Immediate function on the day of surgery compared with a delayed implant loading process in the mandible: a randomized clinical trial over 5 years
Identifieur interne : 002454 ( Main/Exploration ); précédent : 002453; suivant : 002455Immediate function on the day of surgery compared with a delayed implant loading process in the mandible: a randomized clinical trial over 5 years
Auteurs : Asbjorn Jokstad ; Hassan AlkumruSource :
- Clinical Oral Implants Research [ 0905-7161 ] ; 2013.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Alliage dentaire (), Conception d'appareil de prothèse dentaire, Conception de prothèse dentaire, Dent artificielle, Facettes dentaires, Femelle, Humains, Implants dentaires, Mandibule (), Matériaux dentaires (), Mâchoire édentée (), Mâchoire édentée (rééducation et réadaptation), Mâle, Ostéo-intégration (physiologie), Pose d'implant dentaire endo-osseux (), Pose immédiate d'implant dentaire (), Prothèse dentaire complète inférieure, Prothèse dentaire implanto-portée, Résines acryliques, Résorption alvéolaire (), Résultat thérapeutique, Sujet âgé, Sujet âgé de 80 ans ou plus, Titane (), Échec de restauration dentaire, Études de faisabilité, Études de suivi.
- MESH :
- physiologie : Ostéo-intégration.
- rééducation et réadaptation : Mâchoire édentée.
- Adulte, Adulte d'âge moyen, Alliage dentaire, Conception d'appareil de prothèse dentaire, Conception de prothèse dentaire, Dent artificielle, Facettes dentaires, Femelle, Humains, Implants dentaires, Mandibule, Matériaux dentaires, Mâchoire édentée, Mâle, Pose d'implant dentaire endo-osseux, Pose immédiate d'implant dentaire, Prothèse dentaire complète inférieure, Prothèse dentaire implanto-portée, Résines acryliques, Résorption alvéolaire, Résultat thérapeutique, Sujet âgé, Sujet âgé de 80 ans ou plus, Titane, Échec de restauration dentaire, Études de faisabilité, Études de suivi.
English descriptors
- KwdEn :
- Acrylic Resins, Adult, Aged, Aged, 80 and over, Alveolar Bone Loss (classification), Dental Alloys (chemistry), Dental Implantation, Endosseous (methods), Dental Implants, Dental Materials (chemistry), Dental Prosthesis Design, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Dental Veneers, Denture Design, Denture, Complete, Lower, Feasibility Studies, Female, Follow-Up Studies, Humans, Immediate Dental Implant Loading (methods), Jaw, Edentulous (rehabilitation), Jaw, Edentulous (surgery), Male, Mandible (surgery), Middle Aged, Osseointegration (physiology), Titanium (chemistry), Tooth, Artificial, Treatment Outcome.
- MESH :
- chemical , chemistry : Dental Alloys, Dental Materials, Titanium.
- chemical : Acrylic Resins, Dental Implants.
- classification : Alveolar Bone Loss.
- methods : Dental Implantation, Endosseous, Immediate Dental Implant Loading.
- physiology : Osseointegration.
- rehabilitation : Jaw, Edentulous.
- surgery : Jaw, Edentulous, Mandible.
- Adult, Aged, Aged, 80 and over, Dental Prosthesis Design, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Dental Veneers, Denture Design, Denture, Complete, Lower, Feasibility Studies, Female, Follow-Up Studies, Humans, Male, Middle Aged, Tooth, Artificial, Treatment Outcome.
Abstract
To appraise the feasibility of loading four implants with a pre-existing denture converted to a fixed dental prosthesis (FDP) on the day of implant surgery compared with waiting for 3- to 4-month healing.
