Immediate Occlusal Loading of Immediately Placed Implants Supporting Fixed Restorations in Completely Edentulous Arches : A 1-Year Prospective Pilot Study
Identifieur interne : 005D54 ( Main/Exploration ); précédent : 005D53; suivant : 005D55Immediate Occlusal Loading of Immediately Placed Implants Supporting Fixed Restorations in Completely Edentulous Arches : A 1-Year Prospective Pilot Study
Auteurs : Francesco Pieri [Italie] ; Nicolo Nicoli Aldini [Italie] ; Milena Fini [Italie] ; Giuseppe Corinaldesi [Italie]Source :
- Journal of periodontology [ 0022-3492 ] ; 2009.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Alvéole dentaire (), Alvéole dentaire (physiopathologie), Cicatrisation de plaie (physiologie), Conception assistée par ordinateur, Conception d'appareil de prothèse dentaire, Dent artificielle, Extraction dentaire, Femelle, Humains, Implants dentaires, Mandibule (), Mandibule (imagerie diagnostique), Matériaux dentaires, Maxillaire (), Maxillaire (imagerie diagnostique), Mâchoire édentée (), Mâchoire édentée (rééducation et réadaptation), Mâle, Ostéo-intégration (physiologie), Piliers dentaires, Pose d'implant dentaire endo-osseux, Processus alvéolaire (imagerie diagnostique), Projets pilotes, Prothèse dentaire complète immédiate, Prothèse dentaire implanto-portée, Radiographie, Résines composites, Résultat thérapeutique, Rétention d'appareil de prothèse dentaire, Sujet âgé, Titane, Études de suivi, Études prospectives.
- MESH :
- imagerie diagnostique : Mandibule, Maxillaire, Processus alvéolaire.
- physiologie : Cicatrisation de plaie, Ostéo-intégration.
- physiopathologie : Alvéole dentaire.
- rééducation et réadaptation : Mâchoire édentée.
- Pascal (Inist)
- Adulte d'âge moyen, Alvéole dentaire, Conception assistée par ordinateur, Conception d'appareil de prothèse dentaire, Dent artificielle, Edentation, Extraction dentaire, Femelle, Humains, Implant, Implants dentaires, Mandibule, Matériaux dentaires, Maxillaire, Mâchoire édentée, Mâle, Piliers dentaires, Pose d'implant dentaire endo-osseux, Projets pilotes, Prothèse dentaire complète immédiate, Prothèse dentaire implanto-portée, Radiographie, Restauration, Dent, Dentisterie, Résines composites, Résultat thérapeutique, Rétention d'appareil de prothèse dentaire, Sujet âgé, Titane, Études de suivi, Études prospectives.
English descriptors
- KwdEn :
- Aged, Alveolar Process (diagnostic imaging), Composite Resins, Computer-Aided Design, Dental Abutments, Dental Implantation, Endosseous, Dental Implants, Dental Materials, Dental Prosthesis, Implant-Supported, Dentistry, Denture Design, Denture Retention, Denture, Complete, Immediate, Edentulousness, Female, Follow-Up Studies, Humans, Implant, Jaw, Edentulous (rehabilitation), Jaw, Edentulous (surgery), Male, Mandible (diagnostic imaging), Mandible (surgery), Maxilla (diagnostic imaging), Maxilla (surgery), Middle Aged, Osseointegration (physiology), Pilot Projects, Prospective Studies, Radiography, Restoration, Titanium, Tooth, Tooth Extraction, Tooth Socket (physiopathology), Tooth Socket (surgery), Tooth, Artificial, Treatment Outcome, Wound Healing (physiology).
- MESH :
- chemical : Composite Resins, Dental Implants, Dental Materials, Titanium.
- diagnostic imaging : Alveolar Process, Mandible, Maxilla.
- physiology : Osseointegration, Wound Healing.
- physiopathology : Tooth Socket.
- rehabilitation : Jaw, Edentulous.
- surgery : Jaw, Edentulous, Mandible, Maxilla, Tooth Socket.
- Aged, Computer-Aided Design, Dental Abutments, Dental Implantation, Endosseous, Dental Prosthesis, Implant-Supported, Denture Design, Denture Retention, Denture, Complete, Immediate, Female, Follow-Up Studies, Humans, Male, Middle Aged, Pilot Projects, Prospective Studies, Radiography, Tooth Extraction, Tooth, Artificial, Treatment Outcome.
Abstract
Background: The aims of this pilot study were to evaluate the efficacy of treatment consisting of the immediate loading of implants placed immediately after tooth extraction in full-arch restorations and to compare the clinical and radiographic outcomes of implants placed in healed versus postextraction sites in the same group of patients. Methods: Twenty-three patients who needed full-arch restorations were treated. One hundred forty-four implants were placed: 59 after tooth extraction (test group) and 85 in healed sites (control group). Within 48 to 72 hours of implant placement, nine maxillary and 15 mandibular arches received screw-retained fixed prostheses, consisting of a titanium framework fabricated with a computer-aided design and manufacturing techniques and composite resin teeth. The insertion torque for implants was ≥30 Ncm. Implant stability measurements (ISQ) and radiographs of the marginal bone level (MBL) change were performed at prosthesis delivery and after 1 year. Results: One implant in the test group and one implant in the control group failed, giving a cumulative success rate of 98.6%; the prosthesis survival rate was 100%. At the 1-year follow-up, no statistically significant difference was found between the control and test sites with respect to MBL change (0.47 ± 0.18 mm versus 0.57 ± 0.27 mm) or mean ISQ values (62.24 ± 1.92 versus 61.34 ± 2.15). Conclusion: These preliminary data suggest that immediate loading of implants placed immediately after extraction may be a viable treatment option for edentulous arches when implants are stable at insertion and are rigidly splinted with screw-retained titanium-resin prostheses.
