Peri-implant bone changes following tooth extraction, immediate placement and loading of implants in the edentulous maxilla.
Identifieur interne : 003086 ( Main/Exploration ); précédent : 003085; suivant : 003087Peri-implant bone changes following tooth extraction, immediate placement and loading of implants in the edentulous maxilla.
Auteurs : Lieven Barbier [Belgique] ; Johan Abeloos ; Calix De Clercq ; Reinhilde JacobsSource :
- Clinical oral investigations [ 1436-3771 ] ; 2012.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Alliages de chrome (), Alvéole dentaire (), Alvéole dentaire (anatomopathologie), Conception assistée par ordinateur, Conception d'appareil de prothèse dentaire, Conception d'implant dentaire et de pilier (), Extraction dentaire (), Facettes dentaires, Femelle, Humains, Matériaux dentaires (), Maxillaire (), Maxillaire (anatomopathologie), Mâchoire édentée (), Mâchoire édentée (anatomopathologie), Mâchoire édentée (rééducation et réadaptation), Mâle, Ostéo-intégration (physiologie), Overdenture, Pose immédiate d'implant dentaire (), Pose immédiate d'implant dentaire (instrumentation), Processus alvéolaire (), Processus alvéolaire (anatomopathologie), Prothèse dentaire complète immédiate, Prothèse dentaire complète supérieure, Prothèse dentaire implanto-portée, Radiographie numérisée dentaire, Résines acryliques (), Résultat thérapeutique, Sujet âgé, Sujet âgé de 80 ans ou plus, Titane (), Études de suivi, Études prospectives.
- MESH :
- anatomopathologie : Alvéole dentaire, Maxillaire, Mâchoire édentée, Processus alvéolaire.
- physiologie : Ostéo-intégration.
- rééducation et réadaptation : Mâchoire édentée.
- Adulte d'âge moyen, Alliages de chrome, Alvéole dentaire, Conception assistée par ordinateur, Conception d'appareil de prothèse dentaire, Conception d'implant dentaire et de pilier, Extraction dentaire, Facettes dentaires, Femelle, Humains, Matériaux dentaires, Maxillaire, Mâchoire édentée, Mâle, Overdenture, Pose immédiate d'implant dentaire, Processus alvéolaire, Prothèse dentaire complète immédiate, Prothèse dentaire complète supérieure, Prothèse dentaire implanto-portée, Radiographie numérisée dentaire, Résines acryliques, Résultat thérapeutique, Sujet âgé, Sujet âgé de 80 ans ou plus, Titane, Études de suivi, Études prospectives.
English descriptors
- KwdEn :
- Acrylic Resins (chemistry), Aged, Aged, 80 and over, Alveolar Process (pathology), Alveolar Process (surgery), Chromium Alloys (chemistry), Computer-Aided Design, Dental Implant-Abutment Design (methods), Dental Materials (chemistry), Dental Prosthesis, Implant-Supported, Dental Veneers, Denture Design, Denture, Complete, Immediate, Denture, Complete, Upper, Denture, Overlay, Female, Follow-Up Studies, Humans, Immediate Dental Implant Loading (instrumentation), Immediate Dental Implant Loading (methods), Jaw, Edentulous (pathology), Jaw, Edentulous (rehabilitation), Jaw, Edentulous (surgery), Male, Maxilla (pathology), Maxilla (surgery), Middle Aged, Osseointegration (physiology), Prospective Studies, Radiography, Dental, Digital, Titanium (chemistry), Tooth Extraction (methods), Tooth Socket (pathology), Tooth Socket (surgery), Treatment Outcome.
- MESH :
- chemical , chemistry : Acrylic Resins, Chromium Alloys, Dental Materials, Titanium.
- instrumentation : Immediate Dental Implant Loading.
- methods : Dental Implant-Abutment Design, Immediate Dental Implant Loading, Tooth Extraction.
- pathology : Alveolar Process, Jaw, Edentulous, Maxilla, Tooth Socket.
- physiology : Osseointegration.
- rehabilitation : Jaw, Edentulous.
- surgery : Alveolar Process, Jaw, Edentulous, Maxilla, Tooth Socket.
- Aged, Aged, 80 and over, Computer-Aided Design, Dental Prosthesis, Implant-Supported, Dental Veneers, Denture Design, Denture, Complete, Immediate, Denture, Complete, Upper, Denture, Overlay, Female, Follow-Up Studies, Humans, Male, Middle Aged, Prospective Studies, Radiography, Dental, Digital, Treatment Outcome.
