Fixed Mandibular Restorations on Three Early‐Loaded Regular Platform Brånemark Implants
Identifieur interne : 008A00 ( Main/Exploration ); précédent : 008999; suivant : 008A01Fixed Mandibular Restorations on Three Early‐Loaded Regular Platform Brånemark Implants
Auteurs : Hugo De Bruyn [Belgique, Suède] ; Jenö Kisch [Suède] ; Bruno Collaert [Suède] ; Ulf Lindén [Suède] ; Krister Nilner [Suède] ; Lisbeth Dv Rs Ter [Suède]Source :
- Clinical Implant Dentistry and Related Research [ 1523-0899 ] ; 2001-10.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Analyse du stress dentaire, Conception de prothèse dentaire, Femelle, Humains, Implants dentaires (effets indésirables), Mandibule, Mise en charge, Mâchoire édentée (rééducation et réadaptation), Mâle, Pose d'implant dentaire endo-osseux (), Prothèse dentaire implanto-portée, Prothèse dentaire partielle immédiate, Prothèse partielle fixe, Résorption alvéolaire (étiologie), Résultat thérapeutique, Rétention de prothèse dentaire, Satisfaction du patient, Sujet âgé, Sujet âgé de 80 ans ou plus, Tables de survie, Échec de restauration dentaire, Études prospectives.
- MESH :
- effets indésirables : Implants dentaires.
- rééducation et réadaptation : Mâchoire édentée.
- étiologie : Résorption alvéolaire.
- Adulte, Adulte d'âge moyen, Analyse du stress dentaire, Conception de prothèse dentaire, Femelle, Humains, Mandibule, Mise en charge, Mâle, Pose d'implant dentaire endo-osseux, Prothèse dentaire implanto-portée, Prothèse dentaire partielle immédiate, Prothèse partielle fixe, Résultat thérapeutique, Rétention de prothèse dentaire, Satisfaction du patient, Sujet âgé, Sujet âgé de 80 ans ou plus, Tables de survie, Échec de restauration dentaire, Études prospectives.
English descriptors
- KwdEn :
- Abutment, Acrylic teeth, Additional implants, Adult, Aged, Aged, 80 and over, Alveolar Bone Loss (etiology), Baseline radiographs, Bone level, Bone quality, Branemark implants, Brdnemark implants, Brinemark, Brinemark implants, Buccal aspect, Clin, Clin implant dent relat, Clinical implant dentistry, Clinical inspection, Control groups, Control implant, Control implants, Dental Implantation, Endosseous (methods), Dental Implants (adverse effects), Dental Prosthesis Design, Dental Prosthesis Retention, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Dental Stress Analysis, Denture, Denture, Partial, Fixed, Denture, Partial, Immediate, Early loading, Edentulous, Edentulous mandible, Edentulous mandibles, Esthetic zone, European workshop, Failure rate, Female, Financial aspect, First year, Healing abutment, Healing period, Humans, Implant, Implant failures, Implant insertion, Implant placement, Implant success, Implant surgery, Implant treatment, Insertion, Jaw, Edentulous (rehabilitation), Life Tables, Machine screw driver, Male, Malmo university, Mandible, Marginal bone level, Marginal bone loss, Marginal bone resorption, Mental foramen, Metal framework, Middle Aged, Nobel biocare, Ongoing bone loss, Oral function, Oral maxillofac implants, Patient Satisfaction, Preliminary results, Present study, Prospective Studies, Prospective multicenter study, Prosthesis, Prosthesis insertion, Prosthetic, Prosthetic procedure, Prosthetic reconstruction, Prosthetic treatment, Provisional prosthesis, Radiograph, Radiographical features, Regular platform brinemark system implants, Relined denture, Removable denture, Resorption, Safety reasons, Shorter healing abutment, Standard abutment, Success rates, Surgical, Surgical interventions, Surgical procedure, Titanium implants, Treatment Outcome, Treatment procedure, Tripodal position, Weight-Bearing.
- MESH :
- chemical , adverse effects : Dental Implants.
- etiology : Alveolar Bone Loss.
- methods : Dental Implantation, Endosseous.
- rehabilitation : Jaw, Edentulous.
