Nonsubmerged Implants in the Treatment of the Edentulous Lower Jaw: A 5‐Year Prospective Longitudinal Study of ITI Hollow Screws
Identifieur interne : 008936 ( Main/Exploration ); précédent : 008935; suivant : 008937Nonsubmerged Implants in the Treatment of the Edentulous Lower Jaw: A 5‐Year Prospective Longitudinal Study of ITI Hollow Screws
Auteurs : Solve Hellem [Norvège] ; Ulf Karlsson ; Ingvar Almfeldt ; Gunnar Brunell ; Sven-Erik Hamp ; Per Astrand [Suède]Source :
- Clinical Implant Dentistry and Related Research [ 1523-0899 ] ; 2001-01.
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, Ostéo-intégration, Overdenture, Parodontite (), Pose d'implant dentaire endo-osseux, Propriétés de surface, Prothèse dentaire complète inférieure, Prothèse dentaire implanto-portée, Prothèse partielle fixe, Résorption osseuse (), Résultat thérapeutique, Rétention de prothèse dentaire, Statistiques comme sujet, Sujet âgé, Tables de survie, Échec de restauration dentaire, Études longitudinales, Études prospectives.
- MESH :
- rééducation et réadaptation : Mâchoire édentée.
- Adulte, Adulte d'âge moyen, Analyse de survie, Conception de prothèse dentaire, Femelle, Humains, Implants dentaires, Mandibule, Mâchoire édentée, Mâle, Ostéo-intégration, Overdenture, Parodontite, Pose d'implant dentaire endo-osseux, Propriétés de surface, Prothèse dentaire complète inférieure, Prothèse dentaire implanto-portée, Prothèse partielle fixe, Résorption osseuse, Résultat thérapeutique, Rétention de prothèse dentaire, Statistiques comme sujet, Sujet âgé, Tables de survie, Échec de restauration dentaire, Études longitudinales, Études prospectives.
English descriptors
- KwdEn :
- 5year examination, Adult, Aged, Baseline, Baseline examination, Bone Resorption (classification), Bone level, Bone loss, Bridge group, Clin, Clinical implant dentistry, Dental Implantation, Endosseous, Dental Implants, Dental Prosthesis Design, Dental Prosthesis Retention, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Dental implant system, Dental implants, Denture, Complete, Lower, Denture, Overlay, Denture, Partial, Fixed, Different degrees, Edentulous, Edentulous mandible, Female, First premolar site, Good bone level, Good function, Hamp hellem, Hollow screw, Humans, Imp1, Implant, Implant site, Implant stability, Implant success, Implant survival, Implant treatment, Individual implant stability, Intraoral radiographs, Jaw, Edentulous (rehabilitation), Jaw, Edentulous (surgery), Lateral incisor, Life Tables, Loading loading, Longitudinal Studies, Longitudinal study, Male, Mandible, Mandible (surgery), Marginal bone changes period, Marginal bone level, Marginal bone level changes, Marginal bone loss, Marginal changes, Maxillofac, Maxillofacial surgery, Middle Aged, Nonattached mucosa, Nonsubmerged implants, Observation period, Oral maxillofac implants, Osseointegrated implants, Osseointegration, Other patient, Overdenture, Overdentures, Panoramic radiographs, Periimplant mucosa, Periodontitis (classification), Periotest, Periotest device, Periotest values, Prospective Studies, Prospective study, Radiograph, Radiographic examinations, Reference point, Significant change, Soft tissues, Stable bridge, Statistics as Topic, Success criteria, Success rate, Surface Properties, Surgical technique, Survival Analysis, Survival rate, Survival rates, Treatment Outcome, Unchanged bone level.
- MESH :
- chemical : Dental Implants.
- classification : Bone Resorption, Periodontitis.
- rehabilitation : Jaw, Edentulous.
- surgery : Jaw, Edentulous, Mandible.
- Teeft :
- 5year examination, Adult, Aged, Baseline, Baseline examination, Bone level, Bone loss, Bridge group, Clin, Clinical implant dentistry, Dental Implantation, Endosseous, Dental Prosthesis Design, Dental Prosthesis Retention, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Dental implant system, Dental implants, Denture, Complete, Lower, Denture, Overlay, Denture, Partial, Fixed, Different degrees, Edentulous, Edentulous mandible, Female, First premolar site, Good bone level, Good function, Hamp hellem, Hollow screw, Humans, Imp1, Implant, Implant site, Implant stability, Implant success, Implant survival, Implant treatment, Individual implant stability, Intraoral radiographs, Lateral incisor, Life Tables, Loading loading, Longitudinal Studies, Longitudinal study, Male, Mandible, Marginal bone changes period, Marginal bone level, Marginal bone level changes, Marginal bone loss, Marginal changes, Maxillofac, Maxillofacial surgery, Middle Aged, Nonattached mucosa, Nonsubmerged implants, Observation period, Oral maxillofac implants, Osseointegrated implants, Osseointegration, Other patient, Overdenture, Overdentures, Panoramic radiographs, Periimplant mucosa, Periotest, Periotest device, Periotest values, Prospective Studies, Prospective study, Radiograph, Radiographic examinations, Reference point, Significant change, Soft tissues, Stable bridge, Statistics as Topic, Success criteria, Success rate, Surface Properties, Surgical technique, Survival Analysis, Survival rate, Survival rates, Treatment Outcome, Unchanged bone level.
