Osteotome sinus floor elevation without grafting material: Results of a 2-year prospective study
Identifieur interne : 001845 ( Main/Exploration ); précédent : 001844; suivant : 001846Osteotome sinus floor elevation without grafting material: Results of a 2-year prospective study
Auteurs : Aritza Brizuela [Espagne] ; Nerea Martín [Espagne] ; Felipe J. Fernández-Gonzalez [Espagne] ; Carolina Larrazábal [Espagne] ; Alberto Anta [Espagne]Source :
- Journal of Clinical and Experimental Dentistry [ 1989-5488 ] ; 2014.
Abstract
Objectives: The aim of this prospective clinical trial was to evaluate the success implant rates during 24 months using OSFE procedure without grafting materials. Study design: 42 adult patients (22 female, 15 male) were selected according to Nedir et al´s inclusion criteria of which 5 patients were excluded, due to periapical pathology in adjacent teeth (n=3) and treatment with bisphosphonates (n=2). 37 patients aged 31-68 years were selected. Smokers were divided in two groups depending on the number of cigarettes consumed per day (a) 0-10, (b) 11-20. One patient was excluded because he was lost to follow-up at 24 months A total of 36 threaded implants were placed, ∅4,1mm Straumann® (Straumann AG, Waldenburg, Switzerland) and ∅3,5mm Klockner® (Klockner Implant System, Barcelona, Spain). The most used implant diameter was 4,1 mm (n=29), followed by 3,5 mm (n=7), and length used was 10 mm (n=32) and 8 mm (n=4). Initial RBH ranged from 4 mm to 9 mm. All statistical data were processed using the program R 3.0.2 for windows. Results: A total of 36 threaded implants were placed. Residual bone height (RBH) at implant placement averaged 7,4 ± 0,4 mm. Mean bone gain was 1,8 ± 0,3 mm. Four implants showed a bone gain exceeding 3 mm. Mean implant protrusion length into the sinus amounted to 2.1 ± 0,3 mm. Regarding the relationship between smoking and periodontal probes, no statistically significant differences were found (P=0,25), neither in relation to the number of threads that the implants showed (P=0,29) or bone gain (P=0,79). After 24 months the implant success rate was 91,6%. Conclusions: Implant rehabilitation of edentulous atrophied posterior maxilla can be safely performed and simplified using the OSFE technique without grafting with reliable long-term results.
Url:
DOI: 10.4317/jced.51576
PubMed: 25674312
PubMed Central: 4312672
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Osteotome sinus floor elevation without grafting material:
Results of a 2-year prospective study</title><author><name sortKey="Brizuela, Aritza" sort="Brizuela, Aritza" uniqKey="Brizuela A" first="Aritza" last="Brizuela">Aritza Brizuela</name><affiliation wicri:level="1"><nlm:aff id="A1">DDS,PhD,MsC. Professor, Postgraduate Department of Oral Implantology, School of Medicine and Dentistry, University of the Basque Country, Leioa, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>DDS,PhD,MsC. Professor, Postgraduate Department of Oral Implantology, School of Medicine and Dentistry, University of the Basque Country, Leioa</wicri:regionArea><wicri:noRegion>Leioa</wicri:noRegion></affiliation></author><author><name sortKey="Martin, Nerea" sort="Martin, Nerea" uniqKey="Martin N" first="Nerea" last="Martín">Nerea Martín</name><affiliation wicri:level="1"><nlm:aff id="A2">DDS. Professor, Department of Integrated Adult Dentistry, Department of Stomatology, School of Medicine and Dentistry, University of the Basque Country, Leioa, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>DDS. Professor, Department of Integrated Adult Dentistry, Department of Stomatology, School of Medicine and Dentistry, University of the Basque Country, Leioa</wicri:regionArea><wicri:noRegion>Leioa</wicri:noRegion></affiliation></author><author><name sortKey="Fernandez Gonzalez, Felipe J" sort="Fernandez Gonzalez, Felipe J" uniqKey="Fernandez Gonzalez F" first="Felipe J." last="Fernández-Gonzalez">Felipe J. Fernández-Gonzalez</name><affiliation wicri:level="1"><nlm:aff id="A3">BSD, MSD, Specialist in Orthodontics and Dentofacial Orthopedics at the University of Oviedo. Private practice, León, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>BSD, MSD, Specialist in Orthodontics and Dentofacial Orthopedics at the University of Oviedo. Private practice, León</wicri:regionArea><wicri:noRegion>León</wicri:noRegion></affiliation></author><author><name sortKey="Larrazabal, Carolina" sort="Larrazabal, Carolina" uniqKey="Larrazabal C" first="Carolina" last="Larrazábal">Carolina Larrazábal</name><affiliation wicri:level="1"><nlm:aff id="A4">DDS. Professor, Postgraduate Department of Oral Surgery. Universidad Católica de Valencia. Valencia, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>DDS. Professor, Postgraduate Department of Oral Surgery. Universidad Católica de Valencia. Valencia</wicri:regionArea><wicri:noRegion>Postgraduate Department of Oral Surgery. Universidad Católica de