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Immediate Occlusal Loading of Brånemark Implants Applied in Various Jawbone Regions: A Prospective, 1‐Year Clinical Study

Identifieur interne : 008987 ( Main/Exploration ); précédent : 008986; suivant : 008988

Immediate Occlusal Loading of Brånemark Implants Applied in Various Jawbone Regions: A Prospective, 1‐Year Clinical Study

Auteurs : Roland Glauser [Suisse] ; Andreas Ree [Suisse] ; Annakarin Lundgren [Suède] ; Jan Gottlow [Suède] ; Christoph H. R. Hammerle [Suisse] ; Peter Scharer [Suisse]

Source :

RBID : ISTEX:C14F45A88393A89155AC0E48012945A22ABD1639

English descriptors

Abstract

Background: The original protocol for dental implant treatment ad modum Brånemark was based on submerged healing prior to loading. For patients, immediate implant function could reduce cost and increase attractiveness of implant treatment. Purpose: The goal of this study was to evaluate the short‐term success rate of immediately loaded implants placed in various regions of the jaws. Materials and Methods: Forty‐one patients received a total of 127 immediately loaded implants (76 maxillary and 51 mandibular). Seventy‐one percent of the patients received their prosthetic restoration the same day and the others within 11 days. All prosthetic constructions were in full contact in centric occlusion. Clinical follow‐up examinations were performed at 1 week, 2 weeks, and at 1, 2, 3, 6, and 12 months after implant loading. The study was completed 1 year after loading. Results: Twenty‐two implants were lost in 13 patients (including 7 maxillary implants lost in 1 patient). The cumulative success rate of the implants was 82.7% after 1 year of prosthetic loading. All sites with implant losses were re‐implanted, using a two‐stage technique, with no further complications reported. Ninety‐one percent of implants placed in regions other than the posterior maxilla were successful compared with 66% of implants placed in the posterior maxilla. Implants in patients with a parafunctional habit (bruxers) were lost more frequently than those placed in patients with no para‐function (41% vs. 12%). Implants subjected to guided bone regeneration were more successful compared with those not subjected to regeneration procedures (90% vs. 67%). Conclusions: The immediate loading concept is a realistic treatment alternative in various jawbone regions except for the posterior part of the maxilla. High occlusal loads should be considered a risk factor. On the other hand, implants in combination with bone defects frequently are penetrating cortical layers to a higher extent, thereby contributing to implant stability during the healing phase and consequently do not inevitably jeopardize the treatment result. However, further controlled clinical studies with larger sample sizes need to be performed to evaluate the influence of different parameters on treatment outcome.

Url:
DOI: 10.1111/j.1708-8208.2001.tb00142.x


Affiliations:


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<term>Baseline parameters</term>
<term>Beta coefficients</term>
<term>Bone defects</term>
<term>Bone quality</term>
<term>Bone quantity bone quality</term>
<term>Bone regeneration</term>
<term>Bony housie</term>
<term>Brinemark</term>
<term>Brinemark implants</term>
<term>Centric occlusion</term>
<term>Clin</term>
<term>Clin implant dent relat</term>
<term>Clinical implant dentistry</term>
<term>Clinical studies</term>
<term>Confidence interval</term>
<term>Consecutive case reports</term>
<term>Consecutive cases</term>
<term>Cumulative success rate</term>
<term>Dent</term>
<term>Dental implant treatment</term>
<term>Different parameters</term>
<term>Early bone healing</term>
<term>Edentulous</term>
<term>Edentulous mandible</term>
<term>Edentulous patients</term>
<term>Extraction sockets</term>
<term>Full contact</term>
<term>Further complications</term>
<term>Geistlich sohne</term>
<term>Higher extent</term>
<term>Higher failure rate</term>
<term>Immediate function</term>
<term>Immediate loading</term>
<term>Immediate loading concept</term>
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<term>Implant failure</term>
<term>Implant insertion</term>
<term>Implant interface</term>
<term>Implant length</term>
<term>Implant placement</term>
<term>Implant site</term>
<term>Implant stability</term>
<term>Implant surface</term>
<term>Implant treatment</term>
<term>Insertion</term>
<term>Insertion torque</term>
<term>Loading</term>
<term>Mandible</term>
<term>Mandibular overdentures</term>
<term>Maxilla</term>
<term>Maxillary implants</term>
<term>Maxillofac</term>
<term>Nobel biocare</term>
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<term>Odds ratio</term>
<term>Oral maxillofac implants</term>
<term>Original protocol</term>
<term>Other hand</term>
<term>Poor bone quality</term>
<term>Posterior maxilla</term>
<term>Posterior part</term>
<term>Present study</term>
<term>Prospective study</term>
<term>Prosthesis</term>
<term>Prosthetic</term>
<term>Prosthetic constructions</term>
<term>Provisional prosthetic reconstructions</term>
<term>Realistic treatment alternative</term>
<term>Regeneration</term>
<term>Regression analysis</term>
<term>Removable prosthodontics</term>
<term>Risk factor</term>
<term>Small sample size</term>
<term>Standard error</term>
<term>Statistical significance</term>
<term>Success criteria</term>
<term>Success rate</term>
<term>Surgical</term>
<term>Titanium implants</term>
<term>Tooth extraction</term>
<term>Treatment outcome</term>
<term>Treatment result</term>
<term>Various jawbone regions</term>
<term>Various regions</term>
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<term>Baseline parameters</term>
<term>Beta coefficients</term>
<term>Bone defects</term>
<term>Bone quality</term>
<term>Bone quantity bone quality</term>
<term>Bone regeneration</term>
<term>Bony housie</term>
<term>Brinemark</term>
<term>Brinemark implants</term>
<term>Centric occlusion</term>
<term>Clin</term>
<term>Clin implant dent relat</term>
<term>Clinical implant dentistry</term>
<term>Clinical studies</term>
<term>Confidence interval</term>
<term>Consecutive case reports</term>
<term>Consecutive cases</term>
<term>Cumulative success rate</term>
<term>Dent</term>
<term>Dental implant treatment</term>
<term>Different parameters</term>
<term>Early bone healing</term>
<term>Edentulous</term>
<term>Edentulous mandible</term>
<term>Edentulous patients</term>
<term>Extraction sockets</term>
<term>Full contact</term>
<term>Further complications</term>
<term>Geistlich sohne</term>
<term>Higher extent</term>
<term>Higher failure rate</term>
<term>Immediate function</term>
<term>Immediate loading</term>
<term>Immediate loading concept</term>
<term>Implant</term>
<term>Implant failure</term>
<term>Implant insertion</term>
<term>Implant interface</term>
<term>Implant length</term>
<term>Implant placement</term>
<term>Implant site</term>
<term>Implant stability</term>
<term>Implant surface</term>
<term>Implant treatment</term>
<term>Insertion</term>
<term>Insertion torque</term>
<term>Loading</term>
<term>Mandible</term>
<term>Mandibular overdentures</term>
<term>Maxilla</term>
<term>Maxillary implants</term>
<term>Maxillofac</term>
<term>Nobel biocare</term>
<term>Occlusal</term>
<term>Odds ratio</term>
<term>Oral maxillofac implants</term>
<term>Original protocol</term>
<term>Other hand</term>
<term>Poor bone quality</term>
<term>Posterior maxilla</term>
<term>Posterior part</term>
<term>Present study</term>
<term>Prospective study</term>
<term>Prosthesis</term>
<term>Prosthetic</term>
<term>Prosthetic constructions</term>
<term>Provisional prosthetic reconstructions</term>
<term>Realistic treatment alternative</term>
<term>Regeneration</term>
<term>Regression analysis</term>
<term>Removable prosthodontics</term>
<term>Risk factor</term>
<term>Small sample size</term>
<term>Standard error</term>
<term>Statistical significance</term>
<term>Success criteria</term>
<term>Success rate</term>
<term>Surgical</term>
<term>Titanium implants</term>
<term>Tooth extraction</term>
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<front>
<div type="abstract" xml:lang="en">Background: The original protocol for dental implant treatment ad modum Brånemark was based on submerged healing prior to loading. For patients, immediate implant function could reduce cost and increase attractiveness of implant treatment. Purpose: The goal of this study was to evaluate the short‐term success rate of immediately loaded implants placed in various regions of the jaws. Materials and Methods: Forty‐one patients received a total of 127 immediately loaded implants (76 maxillary and 51 mandibular). Seventy‐one percent of the patients received their prosthetic restoration the same day and the others within 11 days. All prosthetic constructions were in full contact in centric occlusion. Clinical follow‐up examinations were performed at 1 week, 2 weeks, and at 1, 2, 3, 6, and 12 months after implant loading. The study was completed 1 year after loading. Results: Twenty‐two implants were lost in 13 patients (including 7 maxillary implants lost in 1 patient). The cumulative success rate of the implants was 82.7% after 1 year of prosthetic loading. All sites with implant losses were re‐implanted, using a two‐stage technique, with no further complications reported. Ninety‐one percent of implants placed in regions other than the posterior maxilla were successful compared with 66% of implants placed in the posterior maxilla. Implants in patients with a parafunctional habit (bruxers) were lost more frequently than those placed in patients with no para‐function (41% vs. 12%). Implants subjected to guided bone regeneration were more successful compared with those not subjected to regeneration procedures (90% vs. 67%). Conclusions: The immediate loading concept is a realistic treatment alternative in various jawbone regions except for the posterior part of the maxilla. High occlusal loads should be considered a risk factor. On the other hand, implants in combination with bone defects frequently are penetrating cortical layers to a higher extent, thereby contributing to implant stability during the healing phase and consequently do not inevitably jeopardize the treatment result. However, further controlled clinical studies with larger sample sizes need to be performed to evaluate the influence of different parameters on treatment outcome.</div>
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