The immediate rehabilitation by means of a ready‐made final fixed prosthesis in the edentulous mandible: a 1‐year follow‐up study on 50 consecutive patients
Identifieur interne : 007879 ( Main/Exploration ); précédent : 007878; suivant : 007880The immediate rehabilitation by means of a ready‐made final fixed prosthesis in the edentulous mandible: a 1‐year follow‐up study on 50 consecutive patients
Auteurs : D. Van Steenberghe ; L. Molly ; R. Jacobs [Belgique] ; B. Vandekerckhove ; M. Quirynen ; I. Naert [Belgique]Source :
- Clinical Oral Implants Research [ 0905-7161 ] ; 2004-06.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Analyse de survie, Conception d'appareil de prothèse dentaire, Densité osseuse (physiologie), Femelle, Humains, Implants dentaires, Mandibule (), Mâchoire édentée (), Mâchoire édentée (rééducation et réadaptation), Mâle, Pose d'implant dentaire endo-osseux (), Prothèse dentaire complète inférieure, Prothèse dentaire implanto-portée, Résorption alvéolaire (), Résultat thérapeutique, Rétention d'appareil de prothèse dentaire, Statistique non paramétrique, Sujet âgé, Sujet âgé de 80 ans ou plus, Tabagisme, Titane, Échec de restauration dentaire, Études de suivi.
- MESH :
- physiologie : Densité osseuse.
- rééducation et réadaptation : Mâchoire édentée.
- Adulte d'âge moyen, Analyse de survie, Conception d'appareil de prothèse dentaire, Femelle, Humains, Implants dentaires, Mandibule, Mâchoire édentée, Mâle, Pose d'implant dentaire endo-osseux, Prothèse dentaire complète inférieure, Prothèse dentaire implanto-portée, Résorption alvéolaire, Résultat thérapeutique, Rétention d'appareil de prothèse dentaire, Statistique non paramétrique, Sujet âgé, Sujet âgé de 80 ans ou plus, Tabagisme, Titane, Échec de restauration dentaire, Études de suivi.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Alveolar Bone Loss (classification), Bone Density (physiology), Bone level, Bone loss, Bone quality, Bone quantity grade, Bonferroni correction, Catholic university, Clinical implant dentistry, Consecutive patients, Cumulative failure rate, Cumulative survival rate, Dental Implantation, Endosseous (methods), Dental Implants, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Dental technician, Dentistry, Denture Design, Denture Retention, Denture, Complete, Lower, Dependent samples, Edentulous, Edentulous mandible, Endosseous implants, Failure rate, Failure risk, Female, Follow-Up Studies, Humans, Immediate loading, Immediate rehabilitation, Implant, Implant failure, Implant installation, Implant placement, Implants research, Individual implants, Initial bone level, International journal, Jacobs, Jaw, Edentulous (rehabilitation), Jaw, Edentulous (surgery), Lekholm zarb, Leuven, Machined implant system, Male, Mandible, Mandible (surgery), Marginal bone height, Marginal bone level, Marginal bone loss, Middle Aged, Nemark, Nemark novums, Nemark novums system, Observation period, Occlusal, Occlusal forces, Oral impl, Oral implants, Oral maxillofacial implants, Oral pathology, Osseointegrated implants, Osseointegration, Other patients, Panoramic radiograph, Periodontology, Preliminary results, Present study, Primary stability, Prosthesis, Prosthetic, Prosthetic dentistry, Prosthetic phase, Quantity distribution, Quirynen, Radiograph, Silicone lamel, Smoking, Statistics, Nonparametric, Steenberghe, Survival Analysis, Survival rate, Symphyseal, Symphyseal area, Time points, Titanium, Treatment Outcome, Twostage approach, University hospital, Xtures.
- MESH :
- chemical : Dental Implants, Titanium.
- classification : Alveolar Bone Loss.
- methods : Dental Implantation, Endosseous.
- physiology : Bone Density.
- rehabilitation : Jaw, Edentulous.
- surgery : Jaw, Edentulous, Mandible.