Valencia. Valencia</wicri:noRegion></affiliation></author><author><name sortKey="Anta, Alberto" sort="Anta, Alberto" uniqKey="Anta A" first="Alberto" last="Anta">Alberto Anta</name><affiliation wicri:level="1"><nlm:aff id="A5">DDS,PhD,MsC. Professor, Postgraduate Department of Oral Implantology, School of Medicine and Dentistry, University of the Basque Country, Leioa, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>DDS,PhD,MsC. Professor, Postgraduate Department of Oral Implantology, School of Medicine and Dentistry, University of the Basque Country, Leioa</wicri:regionArea><wicri:noRegion>Leioa</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25674312</idno><idno type="pmc">4312672</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4312672</idno><idno type="RBID">PMC:4312672</idno><idno type="doi">10.4317/jced.51576</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">003039</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">003039</idno><idno type="wicri:Area/Pmc/Curation">003039</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">003039</idno><idno type="wicri:Area/Pmc/Checkpoint">001315</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001315</idno><idno type="wicri:Area/Ncbi/Merge">005848</idno><idno type="wicri:Area/Ncbi/Curation">005848</idno><idno type="wicri:Area/Ncbi/Checkpoint">005848</idno><idno type="wicri:Area/Main/Merge">001851</idno><idno type="wicri:Area/Main/Curation">001845</idno><idno type="wicri:Area/Main/Exploration">001845</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Osteotome sinus floor elevation without grafting material:
Results of a 2-year prospective study</title><author><name sortKey="Brizuela, Aritza" sort="Brizuela, Aritza" uniqKey="Brizuela A" first="Aritza" last="Brizuela">Aritza Brizuela</name><affiliation wicri:level="1"><nlm:aff id="A1">DDS,PhD,MsC. Professor, Postgraduate Department of Oral Implantology, School of Medicine and Dentistry, University of the Basque Country, Leioa, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>DDS,PhD,MsC. Professor, Postgraduate Department of Oral Implantology, School of Medicine and Dentistry, University of the Basque Country, Leioa</wicri:regionArea><wicri:noRegion>Leioa</wicri:noRegion></affiliation></author><author><name sortKey="Martin, Nerea" sort="Martin, Nerea" uniqKey="Martin N" first="Nerea" last="Martín">Nerea Martín</name><affiliation wicri:level="1"><nlm:aff id="A2">DDS. Professor, Department of Integrated Adult Dentistry, Department of Stomatology, School of Medicine and Dentistry, University of the Basque Country, Leioa, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>DDS. Professor, Department of Integrated Adult Dentistry, Department of Stomatology, School of Medicine and Dentistry, University of the Basque Country, Leioa</wicri:regionArea><wicri:noRegion>Leioa</wicri:noRegion></affiliation></author><author><name sortKey="Fernandez Gonzalez, Felipe J" sort="Fernandez Gonzalez, Felipe J" uniqKey="Fernandez Gonzalez F" first="Felipe J." last="Fernández-Gonzalez">Felipe J. Fernández-Gonzalez</name><affiliation wicri:level="1"><nlm:aff id="A3">BSD, MSD, Specialist in Orthodontics and Dentofacial Orthopedics at the University of Oviedo. Private practice, León, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>BSD, MSD, Specialist in Orthodontics and Dentofacial Orthopedics at the University of Oviedo. Private practice, León</wicri:regionArea><wicri:noRegion>León</wicri:noRegion></affiliation></author><author><name sortKey="Larrazabal, Carolina" sort="Larrazabal, Carolina" uniqKey="Larrazabal C" first="Carolina" last="Larrazábal">Carolina Larrazábal</name><affiliation wicri:level="1"><nlm:aff id="A4">DDS. Professor, Postgraduate Department of Oral Surgery. Universidad Católica de Valencia. Valencia, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>DDS. Professor, Postgraduate Department of Oral Surgery. Universidad Católica de Valencia. Valencia</wicri:regionArea><wicri:noRegion>Postgraduate Department of Oral Surgery. Universidad Católica de Valencia. Valencia</wicri:noRegion></affiliation></author><author><name sortKey="Anta, Alberto" sort="Anta, Alberto" uniqKey="Anta A" first="Alberto" last="Anta">Alberto Anta</name><affiliation wicri:level="1"><nlm:aff id="A5">DDS,PhD,MsC. Professor, Postgraduate Department of Oral Implantology, School of Medicine and Dentistry, University of the Basque Country, Leioa, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>DDS,PhD,MsC. Professor, Postgraduate Department of Oral Implantology, School of Medicine and Dentistry, University of the Basque Country, Leioa</wicri:regionArea><wicri:noRegion>Leioa</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of Clinical and Experimental Dentistry</title><idno type="eISSN">1989-5488</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Objectives: The aim of this prospective clinical trial was to evaluate the success implant rates during 24 months using OSFE procedure without grafting materials.
