Five‐year results from a randomized, controlled trial on early and delayed loading of implants supporting full‐arch prosthesis in the edentulous maxilla
Identifieur interne : 007421 ( Istex/Corpus ); précédent : 007420; suivant : 007422Five‐year results from a randomized, controlled trial on early and delayed loading of implants supporting full‐arch prosthesis in the edentulous maxilla
Auteurs : Kerstin Fischer ; Torsten Stenberg ; M Ns Hedin ; Lars SennerbySource :
- Clinical Oral Implants Research [ 0905-7161 ] ; 2008-05.
English descriptors
- KwdEn :
- Abutment, Baseline, Blackwell munksgaard, Bone loss, Bone resorption, Clin, Clinical implant dentistry, Complication, Control group, Control implants, Dental implants, Dentistry, Early loading, Edentulous, Edentulous maxilla, Fischer, Fracture, Gold onlay, Immediate loading, Impl, Implant, Implant dentistry, Implant failure, Implant shoulder, Implant stability, Implant treatment, Implants patients implants, Implants research, International journal, Jemt, Journal compilation, Kallus bessing, Lingual, Lingual gold onlay, Mandible, Marginal bone, Marginal bone level, Marginal bone loss, Maxilla, Maxillofacial, Munksgaard, Nemark, Onlay, Oral impl, Oral maxillofacial implants, Osseointegrated, Osseointegrated implants, Plaque, Plaque accumulation, Present study, Prosthesis, Prosthetic, Prosthodontics, Radiographic, Randomized, Resilient, Resilient mouth guard, Resonance frequency analysis, Resorption, Restorative material, Sennerby, Soft tissue health, Stenberg, Survival rate, Systematic review, Technical complications, Test group, Test implants, Titanium, Titanium frameworks, Zarb.
- Teeft :
- Abutment, Baseline, Blackwell munksgaard, Bone loss, Bone resorption, Clin, Clinical implant dentistry, Complication, Control group, Control implants, Dental implants, Dentistry, Early loading, Edentulous, Edentulous maxilla, Fischer, Fracture, Gold onlay, Immediate loading, Impl, Implant, Implant dentistry, Implant failure, Implant shoulder, Implant stability, Implant treatment, Implants patients implants, Implants research, International journal, Jemt, Journal compilation, Kallus bessing, Lingual, Lingual gold onlay, Mandible, Marginal bone, Marginal bone level, Marginal bone loss, Maxilla, Maxillofacial, Munksgaard, Nemark, Onlay, Oral impl, Oral maxillofacial implants, Osseointegrated, Osseointegrated implants, Plaque, Plaque accumulation, Present study, Prosthesis, Prosthetic, Prosthodontics, Radiographic, Randomized, Resilient, Resilient mouth guard, Resonance frequency analysis, Resorption, Restorative material, Sennerby, Soft tissue health, Stenberg, Survival rate, Systematic review, Technical complications, Test group, Test implants, Titanium, Titanium frameworks, Zarb.
Abstract
Objectives: The overall aim was to compare the clinical outcomes of early and delayed implant loading in the totally edentulous maxilla during 5 years of function.