Patients with an edentulous, fully healed mandible were recruited in a faculty clinic to partake in a blinded two-arm parallel randomized controlled trial (RCT). The participants received four parallel intraforamina mandibular implants with a moderately rough titanium surface (Brånemark System Mk III or Mk IV TiUnite; Nobel Biocare AB, Göteborg, Sweden). The implants were loaded on the same day by converting the participants' pre-existing denture in the experimental group. The implants were placed using a one-stage surgery procedure, and the participants' pre-existing denture were soft-relined in the control group. For both groups, the permanent 10- to 12-unit FDP consisting of a type-3 cast precious alloy veneered with acrylic and artificial teeth was placed 3–4 months after implant surgery. All participants have been recalled annually for 5 years for appraisal of bone loss and registration of adverse events.
Thirty-five of the original 42 participants (83%) returned for clinical and radiological examinations at the 5-year follow-up recall. No selective dropout or specific reasons for dropout was identified in the two study arms; leaving
Implants in the anterior mandible loaded immediately with a converted pre-existing denture appear to yield analogous clinical outcomes compared with waiting for 3–4 months over the first 5 years following implant surgery.
Url:
DOI: 10.1111/clr.12279
PubMed: 24148020
PubMed Central: 4278559
Affiliations:
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Le document en format XML
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(methods)</term><term>Jaw, Edentulous (rehabilitation)</term><term>Jaw, Edentulous (surgery)</term><term>Male</term><term>Mandible (surgery)</term><term>Middle Aged</term><term>Osseointegration (physiology)</term><term>Titanium (chemistry)</term><term>Tooth, Artificial</term><term>Treatment Outcome</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Alliage dentaire ()</term><term>Conception d'appareil de prothèse dentaire</term><term>Conception de prothèse dentaire</term><term>Dent artificielle</term><term>Facettes dentaires</term><term>Femelle</term><term>Humains</term><term>Implants dentaires</term><term>Mandibule ()</term><term>Matériaux dentaires ()</term><term>Mâchoire édentée ()</term><term>Mâchoire édentée (rééducation et réadaptation)</term><term>Mâle</term><term>Ostéo-intégration (physiologie)</term><term>Pose d'implant dentaire endo-osseux ()</term><term>Pose immédiate d'implant dentaire ()</term><term>Prothèse dentaire complète inférieure</term><term>Prothèse dentaire implanto-portée</term><term>Résines acryliques</term><term>Résorption alvéolaire ()</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Titane ()</term><term>Échec de restauration dentaire</term><term>Études de faisabilité</term><term>Études de suivi</term></keywords><keywords scheme="MESH" type="chemical" qualifier="chemistry" xml:lang="en"><term>Dental Alloys</term><term>Dental Materials</term><term>Titanium</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Acrylic Resins</term><term>Dental Implants</term></keywords><keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Alveolar Bone Loss</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Dental Implantation, Endosseous</term><term>Immediate Dental Implant Loading</term></keywords><keywords scheme="MESH" qualifier="physiologie" 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suivi</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objectives</title><p>To appraise the feasibility of loading four implants with a pre-existing denture converted to a fixed dental prosthesis (FDP) on the day of implant surgery compared with waiting for 3- to 4-month healing.</p></sec><sec><title>Methods</title><p>Patients with an edentulous, fully healed mandible were recruited in a faculty clinic to partake in a blinded two-arm parallel randomized controlled trial (RCT). The participants received four parallel intraforamina mandibular implants with a moderately rough titanium surface (Brånemark System Mk III or Mk IV TiUnite; Nobel Biocare AB, Göteborg, Sweden). The implants were loaded on the same day by converting the participants' pre-existing denture in the experimental group. The implants were placed using a one-stage surgery procedure, and the participants' pre-existing denture were soft-relined in the control group. For both groups, the permanent 10- to 12-unit FDP consisting of a type-3 cast precious alloy veneered with acrylic and artificial teeth was placed 3–4 months after implant surgery. All participants have been recalled annually for 5 years for appraisal of bone loss and registration of adverse events.