Immediate Loading of the Edentulous Maxilla With a Final Restoration Supported by an Intraoral Welded Titanium Bar : A Case Series of 20 Consecutive Cases
Identifieur interne : 006539 ( Main/Exploration ); précédent : 006538; suivant : 006540Immediate Loading of the Edentulous Maxilla With a Final Restoration Supported by an Intraoral Welded Titanium Bar : A Case Series of 20 Consecutive Cases
Auteurs : Marco Degidi ; Diego Nardi ; Adriano Piattelli [Italie]Source :
- Journal of periodontology [ 0022-3492 ] ; 2008.
Descripteurs français
- KwdFr :
- Adulte, Attachement de précision, Conception d'appareil de prothèse dentaire, Conception de prothèse dentaire, Facteurs temps, Femelle, Humains, Implants dentaires, Maxillaire (), Mise en charge, Mâchoire édentée (), Mâchoire édentée (rééducation et réadaptation), Mâle, Ostéo-intégration, Piliers dentaires, Pose d'implant dentaire endo-osseux (), Pose d'implant dentaire endo-osseux (effets indésirables), Procédures de chirurgie préprothétique en odontologie (), Procédures de chirurgie préprothétique en odontologie (effets indésirables), Prothèse dentaire complète supérieure, Prothèse dentaire implanto-portée (instrumentation), Restaurations dentaires permanentes (), Résorption alvéolaire (étiologie), Résultat thérapeutique, Soudage dentaire (), Soudage dentaire (instrumentation), Titane, Études de suivi, Études prospectives.
- MESH :
- effets indésirables : Pose d'implant dentaire endo-osseux, Procédures de chirurgie préprothétique en odontologie.
- rééducation et réadaptation : Mâchoire édentée.
- étiologie : Prothèse dentaire implanto-portée, Résorption alvéolaire, Soudage dentaire.
- Pascal (Inist)
- Adulte, Attachement de précision, Conception d'appareil de prothèse dentaire, Conception de prothèse dentaire, Edentation, Facteurs temps, Femelle, Humains, Implants dentaires, Maxillaire, Mise en charge, Mâchoire édentée, Mâle, Ostéo-intégration, Piliers dentaires, Pose d'implant dentaire endo-osseux, Procédures de chirurgie préprothétique en odontologie, Prothèse dentaire complète supérieure, Restauration, Cavité buccale, Restaurations dentaires permanentes, Résultat thérapeutique, Soudage dentaire, Titane, Dent, Implant, Dentisterie, Études de suivi, Études prospectives.
- Wicri :
- topic : Titane.
English descriptors
- KwdEn :
- Adult, Alveolar Bone Loss (etiology), Dental Abutments, Dental Implantation, Endosseous (adverse effects), Dental Implantation, Endosseous (methods), Dental Implants, Dental Prosthesis Design, Dental Prosthesis, Implant-Supported (instrumentation), Dental Restoration, Permanent (methods), Dental Soldering (instrumentation), Dental Soldering (methods), Dentistry, Denture Design, Denture Precision Attachment, Denture, Complete, Upper, Edentulousness, Female, Follow-Up Studies, Humans, Implant, Jaw, Edentulous (rehabilitation), Jaw, Edentulous (surgery), Male, Maxilla (surgery), Maxillary, Oral Surgical Procedures, Preprosthetic (adverse effects), Oral Surgical Procedures, Preprosthetic (methods), Oral cavity, Osseointegration, Prospective Studies, Restoration, Time Factors, Titanium, Tooth, Treatment Outcome, Weight-Bearing.
- MESH :
- chemical : Dental Implants, Titanium.
- adverse effects : Dental Implantation, Endosseous, Oral Surgical Procedures, Preprosthetic.
- etiology : Alveolar Bone Loss.
- instrumentation : Dental Prosthesis, Implant-Supported, Dental Soldering.
