Dental implants for immediate fixed restoration of partially edentulous patients : A 1-year prospective pilot clinical trial in periodontally susceptible patients
Identifieur interne : 006B29 ( Main/Exploration ); précédent : 006B28; suivant : 006B30Dental implants for immediate fixed restoration of partially edentulous patients : A 1-year prospective pilot clinical trial in periodontally susceptible patients
Auteurs : Eli E. Machtei [Israël] ; Shai Frankenthal [Israël] ; Israel Blumenfeld [Israël] ; Zvi Gutmacher [Israël] ; Jacob Horwitz [Israël]Source :
- Journal of periodontology [ 0022-3492 ] ; 2007.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Cicatrisation de plaie (physiologie), Conception de prothèse dentaire, Défaillance de prothèse, Femelle, Humains, Implants dentaires, Maladies parodontales (), Mandibule, Maxillaire, Mise en charge, Mâchoire partiellement édentée (), Mâchoire partiellement édentée (rééducation et réadaptation), Mâle, Ostéo-intégration (physiologie), Piliers dentaires, Pose d'implant dentaire endo-osseux (), Pose d'implant dentaire endo-osseux (effets indésirables), Projets pilotes, Prothèse partielle fixe, Restaurations dentaires permanentes (), Restaurations dentaires permanentes (instrumentation), Résorption alvéolaire (), Résorption alvéolaire (étiologie), Résultat thérapeutique, Sujet âgé, Études prospectives.
- MESH :
- effets indésirables : Pose d'implant dentaire endo-osseux.
- physiologie : Cicatrisation de plaie, Ostéo-intégration.
- rééducation et réadaptation : Mâchoire partiellement édentée.
- étiologie : Restaurations dentaires permanentes, Résorption alvéolaire.
- Pascal (Inist)
- Adulte, Adulte d'âge moyen, Conception de prothèse dentaire, Défaillance de prothèse, Edentation, Femelle, Humains, Implants dentaires, Maladies parodontales, Mandibule, Maxillaire, Mise en charge, Mâchoire partiellement édentée, Mâle, Parodontite, Implant, Piliers dentaires, Pose d'implant dentaire endo-osseux, Projets pilotes, Prothèse partielle fixe, Restauration, Homme, Essai clinique, Dentisterie restauratrice, Restaurations dentaires permanentes, Résorption alvéolaire, Résultat thérapeutique, Sujet âgé, Études prospectives.
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Adult, Aged, Alveolar Bone Loss (etiology), Alveolar Bone Loss (prevention & control), Clinical trial, Dental Abutments, Dental Implantation, Endosseous (adverse effects), Dental Implantation, Endosseous (methods), Dental Implants, Dental Prosthesis Design, Dental Restoration, Permanent (instrumentation), Dental Restoration, Permanent (methods), Dental restoration, Denture, Partial, Fixed, Edentulousness, Female, Human, Humans, Implant, Jaw, Edentulous, Partially (rehabilitation), Jaw, Edentulous, Partially (surgery), Male, Mandible, Maxilla, Middle Aged, Osseointegration (physiology), Periodontal Diseases (complications), Periodontal Diseases (prevention & control), Periodontal Diseases (therapy), Periodontitis, Pilot Projects, Prospective Studies, Prosthesis Failure, Restoration, Treatment Outcome, Weight-Bearing, Wound Healing (physiology).
- MESH :
- chemical : Dental Implants.
- adverse effects : Dental Implantation, Endosseous.
- complications : Periodontal Diseases.
- etiology : Alveolar Bone Loss.
- instrumentation : Dental Restoration, Permanent.
- methods : Dental Implantation, Endosseous, Dental Restoration, Permanent.
- physiology : Osseointegration, Wound Healing.
- prevention & control : Alveolar Bone Loss, Periodontal Diseases.
- rehabilitation : Jaw, Edentulous, Partially.
- surgery : Jaw, Edentulous, Partially.
- therapy : Periodontal Diseases.
- Adult, Aged, Dental Abutments, Dental Prosthesis Design, Denture, Partial, Fixed, Female, Humans, Male, Mandible, Maxilla, Middle Aged, Pilot Projects, Prospective Studies, Prosthesis Failure, Treatment Outcome, Weight-Bearing.
Abstract
Background: The aim of this study was to evaluate the survival of dental implants in periodontally susceptible patients using immediate loading/restoration (ILR) protocols and the factors that modulate this response. Methods: Systemically healthy patients who were treated previously for chronic periodontitis and who required implant therapy were recruited. Following data collection, "surgical templates" and provisional fixed restorations were fabricated. Transgingival implants were inserted, and surgical measurements were performed. After abutment connection, the crown/bridge was relined and cemented. Patients were monitored for 12 months, at which time final measurements were performed. Results: Twenty patients (49 implants) completed this study; five implants failed and were removed (90% survival rate). All implants were removed during the first 6 months. At 12 months, the mean implants' probing depth was 2.87 ± 0.9 mm. The mean electronic mobility testing device value (-1.3 ± 0.7) was slightly higher than at baseline (-3.53 + 10.7). Radiographic bone loss ranged between -1.24 and 2.77 mm (mean ± SD: 0.91 ± 0.2 mm). All of the implants (16) that were inserted in the premolar region were successful, whereas three of nine implants in the molar region and two of 24 implants in the canine/incisor region failed (P= 0.0278). Survival in the immediately loaded group (83%) was slightly lower than in the immediately restored group (96%); however, these differences did not reach statistical significance. None of the other variables (smoking, arch, stability, implant length and diameter, and bone width) affected the outcome of this procedure. Conclusions: ILR protocols are predictable alternatives in periodontally susceptible patients. Results in the molar regions suggested that careful consideration should be given to implants placed in these sites. Long-term success in these patients has not been addressed.
