Prospective Multicenter Study on Immediate Rehabilitation of Edentulous Lower Jaws According to the Brånemark Novum Protocol
Identifieur interne : 007E77 ( Main/Exploration ); précédent : 007E76; suivant : 007E78Prospective Multicenter Study on Immediate Rehabilitation of Edentulous Lower Jaws According to the Brånemark Novum Protocol
Auteurs : Patrick J. Henry [Australie] ; Daniel Van Steenberghe ; Ulf Blomback [Suède] ; Giovanni Polizzi [Italie] ; Ruben Rosenberg [Chili] ; Joan Pi Urgell [Espagne] ; Inger Wendelhag [Suède]Source :
- Clinical Implant Dentistry and Related Research [ 1523-0899 ] ; 2003-10.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Analyse de survie, Conception de prothèse dentaire, Femelle, Humains, Implants dentaires, Mandibule (), Mâchoire édentée (), Mâchoire édentée (rééducation et réadaptation), Mâle, Pose d'implant dentaire endo-osseux (), Prothèse dentaire implanto-portée, Protocoles cliniques, Résultat thérapeutique, Satisfaction du patient, Sujet âgé, Tables de survie, Titane, Études de suivi, Études prospectives.
- MESH :
- rééducation et réadaptation : Mâchoire édentée.
- Wicri :
- topic : Adulte, Adulte d'âge moyen, Analyse de survie, Conception de prothèse dentaire, Femelle, Humains, Implants dentaires, Mandibule, Mâchoire édentée, Mâle, Pose d'implant dentaire endo-osseux, Prothèse dentaire implanto-portée, Protocole, Protocoles cliniques, Résultat thérapeutique, Satisfaction du patient, Sujet âgé, Tables de survie, Titane, Études de suivi, Études prospectives.
English descriptors
- KwdEn :
- Adult, Aged, Bone quality, Brinemark, Brinemark centre, Brinemark novum, Brinemark novum procedure, Brinemark novum protocol, Bruxism, Catholic university, Clinical Protocols, Clinical implant dentistry, Clinical outcome, Cumulative implant survival rates, Cumulative survival rate, Cumulative survival rates, Dental Implantation, Endosseous (methods), Dental Implants, Dental Prosthesis Design, Dental Prosthesis, Implant-Supported, Edentulous, Edentulous mandible, Female, Follow-Up Studies, Humans, Immediate loading, Immediate rehabilitation, Implant, Implant bridge, Implant failure, Implant placement, Jaw, Edentulous (rehabilitation), Jaw, Edentulous (surgery), Life Tables, Life table analysis, Male, Mandible, Mandible (surgery), Marginal bone loss, Maxillofacial diseases, Middle Aged, More patients, Novum, Oral maxillofac implants, Osseointegrated implants, Other patients, Patient Satisfaction, Patient selection, Preliminary results, Present study, Prospective Studies, Prosthesis, Prosthetic, Prosthetic treatment, Protocol, Successful outcome, Sunderby county hospital, Surgical, Surgical procedure, Survival Analysis, Survival rate, Technique sensitivity, Titanium, Treatment Outcome, Treatment concept, Treatment time.
- MESH :
- chemical : Dental Implants, Titanium.
- methods : Dental Implantation, Endosseous.
- rehabilitation : Jaw, Edentulous.
- surgery : Jaw, Edentulous, Mandible.
- Teeft :
- Adult, Aged, Bone quality, Brinemark, Brinemark centre, Brinemark novum, Brinemark novum procedure, Brinemark novum protocol, Bruxism, Catholic university, Clinical Protocols, Clinical implant dentistry, Clinical outcome, Cumulative implant survival rates, Cumulative survival rate, Cumulative survival rates, Dental Prosthesis Design, Dental Prosthesis, Implant-Supported, Edentulous, Edentulous mandible, Female, Follow-Up Studies, Humans, Immediate loading, Immediate rehabilitation, Implant, Implant bridge, Implant failure, Implant placement, Life Tables, Life table analysis, Male, Mandible, Marginal bone loss, Maxillofacial diseases, Middle Aged, More patients, Novum, Oral maxillofac implants, Osseointegrated implants, Other patients, Patient Satisfaction, Patient selection, Preliminary results, Present study, Prospective Studies, Prosthesis, Prosthetic, Prosthetic treatment, Protocol, Successful outcome, Sunderby county hospital, Surgical, Surgical procedure, Survival Analysis, Survival rate, Technique sensitivity, Treatment Outcome, Treatment concept, Treatment time.