- Teeft :
- Abutment, Acrylic teeth, Additional implants, Adult, Aged, Aged, 80 and over, Baseline radiographs, Bone level, Bone quality, Branemark implants, Brdnemark implants, Brinemark, Brinemark implants, Buccal aspect, Clin, Clin implant dent relat, Clinical implant dentistry, Clinical inspection, Control groups, Control implant, Control implants, Dental Prosthesis Design, Dental Prosthesis Retention, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Dental Stress Analysis, Denture, Denture, Partial, Fixed, Denture, Partial, Immediate, Early loading, Edentulous, Edentulous mandible, Edentulous mandibles, Esthetic zone, European workshop, Failure rate, Female, Financial aspect, First year, Healing abutment, Healing period, Humans, Implant, Implant failures, Implant insertion, Implant placement, Implant success, Implant surgery, Implant treatment, Insertion, Life Tables, Machine screw driver, Male, Malmo university, Mandible, Marginal bone level, Marginal bone loss, Marginal bone resorption, Mental foramen, Metal framework, Middle Aged, Nobel biocare, Ongoing bone loss, Oral function, Oral maxillofac implants, Patient Satisfaction, Preliminary results, Present study, Prospective Studies, Prospective multicenter study, Prosthesis, Prosthesis insertion, Prosthetic, Prosthetic procedure, Prosthetic reconstruction, Prosthetic treatment, Provisional prosthesis, Radiograph, Radiographical features, Regular platform brinemark system implants, Relined denture, Removable denture, Resorption, Safety reasons, Shorter healing abutment, Standard abutment, Success rates, Surgical, Surgical interventions, Surgical procedure, Titanium implants, Treatment Outcome, Treatment procedure, Tripodal position, Weight-Bearing.
Abstract
Background: Originally, the Brånemark System was used as a two‐stage surgical procedure. Comparable clinical results have made one‐stage and early‐loading concepts possible alternatives in the edentulous mandible. From the patient's point of view, the financial aspect of implant treatment is important. In an attempt to decrease financial burden, the reduction of surgical interventions and reduction of the number of implants could be considered. Purpose: This prospective multicenter study evaluated (1) the 1‐and 3‐year success rates of implants loaded within 1 month after one‐stage surgery with a fixed 10‐ to 12‐unit bridge on three regular platform Brånemark System implants in the mandible, (2) the outcome of the prosthetic treatment, and (3) the opinion of patients regarding the treatment procedure. Materials and Methods: Of 20 patients, 19 received five implants in the mandible, of which three were functionally loaded with the one‐stage technique (group 1). The loaded implants were inserted in a tripodal position, one implant in the symphysis and two located anterior of the mental foramen in the bicuspid area. Two additional implants were inserted for safety reasons but were not intended to be included in the restoration. These two additional implants served as either an unloaded one‐stage control implant (group 2) or an unloaded control implant installed with the submerged technique (group 3). Immediately after surgery, the implants were loaded with a relined denture. The patients received a 10‐ to 12‐unit prosthetic reconstruction an average 31 days (range, 4‐53 d) after surgery. Implant stability was clinically checked at 3, 12, and 36 months. Radiographs were taken at corresponding follow‐up visits to calculate bone‐to‐implant level and marginal bone resorption. Results: Six of 60 functionally loaded implants (10%) and 3 of 20 prostheses (15%) failed within the first year. The cumulative implant failure rate in group 1, both after 1 and after 3 years, was 9.5%. No implant failure occurred in the control groups 2 and 3. The average marginal bone level measured at 1 and 3 years was 1.6 mm (SD = 0.8 mm) and 2.1 mm (SD = 0.2 mm), respectively, for group 1; 1.5 mm (SD = 1.3 mm) and 2.4 mm (SD = 0.6 mm), respectively, for group 2; 0.8 mm (SD = 1.4 mm) and 0.7 mm (SD = 0.9 mm), respectively, for group 3. Conclusions: The results of treatment using three regular platform Brånemark System implants supporting a fixed mandibular arch reconstruction were less favorable than the outcome that can be expected with a standard four‐ to six‐implant with one‐stage surgery.
