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Provisional Implants: A Clinical Prospective Study in 45 Patients, from Implant Placement to Delivery of the Final Bridge

Identifieur interne : 007928 ( Main/Exploration ); précédent : 007927; suivant : 007929

Provisional Implants: A Clinical Prospective Study in 45 Patients, from Implant Placement to Delivery of the Final Bridge

Auteurs : Par-Olov Östman [Suède] ; Mats Hellman [Suède] ; Hans Nilson [Suède] ; Ingvar Ericsson [Suède]

Source :

RBID : ISTEX:1844F628F7DE672E505701D883EAC8A92D3C454E

Descripteurs français

English descriptors

Abstract

Background: Protocols for submerged healing of dental implants often require the patient to have no teeth until suture removal and to wear a removable prosthesis during the remaining healing period. This may be inconvenient for the patient, and healing may be influenced negatively by the removable prosthesis. Purpose: The aim of the present prospective clinical study was to evaluate the use of provisional implants (PIS) to provide patients with a provisional fixed bridge during the healing of permanent implants. Materials and Methods: Twenty female and 25 male patients were consecutively included in the study. The 45 patients were treated for either partial (16 patients) or total (29 patients) edentulism in the maxilla. The permanent implants were placed first; as many PIS as possible were then installed between the permanent implants. After suturing, impressions from which to manufacture provisional bridges (to be cemented to the PIS) were taken. The patients were monitored with clinical and radiographic follow‐up from implant placement to delivery of the final prosthesis. Results: Five (2.2%) of the 230 permanent Brånemark System® implants (Nobel Biocare AB, Gothenburg, Sweden) did not integrate. None of the failures could be related to the presence of PIS between the permanent implants. Seven PIS failed during the observation period. In addition, 17 (9%) of the 192 PIS showed mobility at the second‐stage surgery although they had supported the provisional bridges without clinical symptoms. Forty‐four of 45 patients showed stabile PI bridges at the time of second‐stage surgery. Conclusion: Based on our experiences we concluded that provisional implants can be successfully used to provide patients with a fixed provisional bridge during the healing of permanent implants.

Url:
DOI: 10.1111/j.1708-8208.2004.tb00214.x


Affiliations:


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<term>Abutment</term>
<term>Acta odontol scand</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Appl osseointegration</term>
<term>Astra tech</term>
<term>Bendable neck</term>
<term>Biocare</term>
<term>Biomechanical loading</term>
<term>Biomed mater</term>
<term>Branemark</term>
<term>Branemark implants</term>
<term>Brinemark fixtures</term>
<term>Clin</term>
<term>Clinical implant dentistry</term>
<term>Clinical study</term>
<term>Clinical symptoms</term>
<term>Corresponding figure</term>
<term>Dent</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Dental Restoration, Temporary</term>
<term>Dental Stress Analysis</term>
<term>Dental implants</term>
<term>Dentate patient</term>
<term>Denture, Partial, Fixed</term>
<term>Edentulous</term>
<term>Edentulous jaws</term>
<term>Edentulous mandible</term>
<term>Edentulous mandibles</term>
<term>Edentulous maxillas</term>
<term>Failure rate</term>
<term>Female</term>
<term>Gender distribution</term>
<term>Glantz strandman</term>
<term>Good results</term>
<term>Healing period</term>
<term>Humans</term>
<term>Implant</term>
<term>Implant interface</term>
<term>Implant placement</term>
<term>Implant system</term>
<term>Insertion tool</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Last decade</term>
<term>Lekholm</term>
<term>Male</term>
<term>Male patients</term>
<term>Mandibular reconstructions</term>
<term>Maxilla (surgery)</term>
<term>Maxillofac</term>
<term>Middle Aged</term>
<term>Multicenter study</term>
<term>Narrow platform</term>
<term>Nobel biocare</term>
<term>Observation period</term>
<term>Oral maxillofac implants</term>
<term>Osseointegrated implants</term>
<term>Osseointegration</term>
<term>Permanent implants</term>
<term>Posterior maxilla</term>
<term>Preliminary results</term>
<term>Present study</term>
<term>Prospective Studies</term>
<term>Prospective multicenter study</term>
<term>Prospective study</term>
<term>Prosthesis</term>
<term>Prosthetic dentistry</term>
<term>Provisional</term>
<term>Provisional bridge</term>
<term>Provisional bridges</term>
<term>Provisional implant bridge</term>
<term>Provisional implants</term>
<term>Radiographical features</term>
<term>Regular platform</term>
<term>Removable</term>
<term>Removable denture</term>
<term>Removable prosthesis</term>
<term>Retention elements</term>
<term>Schweiz monatsschr zahnheilkd</term>
<term>Secondstage surgery</term>
<term>Soft bone</term>
<term>Stability measurements</term>
<term>Surgical</term>
<term>Survival rate</term>
<term>Temporary implants</term>
<term>Titanium implants</term>
<term>Tiunite surface</term>
<term>Torque device</term>
<term>Twist drill</term>
<term>Vivo bone response</term>
<term>Weight-Bearing</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse du stress dentaire</term>
<term>Conception de prothèse dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Maxillaire ()</term>
<term>Mise en charge</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse partielle fixe</term>
<term>Restaurations dentaires temporaires</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Échec de restauration dentaire</term>
<term>Études prospectives</term>
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<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Dental Implantation, Endosseous</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>Maxilla</term>
</keywords>
<keywords scheme="Teeft" xml:lang="en">
<term>Abutment</term>
<term>Acta odontol scand</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Appl osseointegration</term>
<term>Astra tech</term>
<term>Bendable neck</term>
<term>Biocare</term>
<term>Biomechanical loading</term>
<term>Biomed mater</term>
<term>Branemark</term>
<term>Branemark implants</term>
<term>Brinemark fixtures</term>
<term>Clin</term>
<term>Clinical implant dentistry</term>
<term>Clinical study</term>
<term>Clinical symptoms</term>
<term>Corresponding figure</term>
<term>Dent</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Dental Restoration, Temporary</term>
<term>Dental Stress Analysis</term>
<term>Dental implants</term>
<term>Dentate patient</term>
<term>Denture, Partial, Fixed</term>
<term>Edentulous</term>
<term>Edentulous jaws</term>
<term>Edentulous mandible</term>
<term>Edentulous mandibles</term>
<term>Edentulous maxillas</term>
<term>Failure rate</term>
<term>Female</term>
<term>Gender distribution</term>
<term>Glantz strandman</term>
<term>Good results</term>
<term>Healing period</term>
<term>Humans</term>
<term>Implant</term>
<term>Implant interface</term>
<term>Implant placement</term>
<term>Implant system</term>
<term>Insertion tool</term>
<term>Last decade</term>
<term>Lekholm</term>
<term>Male</term>
<term>Male patients</term>
<term>Mandibular reconstructions</term>
<term>Maxillofac</term>
<term>Middle Aged</term>
<term>Multicenter study</term>
<term>Narrow platform</term>
<term>Nobel biocare</term>
<term>Observation period</term>
<term>Oral maxillofac implants</term>
<term>Osseointegrated implants</term>
<term>Osseointegration</term>
<term>Permanent implants</term>
<term>Posterior maxilla</term>
<term>Preliminary results</term>
<term>Present study</term>
<term>Prospective Studies</term>
<term>Prospective multicenter study</term>
<term>Prospective study</term>
<term>Prosthesis</term>
<term>Prosthetic dentistry</term>
<term>Provisional</term>
<term>Provisional bridge</term>
<term>Provisional bridges</term>
<term>Provisional implant bridge</term>
<term>Provisional implants</term>
<term>Radiographical features</term>
<term>Regular platform</term>
<term>Removable</term>
<term>Removable denture</term>
<term>Removable prosthesis</term>
<term>Retention elements</term>
<term>Schweiz monatsschr zahnheilkd</term>
<term>Secondstage surgery</term>
<term>Soft bone</term>
<term>Stability measurements</term>
<term>Surgical</term>
<term>Survival rate</term>
<term>Temporary implants</term>
<term>Titanium implants</term>
<term>Tiunite surface</term>
<term>Torque device</term>
<term>Twist drill</term>
<term>Vivo bone response</term>
<term>Weight-Bearing</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse du stress dentaire</term>
<term>Conception de prothèse dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Maxillaire</term>
<term>Mise en charge</term>
<term>Mâle</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse partielle fixe</term>
<term>Restaurations dentaires temporaires</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Échec de restauration dentaire</term>
<term>Études prospectives</term>
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<front>
<div type="abstract" xml:lang="en">Background: Protocols for submerged healing of dental implants often require the patient to have no teeth until suture removal and to wear a removable prosthesis during the remaining healing period. This may be inconvenient for the patient, and healing may be influenced negatively by the removable prosthesis. Purpose: The aim of the present prospective clinical study was to evaluate the use of provisional implants (PIS) to provide patients with a provisional fixed bridge during the healing of permanent implants. Materials and Methods: Twenty female and 25 male patients were consecutively included in the study. The 45 patients were treated for either partial (16 patients) or total (29 patients) edentulism in the maxilla. The permanent implants were placed first; as many PIS as possible were then installed between the permanent implants. After suturing, impressions from which to manufacture provisional bridges (to be cemented to the PIS) were taken. The patients were monitored with clinical and radiographic follow‐up from implant placement to delivery of the final prosthesis. Results: Five (2.2%) of the 230 permanent Brånemark System® implants (Nobel Biocare AB, Gothenburg, Sweden) did not integrate. None of the failures could be related to the presence of PIS between the permanent implants. Seven PIS failed during the observation period. In addition, 17 (9%) of the 192 PIS showed mobility at the second‐stage surgery although they had supported the provisional bridges without clinical symptoms. Forty‐four of 45 patients showed stabile PI bridges at the time of second‐stage surgery. Conclusion: Based on our experiences we concluded that provisional implants can be successfully used to provide patients with a fixed provisional bridge during the healing of permanent implants.</div>
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