Abstract
Background: Although most implant systems have been designed for a two‐stage surgical technique, a one‐stage surgical technique has always been advocated for the ITI Dental Implant System (Straumann AG, Waldenburg, Switzerland). A new generation of ITI implants was presented in 1988 and included a hollow cylinder, a hollow screw, and a solid screw. Purpose: The goal of this study was to evaluate the one‐stage surgical technique in connection with the ITI hollow screw in a longitudinal study over 5 years. Materials and Methods: Forty‐six patients with edentulous lower jaws were supplied with ITI hollow‐screw implants. Patients who requested an overdenture (n = 18) had four implants inserted; those who requested a fixed bridge (n = 28) had five to six implants. The patients have been followed annually for 5 years. There was a dropout of three patients (6.5%); one patient did not want to cooperate, one moved from the area, and one was deceased. The clinical examinations included bridge removal for evaluation of the individual implant stability in connection with the 1‐, 3‐, and 5‐year examinations. Radiographic examinations were performed with intraoral radiographs and the long‐cone technique. Results: The survival rate after 5 years was 95.7%. The success rate (in which implants undergoing treatment of peri‐implantitis were not counted as successes) was 91.4%. The mean marginal bone loss between the baseline and the 1‐year examination was 0.1 mm and between the 1‐ and 5‐year examinations was 0.1 mm. These changes in marginal bone level were not significant. Conclusions: The success rate of ITI hollow‐screw implants in the edentulous mandible was 91.4% after a 5‐year observation period. There was no significant change in mean bone level between the loading of the implants and the 5‐year examination. Peri‐implantitis was diagnosed in three patients with poor oral hygiene, and it affected six implants. Five of these failed in spite of treatment.
Url:
DOI: 10.1111/j.1708-8208.2001.tb00125.x
Affiliations:
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Longitudinal Study of ITI Hollow Screws</title><author><name sortKey="Hellem, Solve" sort="Hellem, Solve" uniqKey="Hellem S" first="Solve" last="Hellem">Solve Hellem</name><affiliation wicri:level="1"><country xml:lang="fr">Norvège</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, University of Bergen, Bergen</wicri:regionArea><wicri:noRegion>Bergen</wicri:noRegion></affiliation><affiliation wicri:level="1"><country wicri:rule="url">Norvège</country></affiliation></author><author><name sortKey="Karlsson, Ulf" sort="Karlsson, Ulf" uniqKey="Karlsson U" first="Ulf" last="Karlsson">Ulf Karlsson</name><affiliation><wicri:noCountry code="subField">Nor‐rköping</wicri:noCountry></affiliation></author><author><name sortKey="Almfeldt, Ingvar" sort="Almfeldt, Ingvar" uniqKey="Almfeldt I" first="Ingvar" last="Almfeldt">Ingvar Almfeldt</name><affiliation><wicri:noCountry code="subField">and</wicri:noCountry></affiliation></author><author><name sortKey="Brunell, Gunnar" sort="Brunell, Gunnar" uniqKey="Brunell G" first="Gunnar" last="Brunell">Gunnar Brunell</name><affiliation><wicri:noCountry code="subField">and</wicri:noCountry></affiliation></author><author><name sortKey="Hamp, Sven Rik" sort="Hamp, Sven Rik" uniqKey="Hamp S" first="Sven-Erik" last="Hamp">Sven-Erik Hamp</name><affiliation><wicri:noCountry code="subField">and</wicri:noCountry></affiliation></author><author><name sortKey="Astrand, Per" sort="Astrand, Per" uniqKey="Astrand P" first="Per" last="Astrand">Per Astrand</name><affiliation wicri:level="1"><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, University Hospital, Linköping</wicri:regionArea><wicri:noRegion>Linköping</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">3</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="20">20</biblScope><biblScope unit="page" to="29">29</biblScope><biblScope unit="page-count">10</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2001-01">2001-01</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>5year examination</term><term>Adult</term><term>Aged</term><term>Baseline</term><term>Baseline examination</term><term>Bone Resorption (classification)</term><term>Bone level</term><term>Bone loss</term><term>Bridge group</term><term>Clin</term><term>Clinical implant dentistry</term><term>Dental Implantation, Endosseous</term><term>Dental Implants</term><term>Dental Prosthesis Design</term><term>Dental Prosthesis Retention</term><term>Dental Prosthesis, Implant-Supported</term><term>Dental Restoration Failure</term><term>Dental implant system</term><term>Dental