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Brånemark System® and ITI Dental Implant System® for treatment of mandibular edentulism

Identifieur interne : 005733 ( Istex/Curation ); précédent : 005732; suivant : 005734

Brånemark System® and ITI Dental Implant System® for treatment of mandibular edentulism

Auteurs : Lars-Erik Moberg ; Gun-Britt Sagulin ; Per- Ke Köndell ; Anders Heimdahl ; Göran W. Gynther ; Anders Bolin [Suède]

Source :

RBID : ISTEX:AEFC4C9160D38023CEAB66F55F10E19F50F95CEE

Descripteurs français

English descriptors

Abstract

Abstract: In a randomized prospective study, two implant systems were compared in forty consecutive patients treated for mandibular edentulism. The patients were randomly allotted for treatment by the Brånemark® two‐stage (submerged) system (BRS), or the ITI® one‐stage (non‐submerged) system. In all, 102 Brånemark selftapping implants and 106 ITI hollow screw implants were installed and all patients were treated with full bridges. Biological and prosthodontic parameters, complications, success rates, clinical efficacy, patient satisfaction and resource requirements were evaluated. No differences were found in plaque accumulation, bleeding or complications during the follow‐up period. The BRS group showed deeper periimplant sulcus, less attached mucosa, larger bridge‐mucosa distance and higher Periotest values. Prosthetic complications were not related to the configuration of the implant systems. After 3 years, the cumulative success rates were 97.9% and 96.8% for the Brånemark and ITI systems, respectively (difference not statistically significant). One implant in the BRS group had failed to osseointegrate at the time of abutment connection, and another was lost after 2 years due to progressive breakdown of bone. In the ITI group, three implants showed progressive bone loss after 1–3 years associated with periimplant infection. All 40 bridges were intact and remained stable throughout the study. There was general patient satisfaction, but about half the Brånemark patients reported difficulty in coping with the surgical procedures. Treatment time was similar for the two systems. It is concluded that both systems meet the current requirements for dental implant systems in the treatment of mandibular edentulism.

Url:
DOI: 10.1034/j.1600-0501.2001.120504.x

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ISTEX:AEFC4C9160D38023CEAB66F55F10E19F50F95CEE