- methods : Dental Implantation, Endosseous, Dental Restoration, Permanent, Dental Soldering, Oral Surgical Procedures, Preprosthetic.
- rehabilitation : Jaw, Edentulous.
- surgery : Jaw, Edentulous, Maxilla.
- Adult, Dental Abutments, Dental Prosthesis Design, Denture Design, Denture Precision Attachment, Denture, Complete, Upper, Female, Follow-Up Studies, Humans, Male, Osseointegration, Prospective Studies, Time Factors, Treatment Outcome, Weight-Bearing.
Abstract
Background: The aim of this prospective study was to evaluate the concept of intraoral welding as a suitable technique for the placement of a final restoration for the edentulous maxilla on the same day as surgery. Methods: Twenty patients with edentulous maxillae received a fixed restoration supported by an intraoral welded titanium bar. Final abutments were connected to the implants and welded to a titanium bar using an intraoral welding unit. This framework was used as a support for the final restoration, which was fitted on the same day as implant placement. Mean marginal bone loss and radiographically detectable alteration of the welded framework were assessed using periapical radiographs immediately after surgery and at 6- and 12-month follow-up examinations. Results: Ten males and 10 females, with an average age of 51.8 years (SD= 15.1 years; N=20), were consecutively treated with 153 immediately loaded implants. No fractures or radiographically detectable alterations of the welded framework were evident. All implants osseointegrated and were clinically stable at the time of the 12-month follow-up. Mean marginal bone loss was 0.43 mm (SD = 0.13 mm; N = 153) between 0 and 6 months and 0.14 mm (SD = 0.055 mm; N = 153) between 6 and 12 months. Therefore, the accumulated mean marginal bone loss was 0.57 mm (SD = 0.21 m; N= 153). Conclusions: On the same day of surgery, it is possible to successfully rehabilitate the edentulous maxilla with a fixed, permanent prosthesis supported by an intraoral welded titanium framework. More expanded investigations over longer time periods are required to better determine the long-term success of this approach.
Affiliations:
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Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Alveolar Bone Loss (etiology)</term>
<term>Dental Abutments</term>
<term>Dental Implantation, Endosseous (adverse effects)</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported (instrumentation)</term>
<term>Dental Restoration, Permanent (methods)</term>
<term>Dental Soldering (instrumentation)</term>
<term>Dental Soldering (methods)</term>
<term>Dentistry</term>
<term>Denture Design</term>
<term>Denture Precision Attachment</term>
<term>Denture, Complete, Upper</term>
<term>Edentulousness</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Implant</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Male</term>
<term>Maxilla (surgery)</term>
<term>Maxillary</term>
<term>Oral Surgical Procedures, Preprosthetic (adverse effects)</term>
<term>Oral Surgical Procedures, Preprosthetic (methods)</term>
<term>Oral cavity</term>
<term>Osseointegration</term>
<term>Prospective Studies</term>
<term>Restoration</term>
<term>Time Factors</term>
<term>Titanium</term>
<term>Tooth</term>
<term>Treatment Outcome</term>
<term>Weight-Bearing</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Attachement de précision</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Conception de prothèse dentaire</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Maxillaire ()</term>
<term>Mise en charge</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Ostéo-intégration</term>
<term>Piliers dentaires</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Pose d'implant dentaire endo-osseux (effets indésirables)</term>
<term>Procédures de chirurgie préprothétique en odontologie ()</term>
<term>Procédures de chirurgie préprothétique en odontologie (effets indésirables)</term>
<term>Prothèse dentaire complète supérieure</term>
<term>Prothèse dentaire implanto-portée (instrumentation)</term>
<term>Restaurations dentaires permanentes ()</term>
<term>Résorption alvéolaire (étiologie)</term>
<term>Résultat thérapeutique</term>
<term>Soudage dentaire ()</term>
<term>Soudage dentaire (instrumentation)</term>
<term>Titane</term>
<term>Études de suivi</term>
<term>Études prospectives</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term>
<term>Titanium</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Dental Implantation, Endosseous</term>
