The prognosis of splinted restoration of the most-distal implants in the posterior region
Identifieur interne : 000449 ( Main/Exploration ); précédent : 000448; suivant : 000450The prognosis of splinted restoration of the most-distal implants in the posterior region
Auteurs : Jong-Bin Lee [Corée du Sud] ; Man-Yong Kim [Corée du Sud] ; Chang-Sung Kim [Corée du Sud] ; Young-Taek Kim [Corée du Sud]Source :
- The Journal of Advanced Prosthodontics [ 2005-7806 ] ; 2016.
Abstract
The aim of this study was to compare the efficacies of two-implant splinting (2-IS) and single-implant restoration (1-IR) in the first and second molar regions over a mean functional loading period (FLP) of 40 months, and to propose the appropriate clinical considerations for the splinting technique.
The following clinical factors were examined in the 1-IR and 2-IS groups based on the total hospital records of the patients: sex, mean age, implant location, FLP, bone grafting, clinical crown-implant ratio, crown height space, and horizontal distance. The mechanical complications [i.e., screw loosening (SL), screw fracture, crown fracture, and repeated SL] and biological complications [i.e., peri-implant mucositis (PM) and peri-implantitis (PI)] were also evaluated for each patient. In analysis of two groups, the chi-square test and Student's t-test were used to identify the relationship between clinical factors and complication rates. The optimal cutoff value for the FLP based on complications was evaluated using receiver operating characteristics analysis.
In total, 234 patients with 408 implants that had been placed during 2005 - 2014 were investigated. The incident rates of SL (
The mechanical complication rates were lower for 2-IS than for 1-IR, while the biological complication rates were higher for 2-IS. FLP of 39.80 and 46.57 months were the reference follow-up periods for preventing biological and mechanical complications, respectively.
Url:
DOI: 10.4047/jap.2016.8.6.494
PubMed: 28018568
PubMed Central: 5179489
Affiliations:
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Service, Goyang, Republic of Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Prosthodontics, Ilsan Hospital, National Health Insurance Service, Goyang</wicri:regionArea><wicri:noRegion>Goyang</wicri:noRegion></affiliation></author><author><name sortKey="Kim, Chang Sung" sort="Kim, Chang Sung" uniqKey="Kim C" first="Chang-Sung" last="Kim">Chang-Sung Kim</name><affiliation wicri:level="3"><nlm:aff id="A3">Department of Periodontology, Research Institute for Periodontal Regeneration, College of Dentistry, Yonsei University, Seoul, Republic of Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Periodontology, Research Institute for Periodontal Regeneration, College of Dentistry, Yonsei University, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Kim, Young Taek" sort="Kim, Young Taek" uniqKey="Kim Y" first="Young-Taek" last="Kim">Young-Taek Kim</name><affiliation wicri:level="1"><nlm:aff id="A4">Department of Periodontology, Ilsan Hospital, National Health Insurance Service, Goyang, Republic of Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Periodontology, Ilsan Hospital, National Health Insurance Service, Goyang</wicri:regionArea><wicri:noRegion>Goyang</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">28018568</idno><idno type="pmc">5179489</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5179489</idno><idno type="RBID">PMC:5179489</idno><idno type="doi">10.4047/jap.2016.8.6.494</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">002F22</idno><idno type="wicri:explorRef" 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first="Jong-Bin" last="Lee">Jong-Bin Lee</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Periodontology, Ewha Womans University Mokdong Hospital, Seoul, Republic of Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Periodontology, Ewha Womans University Mokdong Hospital, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Kim, Man Yong" sort="Kim, Man Yong" uniqKey="Kim M" first="Man-Yong" last="Kim">Man-Yong Kim</name><affiliation wicri:level="1"><nlm:aff id="A2">Department of Prosthodontics, Ilsan Hospital, National Health Insurance Service, Goyang, Republic of Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Prosthodontics, Ilsan Hospital, National Health Insurance Service, Goyang</wicri:regionArea><wicri:noRegion>Goyang</wicri:noRegion></affiliation></author><author><name sortKey="Kim, Chang Sung" sort="Kim, Chang Sung" uniqKey="Kim C" first="Chang-Sung" last="Kim">Chang-Sung Kim</name><affiliation wicri:level="3"><nlm:aff id="A3">Department of Periodontology, Research Institute for Periodontal Regeneration, College of Dentistry, Yonsei University, Seoul, Republic of Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Periodontology, Research Institute for Periodontal Regeneration, College of Dentistry, Yonsei University, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Kim, Young Taek" sort="Kim, Young Taek" uniqKey="Kim