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The immediate rehabilitation by means of a ready‐made final fixed prosthesis in the edentulous mandible: a 1‐year follow‐up study on 50 consecutive patients

Identifieur interne : 003200 ( Istex/Curation ); précédent : 003199; suivant : 003201

The immediate rehabilitation by means of a ready‐made final fixed prosthesis in the edentulous mandible: a 1‐year follow‐up study on 50 consecutive patients

Auteurs : D. Van Steenberghe ; L. Molly ; R. Jacobs [Belgique] ; B. Vandekerckhove ; M. Quirynen ; I. Naert [Belgique]

Source :

RBID : ISTEX:656E924C1BFA09B2F30A732A6072982B9026346B

English descriptors

Abstract

Abstract: Although a two‐stage procedure with symphyseal oral implants can lead to a long‐term (15 years) 99% cumulative survival rate, a one‐stage approach with immediate loading via prefabricated elements seems to offer a short‐term acceptable outcome with significantly lower costs. A series of 50 consecutive patients, not eliminated for any systemic or smoking condition, received at the department of periodontology three implants in the symphyseal area, connected by a very rigid horse shoe‐shaped titanium bar. A final screw retained prosthetic framework was placed on top of it at the department of prosthetic dentistry within 2 days after surgery (44) or after a delay, due to purely external factors, of up to 10 days (6). Forty‐five patients were followed for 1 year. In one patient, all three implants failed and another four patients were lost to follow‐up. The cumulative failure rates for implants and prostheses at 1 year were, respectively, 7.3% and 5%. The mean marginal bone loss at 1 year was 1.08 mm (SD: 1.62; range −5.68 to +2.55). This study shows that stable marginal bone levels can be maintained around immediately loaded implants in the lower jaw in an average patient population for at least 1 year. The survival rate is, however, lower than for a staged approach.

Url:
DOI: 10.1111/j.1600-0501.2004.01069.x

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D. Van Steenberghe
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<mods:affiliation>Department of Periodontology, School of Dentistry, Oral Pathology and Maxillo‐Facial Surgery, Faculty of Medicine, Catholic University of Leuven, Leuven, BelgiumD. van Steenberghe is holder of the P.I. Brånemark chair in Osseointegration</mods:affiliation>
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L. Molly
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<mods:affiliation>Department of Periodontology, School of Dentistry, Oral Pathology and Maxillo‐Facial Surgery, Faculty of Medicine, Catholic University of Leuven, Leuven, BelgiumD. van Steenberghe is holder of the P.I. Brånemark chair in Osseointegration</mods:affiliation>
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B. Vandekerckhove
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<mods:affiliation>Department of Periodontology, School of Dentistry, Oral Pathology and Maxillo‐Facial Surgery, Faculty of Medicine, Catholic University of Leuven, Leuven, BelgiumD. van Steenberghe is holder of the P.I. Brånemark chair in Osseointegration</mods:affiliation>
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M. Quirynen
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<mods:affiliation>Department of Periodontology, School of Dentistry, Oral Pathology and Maxillo‐Facial Surgery, Faculty of Medicine, Catholic University of Leuven, Leuven, BelgiumD. van Steenberghe is holder of the P.I. Brånemark chair in Osseointegration</mods:affiliation>
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<term>Bone level</term>
<term>Bone loss</term>
<term>Bone quality</term>
<term>Bone quantity grade</term>
<term>Bonferroni correction</term>
<term>Catholic university</term>
<term>Clinical implant dentistry</term>
<term>Consecutive patients</term>
<term>Cumulative failure rate</term>
<term>Cumulative survival rate</term>
<term>Dental technician</term>
<term>Dentistry</term>
<term>Dependent samples</term>
<term>Edentulous</term>
<term>Edentulous mandible</term>
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<term>Failure rate</term>
<term>Failure risk</term>
<term>Immediate loading</term>
<term>Immediate rehabilitation</term>
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<term>Implant installation</term>
<term>Implant placement</term>
<term>Implants research</term>
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<term>Initial bone level</term>
<term>International journal</term>
<term>Jacobs</term>
<term>Lekholm zarb</term>
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<term>Observation period</term>
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<term>Occlusal forces</term>
<term>Oral impl</term>
<term>Oral implants</term>
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<term>Oral pathology</term>
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<term>Osseointegration</term>
<term>Other patients</term>
<term>Panoramic radiograph</term>
<term>Periodontology</term>
<term>Preliminary results</term>
<term>Present study</term>
<term>Primary stability</term>
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<term>Prosthetic phase</term>
<term>Quantity distribution</term>
<term>Quirynen</term>
<term>Radiograph</term>
<term>Silicone lamel</term>
<term>Steenberghe</term>
<term>Survival rate</term>
<term>Symphyseal</term>
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<term>Clinical implant dentistry</term>
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<term>Marginal bone level</term>
<term>Marginal bone loss</term>
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<term>Present study</term>
<term>Primary stability</term>
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<term>Radiograph</term>
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<term>Survival rate</term>
<term>Symphyseal</term>
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<front>
<div type="abstract">Abstract: Although a two‐stage procedure with symphyseal oral implants can lead to a long‐term (15 years) 99% cumulative survival rate, a one‐stage approach with immediate loading via prefabricated elements seems to offer a short‐term acceptable outcome with significantly lower costs. A series of 50 consecutive patients, not eliminated for any systemic or smoking condition, received at the department of periodontology three implants in the symphyseal area, connected by a very rigid horse shoe‐shaped titanium bar. A final screw retained prosthetic framework was placed on top of it at the department of prosthetic dentistry within 2 days after surgery (44) or after a delay, due to purely external factors, of up to 10 days (6). Forty‐five patients were followed for 1 year. In one patient, all three implants failed and another four patients were lost to follow‐up. The cumulative failure rates for implants and prostheses at 1 year were, respectively, 7.3% and 5%. The mean marginal bone loss at 1 year was 1.08 mm (SD: 1.62; range −5.68 to +2.55). This study shows that stable marginal bone levels can be maintained around immediately loaded implants in the lower jaw in an average patient population for at least 1 year. The survival rate is, however, lower than for a staged approach.</div>
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