Url:
DOI: 10.1111/j.1708-8208.2001.tb00139.x
Affiliations:
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Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Abutment</term>
<term>Acrylic teeth</term>
<term>Additional implants</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Alveolar Bone Loss (etiology)</term>
<term>Baseline radiographs</term>
<term>Bone level</term>
<term>Bone quality</term>
<term>Branemark implants</term>
<term>Brdnemark implants</term>
<term>Brinemark</term>
<term>Brinemark implants</term>
<term>Buccal aspect</term>
<term>Clin</term>
<term>Clin implant dent relat</term>
<term>Clinical implant dentistry</term>
<term>Clinical inspection</term>
<term>Control groups</term>
<term>Control implant</term>
<term>Control implants</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants (adverse effects)</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis Retention</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Dental Stress Analysis</term>
<term>Denture</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>Esthetic zone</term>
<term>European workshop</term>
<term>Failure rate</term>
<term>Female</term>
<term>Financial aspect</term>
<term>First year</term>
<term>Healing abutment</term>
<term>Healing period</term>
<term>Humans</term>
<term>Implant</term>
<term>Implant failures</term>
<term>Implant insertion</term>
<term>Implant placement</term>
<term>Implant success</term>
<term>Implant surgery</term>
<term>Implant treatment</term>
<term>Insertion</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Life Tables</term>
<term>Machine screw driver</term>
<term>Male</term>
<term>Malmo university</term>
<term>Mandible</term>
<term>Marginal bone level</term>
<term>Marginal bone loss</term>
<term>Marginal bone resorption</term>
<term>Mental foramen</term>
<term>Metal framework</term>
<term>Middle Aged</term>
<term>Nobel biocare</term>
<term>Ongoing bone loss</term>
<term>Oral function</term>
<term>Oral maxillofac implants</term>
<term>Patient Satisfaction</term>
<term>Preliminary results</term>
<term>Present study</term>
<term>Prospective Studies</term>
<term>Prospective multicenter study</term>
<term>Prosthesis</term>
<term>Prosthesis insertion</term>
<term>Prosthetic</term>
<term>Prosthetic procedure</term>
<term>Prosthetic reconstruction</term>
<term>Prosthetic treatment</term>
<term>Provisional prosthesis</term>
<term>Radiograph</term>
<term>Radiographical features</term>
<term>Regular platform brinemark system implants</term>
<term>Relined denture</term>
<term>Removable denture</term>
<term>Resorption</term>
<term>Safety reasons</term>
<term>Shorter healing abutment</term>
<term>Standard abutment</term>
<term>Success rates</term>
<term>Surgical</term>
<term>Surgical interventions</term>
<term>Surgical procedure</term>
<term>Titanium implants</term>
<term>Treatment Outcome</term>
<term>Treatment procedure</term>
<term>Tripodal position</term>
<term>Weight-Bearing</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse du stress dentaire</term>
<term>Conception de prothèse dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires (effets indésirables)</term>
<term>Mandibule</term>
<term>Mise en charge</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>Prothèse dentaire partielle immédiate</term>
<term>Prothèse partielle fixe</term>
<term>Résorption alvéolaire (étiologie)</term>
<term>Résultat thérapeutique</term>
<term>Rétention de prothèse dentaire</term>
<term>Satisfaction du patient</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</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>
</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>Résorption alvéolaire</term>
</keywords>
<keywords scheme="Teeft" xml:lang="en"><term>Abutment</term>
<term>Acrylic teeth</term>
<term>Additional implants</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Baseline radiographs</term>
<term>Bone level</term>
<term>Bone quality</term>
<term>Branemark implants</term>
<term>Brdnemark implants</term>
<term>Brinemark</term>
<term>Brinemark implants</term>
<term>Buccal aspect</term>
<term>Clin</term>
<term>Clin implant dent relat</term>
<term>Clinical implant dentistry</term>
<term>Clinical inspection</term>
<term>Control groups</term>
<term>Control implant</term>
<term>Control 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 Stress Analysis</term>
<term>Denture</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>Esthetic zone</term>
<term>European workshop</term>
<term>Failure rate</term>
<term>Female</term>
<term>Financial aspect</term>
<term>First year</term>
<term>Healing abutment</term>
<term>Healing period</term>
<term>Humans</term>
<term>Implant</term>
<term>Implant failures</term>
<term>Implant insertion</term>
<term>Implant placement</term>
<term>Implant success</term>
<term>Implant surgery</term>
<term>Implant treatment</term>
<term>Insertion</term>
<term>Life Tables</term>
<term>Machine screw driver</term>
<term>Male</term>
<term>Malmo university</term>
<term>Mandible</term>
<term>Marginal bone level</term>
<term>Marginal bone loss</term>
<term>Marginal bone resorption</term>
<term>Mental foramen</term>
<term>Metal framework</term>
<term>Middle Aged</term>
<term>Nobel biocare</term>
<term>Ongoing bone loss</term>
<term>Oral function</term>
<term>Oral maxillofac implants</term>
<term>Patient Satisfaction</term>
<term>Preliminary results</term>