Abstract
Background: During recent years a new treatment concept, Brånemark Novum, has been developed in which implants are inserted in the edentulous lower jaw and immediately connected to a prefabricated titanium bar. A fixed prosthesis is then attached to the bar during or immediately following surgery. Purpose: The aim of the present study was to investigate the application of this concept under various settings, to determine technique sensitivity, and to evaluate the clinical outcome after 1 year of follow‐up. Materials and Methods: Fifty‐one patients were included in a prospective multicenter investigation and followed up for 1 year. Cumulative implant survival rates were evaluated by life table analysis. In addition, clinical comparisons were performed to evaluate implant loss in relation to patient characteristics. Questionnaires were used to evaluate the treatment protocols and to obtain patients' opinions. Results: The prosthetic treatment was completed on the same or the following day in 76% of the patients. The cumulative implant survival rates for implants and prostheses were 91% and 94%, respectively, after 12 months. Conclusions: The present study demonstrated that single‐stage surgery and immediate loading of implants with prefabricated bridgework in the mandible can result in high implant success and significant reduction in treatment time, with patient satisfaction.
Url:
DOI: 10.1111/j.1708-8208.2003.tb00195.x
Affiliations:
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Henry</name><affiliation wicri:level="1"><country xml:lang="fr">Australie</country><wicri:regionArea>The Branemark Centre, Perth</wicri:regionArea><wicri:noRegion>Perth</wicri:noRegion></affiliation><affiliation wicri:level="1"><country wicri:rule="url">Australie</country></affiliation></author><author><name sortKey="Van Steenberghe, Daniel" sort="Van Steenberghe, Daniel" uniqKey="Van Steenberghe D" first="Daniel" last="Van Steenberghe">Daniel Van Steenberghe</name><affiliation><wicri:noCountry code="subField">Osseointegration</wicri:noCountry></affiliation></author><author><name sortKey="Blomback, Ulf" sort="Blomback, Ulf" uniqKey="Blomback U" first="Ulf" last="Blomback">Ulf Blomback</name><affiliation wicri:level="1"><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Oral and Maxillofacial Diseases, Sunderby County Hospital, Lulea</wicri:regionArea><wicri:noRegion>Lulea</wicri:noRegion></affiliation></author><author><name sortKey="Polizzi, Giovanni" sort="Polizzi, Giovanni" uniqKey="Polizzi G" first="Giovanni" last="Polizzi">Giovanni Polizzi</name><affiliation wicri:level="1"><country xml:lang="fr">Italie</country><wicri:regionArea>Private practice, Verona</wicri:regionArea><wicri:noRegion>Verona</wicri:noRegion></affiliation></author><author><name sortKey="Rosenberg, Ruben" sort="Rosenberg, Ruben" uniqKey="Rosenberg R" first="Ruben" last="Rosenberg">Ruben Rosenberg</name><affiliation wicri:level="1"><country xml:lang="fr">Chili</country><wicri:regionArea>Branemark Osseointegration Center, Santiago</wicri:regionArea><wicri:noRegion>Santiago</wicri:noRegion></affiliation></author><author><name sortKey="Pi Urgell, Joan" sort="Pi Urgell, Joan" uniqKey="Pi Urgell J" first="Joan" last="Pi Urgell">Joan Pi Urgell</name><affiliation wicri:level="3"><country xml:lang="fr">Espagne</country><wicri:regionArea>Branemark Osseointegration Centre, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Wendelhag, Inger" sort="Wendelhag, Inger" uniqKey="Wendelhag I" first="Inger" last="Wendelhag">Inger Wendelhag</name><affiliation wicri:level="1"><country xml:lang="fr">Suède</country><wicri:regionArea>Clinical Research Department, Nobel Biocare AB, Gothenburg</wicri:regionArea><wicri:noRegion>Gothenburg</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Clinical Implant Dentistry and Related Research</title><title level="j" type="alt">CLINICAL IMPLANT DENTISTRY RELATED RESEARCH</title><idno type="ISSN">1523-0899</idno><idno