Retrospective clinical study of ultrawide implants more than 6 mm in diameter
Identifieur interne : 000538 ( Main/Exploration ); précédent : 000537; suivant : 000539Retrospective clinical study of ultrawide implants more than 6 mm in diameter
Auteurs : Jeong-Kui Ku ; Yang-Jin Yi [Corée du Sud] ; Pil-Young Yun ; Young-Kyun Kim [Corée du Sud]Source :
- Maxillofacial Plastic and Reconstructive Surgery [ 2288-8101 ] ; 2016.
Abstract
The prognosis of wide implants tends to be controversial. While wider implants were initially expected to result in a larger osseointegration area and have higher levels of primary stability, they were reported to have a relatively high rate of failure. The clinical outcome of ultrawide implants of more than 6 mm in diameter was evaluated through a retrospective study.
The investigation was conducted on patients who had received ultrawide implant (≥6 mm diameter) placements in Seoul National University Bundang Hospital from January 2008 to December 2013. Complications were investigated during the maintenance period, and marginal bone loss was measured using periapical radiography. Primary stability immediately after the implant placement and second stability after second surgery or during impression were measured using Osstell® Mentor (Osstell, Sweden) as an implant stability quotient (ISQ).
Fifty-eight implants were placed in 53 patients (30 male, 23 female), and they were observed for an average of 50.06 ± 23.49 months. The average ISQ value increased from 71.22 ± 10.26 to 77.48 ± 8.98 (
The excellent clinical outcome of ultrawide implants was confirmed. It was determined that an ultrawide implant can be used as an alternative when the bone quality in the posterior teeth is relatively low or when a previous implant has failed.
Url:
DOI: 10.1186/s40902-016-0075-z
PubMed: 27547748
PubMed Central: 4974300
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Retrospective clinical study of ultrawide implants more than 6 mm in diameter</title><author><name sortKey="Ku, Jeong Kui" sort="Ku, Jeong Kui" uniqKey="Ku J" first="Jeong-Kui" last="Ku">Jeong-Kui Ku</name><affiliation><nlm:aff id="Aff1">Department of Oral and Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital, Gumi-ro 173-82, Bundang-gu, Seongnam City, Gyeonggi-do 13620 South Korea</nlm:aff><wicri:noCountry code="subfield">Gyeonggi-do 13620 South Korea</wicri:noCountry></affiliation></author><author><name sortKey="Yi, Yang Jin" sort="Yi, Yang Jin" uniqKey="Yi Y" first="Yang-Jin" last="Yi">Yang-Jin Yi</name><affiliation><nlm:aff id="Aff2">Department of Prosthodontics, Section of Dentistry, Seoul National University Bundang Hospital, Gumi-ro 173-82, Bundang-gu, Seongnam City, Gyeonggi-do 13620 South Korea</nlm:aff><wicri:noCountry code="subfield">Gyeonggi-do 13620 South Korea</wicri:noCountry></affiliation><affiliation wicri:level="4"><nlm:aff id="Aff3">Department of Dentistry and Dental Research Institute, School of Dentistry, Seoul National University, Daehak-ro 101, Jongno-gu, Seoul 03080 South Korea</nlm:aff><orgName type="university">Université nationale de Séoul</orgName><country>Corée du Sud</country><placeName><settlement type="city">Séoul</settlement></placeName></affiliation></author><author><name sortKey="Yun, Pil Young" sort="Yun, Pil Young" uniqKey="Yun P" first="Pil-Young" last="Yun">Pil-Young Yun</name><affiliation><nlm:aff id="Aff1">Department of Oral and Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital, Gumi-ro 173-82, Bundang-gu, Seongnam City, Gyeonggi-do 13620 South Korea</nlm:aff><wicri:noCountry code="subfield">Gyeonggi-do 13620 South Korea</wicri:noCountry></affiliation></author><author><name sortKey="Kim, Young Kyun" sort="Kim, Young Kyun" uniqKey="Kim Y" first="Young-Kyun" last="Kim">Young-Kyun Kim</name><affiliation><nlm:aff id="Aff1">Department of Oral and Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital, Gumi-ro 173-82, Bundang-gu, Seongnam City, Gyeonggi-do 13620 South Korea</nlm:aff><wicri:noCountry code="subfield">Gyeonggi-do 13620 South Korea</wicri:noCountry></affiliation><affiliation wicri:level="4"><nlm:aff id="Aff3">Department of Dentistry and Dental Research Institute, School of Dentistry, Seoul National University, Daehak-ro 101, Jongno-gu, Seoul 03080 South Korea</nlm:aff><orgName type="university">Université nationale de Séoul</orgName><country>Corée du Sud</country><placeName><settlement type="city">Séoul</settlement></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27547748</idno><idno type="pmc">4974300</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4974300</idno><idno type="RBID">PMC:4974300</idno><idno 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study of ultrawide implants more than 6 mm in diameter</title><author><name sortKey="Ku, Jeong Kui" sort="Ku, Jeong Kui" uniqKey="Ku J" first="Jeong-Kui" last="Ku">Jeong-Kui Ku</name><affiliation><nlm:aff id="Aff1">Department of Oral and Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital, Gumi-ro 173-82, Bundang-gu, Seongnam City, Gyeonggi-do 13620 South Korea</nlm:aff><wicri:noCountry code="subfield">Gyeonggi-do 13620 South Korea</wicri:noCountry></affiliation></author><author><name sortKey="Yi, Yang Jin" sort="Yi, Yang Jin" uniqKey="Yi Y" first="Yang-Jin" last="Yi">Yang-Jin Yi</name><affiliation><nlm:aff id="Aff2">Department of Prosthodontics, Section of Dentistry, Seoul National University Bundang Hospital, Gumi-ro 173-82, Bundang-gu, Seongnam City, Gyeonggi-do 