- Teeft :
- Aged, Aged, 80 and over, Bone level, Bone loss, Bone quality, Bone quantity grade, Bonferroni correction, Catholic university, Clinical implant dentistry, Consecutive patients, Cumulative failure rate, Cumulative survival rate, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Dental technician, Dentistry, Denture Design, Denture Retention, Denture, Complete, Lower, Dependent samples, Edentulous, Edentulous mandible, Endosseous implants, Failure rate, Failure risk, Female, Follow-Up Studies, Humans, Immediate loading, Immediate rehabilitation, Implant, Implant failure, Implant installation, Implant placement, Implants research, Individual implants, Initial bone level, International journal, Jacobs, Lekholm zarb, Leuven, Machined implant system, Male, Mandible, Marginal bone height, Marginal bone level, Marginal bone loss, Middle Aged, Nemark, Nemark novums, Nemark novums system, Observation period, Occlusal, Occlusal forces, Oral impl, Oral implants, Oral maxillofacial implants, Oral pathology, Osseointegrated implants, Osseointegration, Other patients, Panoramic radiograph, Periodontology, Preliminary results, Present study, Primary stability, Prosthesis, Prosthetic, Prosthetic dentistry, Prosthetic phase, Quantity distribution, Quirynen, Radiograph, Silicone lamel, Smoking, Statistics, Nonparametric, Steenberghe, Survival Analysis, Survival rate, Symphyseal, Symphyseal area, Time points, Treatment Outcome, Twostage approach, University hospital, Xtures.
Abstract
Abstract: Although a two‐stage procedure with symphyseal oral implants can lead to a long‐term (15 years) 99% cumulative survival rate, a one‐stage approach with immediate loading via prefabricated elements seems to offer a short‐term acceptable outcome with significantly lower costs. A series of 50 consecutive patients, not eliminated for any systemic or smoking condition, received at the department of periodontology three implants in the symphyseal area, connected by a very rigid horse shoe‐shaped titanium bar. A final screw retained prosthetic framework was placed on top of it at the department of prosthetic dentistry within 2 days after surgery (44) or after a delay, due to purely external factors, of up to 10 days (6). Forty‐five patients were followed for 1 year. In one patient, all three implants failed and another four patients were lost to follow‐up. The cumulative failure rates for implants and prostheses at 1 year were, respectively, 7.3% and 5%. The mean marginal bone loss at 1 year was 1.08 mm (SD: 1.62; range −5.68 to +2.55). This study shows that stable marginal bone levels can be maintained around immediately loaded implants in the lower jaw in an average patient population for at least 1 year. The survival rate is, however, lower than for a staged approach.
Url:
DOI: 10.1111/j.1600-0501.2004.01069.x
Affiliations:
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Van Steenberghe</name><affiliation><wicri:noCountry code="subField">Osseointegration</wicri:noCountry></affiliation></author><author><name sortKey="Molly, L" sort="Molly, L" uniqKey="Molly L" first="L." last="Molly">L. Molly</name><affiliation><wicri:noCountry code="subField">Osseointegration</wicri:noCountry></affiliation></author><author><name sortKey="Jacobs, R" sort="Jacobs, R" uniqKey="Jacobs R" first="R." last="Jacobs">R. Jacobs</name><affiliation></affiliation><affiliation wicri:level="1"><country xml:lang="fr">Belgique</country><wicri:regionArea>Oral Imaging Center, School of Dentistry, Oral Pathology and Maxillo‐Facial Surgery, Faculty of Medicine, Catholic University of Leuven, Leuven</wicri:regionArea><wicri:noRegion>Leuven</wicri:noRegion></affiliation></author><author><name sortKey="Vandekerckhove, B" sort="Vandekerckhove, B" uniqKey="Vandekerckhove B" first="B." last="Vandekerckhove">B. 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Naert</name><affiliation wicri:level="1"><country xml:lang="fr">Belgique</country><wicri:regionArea>BIOMAT Research Group, Department of Prosthetic Dentistry, School of Dentistry, Oral Pathology and Maxillo‐Facial Surgery, Faculty of Medicine, Catholic University of Leuven, Leuven</wicri:regionArea><wicri:noRegion>Leuven</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Clinical Oral Implants Research</title><title level="j" type="alt">CLINICAL ORAL IMPLANTS RESEARCH</title><idno type="ISSN">0905-7161</idno><idno type="eISSN">1600-0501</idno><imprint><biblScope unit="vol">15</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="360">360</biblScope><biblScope unit="page" to="365">365</biblScope><biblScope unit="page-count">6</biblScope><publisher>Munksgaard International Publishers</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2004-06">2004-06</date></imprint><idno