Palatal positioned implants in severely atrophic maxillae versus conventional implants to support fixed full-arch prostheses: Controlled retrospective study with 5 years of follow-up
Identifieur interne : 000E59 ( Main/Exploration ); précédent : 000E58; suivant : 000E60Palatal positioned implants in severely atrophic maxillae versus conventional implants to support fixed full-arch prostheses: Controlled retrospective study with 5 years of follow-up
Auteurs : Eugenia Candel-Marti [Espagne] ; David Pe Arrocha-Oltra [Espagne] ; Leticia Bagán [Espagne] ; Maria Pe Arrocha-Diago [Espagne] ; Miguel Pe Arrocha-Diago [Espagne]Source :
- Medicina Oral, Patología Oral y Cirugía Bucal [ 1698-4447 ] ; 2015.
Abstract
To evaluate soft tissue conditions and bone loss around palatal positioned implants supporting fixed full-arch prostheses to rehabilitate edentulous maxillae with horizontal atrophy and compare them with conventional well-centered implants placed in non-atrophic maxillae after a minimum follow-up of 5 years.
A clinical retrospective study was performed of patients that were rehabilitated with full-arch fixed implant-supported maxillary prostheses and had a minimum follow-up of 5 years after implant loading. Patients were divided into 2 groups: patients with class IV maxilla according to Cawood and Howell and treated with palatal positioned implants (test) and with class III maxilla and treated with implants well-centered in the alveolar ridge and completely surrounded by bone (control). The following variables were assessed: age, sex, frequency of tooth brushing, smoking, type of prosthesis, type of implant, implant success, amount of buccal keratinized mucosa, buccal retraction, probing depth, plaque index, modified bleeding index, presence of mucositis or peri-implantitis and peri-implant bone loss. Statistical analysis was performed applying Chi2 Test and Student’s t-test using alpha set at 0.05.
A total of 57 patients were included: 32 patients with 161 palatal positioned implants (test) and 25 patients with 132 well centered implants (control). No statistically significant differences were found regarding age, sex and smoking, but test group patients reported a significantly higher frequency of daily tooth brushing. Implant success rates were 96.9% for test group implants and 96.0% for control group implants. Peri-implant mucosa retraction was significantly higher in the control group than in the test group (
Despite its limitations the outcomes of the present study suggest that palatal positioned implants may be a good treatment alternative for patients with severe horizontal maxillary alveolar bone atrophy. Palatal positioned implants presented similar success rates, soft tissue conditions and peri-implant bone loss than well-centered implants placed completely surrounded by bone in non-atrophic ridges.
Url:
DOI: 10.4317/medoral.20262
PubMed: 25662546
PubMed Central: 4464924
Affiliations:
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conventional implants to support fixed full-arch prostheses:
Controlled retrospective study with 5 years of follow-up</title><author><name sortKey="Candel Marti, Eugenia" sort="Candel Marti, Eugenia" uniqKey="Candel Marti E" first="Eugenia" last="Candel-Marti">Eugenia Candel-Marti</name><affiliation wicri:level="1"><nlm:aff id="A1">Collaborating Professor of the Master in Oral Surgery and Implantology, Stomatology Department, Faculty of Medicine and Dentistry, University of Valencia, Valencia, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Collaborating Professor of the Master in Oral Surgery and Implantology, Stomatology Department, Faculty of Medicine and Dentistry, University of Valencia, Valencia</wicri:regionArea><wicri:noRegion>Valencia</wicri:noRegion></affiliation></author><author><name sortKey="Pe Arrocha Oltra, David" sort="Pe Arrocha Oltra, David" uniqKey="Pe Arrocha Oltra D" first="David" last="Pe Arrocha-Oltra">David Pe Arrocha-Oltra</name><affiliation wicri:level="1"><nlm:aff id="A1">Collaborating Professor of the Master in Oral Surgery and