An open prospective single cohort multicenter study evaluating the novel, tapered, conical connection implants supporting single crowns in the anterior and premolar maxilla: interim 1-year results
Identifieur interne : 000A65 ( Main/Exploration ); précédent : 000A64; suivant : 000A66An open prospective single cohort multicenter study evaluating the novel, tapered, conical connection implants supporting single crowns in the anterior and premolar maxilla: interim 1-year results
Auteurs : Alexander Fügl [Autriche] ; Werner Zechner [Autriche] ; Alessandro Pozzi [Italie] ; Guido Heydecke [Allemagne] ; Christine Mirzakhanian [Allemagne] ; Nikolaus Behneke [Allemagne] ; Alexandra Behneke [Allemagne] ; Russell A. Baer [États-Unis] ; Robert Nölken [Allemagne] ; Edward Gottesman [États-Unis] ; Snjezana Colic [Serbie]Source :
- Clinical Oral Investigations [ 1432-6981 ] ; 2016.
Abstract
The aim of this multicenter prospective clinical study was to evaluate anodized tapered implants with a conical connection and integrated platform shifting placed in the anterior and premolar maxilla.
The study enrolled patients requiring single-tooth restorations in healed sites of maxillary anterior and premolar teeth. All implants were immediately temporized. Clinical and radiographic evaluations were conducted at implant insertion, 6 months, and 1 year. Outcome measures included bone remodeling, cumulative survival rate (CSR), success rate, soft-tissue health and esthetics, and patient satisfaction. Bone remodeling and pink esthetic score were analyzed using Wilcoxon signed-rank tests. CSR was calculated using life table analysis. Other soft-tissue outcomes were analyzed using sign tests.
Out of 97 enrolled patients (102 implants), 87 patients (91 implants) completed the 1-year visit. Marginal bone remodeling was −0.85 ± 1.36 mm. After the expected initial bone loss, a mean bone gain of 0.11 ± 1.05 mm was observed between 6 months and 1 year. The CSR was 99.0%, and the cumulative success rate was 97.0%. Partial or full papilla was observed at 30.8% of sites at baseline, 87.2% at 6 months, and 90.5% at 1 year. Soft-tissue response, esthetics, and patient satisfaction all improved during the study period.
Bone gain was observed following the expected initial bone loss, and soft-tissue outcomes improved suggesting favorable tissue response using anodized tapered conical connection implants.
Rapid stabilization of bone remodeling and robust papilla regeneration indicate favorable tissue healing promoted by the conical connection, platform-shift design.
Url:
DOI: 10.1007/s00784-016-2003-0
PubMed: 27864641
PubMed Central: 5487825
Affiliations:
- Allemagne, Autriche, Italie, Serbie, États-Unis
- Illinois, Vienne (Autriche), État de New York
- Chicago, Vienne (Autriche)
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uniqKey="Zechner W" first="Werner" last="Zechner">Werner Zechner</name><affiliation wicri:level="3"><nlm:aff id="Aff1">Bernhard Gottlieb University Clinic of Dentistry, Sensengasse 2a, 1090 Vienna, Austria</nlm:aff><country xml:lang="fr">Autriche</country><wicri:regionArea>Bernhard Gottlieb University Clinic of Dentistry, Sensengasse 2a, 1090 Vienna</wicri:regionArea><placeName><region type="land" nuts="2">Vienne (Autriche)</region><settlement type="city">Vienne (Autriche)</settlement></placeName></affiliation></author><author><name sortKey="Pozzi, Alessandro" sort="Pozzi, Alessandro" uniqKey="Pozzi A" first="Alessandro" last="Pozzi">Alessandro Pozzi</name><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 2300 0941</institution-id><institution-id institution-id-type="GRID">grid.6530.0</institution-id><institution></institution><institution>University of Rome Tor Vergata,</institution></institution-wrap>Rome, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Rome</wicri:regionArea></affiliation></author><author><name sortKey="Heydecke, Guido" sort="Heydecke, Guido" uniqKey="Heydecke G" first="Guido" last="Heydecke">Guido Heydecke</name><affiliation wicri:level="1"><nlm:aff id="Aff3"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 2180 3484</institution-id><institution-id institution-id-type="GRID">grid.13648.38</institution-id><institution></institution><institution>University Medical Center