Url:
DOI: 10.1111/j.1600-0501.2007.01510.x
Links to Exploration step
ISTEX:EA4615C14DEBC42E64E9EE36342D52E315D6B7EDLe document en format XML
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Sweden</mods:affiliation></affiliation></author><author><name sortKey="Hedin, M Ns" sort="Hedin, M Ns" uniqKey="Hedin M" first="M Ns" last="Hedin">M Ns Hedin</name><affiliation><mods:affiliation>Department of Radiology, Gävle Sjukhus, Gävle, Sweden.</mods:affiliation></affiliation></author><author><name sortKey="Sennerby, Lars" sort="Sennerby, Lars" uniqKey="Sennerby L" first="Lars" last="Sennerby">Lars Sennerby</name><affiliation><mods:affiliation>Department of Biomaterials, Institute for Clinical Sciences, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:EA4615C14DEBC42E64E9EE36342D52E315D6B7ED</idno><date when="2008" year="2008">2008</date><idno type="doi">10.1111/j.1600-0501.2007.01510.x</idno><idno type="url">https://api.istex.fr/document/EA4615C14DEBC42E64E9EE36342D52E315D6B7ED/fulltext/pdf</idno><idno 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loading</term><term>Impl</term><term>Implant</term><term>Implant dentistry</term><term>Implant failure</term><term>Implant shoulder</term><term>Implant stability</term><term>Implant treatment</term><term>Implants patients implants</term><term>Implants research</term><term>International journal</term><term>Jemt</term><term>Journal compilation</term><term>Kallus bessing</term><term>Lingual</term><term>Lingual gold onlay</term><term>Mandible</term><term>Marginal bone</term><term>Marginal bone level</term><term>Marginal bone loss</term><term>Maxilla</term><term>Maxillofacial</term><term>Munksgaard</term><term>Nemark</term><term>Onlay</term><term>Oral impl</term><term>Oral maxillofacial implants</term><term>Osseointegrated</term><term>Osseointegrated implants</term><term>Plaque</term><term>Plaque accumulation</term><term>Present study</term><term>Prosthesis</term><term>Prosthetic</term><term>Prosthodontics</term><term>Radiographic</term><term>Randomized</term><term>Resilient</term><term>Resilient mouth guard</term><term>Resonance frequency analysis</term><term>Resorption</term><term>Restorative material</term><term>Sennerby</term><term>Soft tissue health</term><term>Stenberg</term><term>Survival rate</term><term>Systematic review</term><term>Technical complications</term><term>Test group</term><term>Test implants</term><term>Titanium</term><term>Titanium frameworks</term><term>Zarb</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Abutment</term><term>Baseline</term><term>Blackwell munksgaard</term><term>Bone loss</term><term>Bone resorption</term><term>Clin</term><term>Clinical implant dentistry</term><term>Complication</term><term>Control group</term><term>Control implants</term><term>Dental implants</term><term>Dentistry</term><term>Early loading</term><term>Edentulous</term><term>Edentulous maxilla</term><term>Fischer</term><term>Fracture</term><term>Gold onlay</term><term>Immediate loading</term><term>Impl</term><term>Implant</term><term>Implant dentistry</term><term>Implant failure</term><term>Implant shoulder</term><term>Implant stability</term><term>Implant treatment</term><term>Implants patients implants</term><term>Implants research</term><term>International journal</term><term>Jemt</term><term>Journal compilation</term><term>Kallus bessing</term><term>Lingual</term><term>Lingual gold onlay</term><term>Mandible</term><term>Marginal bone</term><term>Marginal bone level</term><term>Marginal bone loss</term><term>Maxilla</term><term>Maxillofacial</term><term>Munksgaard</term><term>Nemark</term><term>Onlay</term><term>Oral impl</term><term>Oral maxillofacial implants</term><term>Osseointegrated</term><term>Osseointegrated implants</term><term>Plaque</term><term>Plaque accumulation</term><term>Present study</term><term>Prosthesis</term><term>Prosthetic</term><term>Prosthodontics</term><term>Radiographic</term><term>Randomized</term><term>Resilient</term><term>Resilient mouth guard</term><term>Resonance frequency analysis</term><term>Resorption</term><term>Restorative material</term><term>Sennerby</term><term>Soft tissue health</term><term>Stenberg</term><term>Survival rate</term><term>Systematic