type="ISSN">0905-7161</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0905-7161</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Alveolar Bone Loss (classification)</term><term>Bone Density (physiology)</term><term>Bone level</term><term>Bone loss</term><term>Bone quality</term><term>Bone quantity grade</term><term>Bonferroni correction</term><term>Catholic university</term><term>Clinical implant dentistry</term><term>Consecutive patients</term><term>Cumulative failure rate</term><term>Cumulative survival rate</term><term>Dental Implantation, Endosseous (methods)</term><term>Dental Implants</term><term>Dental Prosthesis, Implant-Supported</term><term>Dental Restoration Failure</term><term>Dental technician</term><term>Dentistry</term><term>Denture Design</term><term>Denture Retention</term><term>Denture, Complete, Lower</term><term>Dependent samples</term><term>Edentulous</term><term>Edentulous mandible</term><term>Endosseous implants</term><term>Failure rate</term><term>Failure risk</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Immediate loading</term><term>Immediate rehabilitation</term><term>Implant</term><term>Implant failure</term><term>Implant installation</term><term>Implant placement</term><term>Implants research</term><term>Individual implants</term><term>Initial bone level</term><term>International journal</term><term>Jacobs</term><term>Jaw, Edentulous (rehabilitation)</term><term>Jaw, Edentulous (surgery)</term><term>Lekholm zarb</term><term>Leuven</term><term>Machined implant system</term><term>Male</term><term>Mandible</term><term>Mandible (surgery)</term><term>Marginal bone height</term><term>Marginal bone level</term><term>Marginal bone loss</term><term>Middle Aged</term><term>Nemark</term><term>Nemark novums</term><term>Nemark novums system</term><term>Observation period</term><term>Occlusal</term><term>Occlusal forces</term><term>Oral impl</term><term>Oral implants</term><term>Oral maxillofacial implants</term><term>Oral pathology</term><term>Osseointegrated implants</term><term>Osseointegration</term><term>Other patients</term><term>Panoramic radiograph</term><term>Periodontology</term><term>Preliminary results</term><term>Present study</term><term>Primary stability</term><term>Prosthesis</term><term>Prosthetic</term><term>Prosthetic dentistry</term><term>Prosthetic phase</term><term>Quantity distribution</term><term>Quirynen</term><term>Radiograph</term><term>Silicone lamel</term><term>Smoking</term><term>Statistics, Nonparametric</term><term>Steenberghe</term><term>Survival Analysis</term><term>Survival rate</term><term>Symphyseal</term><term>Symphyseal area</term><term>Time points</term><term>Titanium</term><term>Treatment Outcome</term><term>Twostage approach</term><term>University hospital</term><term>Xtures</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Analyse de survie</term><term>Conception d'appareil de prothèse dentaire</term><term>Densité osseuse (physiologie)</term><term>Femelle</term><term>Humains</term><term>Implants dentaires</term><term>Mandibule ()</term><term>Mâchoire édentée ()</term><term>Mâchoire édentée (rééducation et réadaptation)</term><term>Mâle</term><term>Pose d'implant dentaire endo-osseux ()</term><term>Prothèse dentaire complète inférieure</term><term>Prothèse dentaire implanto-portée</term><term>Résorption alvéolaire ()</term><term>Résultat thérapeutique</term><term>Rétention d'appareil de prothèse dentaire</term><term>Statistique non paramétrique</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tabagisme</term><term>Titane</term><term>Échec de restauration dentaire</term><term>Études de suivi</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term><term>Titanium</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></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Densité osseuse</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Bone Density</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>Mandible</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Bone level</term><term>Bone loss</term><term>Bone quality</term><term>Bone quantity grade</term><term>Bonferroni correction</term><term>Catholic university</term><term>Clinical implant dentistry</term><term>Consecutive patients</term><term>Cumulative failure rate</term><term>Cumulative survival rate</term><term>Dental Prosthesis, Implant-Supported</term><term>Dental Restoration Failure</term><term>Dental technician</term><term>Dentistry</term><term>Denture Design</term><term>Denture Retention</term><term>Denture, Complete, Lower</term><term>Dependent samples</term><term>Edentulous</term><term>Edentulous mandible</term><term>Endosseous implants</term><term>Failure