Affiliations:
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Machtei</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Unit of Periodontology, Department of Oral and Dental Medicine, Rambam Health Care Campus and Faculty of Medicine -Technion, Israeli Institute of Technology</s1><s2>Haifa</s2><s3>ISR</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Israël</country><wicri:noRegion>Haifa</wicri:noRegion></affiliation></author><author><name sortKey="Frankenthal, Shai" sort="Frankenthal, Shai" uniqKey="Frankenthal S" first="Shai" last="Frankenthal">Shai Frankenthal</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Unit of Periodontology, Department of Oral and Dental Medicine, Rambam Health Care Campus and Faculty of Medicine -Technion, Israeli Institute of Technology</s1><s2>Haifa</s2><s3>ISR</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Israël</country><wicri:noRegion>Haifa</wicri:noRegion></affiliation></author><author><name sortKey="Blumenfeld, Israel" sort="Blumenfeld, Israel" uniqKey="Blumenfeld I" first="Israel" last="Blumenfeld">Israel Blumenfeld</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Unit of Maxillofacial Rehabilitation, Department of Oral and Dental Medicine, Rambam Health Care Campus and Faculty of Medicine -Technion, Israeli Institute of Technology</s1><s3>ISR</s3><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Israël</country><wicri:noRegion>Unit of Maxillofacial Rehabilitation, Department of Oral and Dental Medicine, Rambam Health Care Campus and Faculty of Medicine -Technion, Israeli Institute of Technology</wicri:noRegion></affiliation></author><author><name sortKey="Gutmacher, Zvi" sort="Gutmacher, Zvi" uniqKey="Gutmacher Z" first="Zvi" last="Gutmacher">Zvi Gutmacher</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Unit of Maxillofacial Rehabilitation, Department of Oral and Dental Medicine, Rambam Health Care Campus and Faculty of Medicine -Technion, Israeli Institute of Technology</s1><s3>ISR</s3><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Israël</country><wicri:noRegion>Unit of Maxillofacial Rehabilitation, Department of Oral and Dental Medicine, Rambam Health Care Campus and Faculty of Medicine -Technion, Israeli Institute of Technology</wicri:noRegion></affiliation></author><author><name sortKey="Horwitz, Jacob" sort="Horwitz, Jacob" uniqKey="Horwitz J" first="Jacob" last="Horwitz">Jacob Horwitz</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Unit of Periodontology, Department of Oral and Dental Medicine, Rambam Health Care Campus and Faculty of Medicine -Technion, Israeli Institute of Technology</s1><s2>Haifa</s2><s3>ISR</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Israël</country><wicri:noRegion>Haifa</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Journal of periodontology</title><title level="j" type="abbreviated">J. periodontol.</title><idno type="ISSN">0022-3492</idno><imprint><date when="2007">2007</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Journal of periodontology</title><title level="j" type="abbreviated">J. periodontol.</title><idno type="ISSN">0022-3492</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Alveolar Bone Loss (etiology)</term><term>Alveolar Bone Loss (prevention & control)</term><term>Clinical trial</term><term>Dental Abutments</term><term>Dental Implantation, Endosseous (adverse effects)</term><term>Dental Implantation, Endosseous (methods)</term><term>Dental Implants</term><term>Dental Prosthesis Design</term><term>Dental Restoration, Permanent (instrumentation)</term><term>Dental Restoration, Permanent (methods)</term><term>Dental restoration</term><term>Denture, Partial, Fixed</term><term>Edentulousness</term><term>Female</term><term>Human</term><term>Humans</term><term>Implant</term><term>Jaw, Edentulous, Partially (rehabilitation)</term><term>Jaw, Edentulous, Partially (surgery)</term><term>Male</term><term>Mandible</term><term>Maxilla</term><term>Middle Aged</term><term>Osseointegration (physiology)</term><term>Periodontal Diseases (complications)</term><term>Periodontal Diseases (prevention & control)</term><term>Periodontal Diseases (therapy)</term><term>Periodontitis</term><term>Pilot Projects</term><term>Prospective Studies</term><term>Prosthesis Failure</term><term>Restoration</term><term>Treatment Outcome</term><term>Weight-Bearing</term><term>Wound Healing (physiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Cicatrisation de plaie (physiologie)</term><term>Conception de prothèse dentaire</term><term>Défaillance de prothèse</term><term>Femelle</term><term>Humains</term><term>Implants dentaires</term><term>Maladies parodontales ()</term><term>Mandibule</term><term>Maxillaire</term><term>Mise en charge</term><term>Mâchoire partiellement édentée ()</term><term>Mâchoire partiellement édentée (rééducation et réadaptation)</term><term>Mâle</term><term>Ostéo-intégration (physiologie)</term><term>Piliers dentaires</term><term>Pose d'implant dentaire endo-osseux ()</term><term>Pose d'implant dentaire endo-osseux (effets indésirables)</term><term>Projets pilotes</term><term>Prothèse partielle fixe</term><term>Restaurations dentaires permanentes ()</term><term>Restaurations dentaires permanentes (instrumentation)</term><term>Résorption alvéolaire ()</term><term>Résorption alvéolaire (étiologie)</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Études