Affiliations:
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Le document en format XML
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<term>Alveolar Process (diagnostic imaging)</term>
<term>Composite Resins</term>
<term>Computer-Aided Design</term>
<term>Dental Abutments</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Implants</term>
<term>Dental Materials</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dentistry</term>
<term>Denture Design</term>
<term>Denture Retention</term>
<term>Denture, Complete, Immediate</term>
<term>Edentulousness</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Implant</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Male</term>
<term>Mandible (diagnostic imaging)</term>
<term>Mandible (surgery)</term>
<term>Maxilla (diagnostic imaging)</term>
<term>Maxilla (surgery)</term>
<term>Middle Aged</term>
<term>Osseointegration (physiology)</term>
<term>Pilot Projects</term>
<term>Prospective Studies</term>
<term>Radiography</term>
<term>Restoration</term>
<term>Titanium</term>
<term>Tooth</term>
<term>Tooth Extraction</term>
<term>Tooth Socket (physiopathology)</term>
<term>Tooth Socket (surgery)</term>
<term>Tooth, Artificial</term>
<term>Treatment Outcome</term>
<term>Wound Healing (physiology)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Alvéole dentaire ()</term>
<term>Alvéole dentaire (physiopathologie)</term>
<term>Cicatrisation de plaie (physiologie)</term>
<term>Conception assistée par ordinateur</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Dent artificielle</term>
<term>Extraction dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Mandibule ()</term>
<term>Mandibule (imagerie diagnostique)</term>
<term>Matériaux dentaires</term>
<term>Maxillaire ()</term>
<term>Maxillaire (imagerie diagnostique)</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire 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>Processus alvéolaire (imagerie diagnostique)</term>
<term>Projets pilotes</term>
<term>Prothèse dentaire complète immédiate</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Radiographie</term>
<term>Résines composites</term>
<term>Résultat thérapeutique</term>
<term>Rétention d'appareil de prothèse dentaire</term>
<term>Sujet âgé</term>
<term>Titane</term>
<term>Études de suivi</term>
<term>Études prospectives</term>
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<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Composite Resins</term>
<term>Dental Implants</term>
<term>Dental Materials</term>
<term>Titanium</term>
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<term>Maxilla</term>
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<term>Maxillaire</term>
<term>Processus alvéolaire</term>
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<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Cicatrisation de plaie</term>
<term>Ostéo-intégration</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Tooth Socket</term>
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<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous</term>
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<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>
<term>Maxilla</term>
<term>Tooth Socket</term>
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<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Computer-Aided Design</term>
<term>Dental Abutments</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture Design</term>
<term>Denture Retention</term>
<term>Denture, Complete, Immediate</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Pilot Projects</term>
<term>Prospective Studies</term>
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<term>Conception assistée par ordinateur</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Dent artificielle</term>
<term>Edentation</term>
<term>Extraction dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implant</term>
<term>Implants dentaires</term>
<term>Mandibule</term>
<term>Matériaux dentaires</term>
<term>Maxillaire</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Piliers dentaires</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Projets pilotes</term>
<term>Prothèse dentaire complète immédiate</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Radiographie</term>
<term>Restauration</term>
<term>Dent</term>
<term>Dentisterie</term>
<term>Résines composites</term>
<term>Résultat thérapeutique</term>
<term>Rétention d'appareil de prothèse dentaire</term>
<term>Sujet âgé</term>
<term>Titane</term>
<term>Études de suivi</term>
<term>Études prospectives</term>
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<front><div type="abstract" xml:lang="en">Background: The aims of this pilot study were to evaluate the efficacy of treatment consisting of the immediate loading of implants placed immediately after tooth extraction in full-arch restorations and to compare the clinical and radiographic outcomes of implants placed in healed versus postextraction sites in the same group of patients. Methods: Twenty-three patients who needed full-arch restorations were treated. One hundred forty-four implants were placed: 59 after tooth extraction (test group) and 85 in healed sites (control group). Within 48 to 72 hours of implant placement, nine maxillary and 15 mandibular arches received screw-retained fixed prostheses, consisting of a titanium framework fabricated with a computer-aided design and manufacturing techniques and composite resin teeth. The insertion torque for implants was ≥30 Ncm. Implant stability measurements (ISQ) and radiographs of the marginal bone level (MBL) change were performed at prosthesis delivery and after 1 year. Results: One implant in the test group and one implant in the control group failed, giving a cumulative success rate of 98.6%; the prosthesis survival rate was 100%. At the 1-year follow-up, no statistically significant difference was found between the control and test sites with respect to MBL change (0.47 ± 0.18 mm versus 0.57 ± 0.27 mm) or mean ISQ values (62.24 ± 1.92 versus 61.34 ± 2.15). Conclusion: These preliminary data suggest that immediate loading of implants placed immediately after extraction may be a viable treatment option for edentulous arches when implants are stable at insertion and are rigidly splinted with screw-retained titanium-resin prostheses.</div>
</front>
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<affiliations><list><country><li>Italie</li>
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<tree><country name="Italie"><noRegion><name sortKey="Pieri, Francesco" sort="Pieri, Francesco" uniqKey="Pieri F" first="Francesco" last="Pieri">Francesco Pieri</name>
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<name sortKey="Nicoli Aldini, Nicolo" sort="Nicoli Aldini, Nicolo" uniqKey="Nicoli Aldini N" first="Nicolo" last="Nicoli Aldini">Nicolo Nicoli Aldini</name>
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