review</term><term>Technical complications</term><term>Test group</term><term>Test implants</term><term>Titanium</term><term>Titanium frameworks</term><term>Zarb</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">Objectives: The overall aim was to compare the clinical outcomes of early and delayed implant loading in the totally edentulous maxilla during 5 years of 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analysis</value></json:item></subject><articleId><json:string>CLR1510</json:string></articleId><arkIstex>ark:/67375/WNG-5F35PSZ4-D</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>Objectives: The overall aim was to compare the clinical outcomes of early and delayed implant loading in the totally edentulous maxilla during 5 years of function.</abstract><qualityIndicators><score>7.312</score><pdfWordCount>6213</pdfWordCount><pdfCharCount>41305</pdfCharCount><pdfVersion>1.3</pdfVersion><pdfPageCount>9</pdfPageCount><pdfPageSize>595.276 x 782.362 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractWordCount>26</abstractWordCount><abstractCharCount>163</abstractCharCount><keywordCount>7</keywordCount></qualityIndicators><title>Five‐year results from a randomized, controlled trial on early and delayed loading of implants supporting full‐arch prosthesis in the edentulous 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Chicago</json:string><json:string>County Hospital, Falun, Sweden</json:string></orgName><orgName_funder></orgName_funder><orgName_provider></orgName_provider><persName><json:string>Kerstin Fischer</json:string><json:string>Bone</json:string><json:string>Implants</json:string></persName><placeName><json:string>Rochester</json:string><json:string>NY</json:string><json:string>Falun</json:string><json:string>USA</json:string><json:string>Japan</json:string><json:string>Tokyo</json:string><json:string>Sweden</json:string></placeName><ref_url></ref_url><ref_bibl><json:string>Schwartz-Arad et al. 2005</json:string><json:string>Zix et al. 2005</json:string><json:string>Fischer et al</json:string><json:string>Attard & Zarb 2005</json:string><json:string>Walton 1998</json:string><json:string>Bra 1969, 1977</json:string><json:string>Horiuchi et al. 2000</json:string><json:string>Adell et al. (1981)</json:string><json:string>Jemt 1994</json:string><json:string>Kallus & Bessing 1994</json:string><json:string>Esposito et al. 2004</json:string><json:string>Lindfors et al. 2006</json:string><json:string>Bassit et al. 2002</json:string><json:string>Roos et al. 1997</json:string><json:string>Ortorp & Jemt 2006</json:string><json:string>Ohkubo et al. 2000</json:string><json:string>Gothberg et al. 2003</json:string><json:string>Berglundh et al. 2002</json:string><json:string>Bornstein et al. 2005</json:string><json:string>Rocci et al. 2003</json:string><json:string>Johansson & Palmqvist 1990</json:string><json:string>Lindfors et al. (2006)</json:string><json:string>Vanden Bogaerde et al. 2005</json:string><json:string>Fischer & Stenberg 2004, 2006</json:string><json:string>Zitzmann et al. (2001)</json:string><json:string>2006a, 2006b</json:string><json:string>Olsson et al.</json:string><json:string>Quirynen et al. 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(2005)</json:string><json:string>Nordin et al. 2004</json:string><json:string>Glauser et al. 2003</json:string><json:string>Schroeder et al. 1976, 1981</json:string><json:string>Carlson & Carlsson 1994</json:string><json:string>Tarnow et al. 1997</json:string></ref_bibl><bibl></bibl></unitex></namedEntities><ark><json:string>ark:/67375/WNG-5F35PSZ4-D</json:string></ark><categories><wos><json:string>1 - science</json:string><json:string>2 - engineering, biomedical</json:string><json:string>2 - dentistry, oral surgery & medicine</json:string></wos><scienceMetrix><json:string>1 - health sciences</json:string><json:string>2 - clinical medicine</json:string><json:string>3 - dentistry</json:string></scienceMetrix><scopus></scopus></categories><publicationDate>2008</publicationDate><copyrightDate>2008</copyrightDate><doi><json:string>10.1111/j.1600-0501.2007.01510.x</json:string></doi><id>EA4615C14DEBC42E64E9EE36342D52E315D6B7ED</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/EA4615C14DEBC42E64E9EE36342D52E315D6B7ED/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/EA4615C14DEBC42E64E9EE36342D52E315D6B7ED/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/EA4615C14DEBC42E64E9EE36342D52E315D6B7ED/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main">Five‐year