rate</term><term>Failure risk</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Immediate loading</term><term>Immediate rehabilitation</term><term>Implant</term><term>Implant failure</term><term>Implant installation</term><term>Implant placement</term><term>Implants research</term><term>Individual implants</term><term>Initial bone level</term><term>International journal</term><term>Jacobs</term><term>Lekholm zarb</term><term>Leuven</term><term>Machined implant system</term><term>Male</term><term>Mandible</term><term>Marginal bone height</term><term>Marginal bone level</term><term>Marginal bone loss</term><term>Middle Aged</term><term>Nemark</term><term>Nemark novums</term><term>Nemark novums system</term><term>Observation period</term><term>Occlusal</term><term>Occlusal forces</term><term>Oral impl</term><term>Oral implants</term><term>Oral maxillofacial implants</term><term>Oral pathology</term><term>Osseointegrated implants</term><term>Osseointegration</term><term>Other patients</term><term>Panoramic radiograph</term><term>Periodontology</term><term>Preliminary results</term><term>Present study</term><term>Primary stability</term><term>Prosthesis</term><term>Prosthetic</term><term>Prosthetic dentistry</term><term>Prosthetic phase</term><term>Quantity distribution</term><term>Quirynen</term><term>Radiograph</term><term>Silicone lamel</term><term>Smoking</term><term>Statistics, Nonparametric</term><term>Steenberghe</term><term>Survival Analysis</term><term>Survival rate</term><term>Symphyseal</term><term>Symphyseal area</term><term>Time points</term><term>Treatment Outcome</term><term>Twostage approach</term><term>University hospital</term><term>Xtures</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Analyse de survie</term><term>Conception d'appareil de prothèse dentaire</term><term>Femelle</term><term>Humains</term><term>Implants dentaires</term><term>Mandibule</term><term>Mâchoire édentée</term><term>Mâle</term><term>Pose d'implant dentaire endo-osseux</term><term>Prothèse dentaire complète inférieure</term><term>Prothèse dentaire implanto-portée</term><term>Résorption alvéolaire</term><term>Résultat thérapeutique</term><term>Rétention d'appareil de prothèse dentaire</term><term>Statistique non paramétrique</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tabagisme</term><term>Titane</term><term>Échec de restauration dentaire</term><term>Études de suivi</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">Abstract: Although a two‐stage procedure with symphyseal oral implants can lead to a long‐term (15 years) 99% cumulative survival rate, a one‐stage approach with immediate loading via prefabricated elements seems to offer a short‐term acceptable outcome with significantly lower costs. A series of 50 consecutive patients, not eliminated for any systemic or smoking condition, received at the department of periodontology three implants in the symphyseal area, connected by a very rigid horse shoe‐shaped titanium bar. A final screw retained prosthetic framework was placed on top of it at the department of prosthetic dentistry within 2 days after surgery (44) or after a delay, due to purely external factors, of up to 10 days (6). Forty‐five patients were followed for 1 year. In one patient, all three implants failed and another four patients were lost to follow‐up. The cumulative failure rates for implants and prostheses at 1 year were, respectively, 7.3% and 5%. The mean marginal bone loss at 1 year was 1.08 mm (SD: 1.62; range −5.68 to +2.55). This study shows that stable marginal bone levels can be maintained around immediately loaded implants in the lower jaw in an average patient population for at least 1 year. The survival rate is, however, lower than for a staged approach.</div></front></TEI><affiliations><list><country><li>Belgique</li></country></list><tree><noCountry><name sortKey="Molly, L" sort="Molly, L" uniqKey="Molly L" first="L." last="Molly">L. Molly</name><name sortKey="Quirynen, M" sort="Quirynen, M" uniqKey="Quirynen M" first="M." last="Quirynen">M. Quirynen</name><name sortKey="Van Steenberghe, D" sort="Van Steenberghe, D" uniqKey="Van Steenberghe D" first="D." last="Van Steenberghe">D. Van Steenberghe</name><name sortKey="Vandekerckhove, B" sort="Vandekerckhove, B" uniqKey="Vandekerckhove B" first="B." last="Vandekerckhove">B. Vandekerckhove</name></noCountry><country name="Belgique"><noRegion><name sortKey="Jacobs, R" sort="Jacobs, R" uniqKey="Jacobs R" first="R." last="Jacobs">R. Jacobs</name></noRegion><name sortKey="Naert, I" sort="Naert, I" uniqKey="Naert I" first="I." last="Naert">I. Naert</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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