prospectives</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Dental Implantation, Endosseous</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Periodontal Diseases</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Pose d'implant dentaire endo-osseux</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Alveolar Bone Loss</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Dental Restoration, Permanent</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Dental Implantation, Endosseous</term><term>Dental Restoration, Permanent</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Cicatrisation de plaie</term><term>Ostéo-intégration</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Osseointegration</term><term>Wound Healing</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Alveolar Bone Loss</term><term>Periodontal Diseases</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous, Partially</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire partiellement édentée</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous, Partially</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Periodontal Diseases</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Restaurations dentaires permanentes</term><term>Résorption alvéolaire</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Dental Abutments</term><term>Dental Prosthesis Design</term><term>Denture, Partial, Fixed</term><term>Female</term><term>Humans</term><term>Male</term><term>Mandible</term><term>Maxilla</term><term>Middle Aged</term><term>Pilot Projects</term><term>Prospective Studies</term><term>Prosthesis Failure</term><term>Treatment Outcome</term><term>Weight-Bearing</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Conception de prothèse dentaire</term><term>Défaillance de prothèse</term><term>Edentation</term><term>Femelle</term><term>Humains</term><term>Implants dentaires</term><term>Maladies parodontales</term><term>Mandibule</term><term>Maxillaire</term><term>Mise en charge</term><term>Mâchoire partiellement édentée</term><term>Mâle</term><term>Parodontite</term><term>Implant</term><term>Piliers dentaires</term><term>Pose d'implant dentaire endo-osseux</term><term>Projets pilotes</term><term>Prothèse partielle fixe</term><term>Restauration</term><term>Homme</term><term>Essai clinique</term><term>Dentisterie restauratrice</term><term>Restaurations dentaires permanentes</term><term>Résorption alvéolaire</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Études prospectives</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background: The aim of this study was to evaluate the survival of dental implants in periodontally susceptible patients using immediate loading/restoration (ILR) protocols and the factors that modulate this response. Methods: Systemically healthy patients who were treated previously for chronic periodontitis and who required implant therapy were recruited. Following data collection, "surgical templates" and provisional fixed restorations were fabricated. Transgingival implants were inserted, and surgical measurements were performed. After abutment connection, the crown/bridge was relined and cemented. Patients were monitored for 12 months, at which time final measurements were performed. Results: Twenty patients (49 implants) completed this study; five implants failed and were removed (90% survival rate). All implants were removed during the first 6 months. At 12 months, the mean implants' probing depth was 2.87 ± 0.9 mm. The mean electronic mobility testing device value (-1.3 ± 0.7) was slightly higher than at baseline (-3.53 + 10.7). Radiographic bone loss ranged between -1.24 and 2.77 mm (mean ± SD: 0.91 ± 0.2 mm). All of the implants (16) that were inserted in the premolar region were successful, whereas three of nine implants in the molar region and two of 24 implants in the canine/incisor region failed (P= 0.0278). Survival in the immediately loaded group (83%) was slightly lower than in the immediately restored group (96%); however, these differences did not reach statistical significance. None of the other variables (smoking, arch, stability, implant length and diameter, and bone width) affected the outcome of this procedure. Conclusions: ILR protocols are predictable alternatives in periodontally susceptible patients. Results in the molar regions suggested that careful consideration should be given to implants placed in these sites. Long-term success in these patients has not been addressed.</div></front></TEI><affiliations><list><country><li>Israël</li></country></list><tree><country name="Israël"><noRegion><name sortKey="Machtei, Eli E" sort="Machtei, Eli E" uniqKey="Machtei E" first="Eli E." last="Machtei">Eli E. Machtei</name></noRegion><name sortKey="Blumenfeld, Israel" sort="Blumenfeld, Israel" uniqKey="Blumenfeld I" first="Israel" last="Blumenfeld">Israel Blumenfeld</name><name sortKey="Frankenthal, Shai" sort="Frankenthal, Shai" uniqKey="Frankenthal S" first="Shai" last="Frankenthal">Shai Frankenthal</name><name sortKey="Gutmacher, Zvi" sort="Gutmacher, Zvi" uniqKey="Gutmacher Z" first="Zvi" last="Gutmacher">Zvi Gutmacher</name><name sortKey="Horwitz, Jacob" sort="Horwitz, Jacob" uniqKey="Horwitz J" first="Jacob" last="Horwitz">Jacob Horwitz</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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