Implantology, Stomatology Department, Faculty of Medicine and Dentistry, University of Valencia, Valencia, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Collaborating Professor of the Master in Oral Surgery and Implantology, Stomatology Department, Faculty of Medicine and Dentistry, University of Valencia, Valencia</wicri:regionArea><wicri:noRegion>Valencia</wicri:noRegion></affiliation></author><author><name sortKey="Bagan, Leticia" sort="Bagan, Leticia" uniqKey="Bagan L" first="Leticia" last="Bagán">Leticia Bagán</name><affiliation wicri:level="1"><nlm:aff id="A2">Collaborating Lecturer in Oral Medicine, Dental Medicine Division, Stomatology Department, Faculty of Medicine and Dentistry, University of Valencia, Valencia, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Collaborating Lecturer in Oral Medicine, Dental Medicine Division, Stomatology Department, Faculty of Medicine and Dentistry, University of Valencia, Valencia</wicri:regionArea><wicri:noRegion>Valencia</wicri:noRegion></affiliation></author><author><name sortKey="Pe Arrocha Diago, Maria" sort="Pe Arrocha Diago, Maria" uniqKey="Pe Arrocha Diago M" first="Maria" last="Pe Arrocha-Diago">Maria Pe Arrocha-Diago</name><affiliation wicri:level="1"><nlm:aff id="A3">Full Professor of Oral Surgery, Stomatology Department, Faculty of Medicine and Dentistry, University of Valencia, Valencia, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Full Professor of Oral Surgery, Stomatology Department, Faculty of Medicine and Dentistry, University of Valencia, Valencia</wicri:regionArea><wicri:noRegion>Valencia</wicri:noRegion></affiliation></author><author><name sortKey="Pe Arrocha Diago, Miguel" sort="Pe Arrocha Diago, Miguel" uniqKey="Pe Arrocha Diago M" first="Miguel" last="Pe Arrocha-Diago">Miguel Pe Arrocha-Diago</name><affiliation wicri:level="1"><nlm:aff id="A4">Chairman of Oral Surgery, Director of the Master in Oral Surgery and Implantology, Stomatology Department, Faculty of Medicine and Dentistry, University of Valencia, Valencia, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Chairman of Oral Surgery, Director of the Master in Oral Surgery and Implantology, Stomatology Department, Faculty of Medicine and Dentistry, University of Valencia, Valencia</wicri:regionArea><wicri:noRegion>Valencia</wicri:noRegion></affiliation></author></analytic><series><title level="j">Medicina Oral, Patología Oral y Cirugía Bucal</title><idno type="ISSN">1698-4447</idno><idno type="eISSN">1698-6946</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>To evaluate soft tissue conditions and bone loss around palatal positioned implants supporting fixed full-arch prostheses to rehabilitate edentulous maxillae with horizontal atrophy and compare them with conventional well-centered implants placed in non-atrophic maxillae after a minimum follow-up of 5 years.</p></sec><sec><title>Material and Methods</title><p>A clinical retrospective study was performed of patients that were rehabilitated with full-arch fixed implant-supported maxillary prostheses and had a minimum follow-up of 5 years after implant loading. Patients were divided into 2 groups: patients with class IV maxilla according to Cawood and Howell and treated with palatal positioned implants (test) and with class III maxilla and treated with implants well-centered in the alveolar ridge and completely surrounded by bone (control). The following variables were assessed: age, sex, frequency of tooth brushing, smoking, type of prosthesis, type of implant, implant success, amount of buccal keratinized mucosa, buccal retraction, probing depth, plaque index, modified bleeding index, presence of mucositis or peri-implantitis and peri-implant bone loss. Statistical analysis was performed applying Chi2 Test and Student’s t-test using alpha set at 0.05.