Abstract
The aim of this study was to clinically and radiographically evaluate peri-implant bone level changes after rehabilitation of a fully edentulous maxilla by placement of six implants in either fresh extraction sites or healed edentulous ridges up till 18 months after implant placement. Twenty patients with a terminal dentition in the maxillae (11 men, 9 women) received a total of 120 OsseoSpeed implants; 118 implants could be loaded immediately of which 59 were placed in extraction sockets and 59 were placed in healed sites. Within 24 h after surgery, all patients received a chairside-assembled, fibre-reinforced temporary fixed prosthetic reconstruction in occlusion. Six months post-surgery, final screw-retained CoCr (15) or Ti (5) computer numerical control-milled and acrylic-veneered frameworks were placed directly at implant level without interposing abutments. Intraoral radiographs were taken 6 and 18 months after implant placement. Implant survival rate was 100%. Mean marginal bone level was located on average -0.35 mm below the reference point (standard deviation 0.29, range -1.20 to +0.02 mm) 18 months after loading. Whether implants were placed in healed bone sites or fresh extraction sockets did not significantly affect the bone level changes. Furthermore, the use of either CoCr or Ti at the implant level did not significantly affect marginal bone loss. Within the limits of this prospective clinical trial, results seem to indicate that immediate placement and occlusal loading of five to six implants in the edentulous maxilla can be carried out successfully. Whether or not those implants are placed in fresh extraction sockets does not seem to alter the outcome. The present data show a successful 1-year outcome of a treatment protocol involving tooth extraction immediately combined with implant placement and loading.
DOI: 10.1007/s00784-011-0617-9
PubMed: 21932023
Affiliations:
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xml:lang="en"><term>Acrylic Resins (chemistry)</term><term>Aged</term><term>Aged, 80 and over</term><term>Alveolar Process (pathology)</term><term>Alveolar Process (surgery)</term><term>Chromium Alloys (chemistry)</term><term>Computer-Aided Design</term><term>Dental Implant-Abutment Design (methods)</term><term>Dental Materials (chemistry)</term><term>Dental Prosthesis, Implant-Supported</term><term>Dental Veneers</term><term>Denture Design</term><term>Denture, Complete, Immediate</term><term>Denture, Complete, Upper</term><term>Denture, Overlay</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Immediate Dental Implant Loading (instrumentation)</term><term>Immediate Dental Implant Loading (methods)</term><term>Jaw, Edentulous (pathology)</term><term>Jaw, Edentulous (rehabilitation)</term><term>Jaw, Edentulous (surgery)</term><term>Male</term><term>Maxilla (pathology)</term><term>Maxilla (surgery)</term><term>Middle Aged</term><term>Osseointegration (physiology)</term><term>Prospective Studies</term><term>Radiography, Dental, Digital</term><term>Titanium (chemistry)</term><term>Tooth Extraction (methods)</term><term>Tooth Socket (pathology)</term><term>Tooth Socket (surgery)</term><term>Treatment Outcome</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Alliages de chrome ()</term><term>Alvéole dentaire ()</term><term>Alvéole dentaire (anatomopathologie)</term><term>Conception assistée par ordinateur</term><term>Conception d'appareil de prothèse dentaire</term><term>Conception d'implant dentaire et de pilier ()</term><term>Extraction dentaire ()</term><term>Facettes dentaires</term><term>Femelle</term><term>Humains</term><term>Matériaux dentaires ()</term><term>Maxillaire ()</term><term>Maxillaire (anatomopathologie)</term><term>Mâchoire édentée ()</term><term>Mâchoire édentée (anatomopathologie)</term><term>Mâchoire édentée (rééducation et réadaptation)</term><term>Mâle</term><term>Ostéo-intégration (physiologie)</term><term>Overdenture</term><term>Pose immédiate d'implant dentaire ()</term><term>Pose immédiate d'implant dentaire (instrumentation)</term><term>Processus alvéolaire ()</term><term>Processus alvéolaire (anatomopathologie)</term><term>Prothèse dentaire complète immédiate</term><term>Prothèse dentaire complète supérieure</term><term>Prothèse dentaire implanto-portée</term><term>Radiographie numérisée dentaire</term><term>Résines acryliques ()</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Titane ()</term><term>Études de suivi</term><term>Études prospectives</term></keywords><keywords scheme="MESH" type="chemical" qualifier="chemistry" xml:lang="en"><term>Acrylic Resins</term><term>Chromium Alloys</term><term>Dental Materials</term><term>Titanium</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Alvéole