3‐Year Prospective Multicenter Study on One‐Stage Implant Surgery and Early Loading in the Edentulous Mandible
Identifieur interne : 008084 ( Main/Exploration ); précédent : 008083; suivant : 0080853‐Year Prospective Multicenter Study on One‐Stage Implant Surgery and Early Loading in the Edentulous Mandible
Auteurs : Gerry M. Raghoebar [Pays-Bas] ; Bertil Friberg [Suède] ; Ingrid Grunert [Autriche] ; John A. Hobkirk [Royaume-Uni] ; Gabor Tepper [Autriche] ; Inger Wendelhag [Suède]Source :
- Clinical Implant Dentistry and Related Research [ 1523-0899 ] ; 2003-05.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Femelle, Humains, Implants dentaires (effets indésirables), Indice parodontal, Loi du khi-deux, Mandibule, Mâchoire édentée (rééducation et réadaptation), Mâle, Odds ratio, Ostéo-intégration, Overdenture, Plaque dentaire (étiologie), Pose d'implant dentaire endo-osseux (), Prothèse dentaire implanto-portée, Prothèse dentaire partielle immédiate, Prothèse partielle fixe, Résorption alvéolaire (étiologie), Rétention de prothèse dentaire, Statistique non paramétrique, Sujet âgé, Tables de survie, Échec de restauration dentaire, Études prospectives.
- MESH :
- effets indésirables : Implants dentaires.
- rééducation et réadaptation : Mâchoire édentée.
- étiologie : Plaque dentaire, Résorption alvéolaire.
- Adulte, Adulte d'âge moyen, Femelle, Humains, Indice parodontal, Loi du khi-deux, Mandibule, Mâle, Odds ratio, Ostéo-intégration, Overdenture, Pose d'implant dentaire endo-osseux, Prothèse dentaire implanto-portée, Prothèse dentaire partielle immédiate, Prothèse partielle fixe, Rétention de prothèse dentaire, Statistique non paramétrique, Sujet âgé, Tables de survie, Échec de restauration dentaire, Études prospectives.
English descriptors
- KwdEn :
- Abutment, Acta odontol scand, Adult, Aged, Alveolar Bone Loss (etiology), Appl osseointegration, Bone height, Bone quality, Briinemark system, Brinemark, Brinemark system, Brinemark zarb, Chi-Square Distribution, Clin, Clin implant dent relat, Clinical dentistry, Clinical implant dentistry, Clinical study, Corresponding figures, Critical analysis, Cumulative survival rates, Dent, Dental Implantation, Endosseous (methods), Dental Implants (adverse effects), Dental Plaque (etiology), Dental Prosthesis Retention, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Dental implantology, Dental implants, Dentistry, Denture, Overlay, Denture, Partial, Fixed, Denture, Partial, Immediate, Early loading, Edentulous, Edentulous mandible, Edentulous mandibles, Endosseous, Endosseous implants, Female, First year, Good implant survival, Healing period, Humans, Immediate loading, Implant, Implant insertion, Implant losses, Implant placement, Implant stability, Implant survival, Insertion, Jaw, Edentulous (rehabilitation), Life Tables, Lower denture, Machined brinemark system implants, Male, Mandible, Mandibular edentulism, Mandibular overdentures, Marginal bone levels, Marginal bone loss, Marginal bone resorption, Maxillofacial surgery, Middle Aged, Multicenter, Nobel biocare, Normal periimplant mucosa, Odds Ratio, Oral maxillofac implants, Osseointegrated implants, Osseointegration, Overdenture, Overdentures, Oxidized implants, Periimplant, Periimplant conditions, Periodontal Index, Periodontal disease, Plaque, Present study, Primary stability, Proper periimplant health, Prospective Studies, Prospective multicenter study, Prosthesis, Prosthesis insertion, Prosthetic, Prosthetic construction, Prosthetic constructions, Prosthetic dentistry, Quintessence publishing company, Relative change, Resonance frequency analysis, Secondary stability, Soft tissue, Soft tissue barrier, Stability measurements, Standard abutments, Statistics, Nonparametric, Success rates, Surgical, Survival rates, Temporary denture, University hospital groningen.
- MESH :
- chemical , adverse effects : Dental Implants.
- etiology : Alveolar Bone Loss, Dental Plaque.
- methods : Dental Implantation, Endosseous.
- rehabilitation : Jaw, Edentulous.