Y" first="Young-Taek" last="Kim">Young-Taek Kim</name><affiliation wicri:level="1"><nlm:aff id="A4">Department of Periodontology, Ilsan Hospital, National Health Insurance Service, Goyang, Republic of Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Periodontology, Ilsan Hospital, National Health Insurance Service, Goyang</wicri:regionArea><wicri:noRegion>Goyang</wicri:noRegion></affiliation></author></analytic><series><title level="j">The Journal of Advanced Prosthodontics</title><idno type="ISSN">2005-7806</idno><idno type="eISSN">2005-7814</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>PURPOSE</title><p>The aim of this study was to compare the efficacies of two-implant splinting (2-IS) and single-implant restoration (1-IR) in the first and second molar regions over a mean functional loading period (FLP) of 40 months, and to propose the appropriate clinical considerations for the splinting technique.</p></sec><sec><title>MATERIALS AND METHODS</title><p>The following clinical factors were examined in the 1-IR and 2-IS groups based on the total hospital records of the patients: sex, mean age, implant location, FLP, bone grafting, clinical crown-implant ratio, crown height space, and horizontal distance. The mechanical complications [i.e., screw loosening (SL), screw fracture, crown fracture, and repeated SL] and biological complications [i.e., peri-implant mucositis (PM) and peri-implantitis (PI)] were also evaluated for each patient. In analysis of two groups, the chi-square test and Student's t-test were used to identify the relationship between clinical factors and complication rates. The optimal cutoff value for the FLP based on complications was evaluated using receiver operating characteristics analysis.</p></sec><sec><title>RESULTS</title><p>In total, 234 patients with 408 implants that had been placed during 2005 - 2014 were investigated. The incident rates of SL (<italic>P</italic><.001), PM (<italic>P</italic>=.002), and PI (<italic>P</italic>=.046) differed significantly between the 1-IR and 2-IS groups. The FLP was the only meaningful clinical factor for mechanical and biological complication rates in 2-IS.</p></sec><sec><title>CONCLUSION</title><p>The mechanical complication rates were lower for 2-IS than for 1-IR, while the biological complication rates were higher for 2-IS. FLP of 39.80 and 46.57 months were the reference follow-up periods for preventing biological and mechanical complications, respectively.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Naert, I" uniqKey="Naert I">I Naert</name></author><author><name sortKey="Quirynen, M" uniqKey="Quirynen M">M Quirynen</name></author><author><name sortKey="Van Steenberghe, D" uniqKey="Van Steenberghe D">D van Steenberghe</name></author><author><name sortKey="Darius, P" uniqKey="Darius P">P Darius</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Van Steenberghe, D" uniqKey="Van Steenberghe D">D van Steenberghe</name></author><author><name sortKey="Lekholm, U" uniqKey="Lekholm U">U Lekholm</name></author><author><name sortKey="Bolender, C" uniqKey="Bolender C">C Bolender</name></author><author><name sortKey="Folmer, T" uniqKey="Folmer T">T Folmer</name></author><author><name sortKey="Henry, P" uniqKey="Henry 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Zwahlen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yuan, Jc" uniqKey="Yuan J">JC Yuan</name></author><author><name sortKey="Sukotjo, C" uniqKey="Sukotjo C">C Sukotjo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Johansson, A" uniqKey="Johansson A">A Johansson</name></author><author><name sortKey="Omar, R" uniqKey="Omar R">R Omar</name></author><author><name sortKey="Carlsson, Ge" uniqKey="Carlsson G">GE Carlsson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Falc N Antenucci, Rm" uniqKey="Falc N Antenucci R">RM Falcón-Antenucci</name></author><author><name sortKey="Pellizzer, Ep" uniqKey="Pellizzer E">EP Pellizzer</name></author><author><name sortKey="De Carvalho, Ps" uniqKey="De Carvalho P">PS de Carvalho</name></author><author><name sortKey="Goiato, Mc" uniqKey="Goiato M">MC Goiato</name></author><author><name sortKey="Noritomi, Py" uniqKey="Noritomi P">PY Noritomi</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Corée du Sud</li></country><region><li>Région capitale de Séoul</li></region><settlement><li>Séoul</li></settlement></list><tree><country name="Corée du Sud"><region name="Région capitale de Séoul"><name sortKey="Lee, Jong Bin" sort="Lee, Jong Bin" uniqKey="Lee J" first="Jong-Bin" last="Lee">Jong-Bin Lee</name></region><name sortKey="Kim, Chang Sung" sort="Kim, Chang Sung" uniqKey="Kim C" first="Chang-Sung" last="Kim">Chang-Sung Kim</name><name sortKey="Kim, Man Yong" sort="Kim, Man Yong" uniqKey="Kim M" first="Man-Yong" last="Kim">Man-Yong Kim</name><name sortKey="Kim, Young Taek" sort="Kim, Young Taek" uniqKey="Kim Y" first="Young-Taek" last="Kim">Young-Taek Kim</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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