The use of computer-guided flapless dental implant surgery (NobelGuide) and immediate function to support a fixed full-arch prosthesis in fresh-frozen homologous patients with bone grafts.
Identifieur interne : 002141 ( Main/Exploration ); précédent : 002140; suivant : 002142The use of computer-guided flapless dental implant surgery (NobelGuide) and immediate function to support a fixed full-arch prosthesis in fresh-frozen homologous patients with bone grafts.
Auteurs : Pier Francesco Nocini [Italie] ; Roberto Castellani ; Guglielmo Zanotti ; Dario Bertossi ; Umberto Luciano ; Daniele De SantisSource :
- The Journal of craniofacial surgery [ 1536-3732 ] ; 2013.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Allogreffes (transplantation), Analyse de survie, Bruxisme (), Chirurgie assistée par ordinateur (), Femelle, Fractures du maxillaire (étiologie), Humains, Implants dentaires (effets indésirables), Moment de torsion, Mâchoire édentée (), Mâle, Pose immédiate d'implant dentaire, Prothèse dentaire implanto-portée, Reconstruction de crête alvéolaire (), Sujet âgé, Tabagisme, Transplantation osseuse (), Échec de restauration dentaire, Études de cohortes, Études de suivi, Études rétrospectives.
- MESH :
- effets indésirables : Implants dentaires.
- étiologie : Allogreffes, Fractures du maxillaire.
- Adulte, Adulte d'âge moyen, Analyse de survie, Bruxisme, Chirurgie assistée par ordinateur, Femelle, Humains, Moment de torsion, Mâchoire édentée, Mâle, Pose immédiate d'implant dentaire, Prothèse dentaire implanto-portée, Reconstruction de crête alvéolaire, Sujet âgé, Tabagisme, Transplantation osseuse, Échec de restauration dentaire, Études de cohortes, Études de suivi, Études rétrospectives.
English descriptors
- KwdEn :
- Adult, Aged, Allografts (transplantation), Alveolar Ridge Augmentation (methods), Bone Transplantation (methods), Bruxism (complications), Cohort Studies, Dental Implants (adverse effects), Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Female, Follow-Up Studies, Humans, Immediate Dental Implant Loading, Jaw, Edentulous (surgery), Male, Maxillary Fractures (etiology), Middle Aged, Retrospective Studies, Smoking, Surgery, Computer-Assisted (methods), Survival Analysis, Torque.
- MESH :
- chemical , adverse effects : Dental Implants.
- complications : Bruxism.
- etiology : Maxillary Fractures.
- methods : Alveolar Ridge Augmentation, Bone Transplantation, Surgery, Computer-Assisted.
- surgery : Jaw, Edentulous.
- transplantation : Allografts.
- Adult, Aged, Cohort Studies, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Female, Follow-Up Studies, Humans, Immediate Dental Implant Loading, Male, Middle Aged, Retrospective Studies, Smoking, Survival Analysis, Torque.
Abstract
The behavior of fresh-frozen homologous bone (FFB) when used in combination with computer-guided implant surgery has not been investigated yet, and there is a lack of clinical evidence in the literature. The purpose of this retrospective study is to evaluate the implant survival and related fixed full-arch prostheses at the 1- to 5-year follow-up when performed with immediate function using a flapless surgical procedure and computer-aided technology (NobelGuide; Nobel Biocare AB, Goteborg, Sweden) in patients previously treated with FFB grafts. Furthermore, the related values of torque and complications observed were analyzed and discussed. Clinical charts of patients with edentulous arches treated with FFB grafts and NobelGuide system with at least 1 year follow-up were reviewed retrospectively.A total of 65 patients met the criteria of inclusion, receiving a total of 342 implants and 77 full-arch prostheses, with a mean follow-up of 32.87 months (range, 1-5 years). Survival of implants and prostheses was high, reaching 96.5% and 95%, respectively. Factors significantly related to failure of the implants were smoking, position of the implant as last distal abutment, and fracture of basal maxillary bone. Prostheses survival was influenced by bruxism, failure of multiple implants, and torque level of implant equal to 0 at implant insertion. All implants and prostheses failures occurred in the first year. A higher torque level at implant insertion did not correspond to a lower risk of implant failure.Within the limitations of our retrospective study, this treatment modality was predictable with high survival rates and high insertion torque. However, a few implant and prosthetic failures were found, together with several complications.