results from a randomized, controlled trial on early and delayed loading of implants supporting full‐arch prosthesis in the edentulous maxilla</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><availability><licence>© 2008 The Authors</licence></availability><date type="published" when="2008-05"></date></publicationStmt><notesStmt><note type="content-type" subtype="article" source="article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="article"><analytic><title level="a" type="main">Five‐year results from a randomized, controlled trial on early and delayed loading of implants supporting full‐arch prosthesis in the edentulous maxilla</title><title level="a" type="short">Five‐year results with early and delayed loaded single‐stage implants in the edentulous maxilla</title><author xml:id="author-0000"><persName><forename type="first">Kerstin</forename><surname>Fischer</surname></persName><affiliation>Private Practice, Falun, Sweden<address><country key="SE"></country></address></affiliation><affiliation>Department of Biomaterials, Institute for Clinical Sciences, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden<address><country key="SE"></country></address></affiliation></author><author xml:id="author-0001"><persName><forename type="first">Torsten</forename><surname>Stenberg</surname></persName><affiliation>Former Head, Department of Prosthodontics, Specialist Centre for Oral Rehabilitation, Falun, Sweden<address><country key="SE"></country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">Måns</forename><surname>Hedin</surname></persName><affiliation>Department of Radiology, Gävle Sjukhus, Gävle, Sweden.<address><country key="SE"></country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">Lars</forename><surname>Sennerby</surname></persName><affiliation>Department of Biomaterials, Institute for Clinical Sciences, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden<address><country key="SE"></country></address></affiliation></author><idno type="istex">EA4615C14DEBC42E64E9EE36342D52E315D6B7ED</idno><idno type="ark">ark:/67375/WNG-5F35PSZ4-D</idno><idno type="DOI">10.1111/j.1600-0501.2007.01510.x</idno><idno type="unit">CLR1510</idno><idno type="supplier">1510</idno><idno type="toTypesetVersion">file:CLR.CLR1510.pdf</idno></analytic><monogr><title level="j" type="main">Clinical Oral Implants Research</title><title level="j" type="alt">CLINICAL ORAL IMPLANTS RESEARCH</title><idno type="pISSN">0905-7161</idno><idno type="eISSN">1600-0501</idno><idno type="book-DOI">10.1111/(ISSN)1600-0501</idno><idno type="book-part-DOI">10.1111/clr.2008.19.issue-5</idno><idno type="product">CLR</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">19</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="433">433</biblScope><biblScope unit="page" to="441">441</biblScope><biblScope unit="page-count">9</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2008-05"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><head>Abstract</head><p><hi rend="bold">Objectives: </hi> The overall aim was to compare the clinical outcomes of early and delayed implant loading in the totally edentulous maxilla during 5 years of function.</p><p><hi rend="bold">Materials and methods: </hi> Twenty‐four patients with edentulous maxillae were randomized in two groups and subjected to early (test, <hi rend="italic">n</hi>=16) or delayed (control, <hi rend="italic">n</hi>=8) loading. A total of 142 implants were placed and 139 implants (Straumann AG) were loaded with full‐arch bridges and followed for 5 years.