- Teeft :
- Abutment, Acta odontol scand, Adult, Aged, Appl osseointegration, Bone height, Bone quality, Briinemark system, Brinemark, Brinemark system, Brinemark zarb, Chi-Square Distribution, Clin, Clin implant dent relat, Clinical dentistry, Clinical implant dentistry, Clinical study, Corresponding figures, Critical analysis, Cumulative survival rates, Dent, Dental Prosthesis Retention, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Dental implantology, Dental implants, Dentistry, Denture, Overlay, Denture, Partial, Fixed, Denture, Partial, Immediate, Early loading, Edentulous, Edentulous mandible, Edentulous mandibles, Endosseous, Endosseous implants, Female, First year, Good implant survival, Healing period, Humans, Immediate loading, Implant, Implant insertion, Implant losses, Implant placement, Implant stability, Implant survival, Insertion, Life Tables, Lower denture, Machined brinemark system implants, Male, Mandible, Mandibular edentulism, Mandibular overdentures, Marginal bone levels, Marginal bone loss, Marginal bone resorption, Maxillofacial surgery, Middle Aged, Multicenter, Nobel biocare, Normal periimplant mucosa, Odds Ratio, Oral maxillofac implants, Osseointegrated implants, Osseointegration, Overdenture, Overdentures, Oxidized implants, Periimplant, Periimplant conditions, Periodontal Index, Periodontal disease, Plaque, Present study, Primary stability, Proper periimplant health, Prospective Studies, Prospective multicenter study, Prosthesis, Prosthesis insertion, Prosthetic, Prosthetic construction, Prosthetic constructions, Prosthetic dentistry, Quintessence publishing company, Relative change, Resonance frequency analysis, Secondary stability, Soft tissue, Soft tissue barrier, Stability measurements, Standard abutments, Statistics, Nonparametric, Success rates, Surgical, Survival rates, Temporary denture, University hospital groningen.
Abstract
Background: The long‐term success rates achieved in dental implantology suggest that flexibility might well exist within the various implant systems to a degree that an altered protocol (ie, one‐stage surgery and immediate or early loading) can be performed under controlled conditions. However, before variations of the protocol can be considered for general use, they must be subjected to critical analysis, particularly with respect to the predictability of osseointegration, alteration of soft tissue barrier, and relative change in bone height around the implants. Purpose: The aim of this prospective multicenter study was to evaluate implant survival and periimplant conditions around endosseous implants placed in a one‐stage surgical procedure and early loading. Materials and Methods: A total of 170 implants were placed in 40 patients with mandibular edentulism and were functionally loaded within 6 weeks with overdentures (n = 30) or fixed prostheses (n = 10). All patients and prosthetic constructions were evaluated according to a standardized protocol during 3 years of follow‐up. Cumulative implant survival rates were calculated, and implant loss in relation to implant size and bone quality and quantity were evaluated. Furthermore, the protocol included assessment of clinical (plaque and bleeding scores, prosthesis stability) and radiographic parameters. Results: Over a period of 3 years, the implant survival rate was 93% for both implants and prostheses (fixed or removable). No implants were lost after the first year of loading. The periimplant tissues were in a healthy condition. Mean marginal bone resorption from the time of loading to the 3‐year follow‐up was 0.41 mm (SD 0.52). Conclusions: From this study it may be concluded that early loading results in good implant survival and proper periimplant health in edentulous mandibles.
Url:
DOI: 10.1111/j.1708-8208.2003.tb00180.x
Affiliations:
- Autriche, Pays-Bas, Royaume-Uni, Suède
- Angleterre, Grand Londres, Vienne (Autriche)
- Londres, Vienne (Autriche)
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xml:lang="en"><term>Abutment</term><term>Acta odontol scand</term><term>Adult</term><term>Aged</term><term>Alveolar Bone Loss (etiology)</term><term>Appl osseointegration</term><term>Bone height</term><term>Bone quality</term><term>Briinemark system</term><term>Brinemark</term><term>Brinemark system</term><term>Brinemark zarb</term><term>Chi-Square Distribution</term><term>Clin</term><term>Clin implant dent relat</term><term>Clinical dentistry</term><term>Clinical implant dentistry</term><term>Clinical study</term><term>Corresponding figures</term><term>Critical analysis</term><term>Cumulative survival rates</term><term>Dent</term><term>Dental Implantation, Endosseous (methods)</term><term>Dental Implants (adverse effects)</term><term>Dental Plaque (etiology)</term><term>Dental Prosthesis Retention</term><term>Dental Prosthesis, Implant-Supported</term><term>Dental Restoration Failure</term><term>Dental implantology</term><term>Dental implants</term><term>Dentistry</term><term>Denture, Overlay</term><term>Denture, Partial, Fixed</term><term>Denture, Partial, Immediate</term><term>Early loading</term><term>Edentulous</term><term>Edentulous