DOI: 10.1097/SCS.0b013e31829ac8e2
PubMed: 24220464
Affiliations:
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Castellani</name></author><author><name sortKey="Zanotti, Guglielmo" sort="Zanotti, Guglielmo" uniqKey="Zanotti G" first="Guglielmo" last="Zanotti">Guglielmo Zanotti</name></author><author><name sortKey="Bertossi, Dario" sort="Bertossi, Dario" uniqKey="Bertossi D" first="Dario" last="Bertossi">Dario Bertossi</name></author><author><name sortKey="Luciano, Umberto" sort="Luciano, Umberto" uniqKey="Luciano U" first="Umberto" last="Luciano">Umberto Luciano</name></author><author><name sortKey="De Santis, Daniele" sort="De Santis, Daniele" uniqKey="De Santis D" first="Daniele" last="De Santis">Daniele De Santis</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2013">2013</date><idno type="RBID">pubmed:24220464</idno><idno type="pmid">24220464</idno><idno type="doi">10.1097/SCS.0b013e31829ac8e2</idno><idno type="wicri:Area/PubMed/Corpus">000B06</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" 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Francesco" last="Nocini">Pier Francesco Nocini</name><affiliation wicri:level="1"><nlm:affiliation>From the Department of Surgical Sciences, Dental and Maxillofacial Department, University of Verona, Verona, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>From the Department of Surgical Sciences, Dental and Maxillofacial Department, University of Verona, Verona</wicri:regionArea><wicri:noRegion>Verona</wicri:noRegion></affiliation></author><author><name sortKey="Castellani, Roberto" sort="Castellani, Roberto" uniqKey="Castellani R" first="Roberto" last="Castellani">Roberto Castellani</name></author><author><name sortKey="Zanotti, Guglielmo" sort="Zanotti, Guglielmo" uniqKey="Zanotti G" first="Guglielmo" last="Zanotti">Guglielmo Zanotti</name></author><author><name sortKey="Bertossi, Dario" sort="Bertossi, Dario" uniqKey="Bertossi D" first="Dario" last="Bertossi">Dario Bertossi</name></author><author><name sortKey="Luciano, Umberto" sort="Luciano, Umberto" uniqKey="Luciano U" first="Umberto" last="Luciano">Umberto Luciano</name></author><author><name sortKey="De Santis, Daniele" sort="De Santis, Daniele" uniqKey="De Santis D" first="Daniele" last="De Santis">Daniele De Santis</name></author></analytic><series><title level="j">The Journal of craniofacial surgery</title><idno type="eISSN">1536-3732</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Allografts (transplantation)</term><term>Alveolar Ridge Augmentation (methods)</term><term>Bone Transplantation (methods)</term><term>Bruxism (complications)</term><term>Cohort Studies</term><term>Dental Implants (adverse effects)</term><term>Dental Prosthesis, Implant-Supported</term><term>Dental Restoration Failure</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Immediate Dental Implant Loading</term><term>Jaw, Edentulous (surgery)</term><term>Male</term><term>Maxillary Fractures (etiology)</term><term>Middle Aged</term><term>Retrospective Studies</term><term>Smoking</term><term>Surgery, Computer-Assisted (methods)</term><term>Survival Analysis</term><term>Torque</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Allogreffes (transplantation)</term><term>Analyse de survie</term><term>Bruxisme ()</term><term>Chirurgie assistée par ordinateur ()</term><term>Femelle</term><term>Fractures du maxillaire (étiologie)</term><term>Humains</term><term>Implants dentaires (effets indésirables)</term><term>Moment de torsion</term><term>Mâchoire édentée ()</term><term>Mâle</term><term>Pose immédiate d'implant dentaire</term><term>Prothèse dentaire implanto-portée</term><term>Reconstruction de crête alvéolaire ()</term><term>Sujet âgé</term><term>Tabagisme</term><term>Transplantation osseuse ()</term><term>Échec de restauration dentaire</term><term>Études de cohortes</term><term>Études de suivi</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en"><term>Dental Implants</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Bruxism</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Implants dentaires</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Maxillary Fractures</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Alveolar