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Lars-Erik Moberg
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Gun-Britt Sagulin
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Per- Ke Köndell
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Anders Heimdahl
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Göran W. Gynther
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<term>Abutment connection</term>
<term>Abutment screws</term>
<term>Acrylic fractures</term>
<term>Acrylic teeth</term>
<term>Adell</term>
<term>Antimicrobial treatment</term>
<term>Application point</term>
<term>Arch bridges</term>
<term>Balanced occlusion</term>
<term>Bone level</term>
<term>Bone loss</term>
<term>Bridge insertion</term>
<term>Bridge removal</term>
<term>Bridge screws</term>
<term>Buccal</term>
<term>Buser</term>
<term>Clin</term>
<term>Clinical patient satisfaction</term>
<term>Clinical registrations plaque</term>
<term>Comparative randomized study</term>
<term>Complication</term>
<term>Consecutive patients</term>
<term>Deeper periimplant sulcus</term>
<term>Dental implant system</term>
<term>Dental implant systema</term>
<term>Dental implants</term>
<term>Denture</term>
<term>Denture adjustment</term>
<term>Different implant systems</term>
<term>Distal edge</term>
<term>Early failure</term>
<term>Edentulism</term>
<term>Edentulismo mandibular</term>
<term>Edentulous</term>
<term>Edentulous jaws</term>
<term>Edentulous patients</term>
<term>Facial implants</term>
<term>High frequency</term>
<term>Hollow screw implants</term>
<term>Hygiene</term>
<term>Impl</term>
<term>Implant</term>
<term>Implant hygiene</term>
<term>Implant installation</term>
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<term>Implant systems</term>
<term>Implant systems table</term>
<term>Implant treatment</term>
<term>Implants research</term>
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<term>Inadequate space</term>
<term>Insertion</term>
<term>Institut straumann</term>
<term>International journal</term>
<term>Karlsson</term>
<term>Karolinska institute</term>
<term>Lekholm</term>
<term>Lingual aspects</term>
<term>Longitudinal</term>
<term>Longitudinal study</term>
<term>Mandibular</term>
<term>Mandibular edentulism</term>
<term>Mandibular function</term>
<term>Maxillofacial</term>
<term>Maxillofacial implants</term>
<term>Maxillofacial surgery</term>
<term>Maximum mouth opening</term>
<term>Metal framework</term>
<term>Moberg</term>
<term>More time</term>
<term>Mucosa</term>
<term>Mucosa width</term>
<term>Mucosal</term>
<term>Mucosal aspect</term>
<term>National journal</term>
<term>Natural teeth</term>
<term>Nger force</term>
<term>Nobel biocare</term>
<term>Nonsubmerged titanium</term>
<term>Observation period</term>
<term>Occlusal</term>
<term>Oral hygiene</term>
<term>Oral impl</term>
<term>Osseointegrated</term>
<term>Osseointegrated implants</term>
<term>Other implants</term>
<term>Other resources</term>
<term>Other studies</term>
<term>Periimplant</term>
<term>Periimplant bone loss</term>
<term>Periimplant infection</term>
<term>Periimplant mucosa</term>
<term>Periotest</term>
<term>Periotest values</term>
<term>Plaque</term>
<term>Plaque accumulation</term>
<term>Present study</term>
<term>Previous reports</term>
<term>Progressive bone loss</term>
<term>Prosthesis</term>
<term>Prosthesis insertion</term>
<term>Prosthetic</term>
<term>Prosthetic complications</term>
<term>Prosthetic procedures</term>
<term>Prosthodontic parameters</term>
<term>Prosthodontic procedures</term>
<term>Radiographic examination</term>
<term>Resource requirements</term>
<term>Screw threads</term>
<term>Selftapping implants</term>
<term>Sensory changes</term>
<term>Success rate</term>
<term>Success rates</term>
<term>Sulcus</term>
<term>Surgical</term>
<term>Surgical procedure</term>
<term>Surgical procedures</term>
<term>Surgical technique</term>
<term>Systema</term>
<term>Titanium</term>
<term>Titanium frameworks</term>
<term>Torque control device</term>
<term>Treatment time</term>
<term>Upper part</term>
<term>Zarb</term>
</keywords>
<keywords scheme="Teeft" xml:lang="en">
<term>Abutment</term>
<term>Abutment connection</term>
<term>Abutment screws</term>
<term>Acrylic fractures</term>
<term>Acrylic teeth</term>
<term>Adell</term>
<term>Antimicrobial treatment</term>
<term>Application point</term>
<term>Arch bridges</term>
<term>Balanced occlusion</term>
<term>Bone level</term>
<term>Bone loss</term>
<term>Bridge insertion</term>
<term>Bridge removal</term>
<term>Bridge screws</term>
<term>Buccal</term>
<term>Buser</term>
<term>Clin</term>
<term>Clinical patient satisfaction</term>
<term>Clinical registrations plaque</term>
<term>Comparative randomized study</term>
<term>Complication</term>
<term>Consecutive patients</term>
<term>Deeper periimplant sulcus</term>
<term>Dental implant system</term>