implants</term><term>Denture, Complete, Lower</term><term>Denture, Overlay</term><term>Denture, Partial, Fixed</term><term>Different degrees</term><term>Edentulous</term><term>Edentulous mandible</term><term>Female</term><term>First premolar site</term><term>Good bone level</term><term>Good function</term><term>Hamp hellem</term><term>Hollow screw</term><term>Humans</term><term>Imp1</term><term>Implant</term><term>Implant site</term><term>Implant stability</term><term>Implant success</term><term>Implant survival</term><term>Implant treatment</term><term>Individual implant stability</term><term>Intraoral radiographs</term><term>Jaw, Edentulous (rehabilitation)</term><term>Jaw, Edentulous (surgery)</term><term>Lateral incisor</term><term>Life Tables</term><term>Loading loading</term><term>Longitudinal Studies</term><term>Longitudinal study</term><term>Male</term><term>Mandible</term><term>Mandible (surgery)</term><term>Marginal bone changes period</term><term>Marginal bone level</term><term>Marginal bone level changes</term><term>Marginal bone loss</term><term>Marginal changes</term><term>Maxillofac</term><term>Maxillofacial surgery</term><term>Middle Aged</term><term>Nonattached mucosa</term><term>Nonsubmerged implants</term><term>Observation period</term><term>Oral maxillofac implants</term><term>Osseointegrated implants</term><term>Osseointegration</term><term>Other patient</term><term>Overdenture</term><term>Overdentures</term><term>Panoramic radiographs</term><term>Periimplant mucosa</term><term>Periodontitis (classification)</term><term>Periotest</term><term>Periotest device</term><term>Periotest values</term><term>Prospective Studies</term><term>Prospective study</term><term>Radiograph</term><term>Radiographic examinations</term><term>Reference point</term><term>Significant change</term><term>Soft tissues</term><term>Stable bridge</term><term>Statistics as Topic</term><term>Success criteria</term><term>Success rate</term><term>Surface Properties</term><term>Surgical technique</term><term>Survival Analysis</term><term>Survival rate</term><term>Survival rates</term><term>Treatment Outcome</term><term>Unchanged bone level</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>Ostéo-intégration</term><term>Overdenture</term><term>Parodontite ()</term><term>Pose d'implant dentaire endo-osseux</term><term>Propriétés de surface</term><term>Prothèse dentaire complète inférieure</term><term>Prothèse dentaire implanto-portée</term><term>Prothèse partielle fixe</term><term>Résorption osseuse ()</term><term>Résultat thérapeutique</term><term>Rétention de prothèse dentaire</term><term>Statistiques comme sujet</term><term>Sujet âgé</term><term>Tables de survie</term><term>Échec de restauration dentaire</term><term>Études longitudinales</term><term>Études prospectives</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term></keywords><keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Bone Resorption</term><term>Periodontitis</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>5year examination</term><term>Adult</term><term>Aged</term><term>Baseline</term><term>Baseline examination</term><term>Bone level</term><term>Bone loss</term><term>Bridge group</term><term>Clin</term><term>Clinical implant dentistry</term><term>Dental Implantation, Endosseous</term><term>Dental Prosthesis Design</term><term>Dental Prosthesis Retention</term><term>Dental Prosthesis, Implant-Supported</term><term>Dental Restoration Failure</term><term>Dental implant system</term><term>Dental implants</term><term>Denture, Complete, Lower</term><term>Denture, Overlay</term><term>Denture, Partial, Fixed</term><term>Different degrees</term><term>Edentulous</term><term>Edentulous mandible</term><term>Female</term><term>First premolar site</term><term>Good bone level</term><term>Good function</term><term>Hamp hellem</term><term>Hollow screw</term><term>Humans</term><term>Imp1</term><term>Implant</term><term>Implant site</term><term>Implant stability</term><term>Implant success</term><term>Implant survival</term><term>Implant treatment</term><term>Individual implant stability</term><term>Intraoral radiographs</term><term>Lateral incisor</term><term>Life Tables</term><term>Loading loading</term><term>Longitudinal Studies</term><term>Longitudinal study</term><term>Male</term><term>Mandible</term><term>Marginal bone changes period</term><term>Marginal bone level</term><term>Marginal bone level changes</term><term>Marginal bone loss</term><term>Marginal changes</term><term>Maxillofac</term><term>Maxillofacial surgery</term><term>Middle Aged</term><term>Nonattached mucosa</term><term>Nonsubmerged implants</term><term>Observation period</term><term>Oral