type="eISSN">1708-8208</idno><imprint><biblScope unit="vol">5</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="137">137</biblScope><biblScope unit="page" to="142">142</biblScope><biblScope unit="page-count">6</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2003-10">2003-10</date></imprint><idno type="ISSN">1523-0899</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1523-0899</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Bone quality</term><term>Brinemark</term><term>Brinemark centre</term><term>Brinemark novum</term><term>Brinemark novum procedure</term><term>Brinemark novum protocol</term><term>Bruxism</term><term>Catholic university</term><term>Clinical Protocols</term><term>Clinical implant dentistry</term><term>Clinical outcome</term><term>Cumulative implant survival rates</term><term>Cumulative survival rate</term><term>Cumulative survival rates</term><term>Dental Implantation, Endosseous (methods)</term><term>Dental Implants</term><term>Dental Prosthesis Design</term><term>Dental Prosthesis, Implant-Supported</term><term>Edentulous</term><term>Edentulous mandible</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 bridge</term><term>Implant failure</term><term>Implant placement</term><term>Jaw, Edentulous (rehabilitation)</term><term>Jaw, Edentulous (surgery)</term><term>Life Tables</term><term>Life table analysis</term><term>Male</term><term>Mandible</term><term>Mandible (surgery)</term><term>Marginal bone loss</term><term>Maxillofacial diseases</term><term>Middle Aged</term><term>More patients</term><term>Novum</term><term>Oral maxillofac implants</term><term>Osseointegrated implants</term><term>Other patients</term><term>Patient Satisfaction</term><term>Patient selection</term><term>Preliminary results</term><term>Present study</term><term>Prospective Studies</term><term>Prosthesis</term><term>Prosthetic</term><term>Prosthetic treatment</term><term>Protocol</term><term>Successful outcome</term><term>Sunderby county hospital</term><term>Surgical</term><term>Surgical procedure</term><term>Survival Analysis</term><term>Survival rate</term><term>Technique sensitivity</term><term>Titanium</term><term>Treatment Outcome</term><term>Treatment concept</term><term>Treatment time</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analyse de survie</term><term>Conception de prothèse dentaire</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 implanto-portée</term><term>Protocoles cliniques</term><term>Résultat thérapeutique</term><term>Satisfaction du patient</term><term>Sujet âgé</term><term>Tables de survie</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="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>Jaw, Edentulous</term><term>Mandible</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Adult</term><term>Aged</term><term>Bone quality</term><term>Brinemark</term><term>Brinemark centre</term><term>Brinemark novum</term><term>Brinemark novum procedure</term><term>Brinemark novum protocol</term><term>Bruxism</term><term>Catholic university</term><term>Clinical Protocols</term><term>Clinical implant dentistry</term><term>Clinical outcome</term><term>Cumulative implant survival rates</term><term>Cumulative survival rate</term><term>Cumulative survival rates</term><term>Dental Prosthesis Design</term><term>Dental Prosthesis, Implant-Supported</term><term>Edentulous</term><term>Edentulous mandible</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 bridge</term><term>Implant failure</term><term>Implant placement</term><term>Life Tables</term><term>Life table analysis</term><term>Male</term><term>Mandible</term><term>Marginal bone loss</term><term>Maxillofacial diseases</term><term>Middle Aged</term><term>More patients</term><term>Novum</term><term>Oral maxillofac implants</term><term>Osseointegrated implants</term><term>Other patients</term><term>Patient Satisfaction</term><term>Patient selection</term><term>Preliminary results</term><term>Present