<term>Dental implant systema</term>
<term>Dental implants</term>
<term>Denture</term>
<term>Denture adjustment</term>
<term>Different implant systems</term>
<term>Distal edge</term>
<term>Early failure</term>
<term>Edentulism</term>
<term>Edentulismo mandibular</term>
<term>Edentulous</term>
<term>Edentulous jaws</term>
<term>Edentulous patients</term>
<term>Facial implants</term>
<term>High frequency</term>
<term>Hollow screw implants</term>
<term>Hygiene</term>
<term>Impl</term>
<term>Implant</term>
<term>Implant hygiene</term>
<term>Implant installation</term>
<term>Implant system</term>
<term>Implant systems</term>
<term>Implant systems table</term>
<term>Implant treatment</term>
<term>Implants research</term>
<term>Important factor</term>
<term>Inadequate space</term>
<term>Insertion</term>
<term>Institut straumann</term>
<term>International journal</term>
<term>Karlsson</term>
<term>Karolinska institute</term>
<term>Lekholm</term>
<term>Lingual aspects</term>
<term>Longitudinal</term>
<term>Longitudinal study</term>
<term>Mandibular</term>
<term>Mandibular edentulism</term>
<term>Mandibular function</term>
<term>Maxillofacial</term>
<term>Maxillofacial implants</term>
<term>Maxillofacial surgery</term>
<term>Maximum mouth opening</term>
<term>Metal framework</term>
<term>Moberg</term>
<term>More time</term>
<term>Mucosa</term>
<term>Mucosa width</term>
<term>Mucosal</term>
<term>Mucosal aspect</term>
<term>National journal</term>
<term>Natural teeth</term>
<term>Nger force</term>
<term>Nobel biocare</term>
<term>Nonsubmerged titanium</term>
<term>Observation period</term>
<term>Occlusal</term>
<term>Oral hygiene</term>
<term>Oral impl</term>
<term>Osseointegrated</term>
<term>Osseointegrated implants</term>
<term>Other implants</term>
<term>Other resources</term>
<term>Other studies</term>
<term>Periimplant</term>
<term>Periimplant bone loss</term>
<term>Periimplant infection</term>
<term>Periimplant mucosa</term>
<term>Periotest</term>
<term>Periotest values</term>
<term>Plaque</term>
<term>Plaque accumulation</term>
<term>Present study</term>
<term>Previous reports</term>
<term>Progressive bone loss</term>
<term>Prosthesis</term>
<term>Prosthesis insertion</term>
<term>Prosthetic</term>
<term>Prosthetic complications</term>
<term>Prosthetic procedures</term>
<term>Prosthodontic parameters</term>
<term>Prosthodontic procedures</term>
<term>Radiographic examination</term>
<term>Resource requirements</term>
<term>Screw threads</term>
<term>Selftapping implants</term>
<term>Sensory changes</term>
<term>Success rate</term>
<term>Success rates</term>
<term>Sulcus</term>
<term>Surgical</term>
<term>Surgical procedure</term>
<term>Surgical procedures</term>
<term>Surgical technique</term>
<term>Systema</term>
<term>Titanium</term>
<term>Titanium frameworks</term>
<term>Torque control device</term>
<term>Treatment time</term>
<term>Upper part</term>
<term>Zarb</term>
</keywords>
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<term>Titane</term>
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<front>
<div type="abstract">Abstract: In a randomized prospective study, two implant systems were compared in forty consecutive patients treated for mandibular edentulism. The patients were randomly allotted for treatment by the Brånemark® two‐stage (submerged) system (BRS), or the ITI® one‐stage (non‐submerged) system. In all, 102 Brånemark selftapping implants and 106 ITI hollow screw implants were installed and all patients were treated with full bridges. Biological and prosthodontic parameters, complications, success rates, clinical efficacy, patient satisfaction and resource requirements were evaluated. No differences were found in plaque accumulation, bleeding or complications during the follow‐up period. The BRS group showed deeper periimplant sulcus, less attached mucosa, larger bridge‐mucosa distance and higher Periotest values. Prosthetic complications were not related to the configuration of the implant systems. After 3 years, the cumulative success rates were 97.9% and 96.8% for the Brånemark and ITI systems, respectively (difference not statistically significant). One implant in the BRS group had failed to osseointegrate at the time of abutment connection, and another was lost after 2 years due to progressive breakdown of bone. In the ITI group, three implants showed progressive bone loss after 1–3 years associated with periimplant infection. All 40 bridges were intact and remained stable throughout the study. There was general patient satisfaction, but about half the Brånemark patients reported difficulty in coping with the surgical procedures. Treatment time was similar for the two systems. It is concluded that both systems meet the current requirements for dental implant systems in the treatment of mandibular edentulism.</div>
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