maxillofac implants</term><term>Osseointegrated implants</term><term>Osseointegration</term><term>Other patient</term><term>Overdenture</term><term>Overdentures</term><term>Panoramic radiographs</term><term>Periimplant mucosa</term><term>Periotest</term><term>Periotest device</term><term>Periotest values</term><term>Prospective Studies</term><term>Prospective study</term><term>Radiograph</term><term>Radiographic examinations</term><term>Reference point</term><term>Significant change</term><term>Soft tissues</term><term>Stable bridge</term><term>Statistics as Topic</term><term>Success criteria</term><term>Success rate</term><term>Surface Properties</term><term>Surgical technique</term><term>Survival Analysis</term><term>Survival rate</term><term>Survival rates</term><term>Treatment Outcome</term><term>Unchanged bone level</term></keywords><keywords scheme="MESH" 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>Ostéo-intégration</term><term>Overdenture</term><term>Parodontite</term><term>Pose d'implant dentaire endo-osseux</term><term>Propriétés de surface</term><term>Prothèse dentaire complète inférieure</term><term>Prothèse dentaire implanto-portée</term><term>Prothèse partielle fixe</term><term>Résorption osseuse</term><term>Résultat thérapeutique</term><term>Rétention de prothèse dentaire</term><term>Statistiques comme sujet</term><term>Sujet âgé</term><term>Tables de survie</term><term>Échec de restauration dentaire</term><term>Études longitudinales</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background: Although most implant systems have been designed for a two‐stage surgical technique, a one‐stage surgical technique has always been advocated for the ITI Dental Implant System (Straumann AG, Waldenburg, Switzerland). A new generation of ITI implants was presented in 1988 and included a hollow cylinder, a hollow screw, and a solid screw. Purpose: The goal of this study was to evaluate the one‐stage surgical technique in connection with the ITI hollow screw in a longitudinal study over 5 years. Materials and Methods: Forty‐six patients with edentulous lower jaws were supplied with ITI hollow‐screw implants. Patients who requested an overdenture (n = 18) had four implants inserted; those who requested a fixed bridge (n = 28) had five to six implants. The patients have been followed annually for 5 years. There was a dropout of three patients (6.5%); one patient did not want to cooperate, one moved from the area, and one was deceased. The clinical examinations included bridge removal for evaluation of the individual implant stability in connection with the 1‐, 3‐, and 5‐year examinations. Radiographic examinations were performed with intraoral radiographs and the long‐cone technique. Results: The survival rate after 5 years was 95.7%. The success rate (in which implants undergoing treatment of peri‐implantitis were not counted as successes) was 91.4%. The mean marginal bone loss between the baseline and the 1‐year examination was 0.1 mm and between the 1‐ and 5‐year examinations was 0.1 mm. These changes in marginal bone level were not significant. Conclusions: The success rate of ITI hollow‐screw implants in the edentulous mandible was 91.4% after a 5‐year observation period. There was no significant change in mean bone level between the loading of the implants and the 5‐year examination. Peri‐implantitis was diagnosed in three patients with poor oral hygiene, and it affected six implants. Five of these failed in spite of treatment.</div></front></TEI><affiliations><list><country><li>Norvège</li><li>Suède</li></country></list><tree><noCountry><name sortKey="Almfeldt, Ingvar" sort="Almfeldt, Ingvar" uniqKey="Almfeldt I" first="Ingvar" last="Almfeldt">Ingvar Almfeldt</name><name sortKey="Brunell, Gunnar" sort="Brunell, Gunnar" uniqKey="Brunell G" first="Gunnar" last="Brunell">Gunnar Brunell</name><name sortKey="Hamp, Sven Rik" sort="Hamp, Sven Rik" uniqKey="Hamp S" first="Sven-Erik" last="Hamp">Sven-Erik Hamp</name><name sortKey="Karlsson, Ulf" sort="Karlsson, Ulf" uniqKey="Karlsson U" first="Ulf" last="Karlsson">Ulf Karlsson</name></noCountry><country name="Norvège"><noRegion><name sortKey="Hellem, Solve" sort="Hellem, Solve" uniqKey="Hellem S" first="Solve" last="Hellem">Solve Hellem</name></noRegion><name sortKey="Hellem, Solve" sort="Hellem, Solve" uniqKey="Hellem S" first="Solve" last="Hellem">Solve Hellem</name></country><country name="Suède"><noRegion><name sortKey="Astrand, Per" sort="Astrand, Per" uniqKey="Astrand P" first="Per" last="Astrand">Per Astrand</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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