</p></sec><sec><title>Results</title><p>A total of 57 patients were included: 32 patients with 161 palatal positioned implants (test) and 25 patients with 132 well centered implants (control). No statistically significant differences were found regarding age, sex and smoking, but test group patients reported a significantly higher frequency of daily tooth brushing. Implant success rates were 96.9% for test group implants and 96.0% for control group implants. Peri-implant mucosa retraction was significantly higher in the control group than in the test group (<italic>p</italic>=0,017). No significant differences were observed either for all the other assessed clinical parameters or for peri-implant bone loss.</p></sec><sec><title>Conclusions</title><p>Despite its limitations the outcomes of the present study suggest that palatal positioned implants may be a good treatment alternative for patients with severe horizontal maxillary alveolar bone atrophy. Palatal positioned implants presented similar success rates, soft tissue conditions and peri-implant bone loss than well-centered implants placed completely surrounded by bone in non-atrophic ridges.</p><p><bold>Key words:</bold>Atrophic maxilla, bone atrophy, fixed dental prosthesis, dental implants.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Br Nemark, Pi" uniqKey="Br Nemark P">PI Brånemark</name></author><author><name sortKey="Adell, R" uniqKey="Adell R">R Adell</name></author><author><name sortKey="Albrektsson, T" uniqKey="Albrektsson T">T Albrektsson</name></author><author><name sortKey="Lekholm, U" uniqKey="Lekholm U">U Lekholm</name></author><author><name sortKey="Lindstrom, J" uniqKey="Lindstrom J">J Lindström</name></author><author><name sortKey="Rockler, B" uniqKey="Rockler B">B Rockler</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cawood, Ji" uniqKey="Cawood J">JI Cawood</name></author><author><name sortKey="Howell, Ra" uniqKey="Howell R">RA Howell</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sorni, M" uniqKey="Sorni M">M Sorní</name></author><author><name sortKey="Guarin S, J" uniqKey="Guarin S J">J Guarinós</name></author><author><name sortKey="Garcia, O" uniqKey="Garcia O">O García</name></author><author><name sortKey="Pe Arrocha, M" uniqKey="Pe Arrocha M">M Peñarrocha</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Del Fabbro, M" uniqKey="Del Fabbro M">M Del Fabbro</name></author><author><name sortKey="Testori, T" uniqKey="Testori T">T Testori</name></author><author><name sortKey="Francetti, L" uniqKey="Francetti L">L Francetti</name></author><author><name sortKey="Weinstein, R" uniqKey="Weinstein R">R Weinstein</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pe Arrocha, M" uniqKey="Pe Arrocha M">M Peñarrocha</name></author><author><name sortKey="Garcia, B" uniqKey="Garcia B">B García</name></author><author><name sortKey="Marti, E" uniqKey="Marti E">E Martí</name></author><author><name sortKey="Boronat, A" uniqKey="Boronat A">A Boronat</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pe Arrocha, M" uniqKey="Pe Arrocha M">M Peñarrocha</name></author><author><name sortKey="Carrillo, C" uniqKey="Carrillo C">C Carrillo</name></author><author><name sortKey="Boronat, A" uniqKey="Boronat A">A Boronat</name></author><author><name sortKey="Pe Arrocha, M" uniqKey="Pe Arrocha M">M Peñarrocha</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mattsson, T" uniqKey="Mattsson T">T Mattsson</name></author><author><name sortKey="Kondell, Pa" uniqKey="Kondell P">PA Köndell</name></author><author><name sortKey="Gynther, Gw" uniqKey="Gynther G">GW Gynther</name></author><author><name sortKey="Fredholm, U" uniqKey="Fredholm U">U Fredholm</name></author><author><name sortKey="Bolin, A" uniqKey="Bolin A">A Bolin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Testori, T" uniqKey="Testori T">T Testori</name></author><author><name sortKey="Del Fabbro, M" uniqKey="Del Fabbro M">M Del Fabbro</name></author><author><name sortKey="Capelli, M" uniqKey="Capelli M">M Capelli</name></author><author><name sortKey="Zuffetti, F" uniqKey="Zuffetti F">F Zuffetti</name></author><author><name sortKey="Francetti, L" uniqKey="Francetti L">L Francetti</name></author><author><name sortKey="Weinstein, Rl" uniqKey="Weinstein R">RL Weinstein</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Calandriello, R" uniqKey="Calandriello