</p><p><hi rend="bold">Results: </hi> All patients received and maintained a fixed bridge throughout the study period. Five (5.3%) test implants in three patients and two (4.3%) control implants in two patients were lost during the 5 years (NS). There were no differences in implant stability as measured with resonance frequency analysis at 5 years. More bone loss occurred at test than at control implants, −0.8 mm (SD 1.2) vs. −0.3 mm (SD 1.1), respectively. However, test implants showed a more coronal marginal bone level than control implants after 5 years, 2.9 mm (SD 1.1) vs. 3.7 mm (SD 1.2) from the implant shoulder, respectively. No control implants and four (4.4%) test implants in three (18.8%) patients showed >3 mm bone loss after 5 years. Two of the latter implants in one patient also showed increased probing depths, bleeding at probing and plaque accumulation. Tooth fracture was the most common prosthetic complication. The use of lingual gold onlay effectively reduced the number of resin‐related complications as opposed to a resilient mouth guard.</p><p><hi rend="bold">Conclusions: </hi> The present randomized controlled trial showed no important differences between early and delayed loading of implants in the edentulous maxilla after 5 years of function. A favourable long‐term marginal bone response to the sandblasted large‐grit acid‐etched (SLA) surface was observed. Technical complications were mainly resin‐related which could be avoided by the use of a lingual gold onlay. It is concluded that early loading of SLA‐surface implants for support of full‐arch bridges represents a viable therapy for the totally edentulous maxilla.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">complications</term><term xml:id="k2">dental implants</term><term xml:id="k3">edentulous maxilla</term><term xml:id="k4">fixed full‐arch prosthesis</term><term xml:id="k5">radiography</term><term xml:id="k6">randomized and controlled trial</term><term xml:id="k7">resonance frequency analysis</term></keywords><keywords rend="tocHeading1"><term>Original Articles</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/EA4615C14DEBC42E64E9EE36342D52E315D6B7ED/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Ltd</publisherName><publisherLoc>Oxford, UK</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1600-0501</doi><issn type="print">0905-7161</issn><issn type="electronic">1600-0501</issn><idGroup><id type="product" value="CLR"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="CLINICAL ORAL IMPLANTS RESEARCH">Clinical Oral Implants Research</title></titleGroup></publicationMeta><publicationMeta level="part" position="05005"><doi origin="wiley">10.1111/clr.2008.19.issue-5</doi><numberingGroup><numbering type="journalVolume" number="19">19</numbering><numbering type="journalIssue" number="5">5</numbering></numberingGroup><coverDate startDate="2008-05">May 2008</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="1" status="forIssue"><doi origin="wiley">10.1111/j.1600-0501.2007.01510.x</doi><idGroup><id type="unit" value="CLR1510"></id><id type="supplier" value="1510"></id></idGroup><countGroup><count type="pageTotal" number="9"></count></countGroup><titleGroup><title type="tocHeading1">Original Articles</title></titleGroup><copyright>© 2008 The Authors</copyright><eventGroup><event type="firstOnline" date="2008-03-26"></event><event type="publishedOnlineFinalForm" date="2008-03-26"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.2 mode:FullText source:FullText result:FullText" date="2010-03-15"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:4.0.1" date="2014-03-12"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-16"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="433">433</numbering><numbering type="pageLast" number="441">441</numbering></numberingGroup><correspondenceTo><b>Correspondence to:</b>
<i>Dr Kerstin Fischer</i>
Strandvägen 54
S – 791 42 Falun
Sweden
Tel.: +46 70 558 06 75
Fax: +46 23 240 82
e‐mail: <email normalForm="kerstin.fischer@swipnet.se">kerstin.fischer@swipnet.se</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:CLR.CLR1510.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory><b>Date:</b> Accepted 19 July 2007</unparsedEditorialHistory><countGroup><count type="figureTotal" number="2"></count><count type="tableTotal" number="16"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="52"></count><count type="wordTotal" number="9125"></count><count type="linksCrossRef" number="58"></count></countGroup><titleGroup><title type="main">Five‐year results from a randomized, controlled trial on early and delayed loading of implants supporting full‐arch prosthesis in the edentulous maxilla</title><title type="shortAuthors">Fischer et al.