<term>Oral Surgical Procedures, Preprosthetic</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Pose d'implant dentaire endo-osseux</term>
<term>Procédures de chirurgie préprothétique en odontologie</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Alveolar Bone Loss</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Soldering</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Dental Implantation, Endosseous</term>
<term>Dental Restoration, Permanent</term>
<term>Dental Soldering</term>
<term>Oral Surgical Procedures, Preprosthetic</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>Jaw, Edentulous</term>
<term>Maxilla</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Prothèse dentaire implanto-portée</term>
<term>Résorption alvéolaire</term>
<term>Soudage dentaire</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Dental Abutments</term>
<term>Dental Prosthesis Design</term>
<term>Denture Design</term>
<term>Denture Precision Attachment</term>
<term>Denture, Complete, Upper</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Osseointegration</term>
<term>Prospective Studies</term>
<term>Time Factors</term>
<term>Treatment Outcome</term>
<term>Weight-Bearing</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Adulte</term>
<term>Attachement de précision</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Conception de prothèse dentaire</term>
<term>Edentation</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Maxillaire</term>
<term>Mise en charge</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Ostéo-intégration</term>
<term>Piliers dentaires</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Procédures de chirurgie préprothétique en odontologie</term>
<term>Prothèse dentaire complète supérieure</term>
<term>Restauration</term>
<term>Cavité buccale</term>
<term>Restaurations dentaires permanentes</term>
<term>Résultat thérapeutique</term>
<term>Soudage dentaire</term>
<term>Titane</term>
<term>Dent</term>
<term>Implant</term>
<term>Dentisterie</term>
<term>Études de suivi</term>
<term>Études prospectives</term>
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<front><div type="abstract" xml:lang="en">Background: The aim of this prospective study was to evaluate the concept of intraoral welding as a suitable technique for the placement of a final restoration for the edentulous maxilla on the same day as surgery. Methods: Twenty patients with edentulous maxillae received a fixed restoration supported by an intraoral welded titanium bar. Final abutments were connected to the implants and welded to a titanium bar using an intraoral welding unit. This framework was used as a support for the final restoration, which was fitted on the same day as implant placement. Mean marginal bone loss and radiographically detectable alteration of the welded framework were assessed using periapical radiographs immediately after surgery and at 6- and 12-month follow-up examinations. Results: Ten males and 10 females, with an average age of 51.8 years (SD= 15.1 years; N=20), were consecutively treated with 153 immediately loaded implants. No fractures or radiographically detectable alterations of the welded framework were evident. All implants osseointegrated and were clinically stable at the time of the 12-month follow-up. Mean marginal bone loss was 0.43 mm (SD = 0.13 mm; N = 153) between 0 and 6 months and 0.14 mm (SD = 0.055 mm; N = 153) between 6 and 12 months. Therefore, the accumulated mean marginal bone loss was 0.57 mm (SD = 0.21 m; N= 153). Conclusions: On the same day of surgery, it is possible to successfully rehabilitate the edentulous maxilla with a fixed, permanent prosthesis supported by an intraoral welded titanium framework. More expanded investigations over longer time periods are required to better determine the long-term success of this approach.</div>
</front>
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<affiliations><list><country><li>Italie</li>
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<tree><noCountry><name sortKey="Degidi, Marco" sort="Degidi, Marco" uniqKey="Degidi M" first="Marco" last="Degidi">Marco Degidi</name>
<name sortKey="Nardi, Diego" sort="Nardi, Diego" uniqKey="Nardi D" first="Diego" last="Nardi">Diego Nardi</name>
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<country name="Italie"><noRegion><name sortKey="Piattelli, Adriano" sort="Piattelli, Adriano" uniqKey="Piattelli A" first="Adriano" last="Piattelli">Adriano Piattelli</name>
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