R">R Calandriello</name></author><author><name sortKey="Tomatis, M" uniqKey="Tomatis M">M Tomatis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Agliardi, El" uniqKey="Agliardi E">EL Agliardi</name></author><author><name sortKey="Francetti, L" uniqKey="Francetti L">L Francetti</name></author><author><name sortKey="Romeo, D" uniqKey="Romeo D">D Romeo</name></author><author><name sortKey="Del Fabbro, M" uniqKey="Del Fabbro M">M Del Fabbro</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pe Arrocha, M" uniqKey="Pe Arrocha M">M Peñarrocha</name></author><author><name sortKey="Carrillo, C" uniqKey="Carrillo C">C Carrillo</name></author><author><name sortKey="Boronat, A" uniqKey="Boronat A">A Boronat</name></author><author><name sortKey="Balaguer, J" uniqKey="Balaguer J">J Balaguer</name></author><author><name sortKey="Pe Arrocha, M" uniqKey="Pe Arrocha M">M Peñarrocha</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Buser, D" uniqKey="Buser D">D Buser</name></author><author><name sortKey="Weber, Hp" uniqKey="Weber H">HP Weber</name></author><author><name sortKey="Lang, Np" uniqKey="Lang N">NP Lang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mombelli, A" uniqKey="Mombelli A">A Mombelli</name></author><author><name sortKey="Van Oosten, Ma" uniqKey="Van Oosten M">MA van Oosten</name></author><author><name sortKey="Schurch, Er" uniqKey="Schurch E">Er Schurch</name></author><author><name sortKey="Land, Np" uniqKey="Land N">NP Land</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lang, Np" uniqKey="Lang N">NP Lang</name></author><author><name sortKey="Berglundh, T" uniqKey="Berglundh T">T Berglundh</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rosen, A" uniqKey="Rosen A">A Rosén</name></author><author><name sortKey="Gynther, G" uniqKey="Gynther G">G Gynther</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Aghabeigi, B" uniqKey="Aghabeigi B">B Aghabeigi</name></author><author><name sortKey="Bousdras, Va" uniqKey="Bousdras V">VA Bousdras</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Brito, C" uniqKey="Brito C">C Brito</name></author><author><name sortKey="Tenenbaum, Hc" uniqKey="Tenenbaum H">HC Tenenbaum</name></author><author><name sortKey="Wong, Bk" uniqKey="Wong B">BK Wong</name></author><author><name sortKey="Schmitt, C" uniqKey="Schmitt C">C Schmitt</name></author><author><name sortKey="Nogueira Filho, G" uniqKey="Nogueira Filho G">G Nogueira-Filho</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lekholm, U" uniqKey="Lekholm U">U Lekholm</name></author><author><name sortKey="Sennerby, L" uniqKey="Sennerby L">L Sennerby</name></author><author><name sortKey="Roos, J" uniqKey="Roos J">J Roos</name></author><author><name sortKey="Becker, W" uniqKey="Becker W">W Becker</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Araujo, Mg" uniqKey="Araujo M">MG Araújo</name></author><author><name sortKey="Wennstrom, Jl" uniqKey="Wennstrom J">JL Wennström</name></author><author><name sortKey="Lindhe, J" uniqKey="Lindhe J">J Lindhe</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Espagne</li></country></list><tree><country name="Espagne"><noRegion><name sortKey="Candel Marti, Eugenia" sort="Candel Marti, Eugenia" uniqKey="Candel Marti E" first="Eugenia" last="Candel-Marti">Eugenia Candel-Marti</name></noRegion><name sortKey="Bagan, Leticia" sort="Bagan, Leticia" uniqKey="Bagan L" first="Leticia" last="Bagán">Leticia Bagán</name><name sortKey="Pe Arrocha Diago, Maria" sort="Pe Arrocha Diago, Maria" uniqKey="Pe Arrocha Diago M" first="Maria" last="Pe Arrocha-Diago">Maria Pe Arrocha-Diago</name><name sortKey="Pe Arrocha Diago, Miguel" sort="Pe Arrocha Diago, Miguel" uniqKey="Pe Arrocha Diago M" first="Miguel" last="Pe Arrocha-Diago">Miguel Pe Arrocha-Diago</name><name sortKey="Pe Arrocha Oltra, David" sort="Pe Arrocha Oltra, David" uniqKey="Pe Arrocha Oltra D" first="David" last="Pe Arrocha-Oltra">David Pe Arrocha-Oltra</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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