</title><title type="short">Five‐year results with early and delayed loaded single‐stage implants in the edentulous maxilla</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1 #a2"><personName><givenNames>Kerstin</givenNames><familyName>Fischer</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a3"><personName><givenNames>Torsten</givenNames><familyName>Stenberg</familyName></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a4"><personName><givenNames>Måns</givenNames><familyName>Hedin</familyName></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#a2"><personName><givenNames>Lars</givenNames><familyName>Sennerby</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="SE"><unparsedAffiliation>Private Practice, Falun, Sweden</unparsedAffiliation></affiliation><affiliation xml:id="a2" countryCode="SE"><unparsedAffiliation>Department of Biomaterials, Institute for Clinical Sciences, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden</unparsedAffiliation></affiliation><affiliation xml:id="a3" countryCode="SE"><unparsedAffiliation>Former Head, Department of Prosthodontics, Specialist Centre for Oral Rehabilitation, Falun, Sweden</unparsedAffiliation></affiliation><affiliation xml:id="a4" countryCode="SE"><unparsedAffiliation>Department of Radiology, Gävle Sjukhus, Gävle, Sweden.</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">complications</keyword><keyword xml:id="k2">dental implants</keyword><keyword xml:id="k3">edentulous maxilla</keyword><keyword xml:id="k4">fixed full‐arch prosthesis</keyword><keyword xml:id="k5">radiography</keyword><keyword xml:id="k6">randomized and controlled trial</keyword><keyword xml:id="k7">resonance frequency analysis</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><p><b>Objectives: </b> The overall aim was to compare the clinical outcomes of early and delayed implant loading in the totally edentulous maxilla during 5 years of function.</p><p><b>Materials and methods: </b> Twenty‐four patients with edentulous maxillae were randomized in two groups and subjected to early (test, <i>n</i>=16) or delayed (control, <i>n</i>=8) loading. A total of 142 implants were placed and 139 implants (Straumann AG) were loaded with full‐arch bridges and followed for 5 years.</p><p><b>Results: </b> All patients received and maintained a fixed bridge throughout the study period. Five (5.3%) test implants in three patients and two (4.3%) control implants in two patients were lost during the 5 years (NS). There were no differences in implant stability as measured with resonance frequency analysis at 5 years. More bone loss occurred at test than at control implants, −0.8 mm (SD 1.2) vs. −0.3 mm (SD 1.1), respectively. However, test implants showed a more coronal marginal bone level than control implants after 5 years, 2.9 mm (SD 1.1) vs. 3.7 mm (SD 1.2) from the implant shoulder, respectively. No control implants and four (4.4%) test implants in three (18.8%) patients showed >3 mm bone loss after 5 years. Two of the latter implants in one patient also showed increased probing depths, bleeding at probing and plaque accumulation. Tooth fracture was the most common prosthetic complication. The use of lingual gold onlay effectively reduced the number of resin‐related complications as opposed to a resilient mouth guard.</p><p><b>Conclusions: </b> The present randomized controlled trial showed no important differences between early and delayed loading of implants in the edentulous maxilla after 5 years of function. A favourable long‐term marginal bone response to the sandblasted large‐grit acid‐etched (SLA) surface was observed. Technical complications were mainly resin‐related which could be avoided by the use of a lingual gold onlay. It is concluded that early loading of SLA‐surface implants for support of full‐arch bridges represents a viable therapy for the totally edentulous maxilla.</p><!--
To cite this article:
Fischer K, Stenberg T, Hedin M, Sennerby L. Five-year results from a randomized, controlled trial on early and delayed loading of implants supporting full-arch prosthesis in the edentulous maxilla.