Ridge Augmentation</term><term>Bone Transplantation</term><term>Surgery, Computer-Assisted</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous</term></keywords><keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Allografts</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Allogreffes</term><term>Fractures du maxillaire</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Cohort Studies</term><term>Dental Prosthesis, Implant-Supported</term><term>Dental Restoration Failure</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Immediate Dental Implant Loading</term><term>Male</term><term>Middle Aged</term><term>Retrospective Studies</term><term>Smoking</term><term>Survival Analysis</term><term>Torque</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analyse de survie</term><term>Bruxisme</term><term>Chirurgie assistée par ordinateur</term><term>Femelle</term><term>Humains</term><term>Moment de torsion</term><term>Mâchoire édentée</term><term>Mâle</term><term>Pose immédiate d'implant dentaire</term><term>Prothèse dentaire implanto-portée</term><term>Reconstruction de crête alvéolaire</term><term>Sujet âgé</term><term>Tabagisme</term><term>Transplantation osseuse</term><term>Échec de restauration dentaire</term><term>Études de cohortes</term><term>Études de suivi</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The behavior of fresh-frozen homologous bone (FFB) when used in combination with computer-guided implant surgery has not been investigated yet, and there is a lack of clinical evidence in the literature. The purpose of this retrospective study is to evaluate the implant survival and related fixed full-arch prostheses at the 1- to 5-year follow-up when performed with immediate function using a flapless surgical procedure and computer-aided technology (NobelGuide; Nobel Biocare AB, Goteborg, Sweden) in patients previously treated with FFB grafts. Furthermore, the related values of torque and complications observed were analyzed and discussed. Clinical charts of patients with edentulous arches treated with FFB grafts and NobelGuide system with at least 1 year follow-up were reviewed retrospectively.A total of 65 patients met the criteria of inclusion, receiving a total of 342 implants and 77 full-arch prostheses, with a mean follow-up of 32.87 months (range, 1-5 years). Survival of implants and prostheses was high, reaching 96.5% and 95%, respectively. Factors significantly related to failure of the implants were smoking, position of the implant as last distal abutment, and fracture of basal maxillary bone. Prostheses survival was influenced by bruxism, failure of multiple implants, and torque level of implant equal to 0 at implant insertion. All implants and prostheses failures occurred in the first year. A higher torque level at implant insertion did not correspond to a lower risk of implant failure.Within the limitations of our retrospective study, this treatment modality was predictable with high survival rates and high insertion torque. However, a few implant and prosthetic failures were found, together with several complications.</div></front></TEI><affiliations><list><country><li>Italie</li></country></list><tree><noCountry><name sortKey="Bertossi, Dario" sort="Bertossi, Dario" uniqKey="Bertossi D" first="Dario" last="Bertossi">Dario Bertossi</name><name sortKey="Castellani, Roberto" sort="Castellani, Roberto" uniqKey="Castellani R" first="Roberto" last="Castellani">Roberto Castellani</name><name sortKey="De Santis, Daniele" sort="De Santis, Daniele" uniqKey="De Santis D" first="Daniele" last="De Santis">Daniele De Santis</name><name sortKey="Luciano, Umberto" sort="Luciano, Umberto" uniqKey="Luciano U" first="Umberto" last="Luciano">Umberto Luciano</name><name sortKey="Zanotti, Guglielmo" sort="Zanotti, Guglielmo" uniqKey="Zanotti G" first="Guglielmo" last="Zanotti">Guglielmo Zanotti</name></noCountry><country name="Italie"><noRegion><name sortKey="Nocini, Pier Francesco" sort="Nocini, Pier Francesco" uniqKey="Nocini P" first="Pier Francesco" last="Nocini">Pier Francesco Nocini</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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