Hamburg-Eppendorf,</institution></institution-wrap>Hamburg, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Hamburg</wicri:regionArea></affiliation></author><author><name sortKey="Mirzakhanian, Christine" sort="Mirzakhanian, Christine" uniqKey="Mirzakhanian C" first="Christine" last="Mirzakhanian">Christine Mirzakhanian</name><affiliation wicri:level="1"><nlm:aff id="Aff3"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 2180 3484</institution-id><institution-id institution-id-type="GRID">grid.13648.38</institution-id><institution></institution><institution>University Medical Center Hamburg-Eppendorf,</institution></institution-wrap>Hamburg, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Hamburg</wicri:regionArea></affiliation></author><author><name sortKey="Behneke, Nikolaus" sort="Behneke, Nikolaus" uniqKey="Behneke N" first="Nikolaus" last="Behneke">Nikolaus Behneke</name><affiliation wicri:level="1"><nlm:aff id="Aff4"><institution-wrap><institution-id institution-id-type="GRID">grid.410607.4</institution-id><institution></institution><institution>University Medical Center of Johannes Gutenberg University Mainz,</institution></institution-wrap>Mainz, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Mainz</wicri:regionArea></affiliation></author><author><name sortKey="Behneke, Alexandra" sort="Behneke, Alexandra" uniqKey="Behneke A" first="Alexandra" last="Behneke">Alexandra Behneke</name><affiliation wicri:level="1"><nlm:aff id="Aff4"><institution-wrap><institution-id institution-id-type="GRID">grid.410607.4</institution-id><institution></institution><institution>University Medical Center of Johannes Gutenberg University Mainz,</institution></institution-wrap>Mainz, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Mainz</wicri:regionArea></affiliation></author><author><name sortKey="Baer, Russell A" sort="Baer, Russell A" uniqKey="Baer R" first="Russell A." last="Baer">Russell A. Baer</name><affiliation wicri:level="3"><nlm:aff id="Aff5">University Associates in Dentistry, Chicago, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>University Associates in Dentistry, Chicago</wicri:regionArea><placeName><settlement type="city">Chicago</settlement><region type="state">Illinois</region></placeName></affiliation></author><author><name sortKey="Nolken, Robert" sort="Nolken, Robert" uniqKey="Nolken R" first="Robert" last="Nölken">Robert Nölken</name><affiliation wicri:level="1"><nlm:aff id="Aff6">Private Practice, Lindau, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Private Practice, Lindau</wicri:regionArea><wicri:noRegion>Lindau</wicri:noRegion><wicri:noRegion>Lindau</wicri:noRegion><wicri:noRegion>Lindau</wicri:noRegion></affiliation></author><author><name sortKey="Gottesman, Edward" sort="Gottesman, Edward" uniqKey="Gottesman E" first="Edward" last="Gottesman">Edward Gottesman</name><affiliation wicri:level="2"><nlm:aff id="Aff7">Private Practice, New York, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Private Practice, New York</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Colic, Snjezana" sort="Colic, Snjezana" uniqKey="Colic S" first="Snjezana" last="Colic">Snjezana Colic</name><affiliation wicri:level="1"><nlm:aff id="Aff8"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 2166 9385</institution-id><institution-id institution-id-type="GRID">grid.7149.b</institution-id><institution></institution><institution>University of Belgrade,</institution></institution-wrap>Belgrade, Serbia</nlm:aff><country xml:lang="fr">Serbie</country><wicri:regionArea>Belgrade</wicri:regionArea></affiliation></author></analytic><series><title level="j">Clinical Oral Investigations</title><idno type="ISSN">1432-6981</idno><idno type="eISSN">1436-3771</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>Objectives</title><p id="Par1">The aim of this multicenter prospective clinical study was to evaluate anodized tapered implants with a conical connection and integrated platform shifting placed in the anterior and premolar maxilla.</p></sec><sec><title>Materials and methods</title><p id="Par2">The study enrolled patients requiring single-tooth restorations in healed sites of maxillary anterior and premolar teeth. All implants were immediately temporized. Clinical and radiographic evaluations were conducted at implant insertion, 6 months, and 1 year. Outcome measures included bone remodeling, cumulative survival rate (CSR), success rate, soft-tissue health and esthetics, and patient satisfaction. Bone remodeling and pink esthetic score were analyzed using Wilcoxon signed-rank tests. CSR was calculated using life table analysis. Other soft-tissue outcomes were analyzed using sign tests.