Clin. Oral Impl. Res. 19, 2008; 433–441
doi: 10.1111/j.1600-0501.2007.01510.x
--></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Five‐year results from a randomized, controlled trial on early and delayed loading of implants supporting full‐arch prosthesis in the edentulous maxilla</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Five‐year results with early and delayed loaded single‐stage implants in the edentulous maxilla</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Five‐year results from a randomized, controlled trial on early and delayed loading of implants supporting full‐arch prosthesis in the edentulous maxilla</title></titleInfo><name type="personal"><namePart type="given">Kerstin</namePart><namePart type="family">Fischer</namePart><affiliation>Private Practice, Falun, Sweden</affiliation><affiliation>Department of Biomaterials, Institute for Clinical Sciences, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Torsten</namePart><namePart type="family">Stenberg</namePart><affiliation>Former Head, Department of Prosthodontics, Specialist Centre for Oral Rehabilitation, Falun, Sweden</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Måns</namePart><namePart type="family">Hedin</namePart><affiliation>Department of Radiology, Gävle Sjukhus, Gävle, Sweden.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Lars</namePart><namePart type="family">Sennerby</namePart><affiliation>Department of Biomaterials, Institute for Clinical Sciences, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">2008-05</dateIssued><edition>Date: Accepted 19 July 2007</edition><copyrightDate encoding="w3cdtf">2008</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">2</extent><extent unit="tables">16</extent><extent unit="formulas">0</extent><extent unit="references">52</extent><extent unit="linksCrossRef">58</extent><extent unit="words">9125</extent></physicalDescription><abstract>Objectives: The overall aim was to compare the clinical outcomes of early and delayed implant loading in the totally edentulous maxilla during 5 years of function.</abstract><abstract>Materials and methods: Twenty‐four patients with edentulous maxillae were randomized in two groups and subjected to early (test, n=16) or delayed (control, n=8) loading. A total of 142 implants were placed and 139 implants (Straumann AG) were loaded with full‐arch bridges and followed for 5 years.</abstract><abstract>Results: All patients received and maintained a fixed bridge throughout the study period. Five (5.3%) test implants in three patients and two (4.3%) control implants in two patients were lost during the 5 years (NS). There were no differences in implant stability as measured with resonance frequency analysis at 5 years. More bone loss occurred at test than at control implants, −0.8 mm (SD 1.2) vs. −0.3 mm (SD 1.1), respectively. However, test implants showed a more coronal marginal bone level than control implants after 5 years, 2.9 mm (SD 1.1) vs. 3.7 mm (SD 1.2) from the implant shoulder, respectively. No control implants and four (4.4%) test implants in three (18.8%) patients showed >3 mm bone loss after 5 years. Two of the latter implants in one patient also showed increased probing depths, bleeding at probing and plaque accumulation. Tooth fracture was the most common prosthetic complication. The use of lingual gold onlay effectively reduced the number of resin‐related complications as opposed to a resilient mouth guard.</abstract><abstract>Conclusions: The present randomized controlled trial showed no important differences between early and delayed loading of implants in the edentulous maxilla after 5 years of function. A favourable long‐term marginal bone response to the sandblasted large‐grit acid‐etched (SLA) surface was observed. Technical complications were mainly resin‐related which could be avoided by the use of a lingual gold onlay. It is concluded that early loading of SLA‐surface implants for support of full‐arch bridges represents a viable therapy for the totally edentulous maxilla.</abstract><subject lang="en"><genre>keywords</genre><topic>complications</topic><topic>dental implants</topic><topic>edentulous maxilla</topic><topic>fixed full‐arch prosthesis</topic><topic>radiography</topic><topic>randomized and controlled trial</topic><topic>resonance frequency analysis</topic></subject><relatedItem type="host"><titleInfo><title>Clinical Oral Implants Research</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><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>2008</date><detail type="volume"><caption>vol.</caption><number>19</number></detail><detail type="issue"><caption>no.</caption><number>5</number></detail><extent unit="pages"><start>433</start><end>441</end><total>9</total></extent></part></relatedItem><identifier type="istex">EA4615C14DEBC42E64E9EE36342D52E315D6B7ED</identifier><identifier type="ark">ark:/67375/WNG-5F35PSZ4-D</identifier><identifier type="DOI">10.1111/j.1600-0501.2007.01510.x</identifier><identifier type="ArticleID">CLR1510</identifier><accessCondition type="use and reproduction" contentType="copyright">© 2008 The Authors</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource><recordOrigin>Blackwell Publishing Ltd</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/EA4615C14DEBC42E64E9EE36342D52E315D6B7ED/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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