period of at least 3 years.</p>
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<title type="main">Material and methods</title>
<p>Seventeen subjects with 19 implant‐supported
<fc>SC</fc>
s and 21 subjects with 21 implant‐supported
<fc>FDP</fc>
s fulfilled the inclusion criteria. All
<fc>FDP</fc>
s were supported by two implants and had a span of 3–4 units. All reconstructions were incorporated in the posterior maxilla or mandible. The mesial and distal radiographic marginal bone loss from baseline (i.e. delivery of the reconstruction) to the follow‐up examination was averaged and compared between
<fc>SC</fc>
s supporting one cantilever extension with that of implants supporting
<fc>FDP</fc>
s adjacent to or distant from the cantilever extension. Changes in mean pocket probing depth (
<fc>PPD</fc>
) were calculated and compared between the three groups.</p>
</section>
<section xml:id="clr2391-sec-0003">
<title type="main">Results</title>
<p>The mean observation period was 78.2 ± 34.5 months for
<fc>SC</fc>
s supported by one implant and 67.8 ± 29.8 months for
<fc>FDP</fc>
s supported by two implants. No implant loss occurred, yielding a 100% survival rate. At baseline, the mean radiographic bone levels ± 
<fc>SD</fc>
were 2.6 ± 0.3 mm for implants supporting
<fc>SC</fc>
s, 2.6 ± 0.3 mm for implants of
<fc>FDP</fc>
s adjacent to the cantilever extension, and 2.4 ± 0.5 mm for implants of
<fc>FDP</fc>
s distant from the cantilever extension. At follow‐up, the corresponding mean bone levels ± 
<fc>SD</fc>
were 2.7 ± 0.4, 2.7 ± 0.5, and 2.8 ± 0.5 mm, respectively. No statistically significant differences (
<i></i>
>
<i> </i>
0.05) were observed comparing the mean marginal bone loss between the three groups. Moreover, mean changes in
<fc>PPD</fc>
between baseline and follow‐up were not statistically significantly different (
<i></i>
>
<i> </i>
0.05) between the three groups.</p>
</section>
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<title type="main">Conclusion</title>
<p>The presence of one mesial or distal cantilever extension in the posterior maxilla or mandible does not jeopardize the marginal bone levels of implants supporting
<fc>SC</fc>
s or short‐span
<fc>FDP</fc>
s after a mean observation period of at least 5 years.</p>
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<edition>Aglietta M, Iorio Siciliano V, Blasi A, Sculean A, Brägger U, Lang NP, Salvi GE. Clinical and radiographic changes at implants supporting single‐unit crowns (SCs) and fixed dental prostheses (FDPs) with one cantilever extension. A retrospective study. Clin. Oral Impl. Res. 23, 2012, 550–555.</edition>
<copyrightDate encoding="w3cdtf">2012</copyrightDate>
</originInfo>
<language>
<languageTerm type="code" authority="rfc3066">en</languageTerm>
<languageTerm type="code" authority="iso639-2b">eng</languageTerm>
</language>
<abstract>To evaluate the clinical and radiographic changes at implants in posterior maxillary and mandibular areas supporting single‐unit crowns (SCs) and fixed dental prostheses (FDPs) with one mesial or distal cantilever extension after an observation period of at least 3 years.</abstract>
<abstract>Seventeen subjects with 19 implant‐supported SCs and 21 subjects with 21 implant‐supported FDPs fulfilled the inclusion criteria. All FDPs were supported by two implants and had a span of 3–4 units. All reconstructions were incorporated in the posterior maxilla or mandible. The mesial and distal radiographic marginal bone loss from baseline (i.e. delivery of the reconstruction) to the follow‐up examination was averaged and compared between SCs supporting one cantilever extension with that of implants supporting FDPs adjacent to or distant from the cantilever extension. Changes in mean pocket probing depth (PPD) were calculated and compared between the three groups.</abstract>
<abstract>The mean observation period was 78.2 ± 34.5 months for SCs supported by one implant and 67.8 ± 29.8 months for FDPs supported by two implants. No implant loss occurred, yielding a 100% survival rate. At baseline, the mean radiographic bone levels ± SD were 2.6 ± 0.3 mm for implants supporting SCs, 2.6 ± 0.3 mm for implants of FDPs adjacent to the cantilever extension, and 2.4 ± 0.5 mm for implants of FDPs distant from the cantilever extension. At follow‐up, the corresponding mean bone levels ± SD were 2.7 ± 0.4, 2.7 ± 0.5, and 2.8 ± 0.5 mm, respectively. No statistically significant differences (P > 0.05) were observed comparing the mean marginal bone loss between the three groups. Moreover, mean changes in PPD between baseline and follow‐up were not statistically significantly different (P > 0.05) between the three groups.</abstract>
<abstract>The presence of one mesial or distal cantilever extension in the posterior maxilla or mandible does not jeopardize the marginal bone levels of implants supporting SCs or short‐span FDPs after a mean observation period of at least 5 years.</abstract>
<subject>
<genre>keywords</genre>
<topic>bone level</topic>
<topic>bone loss</topic>
<topic>cantilever extension</topic>
<topic>dental implants</topic>
<topic>fixed dental prosthesis</topic>
<topic>overload</topic>
</subject>
<relatedItem type="host">
<titleInfo>
<title>Clinical Oral Implants Research</title>
</titleInfo>
<titleInfo type="abbreviated">
<title>Clin. Oral Impl. Res.</title>
</titleInfo>
<genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre>
<subject>
<genre>article-category</genre>
<topic>Original Article</topic>
</subject>
<identifier type="ISSN">0905-7161</identifier>
<identifier type="eISSN">1600-0501</identifier>
<identifier type="DOI">10.1111/(ISSN)1600-0501</identifier>
<identifier type="PublisherID">CLR</identifier>
<part>
<date>2012</date>
<detail type="volume">
<caption>vol.</caption>
<number>23</number>
</detail>
<detail type="issue">
<caption>no.</caption>
<number>5</number>
</detail>
<extent unit="pages">
<start>550</start>
<end>555</end>
<total>6</total>
</extent>
</part>
</relatedItem>
<identifier type="istex">DB6825327EA43335DEA901617BED7D603983684D</identifier>
<identifier type="ark">ark:/67375/WNG-XVH0FFN0-S</identifier>
<identifier type="DOI">10.1111/j.1600-0501.2011.02391.x</identifier>
<identifier type="ArticleID">CLR2391</identifier>
<accessCondition type="use and reproduction" contentType="copyright">Copyright © 2012 John Wiley & Sons A/S© 2012 John Wiley & Sons A/S</accessCondition>
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