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One‐Year Prospective Evaluation of the Early Loading of Unsplinted Conical Brånemark Fixtures with Mandibular Overdentures Immediately following Surgery

Identifieur interne : 008927 ( Main/Exploration ); précédent : 008926; suivant : 008928

One‐Year Prospective Evaluation of the Early Loading of Unsplinted Conical Brånemark Fixtures with Mandibular Overdentures Immediately following Surgery

Auteurs : Alan G. T. Payne [Nouvelle-Zélande] ; Andrew Tawse-Smith [Nouvelle-Zélande] ; Rohana Kumara [Nouvelle-Zélande] ; W. Murray Thomson [Nouvelle-Zélande]

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RBID : ISTEX:8BDA8F594C2B6434B89128CEDE536A3001728601

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English descriptors

Abstract

Background: Prospective evaluation of the early loading of unsplinted Branemark implants with mandibular over‐dentures opposing conventional dentures is not evident in the implant‐related literature. Purpose: To clinically evaluate progressive and early loading of 20 unsplinted conical Brånemark implants in edentulous mandibles with overdentures. Materials and Methods: Ten edentulous patients all had two conical Brånemark implants placed in the anterior mandible with mandatory primary stability with bicortical anchorage. Ball abutment connection was performed simultaneously. Previously constructed conventional mandibular dentures were temporarily relined with tissue conditioner postoperatively and worn with moderation for the first 2 weeks to allow progressive loading. Early loading of the implants followed after 2 weeks, with inclusion of the respective matrices in the mandibular dentures, using a definitive reline procedure. Results: All patients successfully functioned with their mandibular implant overdentures from 2 to 52 weeks postoperatively. Mean marginal bone loss was within established criteria for success:0.22 mm (SD = 0.48 mm) mesially and 0.30 mm (SD = 0.39 mm) distally on the conical implants. Mobility tests using the Periotest instrument became more negative, although not at statistically significant levels. Difficulties in the management of the peri‐implant mucosa between surgery and loading at 2 weeks were observed in 40% of the patients. Conclusions: These preliminary 1‐year results show that successful early loading of unsplinted conical Brånemark implants with mandibular overdentures is possible.

Url:
DOI: 10.1111/j.1708-8208.2001.tb00124.x


Affiliations:


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<term>Abutment height</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Anterior mandible</term>
<term>Ball abutments</term>
<term>Ball attachments</term>
<term>Bicortical anchorage</term>
<term>Bone Resorption (classification)</term>
<term>Bone quantity</term>
<term>Branemark</term>
<term>Brinemark</term>
<term>Brinemark implants</term>
<term>Clin</term>
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<term>Clinical implant dentistry</term>
<term>Conical</term>
<term>Conical fixtures</term>
<term>Dent</term>
<term>Dental Abutments</term>
<term>Dental Implants</term>
<term>Dental Plaque Index</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis Retention</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dentistry</term>
<term>Denture</term>
<term>Denture Design</term>
<term>Denture Liners</term>
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<term>Edentulous mandible</term>
<term>Edentulous patients</term>
<term>Female</term>
<term>Fixture</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Immediate loading</term>
<term>Imp1</term>
<term>Implant</term>
<term>Implant dentistry</term>
<term>Implant success</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Keratinized mucosa</term>
<term>Lekholm</term>
<term>Male</term>
<term>Mandible</term>
<term>Mandible (surgery)</term>
<term>Mandibular</term>
<term>Mandibular denture</term>
<term>Mandibular dentures</term>
<term>Mandibular implant overdentures</term>
<term>Mandibular overdentures</term>
<term>Marginal bone levels</term>
<term>Marginal bone loss</term>
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<term>Middle Aged</term>
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<term>Overdentures</term>
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<term>Periotest</term>
<term>Periotest instrument</term>
<term>Periotest values</term>
<term>Postoperative</term>
<term>Postoperatively</term>
<term>Preliminary results</term>
<term>Primary stability</term>
<term>Progressive loading</term>
<term>Prospective Studies</term>
<term>Prospective evaluation</term>
<term>Prospective study</term>
<term>Prosthesis</term>
<term>Prosthet dent</term>
<term>Prosthodont</term>
<term>Prosthodontic</term>
<term>Prosthodontic treatment</term>
<term>Quintessence</term>
<term>Reference point</term>
<term>Relative attachment level</term>
<term>Respective matrices</term>
<term>Splinted</term>
<term>Statistics, Nonparametric</term>
<term>Stress, Mechanical</term>
<term>Study period</term>
<term>Surgical</term>
<term>Tissue Conditioning (Dental)</term>
<term>Tissue conditioner</term>
<term>Titanium implants</term>
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<term>Conception de prothèse dentaire</term>
<term>Contrainte mécanique</term>
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<term>Implants dentaires</term>
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<term>Rebasage d'appareil de prothèse dentaire</term>
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<term>Résultat thérapeutique</term>
<term>Rétention de prothèse dentaire</term>
<term>Statistique non paramétrique</term>
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<term>Sujet âgé de 80 ans ou plus</term>
<term>Vernis protecteurs d'appareil de prothèse dentaire</term>
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<term>Études prospectives</term>
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<term>Abutment height</term>
<term>Aged</term>
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<term>Ball abutments</term>
<term>Ball attachments</term>
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<term>Bone quantity</term>
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<term>Clinical implant dentistry</term>
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<term>Dental Prosthesis Retention</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dentistry</term>
<term>Denture</term>
<term>Denture Design</term>
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<term>Early loading</term>
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<term>Edentulous mandible</term>
<term>Edentulous patients</term>
<term>Female</term>
<term>Fixture</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Immediate loading</term>
<term>Imp1</term>
<term>Implant</term>
<term>Implant dentistry</term>
<term>Implant success</term>
<term>Keratinized mucosa</term>
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<term>Marginal bone loss</term>
<term>Matrix</term>
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<term>Middle Aged</term>
<term>Mucosal</term>
<term>Oral maxillofac implants</term>
<term>Oral maxillofac surg</term>
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<term>Osseointegrated implants</term>
<term>Osseointegration</term>
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<term>Overdentures</term>
<term>Periodontal Index</term>
<term>Periotest</term>
<term>Periotest instrument</term>
<term>Periotest values</term>
<term>Postoperative</term>
<term>Postoperatively</term>
<term>Preliminary results</term>
<term>Primary stability</term>
<term>Progressive loading</term>
<term>Prospective Studies</term>
<term>Prospective evaluation</term>
<term>Prospective study</term>
<term>Prosthesis</term>
<term>Prosthet dent</term>
<term>Prosthodont</term>
<term>Prosthodontic</term>
<term>Prosthodontic treatment</term>
<term>Quintessence</term>
<term>Reference point</term>
<term>Relative attachment level</term>
<term>Respective matrices</term>
<term>Splinted</term>
<term>Statistics, Nonparametric</term>
<term>Stress, Mechanical</term>
<term>Study period</term>
<term>Surgical</term>
<term>Tissue Conditioning (Dental)</term>
<term>Tissue conditioner</term>
<term>Titanium implants</term>
<term>Treatment Outcome</term>
<term>Unsplinted</term>
<term>Unsplinted implants</term>
<term>Zarb</term>
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<term>Adulte d'âge moyen</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Conception de prothèse dentaire</term>
<term>Contrainte mécanique</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Indice de plaque dentaire</term>
<term>Indice parodontal</term>
<term>Mandibule</term>
<term>Mise en condition tissulaire (dentisterie)</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Overdenture</term>
<term>Piliers dentaires</term>
<term>Prothèse dentaire complète inférieure</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Rebasage d'appareil de prothèse dentaire</term>
<term>Résorption osseuse</term>
<term>Résultat thérapeutique</term>
<term>Rétention de prothèse dentaire</term>
<term>Statistique non paramétrique</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Vernis protecteurs d'appareil de prothèse dentaire</term>
<term>Études de suivi</term>
<term>Études prospectives</term>
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<front>
<div type="abstract" xml:lang="en">Background: Prospective evaluation of the early loading of unsplinted Branemark implants with mandibular over‐dentures opposing conventional dentures is not evident in the implant‐related literature. Purpose: To clinically evaluate progressive and early loading of 20 unsplinted conical Brånemark implants in edentulous mandibles with overdentures. Materials and Methods: Ten edentulous patients all had two conical Brånemark implants placed in the anterior mandible with mandatory primary stability with bicortical anchorage. Ball abutment connection was performed simultaneously. Previously constructed conventional mandibular dentures were temporarily relined with tissue conditioner postoperatively and worn with moderation for the first 2 weeks to allow progressive loading. Early loading of the implants followed after 2 weeks, with inclusion of the respective matrices in the mandibular dentures, using a definitive reline procedure. Results: All patients successfully functioned with their mandibular implant overdentures from 2 to 52 weeks postoperatively. Mean marginal bone loss was within established criteria for success:0.22 mm (SD = 0.48 mm) mesially and 0.30 mm (SD = 0.39 mm) distally on the conical implants. Mobility tests using the Periotest instrument became more negative, although not at statistically significant levels. Difficulties in the management of the peri‐implant mucosa between surgery and loading at 2 weeks were observed in 40% of the patients. Conclusions: These preliminary 1‐year results show that successful early loading of unsplinted conical Brånemark implants with mandibular overdentures is possible.</div>
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