Survival of immediately versus delayed loaded short implants: A prospective case series study
Identifieur interne : 000C81 ( Main/Curation ); précédent : 000C80; suivant : 000C82Survival of immediately versus delayed loaded short implants: A prospective case series study
Auteurs : Joaquin Alvira-González ; Erick Díaz-Campos ; Maria-Angeles Sánchez-Garcés ; Cosme Gay-EscodaSource :
- Medicina Oral, Patología Oral y Cirugía Bucal [ 1698-4447 ] ; 2015.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- chemical : Dental Implants.
- surgery : Jaw, Edentulous.
- Adult, Aged, Dental Prosthesis Design, Dental Prosthesis Retention, Female, Humans, Male, Middle Aged, Prospective Studies, Time Factors.
Abstract
To assess and compare survival rates of immediately and delayed loaded short implants (7 mm) in free ends of a partially edentulous jaw with moderate-severe alveolar bone resorption.
24 patients with atrophic edentulous free-ends were included in this prospective study. Four study groups were monitored monthly and their behavior was evaluated: bridges supported only by short implants and mixed short and long implant bridge groups, both with immediate and delayed loading. Failures, bone loss, probing depth and bleeding on probing were evaluated.
54 Mk III Shorty TiU and 15 Brånemark System®MK III TiU implants with a length longer than 7mm were included in the study. Twenty-eight implants were inserted following the immediate loading protocol and 26 according a two-stage procedure, depending on the torque value. The cumulative survival rate of short implants was 87% (n=54) after a mean time of 47.72 months (range 33-62 months), showing statistically significant differences related to loading protocol (
Immediate loading of short implants placed on free ends can be considered an option in the treatment protocol of patients with severe bone resorption especially if implants are splinted to others of greater length.
Url:
DOI: 10.4317/medoral.20407
PubMed: 26034926
PubMed Central: 4523261
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Joaquin Alvira-González<affiliation><nlm:aff id="A1">DDS, Master Degree Program in Oral Surgery and Implantology, University of Barcelona (Spain)</nlm:aff>
<wicri:noCountry code="subfield">University of Barcelona (Spain)</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="A2">DDS, Fellow of Oral Surgery and Implantology, School of Dentistry, University of Barcelona (Spain)</nlm:aff>
<wicri:noCountry code="subfield">University of Barcelona (Spain)</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="A3">MD, DDS, MS, PhD. Associate Professor of Oral Surgery, Proffesor of Master Degree Program in Oral Surgery and Implanto-logy, Faculty of Dentistry - University of Barcelona, (Spain). Researcher of the IDIBELL Institute, Barcelona (Spain)</nlm:aff>
<wicri:noCountry code="subfield">Barcelona (Spain)</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="A4">MD, DDS, MS, PhD, EBOS. Chairman and Professor of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Barcelona. Director of Master’s Degree Program in Oral Surgery and Implantology (EHFRE International University/FUCSO). Coordinator/Researcher of the IDIBELL Institute. Head of Oral and Maxillofacial Surgery Department of the Teknon Medical Center, Barcelona (Spain)</nlm:aff>
<wicri:noCountry code="subfield">Barcelona (Spain)</wicri:noCountry>
</affiliation>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Survival of immediately versus delayed loaded short
implants: A prospective case series study</title>
<author><name sortKey="Alvira Gonzalez, Joaquin" sort="Alvira Gonzalez, Joaquin" uniqKey="Alvira Gonzalez J" first="Joaquin" last="Alvira-González">Joaquin Alvira-González</name>
<affiliation><nlm:aff id="A1">DDS, Master Degree Program in Oral Surgery and Implantology, University of Barcelona (Spain)</nlm:aff>
<wicri:noCountry code="subfield">University of Barcelona (Spain)</wicri:noCountry>
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<author><name sortKey="Diaz Campos, Erick" sort="Diaz Campos, Erick" uniqKey="Diaz Campos E" first="Erick" last="Díaz-Campos">Erick Díaz-Campos</name>
<affiliation><nlm:aff id="A2">DDS, Fellow of Oral Surgery and Implantology, School of Dentistry, University of Barcelona (Spain)</nlm:aff>
<wicri:noCountry code="subfield">University of Barcelona (Spain)</wicri:noCountry>
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<author><name sortKey="Sanchez Garces, Maria Angeles" sort="Sanchez Garces, Maria Angeles" uniqKey="Sanchez Garces M" first="Maria-Angeles" last="Sánchez-Garcés">Maria-Angeles Sánchez-Garcés</name>
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<wicri:noCountry code="subfield">Barcelona (Spain)</wicri:noCountry>
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<author><name sortKey="Gay Escoda, Cosme" sort="Gay Escoda, Cosme" uniqKey="Gay Escoda C" first="Cosme" last="Gay-Escoda">Cosme Gay-Escoda</name>
<affiliation><nlm:aff id="A4">MD, DDS, MS, PhD, EBOS. Chairman and Professor of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Barcelona. Director of Master’s Degree Program in Oral Surgery and Implantology (EHFRE International University/FUCSO). Coordinator/Researcher of the IDIBELL Institute. Head of Oral and Maxillofacial Surgery Department of the Teknon Medical Center, Barcelona (Spain)</nlm:aff>
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<series><title level="j">Medicina Oral, Patología Oral y Cirugía Bucal</title>
<idno type="ISSN">1698-4447</idno>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Dental Implants</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis Retention</term>
<term>Female</term>
<term>Humans</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
<term>Time Factors</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Conception de prothèse dentaire</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Mâchoire édentée ()</term>
<term>Mâle</term>
<term>Rétention de prothèse dentaire</term>
<term>Sujet âgé</term>
<term>Études prospectives</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis Retention</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
<term>Time Factors</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Conception de prothèse dentaire</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Rétention de prothèse dentaire</term>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>To assess and compare survival rates of immediately and delayed loaded short implants (7 mm) in free ends of a partially edentulous jaw with moderate-severe alveolar bone resorption.</p>
</sec>
<sec><title>Material and Methods</title>
<p>24 patients with atrophic edentulous free-ends were included in this prospective study. Four study groups were monitored monthly and their behavior was evaluated: bridges supported only by short implants and mixed short and long implant bridge groups, both with immediate and delayed loading. Failures, bone loss, probing depth and bleeding on probing were evaluated.</p>
</sec>
<sec><title>Results</title>
<p>54 Mk III Shorty TiU and 15 Brånemark System®MK III TiU implants with a length longer than 7mm were included in the study. Twenty-eight implants were inserted following the immediate loading protocol and 26 according a two-stage procedure, depending on the torque value. The cumulative survival rate of short implants was 87% (n=54) after a mean time of 47.72 months (range 33-62 months), showing statistically significant differences related to loading protocol (<italic>p</italic>
=0.047). Short implants immediately loaded had a higher long-term survival rate (96.4%) compared to the other study group (76.9%). Besides, short implants splinted to longer immediately loaded implants presented the highest survival rate (100%). Twenty-five (53.19%) short implants showed a bone loss of less than one millimeter after the follow-up period. Statistically significant differences were found between bleeding on probing, presence of plaque or suppuration and a higher bone loss in both loading protocols (<italic>p</italic>
=0.001).</p>
</sec>
<sec><title>Conclusions</title>
<p> Immediate loading of short implants placed on free ends can be considered an option in the treatment protocol of patients with severe bone resorption especially if implants are splinted to others of greater length.</p>
<p><bold>Key words:</bold>
Dental implants, short implants, immediate loading, prospective study, TiUnite surface.</p>
</sec>
</div>
</front>
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