mandible</term><term>Edentulous mandibles</term><term>Endosseous</term><term>Endosseous implants</term><term>Female</term><term>First year</term><term>Good implant survival</term><term>Healing period</term><term>Humans</term><term>Immediate loading</term><term>Implant</term><term>Implant insertion</term><term>Implant losses</term><term>Implant placement</term><term>Implant stability</term><term>Implant survival</term><term>Insertion</term><term>Jaw, Edentulous (rehabilitation)</term><term>Life Tables</term><term>Lower denture</term><term>Machined brinemark system implants</term><term>Male</term><term>Mandible</term><term>Mandibular edentulism</term><term>Mandibular overdentures</term><term>Marginal bone levels</term><term>Marginal bone loss</term><term>Marginal bone resorption</term><term>Maxillofacial surgery</term><term>Middle Aged</term><term>Multicenter</term><term>Nobel biocare</term><term>Normal periimplant mucosa</term><term>Odds Ratio</term><term>Oral maxillofac implants</term><term>Osseointegrated implants</term><term>Osseointegration</term><term>Overdenture</term><term>Overdentures</term><term>Oxidized implants</term><term>Periimplant</term><term>Periimplant conditions</term><term>Periodontal Index</term><term>Periodontal disease</term><term>Plaque</term><term>Present study</term><term>Primary stability</term><term>Proper periimplant health</term><term>Prospective Studies</term><term>Prospective multicenter study</term><term>Prosthesis</term><term>Prosthesis insertion</term><term>Prosthetic</term><term>Prosthetic construction</term><term>Prosthetic constructions</term><term>Prosthetic dentistry</term><term>Quintessence publishing company</term><term>Relative change</term><term>Resonance frequency analysis</term><term>Secondary stability</term><term>Soft tissue</term><term>Soft tissue barrier</term><term>Stability measurements</term><term>Standard abutments</term><term>Statistics, Nonparametric</term><term>Success rates</term><term>Surgical</term><term>Survival rates</term><term>Temporary denture</term><term>University hospital groningen</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Implants dentaires (effets indésirables)</term><term>Indice parodontal</term><term>Loi du khi-deux</term><term>Mandibule</term><term>Mâchoire édentée (rééducation et réadaptation)</term><term>Mâle</term><term>Odds ratio</term><term>Ostéo-intégration</term><term>Overdenture</term><term>Plaque dentaire (étiologie)</term><term>Pose d'implant dentaire endo-osseux ()</term><term>Prothèse dentaire implanto-portée</term><term>Prothèse dentaire partielle immédiate</term><term>Prothèse partielle fixe</term><term>Résorption alvéolaire (étiologie)</term><term>Rétention de prothèse dentaire</term><term>Statistique non paramétrique</term><term>Sujet âgé</term><term>Tables de survie</term><term>Échec de restauration dentaire</term><term>Études prospectives</term></keywords><keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en"><term>Dental Implants</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Implants dentaires</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Alveolar Bone Loss</term><term>Dental Plaque</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="étiologie" xml:lang="fr"><term>Plaque dentaire</term><term>Résorption alvéolaire</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Abutment</term><term>Acta odontol scand</term><term>Adult</term><term>Aged</term><term>Appl osseointegration</term><term>Bone height</term><term>Bone quality</term><term>Briinemark system</term><term>Brinemark</term><term>Brinemark system</term><term>Brinemark zarb</term><term>Chi-Square Distribution</term><term>Clin</term><term>Clin implant dent relat</term><term>Clinical dentistry</term><term>Clinical implant dentistry</term><term>Clinical study</term><term>Corresponding figures</term><term>Critical analysis</term><term>Cumulative survival rates</term><term>Dent</term><term>Dental Prosthesis Retention</term><term>Dental Prosthesis, Implant-Supported</term><term>Dental Restoration Failure</term><term>Dental implantology</term><term>Dental implants</term><term>Dentistry</term><term>Denture, Overlay</term><term>Denture, Partial, Fixed</term><term>Denture, Partial, Immediate</term><term>Early loading</term><term>Edentulous</term><term>Edentulous mandible</term><term>Edentulous mandibles</term><term>Endosseous</term><term>Endosseous implants</term><term>Female</term><term>First year</term><term>Good implant survival</term><term>Healing period</term><term>Humans</term><term>Immediate loading</term><term>Implant</term><term>Implant insertion</term><term>Implant losses</term><term>Implant placement</term><term>Implant stability</term><term>Implant survival</term><term>Insertion</term><term>Life Tables</term><term>Lower denture</term><term>Machined brinemark system implants</term><term>Male</term><term>Mandible</term><term>Mandibular edentulism</term><term>Mandibular overdentures</term><term>Marginal bone levels</term><term>Marginal bone loss</term><term>Marginal bone resorption</term><term>Maxillofacial surgery</term><term>Middle Aged</term><term>Multicenter</term><term>Nobel biocare</term><term>Normal