</p></sec><sec><title>Results</title><p>Thirty-five of the original 42 participants (83%) returned for clinical and radiological examinations at the 5-year follow-up recall. No selective dropout or specific reasons for dropout was identified in the two study arms; leaving <italic>n</italic> = 17 (<italic>Intention-to-treat group</italic>, ITT) in the experimental group, alternatively <italic>n</italic> = 13 as <italic>per protocol group</italic> (PP), and <italic>n</italic> = 18 participants in the control group (ITT = PP). At study commencement, five of the participants assigned to the experimental group did not receive their planned intervention. In the control group, one implant failed to osseointegrate and another failed due to bone loss after 5 years. The crestal bone level changes over 5 years were identical in the experimental and control groups, that is, 1.2 mm (SD = 0.7). There were no differences between the two study arms with regard to incidence of biological and technical adverse events.</p></sec><sec><title>Conclusions</title><p>Implants in the anterior mandible loaded immediately with a converted pre-existing denture appear to yield analogous clinical outcomes compared with waiting for 3–4 months over the first 5 years following implant surgery.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Aalam, Aa" uniqKey="Aalam A">AA Aalam</name></author><author><name sortKey="Nowzari, H" uniqKey="Nowzari H">H Nowzari</name></author><author><name sortKey="Krivitsky, A" uniqKey="Krivitsky A">A Krivitsky</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Attard, Nj" uniqKey="Attard N">NJ Attard</name></author><author><name sortKey="David, La" uniqKey="David L">LA David</name></author><author><name sortKey="Zarb, Ga" uniqKey="Zarb G">GA 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A">A Mombelli</name></author><author><name sortKey="Van Oosten, Ma" uniqKey="Van Oosten M">MA van Oosten</name></author><author><name sortKey="Schurch, E" uniqKey="Schurch E">E Schurch</name></author><author><name sortKey="Lang, Np" uniqKey="Lang N">NP Lang</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Ottoni, Jm" uniqKey="Ottoni J">JM Ottoni</name></author><author><name sortKey="Oliveira, Zf" uniqKey="Oliveira Z">ZF Oliveira</name></author><author><name sortKey="Mansini, R" uniqKey="Mansini R">R Mansini</name></author><author><name sortKey="Cabral, Am" uniqKey="Cabral A">AM Cabral</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pomares, C" uniqKey="Pomares C">C Pomares</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rocci, A" uniqKey="Rocci A">A Rocci</name></author><author><name sortKey="Martignoni, M" uniqKey="Martignoni M">M Martignoni</name></author><author><name sortKey="Gottlow, J" uniqKey="Gottlow J">J Gottlow</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Szmukler Moncler, S" uniqKey="Szmukler Moncler S">S Szmukler-Moncler</name></author><author><name sortKey="Piattelli, A" uniqKey="Piattelli A">A Piattelli</name></author><author><name sortKey="Favero, Ga" uniqKey="Favero G">GA Favero</name></author><author><name sortKey="Dubruille, Jh" uniqKey="Dubruille J">JH Dubruille</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Watzak, G" uniqKey="Watzak G">G Watzak</name></author><author><name sortKey="Zechner, W" uniqKey="Zechner W">W Zechner</name></author><author><name sortKey="Busenlechner, D" uniqKey="Busenlechner D">D Busenlechner</name></author><author><name sortKey="Arnhart, C" uniqKey="Arnhart C">C Arnhart</name></author><author><name sortKey="Gruber, R" uniqKey="Gruber R">R Gruber</name></author><author><name sortKey="Watzek, G" uniqKey="Watzek G">G Watzek</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zarb, Ga" uniqKey="Zarb G">GA Zarb</name></author><author><name sortKey="Jansson, T" uniqKey="Jansson T">T Jansson</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list></list><tree><noCountry><name sortKey="Alkumru, Hassan" sort="Alkumru, Hassan" uniqKey="Alkumru H" first="Hassan" last="Alkumru">Hassan Alkumru</name><name sortKey="Jokstad, Asbjorn" sort="Jokstad, Asbjorn" uniqKey="Jokstad A" first="Asbjorn" last="Jokstad">Asbjorn Jokstad</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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