Serveur d'exploration sur le patient édenté

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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 : 005D55

Immediate 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 :

RBID : Pascal:09-0152662

Descripteurs français

English descriptors

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.


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<term>Aged</term>
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<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>
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<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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<term>Adulte d'âge moyen</term>
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<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>
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<term>Mâchoire édentée ()</term>
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<term>Ostéo-intégration (physiologie)</term>
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<term>Pose d'implant dentaire endo-osseux</term>
<term>Processus alvéolaire (imagerie diagnostique)</term>
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<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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<term>Composite Resins</term>
<term>Dental Implants</term>
<term>Dental Materials</term>
<term>Titanium</term>
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<term>Mandible</term>
<term>Maxilla</term>
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<term>Tooth Socket</term>
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<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>
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<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>
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<term>Résines composites</term>
<term>Résultat thérapeutique</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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<name sortKey="Corinaldesi, Giuseppe" sort="Corinaldesi, Giuseppe" uniqKey="Corinaldesi G" first="Giuseppe" last="Corinaldesi">Giuseppe Corinaldesi</name>
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