study</term><term>Prospective Studies</term><term>Prosthesis</term><term>Prosthetic</term><term>Prosthetic treatment</term><term>Protocol</term><term>Successful outcome</term><term>Sunderby county hospital</term><term>Surgical</term><term>Surgical procedure</term><term>Survival Analysis</term><term>Survival rate</term><term>Technique sensitivity</term><term>Treatment Outcome</term><term>Treatment concept</term><term>Treatment time</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analyse de survie</term><term>Conception 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 implanto-portée</term><term>Protocole</term><term>Protocoles cliniques</term><term>Résultat thérapeutique</term><term>Satisfaction du patient</term><term>Sujet âgé</term><term>Tables de survie</term><term>Titane</term><term>Études de suivi</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background: During recent years a new treatment concept, Brånemark Novum, has been developed in which implants are inserted in the edentulous lower jaw and immediately connected to a prefabricated titanium bar. A fixed prosthesis is then attached to the bar during or immediately following surgery. Purpose: The aim of the present study was to investigate the application of this concept under various settings, to determine technique sensitivity, and to evaluate the clinical outcome after 1 year of follow‐up. Materials and Methods: Fifty‐one patients were included in a prospective multicenter investigation and followed up for 1 year. Cumulative implant survival rates were evaluated by life table analysis. In addition, clinical comparisons were performed to evaluate implant loss in relation to patient characteristics. Questionnaires were used to evaluate the treatment protocols and to obtain patients' opinions. Results: The prosthetic treatment was completed on the same or the following day in 76% of the patients. The cumulative implant survival rates for implants and prostheses were 91% and 94%, respectively, after 12 months. Conclusions: The present study demonstrated that single‐stage surgery and immediate loading of implants with prefabricated bridgework in the mandible can result in high implant success and significant reduction in treatment time, with patient satisfaction.</div></front></TEI><affiliations><list><country><li>Australie</li><li>Chili</li><li>Espagne</li><li>Italie</li><li>Suède</li></country><region><li>Catalogne</li></region><settlement><li>Barcelone</li></settlement></list><tree><noCountry><name sortKey="Van Steenberghe, Daniel" sort="Van Steenberghe, Daniel" uniqKey="Van Steenberghe D" first="Daniel" last="Van Steenberghe">Daniel Van Steenberghe</name></noCountry><country name="Australie"><noRegion><name sortKey="Henry, Patrick J" sort="Henry, Patrick J" uniqKey="Henry P" first="Patrick J." last="Henry">Patrick J. Henry</name></noRegion><name sortKey="Henry, Patrick J" sort="Henry, Patrick J" uniqKey="Henry P" first="Patrick J." last="Henry">Patrick J. Henry</name></country><country name="Suède"><noRegion><name sortKey="Blomback, Ulf" sort="Blomback, Ulf" uniqKey="Blomback U" first="Ulf" last="Blomback">Ulf Blomback</name></noRegion><name sortKey="Wendelhag, Inger" sort="Wendelhag, Inger" uniqKey="Wendelhag I" first="Inger" last="Wendelhag">Inger Wendelhag</name></country><country name="Italie"><noRegion><name sortKey="Polizzi, Giovanni" sort="Polizzi, Giovanni" uniqKey="Polizzi G" first="Giovanni" last="Polizzi">Giovanni Polizzi</name></noRegion></country><country name="Chili"><noRegion><name sortKey="Rosenberg, Ruben" sort="Rosenberg, Ruben" uniqKey="Rosenberg R" first="Ruben" last="Rosenberg">Ruben Rosenberg</name></noRegion></country><country name="Espagne"><region name="Catalogne"><name sortKey="Pi Urgell, Joan" sort="Pi Urgell, Joan" uniqKey="Pi Urgell J" first="Joan" last="Pi Urgell">Joan Pi Urgell</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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