Study design: 42 adult patients (22 female, 15 male) were selected according to Nedir et al´s inclusion criteria of which 5 patients were excluded, due to periapical pathology in adjacent teeth (n=3) and treatment with bisphosphonates (n=2). 37 patients aged 31-68 years were selected. Smokers were divided in two groups depending on the number of cigarettes consumed per day (a) 0-10, (b) 11-20. One patient was excluded because he was lost to follow-up at 24 months A total of 36 threaded implants were placed, ∅4,1mm Straumann® (Straumann AG, Waldenburg, Switzerland) and ∅3,5mm Klockner® (Klockner Implant System, Barcelona, Spain). The most used implant diameter was 4,1 mm (n=29), followed by 3,5 mm (n=7), and length used was 10 mm (n=32) and 8 mm (n=4). Initial RBH ranged from 4 mm to 9 mm. All statistical data were processed using the program R 3.0.2 for windows.
Results: A total of 36 threaded implants were placed. Residual bone height (RBH) at implant placement averaged 7,4 ± 0,4 mm. Mean bone gain was 1,8 ± 0,3 mm. Four implants showed a bone gain exceeding 3 mm. Mean implant protrusion length into the sinus amounted to 2.1 ± 0,3 mm. Regarding the relationship between smoking and periodontal probes, no statistically significant differences were found (P=0,25), neither in relation to the number of threads that the implants showed (P=0,29) or bone gain (P=0,79). After 24 months the implant success rate was 91,6%.
Conclusions: Implant rehabilitation of edentulous atrophied posterior maxilla can be safely performed and simplified using the OSFE technique without grafting with reliable long-term results.
</p><p><bold> Key words:</bold>Crestal bone loss, dental implants, internal sinus lift, no grafting, osteotome sinus elevation, grafting, sinus floor elevation.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Fugazzotto, P" uniqKey="Fugazzotto P">P Fugazzotto</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Br Gger, U" uniqKey="Br Gger U">U Brägger</name></author><author><name sortKey="Gerber, C" uniqKey="Gerber C">C Gerber</name></author><author><name sortKey="Joss, A" uniqKey="Joss A">A Joss</name></author><author><name sortKey="Haenni, S" uniqKey="Haenni S">S Haenni</name></author><author><name sortKey="Meier, A" uniqKey="Meier A">A Meier</name></author><author><name sortKey="Hashorva, E" uniqKey="Hashorva E">E Hashorva</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tatum, Hjr" uniqKey="Tatum H">HJr 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uniqKey="Lin T">TH Lin</name></author><author><name sortKey="Chen, L" uniqKey="Chen L">L Chen</name></author><author><name sortKey="Cha, J" uniqKey="Cha J">J Cha</name></author><author><name sortKey="Jeffcoat, M" uniqKey="Jeffcoat M">M Jeffcoat</name></author><author><name sortKey="Kao, Dw" uniqKey="Kao D">DW Kao</name></author><author><name sortKey="Nevins, M" uniqKey="Nevins M">M Nevins</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Espagne</li></country></list><tree><country name="Espagne"><noRegion><name sortKey="Brizuela, Aritza" sort="Brizuela, Aritza" uniqKey="Brizuela A" first="Aritza" last="Brizuela">Aritza Brizuela</name></noRegion><name sortKey="Anta, Alberto" sort="Anta, Alberto" uniqKey="Anta A" first="Alberto" last="Anta">Alberto Anta</name><name sortKey="Fernandez Gonzalez, Felipe J" sort="Fernandez Gonzalez, Felipe J" uniqKey="Fernandez Gonzalez F" first="Felipe J." last="Fernández-Gonzalez">Felipe J. Fernández-Gonzalez</name><name sortKey="Larrazabal, Carolina" sort="Larrazabal, Carolina" uniqKey="Larrazabal C" first="Carolina" last="Larrazábal">Carolina Larrazábal</name><name sortKey="Martin, Nerea" sort="Martin, Nerea" uniqKey="Martin N" first="Nerea" last="Martín">Nerea Martín</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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