Marginal bone resorption around immediate and delayed loaded implants supporting a locator‐retained mandibular overdenture. A 1‐year randomised controlled trial
Identifieur interne : 001E95 ( Main/Curation ); précédent : 001E94; suivant : 001E96Marginal bone resorption around immediate and delayed loaded implants supporting a locator‐retained mandibular overdenture. A 1‐year randomised controlled trial
Auteurs : M. A. Elsyad [Égypte] ; E. A. Elsaih [Égypte] ; A. S. Khairallah [Égypte]Source :
- Journal of Oral Rehabilitation [ 0305-182X ] ; 2014-08.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Conception d'appareil de prothèse dentaire, Facteurs de risque, Femelle, Humains, Maladies mandibulaires (imagerie diagnostique), Mandibule (), Mandibule (imagerie diagnostique), Mâchoire édentée (), Mâchoire édentée (imagerie diagnostique), Mâle, Overdenture, Pose d'implant dentaire endo-osseux (), Pose immédiate d'implant dentaire, Résorption alvéolaire (imagerie diagnostique), Résorption osseuse (imagerie diagnostique), Résultat thérapeutique, Tomodensitométrie.
- MESH :
- imagerie diagnostique : Maladies mandibulaires, Mandibule, Mâchoire édentée, Résorption alvéolaire, Résorption osseuse.
- Adulte d'âge moyen, Conception d'appareil de prothèse dentaire, Facteurs de risque, Femelle, Humains, Mandibule, Mâchoire édentée, Mâle, Overdenture, Pose d'implant dentaire endo-osseux, Pose immédiate d'implant dentaire, Résultat thérapeutique, Tomodensitométrie.
English descriptors
- KwdEn :
- Alveolar Bone Loss (diagnostic imaging), Bone Resorption (diagnostic imaging), Dental Implantation, Endosseous (methods), Denture Design, Denture, Overlay, Female, Humans, Immediate Dental Implant Loading, Jaw, Edentulous (diagnostic imaging), Jaw, Edentulous (surgery), Male, Mandible (diagnostic imaging), Mandible (surgery), Mandibular Diseases (diagnostic imaging), Middle Aged, Risk Factors, Tomography, X-Ray Computed, Treatment Outcome.
- MESH :
- diagnostic imaging : Alveolar Bone Loss, Bone Resorption, Jaw, Edentulous, Mandible, Mandibular Diseases.
- methods : Dental Implantation, Endosseous.
- surgery : Jaw, Edentulous, Mandible.
- Denture Design, Denture, Overlay, Female, Humans, Immediate Dental Implant Loading, Male, Middle Aged, Risk Factors, Tomography, X-Ray Computed, Treatment Outcome.
Abstract
The aim of this 1‐year study was to evaluate and compare crestal bone loss and clinical outcomes of immediate and delayed loaded implants supporting mandibular overdentures with Locator attachments. In a randomised controlled clinical trial, 36 completely edentulous patients (mean age 59·6 years) who desired to improve the stability of their mandibular dentures were randomly assigned into two groups. Each patient received two implants in the canine area of the mandible after a minimal flap reflection. Implants were loaded by mandibular overdentures either 3 months (delayed loading group, G1) or the same day (immediate loading group, G2) after implant placement. Locator attachments were used to retain all overdentures to the implants. Peri‐implant vertical (VBL) and horizontal (HBLO) bone losses and clinical parameters [plaque scores (PI), gingival scores (GI), probing depths (PD) and implant stability (ISQ)] were assessed at time of overdenture insertion (T0), 6 months (T6) and 12 months (T12) after overdenture insertion. After 12 months of overdenture insertion, two implants (5·5%) failed in G2. Vertical bone loss was significantly higher in G2 compared with G1, while HBLO demonstrated insignificant differences between groups. All clinical parameters (PI, GI, PD and ISQ) did not differ significantly between groups. Vertical bone loss was significantly correlated with PD and HBLO. Immediately loaded two implants supporting a Locator‐retained mandibular overdenture are associated with more vertical bone resorption when compared to delayed loaded implants after 1 year. Clinical outcomes do not differ significantly between loading protocols.
Url:
DOI: 10.1111/joor.12182
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<term>Dental Implantation, Endosseous (methods)</term>
<term>Denture Design</term>
<term>Denture, Overlay</term>
<term>Female</term>
<term>Humans</term>
<term>Immediate Dental Implant Loading</term>
<term>Jaw, Edentulous (diagnostic imaging)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Male</term>
<term>Mandible (diagnostic imaging)</term>
<term>Mandible (surgery)</term>
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<term>Treatment Outcome</term>
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<term>Conception d'appareil de prothèse dentaire</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Maladies mandibulaires (imagerie diagnostique)</term>
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<term>Mandibule (imagerie diagnostique)</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (imagerie diagnostique)</term>
<term>Mâle</term>
<term>Overdenture</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Pose immédiate d'implant dentaire</term>
<term>Résorption alvéolaire (imagerie diagnostique)</term>
<term>Résorption osseuse (imagerie diagnostique)</term>
<term>Résultat thérapeutique</term>
<term>Tomodensitométrie</term>
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<term>Jaw, Edentulous</term>
<term>Mandible</term>
<term>Mandibular Diseases</term>
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<term>Mâchoire édentée</term>
<term>Résorption alvéolaire</term>
<term>Résorption osseuse</term>
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<term>Mandible</term>
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<term>Humans</term>
<term>Immediate Dental Implant Loading</term>
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<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
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<term>Mâchoire édentée</term>
<term>Mâle</term>
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<term>Pose d'implant dentaire endo-osseux</term>
<term>Pose immédiate d'implant dentaire</term>
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<front><div type="abstract">The aim of this 1‐year study was to evaluate and compare crestal bone loss and clinical outcomes of immediate and delayed loaded implants supporting mandibular overdentures with Locator attachments. In a randomised controlled clinical trial, 36 completely edentulous patients (mean age 59·6 years) who desired to improve the stability of their mandibular dentures were randomly assigned into two groups. Each patient received two implants in the canine area of the mandible after a minimal flap reflection. Implants were loaded by mandibular overdentures either 3 months (delayed loading group, G1) or the same day (immediate loading group, G2) after implant placement. Locator attachments were used to retain all overdentures to the implants. Peri‐implant vertical (VBL) and horizontal (HBLO) bone losses and clinical parameters [plaque scores (PI), gingival scores (GI), probing depths (PD) and implant stability (ISQ)] were assessed at time of overdenture insertion (T0), 6 months (T6) and 12 months (T12) after overdenture insertion. After 12 months of overdenture insertion, two implants (5·5%) failed in G2. Vertical bone loss was significantly higher in G2 compared with G1, while HBLO demonstrated insignificant differences between groups. All clinical parameters (PI, GI, PD and ISQ) did not differ significantly between groups. Vertical bone loss was significantly correlated with PD and HBLO. Immediately loaded two implants supporting a Locator‐retained mandibular overdenture are associated with more vertical bone resorption when compared to delayed loaded implants after 1 year. Clinical outcomes do not differ significantly between loading protocols.</div>
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