</p></sec><sec><title>Results</title><p id="Par3">Out of 97 enrolled patients (102 implants), 87 patients (91 implants) completed the 1-year visit. Marginal bone remodeling was −0.85 ± 1.36 mm. After the expected initial bone loss, a mean bone gain of 0.11 ± 1.05 mm was observed between 6 months and 1 year. The CSR was 99.0%, and the cumulative success rate was 97.0%. Partial or full papilla was observed at 30.8% of sites at baseline, 87.2% at 6 months, and 90.5% at 1 year. Soft-tissue response, esthetics, and patient satisfaction all improved during the study period.</p></sec><sec><title>Conclusions</title><p id="Par4">Bone gain was observed following the expected initial bone loss, and soft-tissue outcomes improved suggesting favorable tissue response using anodized tapered conical connection implants.</p></sec><sec><title>Clinical relevance</title><p id="Par5">Rapid stabilization of bone remodeling and robust papilla regeneration indicate favorable tissue healing promoted by the conical connection, platform-shift design.</p></sec><sec><title>Trial registration</title><p id="Par6"><ext-link ext-link-type="uri" xlink:href="http://clinicaltrials.gov"><italic>clinicaltrials.gov</italic></ext-link> NCT02175550</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Jivraj, S" uniqKey="Jivraj S">S Jivraj</name></author><author><name sortKey="Chee, W" uniqKey="Chee W">W 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Muhlemann</name></author><author><name sortKey="Zwahlen, M" uniqKey="Zwahlen M">M Zwahlen</name></author><author><name sortKey="Hammerle, Ch" uniqKey="Hammerle C">CH Hammerle</name></author><author><name sortKey="Schneider, D" uniqKey="Schneider D">D Schneider</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Shao, J" uniqKey="Shao J">J Shao</name></author><author><name sortKey="Zhong, B" uniqKey="Zhong B">B Zhong</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Allemagne</li><li>Autriche</li><li>Italie</li><li>Serbie</li><li>États-Unis</li></country><region><li>Illinois</li><li>Vienne (Autriche)</li><li>État de New York</li></region><settlement><li>Chicago</li><li>Vienne (Autriche)</li></settlement></list><tree><country name="Autriche"><region name="Vienne (Autriche)"><name sortKey="Fugl, Alexander" sort="Fugl, Alexander" uniqKey="Fugl A" first="Alexander" last="Fügl">Alexander Fügl</name></region><name sortKey="Zechner, Werner" sort="Zechner, Werner" uniqKey="Zechner W" first="Werner" last="Zechner">Werner Zechner</name></country><country name="Italie"><noRegion><name sortKey="Pozzi, Alessandro" sort="Pozzi, Alessandro" uniqKey="Pozzi A" first="Alessandro" last="Pozzi">Alessandro Pozzi</name></noRegion></country><country name="Allemagne"><noRegion><name sortKey="Heydecke, Guido" sort="Heydecke, Guido" uniqKey="Heydecke G" first="Guido" last="Heydecke">Guido Heydecke</name></noRegion><name sortKey="Behneke, Alexandra" sort="Behneke, Alexandra" uniqKey="Behneke A" first="Alexandra" last="Behneke">Alexandra Behneke</name><name sortKey="Behneke, Nikolaus" sort="Behneke, Nikolaus" uniqKey="Behneke N" first="Nikolaus" last="Behneke">Nikolaus Behneke</name><name sortKey="Mirzakhanian, Christine" sort="Mirzakhanian, Christine" uniqKey="Mirzakhanian C" first="Christine" last="Mirzakhanian">Christine Mirzakhanian</name><name sortKey="Nolken, Robert" sort="Nolken, Robert" uniqKey="Nolken R" first="Robert" last="Nölken">Robert Nölken</name></country><country name="États-Unis"><region name="Illinois"><name sortKey="Baer, Russell A" sort="Baer, Russell A" uniqKey="Baer R" first="Russell A." last="Baer">Russell A. Baer</name></region><name sortKey="Gottesman, Edward" sort="Gottesman, Edward" uniqKey="Gottesman E" first="Edward" last="Gottesman">Edward Gottesman</name></country><country name="Serbie"><noRegion><name sortKey="Colic, Snjezana" sort="Colic, Snjezana" uniqKey="Colic S" first="Snjezana" last="Colic">Snjezana Colic</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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