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Immediate Occlusal Loading in Edentulous Jaws, CT‐Guided Surgery and Fixed Provisional Prosthesis: A Maxillary Arch Clinical Report

Identifieur interne : 004762 ( Main/Exploration ); précédent : 004761; suivant : 004763

Immediate Occlusal Loading in Edentulous Jaws, CT‐Guided Surgery and Fixed Provisional Prosthesis: A Maxillary Arch Clinical Report

Auteurs : Carl Drago [États-Unis] ; Robert Del Castillo [États-Unis] ; Thomas Peterson [États-Unis]

Source :

RBID : ISTEX:99AC885DFB9D2E015F121AC0C3A1034157C838BD

Descripteurs français

English descriptors

Abstract

Immediate occlusal loading (IOL) in edentulous jaws has been reported in numerous publications with implant cumulative survival rates consistent with conventional, unloaded healing protocols. Computed Tomography (CT)‐guided surgery has more recently been developed and accepted as an additional treatment modality for maxillary and mandibular implant placement, with or without IOL. Reports as to the accuracy of planned versus actual implant placement in CT‐guided surgeries have indicated that CT‐guided surgery is not 100% accurate; standard deviations have been reported with values between 1 and 2 mm in terms of actual versus planned placement. The purpose of this article is to review the clinical parameters associated with IOL, and CT‐guided surgery in edentulous jaws; and to present a clinical case illustrating the clinical and laboratory phases of treatment. The illustrated treatment was accomplished with an IOL protocol and includes fabrication and placement of a laboratory‐processed provisional maxillary prosthesis. This particular protocol had slightly increased costs relative to conventional implant placement; however, the clinicians and patient benefited from improved accuracy of the provisional prostheses and decreased chairtime for the clinical procedures. The benefits and limitations of this treatment protocol are also discussed.

Url:
DOI: 10.1111/j.1532-849X.2010.00661.x


Affiliations:


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Le document en format XML

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<term>American college</term>
<term>Analog</term>
<term>Analog mounts</term>
<term>Angular deviation</term>
<term>Cbct</term>
<term>Centric occlusion</term>
<term>Clin</term>
<term>Clin implant dent relat</term>
<term>Clinical studies</term>
<term>Clinical study</term>
<term>Cone beam</term>
<term>Cone-Beam Computed Tomography</term>
<term>Dent</term>
<term>Dental Arch (surgery)</term>
<term>Dental Implantation, Endosseous (instrumentation)</term>
<term>Dental Occlusion, Centric</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental implants</term>
<term>Denture</term>
<term>Denture Design</term>
<term>Denture, Complete, Upper</term>
<term>Drago</term>
<term>Edentulous</term>
<term>Edentulous jaws</term>
<term>Edentulous mandibles</term>
<term>Edentulous maxillae</term>
<term>Guide tubes</term>
<term>Healing protocols</term>
<term>Humans</term>
<term>Immediate Dental Implant Loading (methods)</term>
<term>Immediate loading</term>
<term>Immediate occlusal loading</term>
<term>Implant</term>
<term>Implant analogs</term>
<term>Implant placement</term>
<term>Intaglio surface</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Linear deviation</term>
<term>Male</term>
<term>Mandible</term>
<term>Mandibular</term>
<term>Master cast</term>
<term>Maxilla</term>
<term>Maxilla (surgery)</term>
<term>Maxillary</term>
<term>Maxillary implants</term>
<term>Maxillary prosthesis</term>
<term>Maxillofac</term>
<term>Middle Aged</term>
<term>Occlusal</term>
<term>Occlusal contacts</term>
<term>Oral maxillofac implants</term>
<term>Patient Care Planning</term>
<term>Prosthesis</term>
<term>Prosthet</term>
<term>Prosthet dent</term>
<term>Prosthetic</term>
<term>Prosthetic components</term>
<term>Prosthetic protocols</term>
<term>Prosthetic treatment plan</term>
<term>Prosthodontics</term>
<term>Prosthodontist</term>
<term>Prosthodontists drago</term>
<term>Protocol</term>
<term>Provisional prosthesis</term>
<term>Radiography, Panoramic</term>
<term>Resorption</term>
<term>Scanning appliance</term>
<term>Surgery</term>
<term>Surgery figure</term>
<term>Surgery table</term>
<term>Surgery, Computer-Assisted</term>
<term>Surgical</term>
<term>Surgical guide</term>
<term>Surgical guides</term>
<term>Survival rates</term>
<term>Testori</term>
<term>Tomography</term>
<term>Tomography image</term>
<term>Tomography, X-Ray Computed</term>
<term>Treatment plan</term>
<term>Treatment planning</term>
<term>Zarb</term>
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<term>Adulte d'âge moyen</term>
<term>Arcade dentaire ()</term>
<term>Chirurgie assistée par ordinateur</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Humains</term>
<term>Maxillaire ()</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Occlusion dentaire centrée</term>
<term>Planification des soins du patient</term>
<term>Pose d'implant dentaire endo-osseux (instrumentation)</term>
<term>Pose immédiate d'implant dentaire ()</term>
<term>Prothèse dentaire complète supérieure</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Radiographie panoramique</term>
<term>Tomodensitométrie</term>
<term>Tomodensitométrie à faisceau conique</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en">
<term>Dental Implantation, Endosseous</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Immediate Dental Implant Loading</term>
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<term>Jaw, Edentulous</term>
</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr">
<term>Adulte d'âge moyen</term>
<term>Arcade dentaire</term>
<term>Chirurgie assistée par ordinateur</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Humains</term>
<term>Maxillaire</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Occlusion dentaire centrée</term>
<term>Planification des soins du patient</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Pose immédiate d'implant dentaire</term>
<term>Prothèse dentaire complète supérieure</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Radiographie panoramique</term>
<term>Tomodensitométrie</term>
<term>Tomodensitométrie à faisceau conique</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Dental Arch</term>
<term>Jaw, Edentulous</term>
<term>Maxilla</term>
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<term>Acrylic resin</term>
<term>American college</term>
<term>Analog</term>
<term>Analog mounts</term>
<term>Angular deviation</term>
<term>Cbct</term>
<term>Centric occlusion</term>
<term>Clin</term>
<term>Clin implant dent relat</term>
<term>Clinical studies</term>
<term>Clinical study</term>
<term>Cone beam</term>
<term>Cone-Beam Computed Tomography</term>
<term>Dent</term>
<term>Dental Occlusion, Centric</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental implants</term>
<term>Denture</term>
<term>Denture Design</term>
<term>Denture, Complete, Upper</term>
<term>Drago</term>
<term>Edentulous</term>
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<term>Edentulous maxillae</term>
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<term>Immediate loading</term>
<term>Immediate occlusal loading</term>
<term>Implant</term>
<term>Implant analogs</term>
<term>Implant placement</term>
<term>Intaglio surface</term>
<term>Linear deviation</term>
<term>Male</term>
<term>Mandible</term>
<term>Mandibular</term>
<term>Master cast</term>
<term>Maxilla</term>
<term>Maxillary</term>
<term>Maxillary implants</term>
<term>Maxillary prosthesis</term>
<term>Maxillofac</term>
<term>Middle Aged</term>
<term>Occlusal</term>
<term>Occlusal contacts</term>
<term>Oral maxillofac implants</term>
<term>Patient Care Planning</term>
<term>Prosthesis</term>
<term>Prosthet</term>
<term>Prosthet dent</term>
<term>Prosthetic</term>
<term>Prosthetic components</term>
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<term>Prosthetic treatment plan</term>
<term>Prosthodontics</term>
<term>Prosthodontist</term>
<term>Prosthodontists drago</term>
<term>Protocol</term>
<term>Provisional prosthesis</term>
<term>Radiography, Panoramic</term>
<term>Resorption</term>
<term>Scanning appliance</term>
<term>Surgery</term>
<term>Surgery figure</term>
<term>Surgery table</term>
<term>Surgery, Computer-Assisted</term>
<term>Surgical</term>
<term>Surgical guide</term>
<term>Surgical guides</term>
<term>Survival rates</term>
<term>Testori</term>
<term>Tomography</term>
<term>Tomography image</term>
<term>Tomography, X-Ray Computed</term>
<term>Treatment plan</term>
<term>Treatment planning</term>
<term>Zarb</term>
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<front>
<div type="abstract" xml:lang="en">Immediate occlusal loading (IOL) in edentulous jaws has been reported in numerous publications with implant cumulative survival rates consistent with conventional, unloaded healing protocols. Computed Tomography (CT)‐guided surgery has more recently been developed and accepted as an additional treatment modality for maxillary and mandibular implant placement, with or without IOL. Reports as to the accuracy of planned versus actual implant placement in CT‐guided surgeries have indicated that CT‐guided surgery is not 100% accurate; standard deviations have been reported with values between 1 and 2 mm in terms of actual versus planned placement. The purpose of this article is to review the clinical parameters associated with IOL, and CT‐guided surgery in edentulous jaws; and to present a clinical case illustrating the clinical and laboratory phases of treatment. The illustrated treatment was accomplished with an IOL protocol and includes fabrication and placement of a laboratory‐processed provisional maxillary prosthesis. This particular protocol had slightly increased costs relative to conventional implant placement; however, the clinicians and patient benefited from improved accuracy of the provisional prostheses and decreased chairtime for the clinical procedures. The benefits and limitations of this treatment protocol are also discussed.</div>
</front>
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