<term>Present study</term>
<term>Prospective Studies</term>
<term>Prospective multicenter study</term>
<term>Prosthesis</term>
<term>Prosthesis insertion</term>
<term>Prosthetic</term>
<term>Prosthetic procedure</term>
<term>Prosthetic reconstruction</term>
<term>Prosthetic treatment</term>
<term>Provisional prosthesis</term>
<term>Radiograph</term>
<term>Radiographical features</term>
<term>Regular platform brinemark system implants</term>
<term>Relined denture</term>
<term>Removable denture</term>
<term>Resorption</term>
<term>Safety reasons</term>
<term>Shorter healing abutment</term>
<term>Standard abutment</term>
<term>Success rates</term>
<term>Surgical</term>
<term>Surgical interventions</term>
<term>Surgical procedure</term>
<term>Titanium implants</term>
<term>Treatment Outcome</term>
<term>Treatment procedure</term>
<term>Tripodal position</term>
<term>Weight-Bearing</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse du stress dentaire</term>
<term>Conception de prothèse dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mandibule</term>
<term>Mise en charge</term>
<term>Mâle</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>Résultat thérapeutique</term>
<term>Rétention de prothèse dentaire</term>
<term>Satisfaction du patient</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</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: Originally, the Brånemark System was used as a two‐stage surgical procedure. Comparable clinical results have made one‐stage and early‐loading concepts possible alternatives in the edentulous mandible. From the patient's point of view, the financial aspect of implant treatment is important. In an attempt to decrease financial burden, the reduction of surgical interventions and reduction of the number of implants could be considered. Purpose: This prospective multicenter study evaluated (1) the 1‐and 3‐year success rates of implants loaded within 1 month after one‐stage surgery with a fixed 10‐ to 12‐unit bridge on three regular platform Brånemark System implants in the mandible, (2) the outcome of the prosthetic treatment, and (3) the opinion of patients regarding the treatment procedure. Materials and Methods: Of 20 patients, 19 received five implants in the mandible, of which three were functionally loaded with the one‐stage technique (group 1). The loaded implants were inserted in a tripodal position, one implant in the symphysis and two located anterior of the mental foramen in the bicuspid area. Two additional implants were inserted for safety reasons but were not intended to be included in the restoration. These two additional implants served as either an unloaded one‐stage control implant (group 2) or an unloaded control implant installed with the submerged technique (group 3). Immediately after surgery, the implants were loaded with a relined denture. The patients received a 10‐ to 12‐unit prosthetic reconstruction an average 31 days (range, 4‐53 d) after surgery. Implant stability was clinically checked at 3, 12, and 36 months. Radiographs were taken at corresponding follow‐up visits to calculate bone‐to‐implant level and marginal bone resorption. Results: Six of 60 functionally loaded implants (10%) and 3 of 20 prostheses (15%) failed within the first year. The cumulative implant failure rate in group 1, both after 1 and after 3 years, was 9.5%. No implant failure occurred in the control groups 2 and 3. The average marginal bone level measured at 1 and 3 years was 1.6 mm (SD = 0.8 mm) and 2.1 mm (SD = 0.2 mm), respectively, for group 1; 1.5 mm (SD = 1.3 mm) and 2.4 mm (SD = 0.6 mm), respectively, for group 2; 0.8 mm (SD = 1.4 mm) and 0.7 mm (SD = 0.9 mm), respectively, for group 3. Conclusions: The results of treatment using three regular platform Brånemark System implants supporting a fixed mandibular arch reconstruction were less favorable than the outcome that can be expected with a standard four‐ to six‐implant with one‐stage surgery.</div>
</front>
</TEI>
<affiliations><list><country><li>Belgique</li>
<li>Suède</li>
</country>
<region><li>Région de Bruxelles-Capitale</li>
</region>
<settlement><li>Bruxelles</li>
</settlement>
</list>
<tree><country name="Belgique"><region name="Région de Bruxelles-Capitale"><name sortKey="De Bruyn, Hugo" sort="De Bruyn, Hugo" uniqKey="De Bruyn H" first="Hugo" last="De Bruyn">Hugo De Bruyn</name>
</region>
<name sortKey="De Bruyn, Hugo" sort="De Bruyn, Hugo" uniqKey="De Bruyn H" first="Hugo" last="De Bruyn">Hugo De Bruyn</name>
</country>
<country name="Suède"><noRegion><name sortKey="De Bruyn, Hugo" sort="De Bruyn, Hugo" uniqKey="De Bruyn H" first="Hugo" last="De Bruyn">Hugo De Bruyn</name>
</noRegion>
<name sortKey="Collaert, Bruno" sort="Collaert, Bruno" uniqKey="Collaert B" first="Bruno" last="Collaert">Bruno Collaert</name>
<name sortKey="Dv Rs Ter, Lisbeth" sort="Dv Rs Ter, Lisbeth" uniqKey="Dv Rs Ter L" first="Lisbeth" last="Dv Rs Ter">Lisbeth Dv Rs Ter</name>
<name sortKey="Kisch, Jeno" sort="Kisch, Jeno" uniqKey="Kisch J" first="Jenö" last="Kisch">Jenö Kisch</name>
<name sortKey="Linden, Ulf" sort="Linden, Ulf" uniqKey="Linden U" first="Ulf" last="Lindén">Ulf Lindén</name>
<name sortKey="Nilner, Krister" sort="Nilner, Krister" uniqKey="Nilner K" first="Krister" last="Nilner">Krister Nilner</name>
</country>
</tree>
</affiliations>
</record>
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