13620 South Korea</nlm:aff><wicri:noCountry code="subfield">Gyeonggi-do 13620 South Korea</wicri:noCountry></affiliation><affiliation wicri:level="4"><nlm:aff id="Aff3">Department of Dentistry and Dental Research Institute, School of Dentistry, Seoul National University, Daehak-ro 101, Jongno-gu, Seoul 03080 South Korea</nlm:aff><orgName type="university">Université nationale de Séoul</orgName><country>Corée du Sud</country><placeName><settlement type="city">Séoul</settlement></placeName></affiliation></author><author><name sortKey="Yun, Pil Young" sort="Yun, Pil Young" uniqKey="Yun P" first="Pil-Young" last="Yun">Pil-Young Yun</name><affiliation><nlm:aff id="Aff1">Department of Oral and Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital, Gumi-ro 173-82, Bundang-gu, Seongnam City, Gyeonggi-do 13620 South Korea</nlm:aff><wicri:noCountry code="subfield">Gyeonggi-do 13620 South Korea</wicri:noCountry></affiliation></author><author><name sortKey="Kim, Young Kyun" sort="Kim, Young Kyun" uniqKey="Kim Y" first="Young-Kyun" last="Kim">Young-Kyun Kim</name><affiliation><nlm:aff id="Aff1">Department of Oral and Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital, Gumi-ro 173-82, Bundang-gu, Seongnam City, Gyeonggi-do 13620 South Korea</nlm:aff><wicri:noCountry code="subfield">Gyeonggi-do 13620 South Korea</wicri:noCountry></affiliation><affiliation wicri:level="4"><nlm:aff id="Aff3">Department of Dentistry and Dental Research Institute, School of Dentistry, Seoul National University, Daehak-ro 101, Jongno-gu, Seoul 03080 South Korea</nlm:aff><orgName type="university">Université nationale de Séoul</orgName><country>Corée du Sud</country><placeName><settlement type="city">Séoul</settlement></placeName></affiliation></author></analytic><series><title level="j">Maxillofacial Plastic and Reconstructive Surgery</title><idno type="ISSN">2288-8101</idno><idno type="eISSN">2288-8586</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>Background</title><p>The prognosis of wide implants tends to be controversial. While wider implants were initially expected to result in a larger osseointegration area and have higher levels of primary stability, they were reported to have a relatively high rate of failure. The clinical outcome of ultrawide implants of more than 6 mm in diameter was evaluated through a retrospective study.</p></sec><sec><title>Methods</title><p>The investigation was conducted on patients who had received ultrawide implant (≥6 mm diameter) placements in Seoul National University Bundang Hospital from January 2008 to December 2013. Complications were investigated during the maintenance period, and marginal bone loss was measured using periapical radiography. Primary stability immediately after the implant placement and second stability after second surgery or during impression were measured using Osstell<sup>®</sup> Mentor (Osstell, Sweden) as an implant stability quotient (ISQ).</p></sec><sec><title>Results</title><p>Fifty-eight implants were placed in 53 patients (30 male, 23 female), and they were observed for an average of 50.06 ± 23.49 months. The average ISQ value increased from 71.22 ± 10.26 to 77.48 ± 8.98 (<italic>P</italic> < 0.005). The primary and secondary stability shows significantly higher at the mandible than at the maxilla (<italic>P</italic> < 0.001). However, mean survival rate shows 98.28 %. Average marginal bone loss of 0.018 and 0.045 mm were measured at 12 and 24 months after the loading and 0.14 mm at final follow-up date (mean 46.25 months), respectively. Also in this study, the bone loss amount was noticeably small compared to regular implants reported in previous studies.</p></sec><sec><title>Conclusions</title><p>The excellent clinical outcome of ultrawide implants was confirmed. It was determined that an ultrawide implant can be used as an alternative when the bone quality in the posterior teeth is relatively low or when a previous implant has failed.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Haas, R" uniqKey="Haas R">R Haas</name></author><author><name sortKey="Mensdorff Pouilly, N" uniqKey="Mensdorff Pouilly N">N Mensdorff-Pouilly</name></author><author><name sortKey="Mailath, G" uniqKey="Mailath G">G Mailath</name></author><author><name sortKey="Watzek, G" uniqKey="Watzek G">G Watzek</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bischof, M" uniqKey="Bischof M">M Bischof</name></author><author><name sortKey="Nedir, R" uniqKey="Nedir R">R Nedir</name></author><author><name sortKey="Szmukler Moncler, S" uniqKey="Szmukler Moncler S">S Szmukler-Moncler</name></author><author><name sortKey="Bernard, J P" uniqKey="Bernard J">J-P 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Sud</li></country><settlement><li>Séoul</li></settlement><orgName><li>Université nationale de Séoul</li></orgName></list><tree><noCountry><name sortKey="Ku, Jeong Kui" sort="Ku, Jeong Kui" uniqKey="Ku J" first="Jeong-Kui" last="Ku">Jeong-Kui Ku</name><name sortKey="Yun, Pil Young" sort="Yun, Pil Young" uniqKey="Yun P" first="Pil-Young" last="Yun">Pil-Young Yun</name></noCountry><country name="Corée du Sud"><noRegion><name sortKey="Yi, Yang Jin" sort="Yi, Yang Jin" uniqKey="Yi Y" first="Yang-Jin" last="Yi">Yang-Jin Yi</name></noRegion><name sortKey="Kim, Young Kyun" sort="Kim, Young Kyun" uniqKey="Kim Y" first="Young-Kyun" last="Kim">Young-Kyun Kim</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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