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Rehabilitation of an edentulous atrophic maxilla with four unsplinted narrow diameter titanium-zirconium implants supporting an overdenture.

Identifieur interne : 002263 ( Main/Exploration ); précédent : 002262; suivant : 002264

Rehabilitation of an edentulous atrophic maxilla with four unsplinted narrow diameter titanium-zirconium implants supporting an overdenture.

Auteurs : Luca Cordaro [Italie] ; Ferruccio Torsello ; Vincenzo Mirisola Di Torresanto ; Marinka Baricevic

Source :

RBID : pubmed:23444160

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English descriptors

Abstract

The edentulous maxilla is often affected by bone resorption, sometimes making it difficult to place standard diameter implants. Narrow diameter implants made of titanium-zirconium (Ti-Zr) alloy, which has superior mechanical properties compared with titanium, have been proposed for these difficult situations. This retrospective clinical observation reports the outcome of the use of reduced diameter implants made of Ti-Zr alloy supporting maxillary overdentures retained with locator abutments. The charts of all patients who received maxillary overdentures supported by four unsplinted implants from January 2009 to June 2010 at the Department of Periodontology and Prosthodontics, Eastman Dental Hospital, Rome, Italy, were reviewed. All patients treated with four narrow diameter Ti-Zr implants were selected for the present case series. Ten patients were found, six of whom received augmentation procedures. After 12 to 16 months of follow-up, no implants were lost, and only one implant showed bone resorption greater than 1.5 mm. Implants showed a success rate of 97.5% and a survival rate of 100%. All prostheses were successfully in function. The present case series showed promising results regarding the use of narrow diameter implants made of Ti-Zr supporting maxillary overdentures retained with locator abutments.

DOI: 10.3290/j.qi.a28745
PubMed: 23444160


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Le document en format XML

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<name sortKey="Mirisola Di Torresanto, Vincenzo" sort="Mirisola Di Torresanto, Vincenzo" uniqKey="Mirisola Di Torresanto V" first="Vincenzo" last="Mirisola Di Torresanto">Vincenzo Mirisola Di Torresanto</name>
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<term>Alveolar Process (diagnostic imaging)</term>
<term>Alveolar Ridge Augmentation (methods)</term>
<term>Atrophy</term>
<term>Bone Resorption (etiology)</term>
<term>Bone Substitutes (therapeutic use)</term>
<term>Dental Alloys (chemistry)</term>
<term>Dental Implant-Abutment Design</term>
<term>Dental Implants</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture Retention (instrumentation)</term>
<term>Denture, Complete, Upper</term>
<term>Denture, Overlay</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Hydroxyapatites (therapeutic use)</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Maxilla (pathology)</term>
<term>Maxilla (surgery)</term>
<term>Osseointegration (physiology)</term>
<term>Postoperative Complications</term>
<term>Radiography</term>
<term>Retrospective Studies</term>
<term>Survival Analysis</term>
<term>Titanium (chemistry)</term>
<term>Treatment Outcome</term>
<term>Zirconium (chemistry)</term>
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<term>Alliage dentaire ()</term>
<term>Analyse de survie</term>
<term>Atrophie</term>
<term>Complications postopératoires</term>
<term>Conception d'implant dentaire et de pilier</term>
<term>Conception de prothèse dentaire</term>
<term>Humains</term>
<term>Hydroxyapatites (usage thérapeutique)</term>
<term>Implants dentaires</term>
<term>Maxillaire ()</term>
<term>Maxillaire (anatomopathologie)</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Ostéo-intégration (physiologie)</term>
<term>Overdenture</term>
<term>Processus alvéolaire (imagerie diagnostique)</term>
<term>Prothèse dentaire complète supérieure</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Radiographie</term>
<term>Reconstruction de crête alvéolaire ()</term>
<term>Résorption osseuse (étiologie)</term>
<term>Résultat thérapeutique</term>
<term>Rétention d'appareil de prothèse dentaire (instrumentation)</term>
<term>Substituts osseux (usage thérapeutique)</term>
<term>Titane ()</term>
<term>Zirconium ()</term>
<term>Études de suivi</term>
<term>Études rétrospectives</term>
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<term>Dental Alloys</term>
<term>Titanium</term>
<term>Zirconium</term>
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<term>Bone Substitutes</term>
<term>Hydroxyapatites</term>
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<term>Maxillaire</term>
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<term>Alveolar Process</term>
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<term>Ostéo-intégration</term>
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<term>Mâchoire édentée</term>
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<term>Maxilla</term>
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<term>Rétention d'appareil de prothèse dentaire</term>
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<term>Dental Implant-Abutment Design</term>
<term>Dental Implants</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture, Complete, Upper</term>
<term>Denture, Overlay</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Postoperative Complications</term>
<term>Radiography</term>
<term>Retrospective Studies</term>
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<term>Analyse de survie</term>
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<term>Complications postopératoires</term>
<term>Conception d'implant dentaire et de pilier</term>
<term>Conception de prothèse dentaire</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Maxillaire</term>
<term>Mâchoire édentée</term>
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<term>Prothèse dentaire complète supérieure</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Radiographie</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Résultat thérapeutique</term>
<term>Titane</term>
<term>Zirconium</term>
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<div type="abstract" xml:lang="en">The edentulous maxilla is often affected by bone resorption, sometimes making it difficult to place standard diameter implants. Narrow diameter implants made of titanium-zirconium (Ti-Zr) alloy, which has superior mechanical properties compared with titanium, have been proposed for these difficult situations. This retrospective clinical observation reports the outcome of the use of reduced diameter implants made of Ti-Zr alloy supporting maxillary overdentures retained with locator abutments. The charts of all patients who received maxillary overdentures supported by four unsplinted implants from January 2009 to June 2010 at the Department of Periodontology and Prosthodontics, Eastman Dental Hospital, Rome, Italy, were reviewed. All patients treated with four narrow diameter Ti-Zr implants were selected for the present case series. Ten patients were found, six of whom received augmentation procedures. After 12 to 16 months of follow-up, no implants were lost, and only one implant showed bone resorption greater than 1.5 mm. Implants showed a success rate of 97.5% and a survival rate of 100%. All prostheses were successfully in function. The present case series showed promising results regarding the use of narrow diameter implants made of Ti-Zr supporting maxillary overdentures retained with locator abutments.</div>
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