dentaire</term><term>Maxillaire</term><term>Mâchoire édentée</term><term>Processus alvéolaire</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Immediate Dental Implant Loading</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Dental Implant-Abutment Design</term><term>Immediate Dental Implant Loading</term><term>Tooth Extraction</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Alveolar Process</term><term>Jaw, Edentulous</term><term>Maxilla</term><term>Tooth Socket</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Ostéo-intégration</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Osseointegration</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire édentée</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Alveolar Process</term><term>Jaw, Edentulous</term><term>Maxilla</term><term>Tooth Socket</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Computer-Aided Design</term><term>Dental Prosthesis, Implant-Supported</term><term>Dental Veneers</term><term>Denture Design</term><term>Denture, Complete, Immediate</term><term>Denture, Complete, Upper</term><term>Denture, Overlay</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Prospective Studies</term><term>Radiography, Dental, Digital</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Alliages de chrome</term><term>Alvéole dentaire</term><term>Conception assistée par ordinateur</term><term>Conception d'appareil de prothèse dentaire</term><term>Conception d'implant dentaire et de pilier</term><term>Extraction dentaire</term><term>Facettes dentaires</term><term>Femelle</term><term>Humains</term><term>Matériaux dentaires</term><term>Maxillaire</term><term>Mâchoire édentée</term><term>Mâle</term><term>Overdenture</term><term>Pose immédiate d'implant dentaire</term><term>Processus alvéolaire</term><term>Prothèse dentaire complète immédiate</term><term>Prothèse dentaire complète supérieure</term><term>Prothèse dentaire implanto-portée</term><term>Radiographie numérisée dentaire</term><term>Résines acryliques</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Titane</term><term>Études de suivi</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The aim of this study was to clinically and radiographically evaluate peri-implant bone level changes after rehabilitation of a fully edentulous maxilla by placement of six implants in either fresh extraction sites or healed edentulous ridges up till 18 months after implant placement. Twenty patients with a terminal dentition in the maxillae (11 men, 9 women) received a total of 120 OsseoSpeed implants; 118 implants could be loaded immediately of which 59 were placed in extraction sockets and 59 were placed in healed sites. Within 24 h after surgery, all patients received a chairside-assembled, fibre-reinforced temporary fixed prosthetic reconstruction in occlusion. Six months post-surgery, final screw-retained CoCr (15) or Ti (5) computer numerical control-milled and acrylic-veneered frameworks were placed directly at implant level without interposing abutments. Intraoral radiographs were taken 6 and 18 months after implant placement. Implant survival rate was 100%. Mean marginal bone level was located on average -0.35 mm below the reference point (standard deviation 0.29, range -1.20 to +0.02 mm) 18 months after loading. Whether implants were placed in healed bone sites or fresh extraction sockets did not significantly affect the bone level changes. Furthermore, the use of either CoCr or Ti at the implant level did not significantly affect marginal bone loss. Within the limits of this prospective clinical trial, results seem to indicate that immediate placement and occlusal loading of five to six implants in the edentulous maxilla can be carried out successfully. Whether or not those implants are placed in fresh extraction sockets does not seem to alter the outcome. The present data show a successful 1-year outcome of a treatment protocol involving tooth extraction immediately combined with implant placement and loading.</div></front></TEI><affiliations><list><country><li>Belgique</li></country></list><tree><noCountry><name sortKey="Abeloos, Johan" sort="Abeloos, Johan" uniqKey="Abeloos J" first="Johan" last="Abeloos">Johan Abeloos</name><name sortKey="De Clercq, Calix" sort="De Clercq, Calix" uniqKey="De Clercq C" first="Calix" last="De Clercq">Calix De Clercq</name><name sortKey="Jacobs, Reinhilde" sort="Jacobs, Reinhilde" uniqKey="Jacobs R" first="Reinhilde" last="Jacobs">Reinhilde Jacobs</name></noCountry><country name="Belgique"><noRegion><name sortKey="Barbier, Lieven" sort="Barbier, Lieven" uniqKey="Barbier L" first="Lieven" last="Barbier">Lieven Barbier</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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