periimplant mucosa</term><term>Odds Ratio</term><term>Oral maxillofac implants</term><term>Osseointegrated implants</term><term>Osseointegration</term><term>Overdenture</term><term>Overdentures</term><term>Oxidized implants</term><term>Periimplant</term><term>Periimplant conditions</term><term>Periodontal Index</term><term>Periodontal disease</term><term>Plaque</term><term>Present study</term><term>Primary stability</term><term>Proper periimplant health</term><term>Prospective Studies</term><term>Prospective multicenter study</term><term>Prosthesis</term><term>Prosthesis insertion</term><term>Prosthetic</term><term>Prosthetic construction</term><term>Prosthetic constructions</term><term>Prosthetic dentistry</term><term>Quintessence publishing company</term><term>Relative change</term><term>Resonance frequency analysis</term><term>Secondary stability</term><term>Soft tissue</term><term>Soft tissue barrier</term><term>Stability measurements</term><term>Standard abutments</term><term>Statistics, Nonparametric</term><term>Success rates</term><term>Surgical</term><term>Survival rates</term><term>Temporary denture</term><term>University hospital groningen</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Indice parodontal</term><term>Loi du khi-deux</term><term>Mandibule</term><term>Mâle</term><term>Odds ratio</term><term>Ostéo-intégration</term><term>Overdenture</term><term>Pose d'implant dentaire endo-osseux</term><term>Prothèse dentaire implanto-portée</term><term>Prothèse dentaire partielle immédiate</term><term>Prothèse partielle fixe</term><term>Rétention de prothèse dentaire</term><term>Statistique non paramétrique</term><term>Sujet âgé</term><term>Tables de survie</term><term>Échec de restauration dentaire</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background: The long‐term success rates achieved in dental implantology suggest that flexibility might well exist within the various implant systems to a degree that an altered protocol (ie, one‐stage surgery and immediate or early loading) can be performed under controlled conditions. However, before variations of the protocol can be considered for general use, they must be subjected to critical analysis, particularly with respect to the predictability of osseointegration, alteration of soft tissue barrier, and relative change in bone height around the implants. Purpose: The aim of this prospective multicenter study was to evaluate implant survival and periimplant conditions around endosseous implants placed in a one‐stage surgical procedure and early loading. Materials and Methods: A total of 170 implants were placed in 40 patients with mandibular edentulism and were functionally loaded within 6 weeks with overdentures (n = 30) or fixed prostheses (n = 10). All patients and prosthetic constructions were evaluated according to a standardized protocol during 3 years of follow‐up. Cumulative implant survival rates were calculated, and implant loss in relation to implant size and bone quality and quantity were evaluated. Furthermore, the protocol included assessment of clinical (plaque and bleeding scores, prosthesis stability) and radiographic parameters. Results: Over a period of 3 years, the implant survival rate was 93% for both implants and prostheses (fixed or removable). No implants were lost after the first year of loading. The periimplant tissues were in a healthy condition. Mean marginal bone resorption from the time of loading to the 3‐year follow‐up was 0.41 mm (SD 0.52). Conclusions: From this study it may be concluded that early loading results in good implant survival and proper periimplant health in edentulous mandibles.</div></front></TEI><affiliations><list><country><li>Autriche</li><li>Pays-Bas</li><li>Royaume-Uni</li><li>Suède</li></country><region><li>Angleterre</li><li>Grand Londres</li><li>Vienne (Autriche)</li></region><settlement><li>Londres</li><li>Vienne (Autriche)</li></settlement></list><tree><country name="Pays-Bas"><noRegion><name sortKey="Raghoebar, Gerry M" sort="Raghoebar, Gerry M" uniqKey="Raghoebar G" first="Gerry M." last="Raghoebar">Gerry M. Raghoebar</name></noRegion><name sortKey="Raghoebar, Gerry M" sort="Raghoebar, Gerry M" uniqKey="Raghoebar G" first="Gerry M." last="Raghoebar">Gerry M. Raghoebar</name></country><country name="Suède"><noRegion><name sortKey="Friberg, Bertil" sort="Friberg, Bertil" uniqKey="Friberg B" first="Bertil" last="Friberg">Bertil Friberg</name></noRegion><name sortKey="Wendelhag, Inger" sort="Wendelhag, Inger" uniqKey="Wendelhag I" first="Inger" last="Wendelhag">Inger Wendelhag</name></country><country name="Autriche"><noRegion><name sortKey="Grunert, Ingrid" sort="Grunert, Ingrid" uniqKey="Grunert I" first="Ingrid" last="Grunert">Ingrid Grunert</name></noRegion><name sortKey="Tepper, Gabor" sort="Tepper, Gabor" uniqKey="Tepper G" first="Gabor" last="Tepper">Gabor Tepper</name></country><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Hobkirk, John A" sort="Hobkirk, John A" uniqKey="Hobkirk J" first="John A." last="Hobkirk">John A. Hobkirk</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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