Immediate versus delayed loading of strategic mini dental implants for the stabilization of partial removable dental prostheses: a patient cluster randomized, parallel-group 3-year trial
Identifieur interne : 000777 ( Main/Merge ); précédent : 000776; suivant : 000778Immediate versus delayed loading of strategic mini dental implants for the stabilization of partial removable dental prostheses: a patient cluster randomized, parallel-group 3-year trial
Auteurs : Torsten Mundt [Allemagne] ; Ahmad Al Jaghsi [Allemagne] ; Bernd Schwahn [Allemagne] ; Janina Hilgert [Allemagne] ; Christian Lucas [Allemagne] ; Reiner Biffar [Allemagne] ; Christian Schwahn [Allemagne] ; Friedhelm Heinemann [Allemagne]Source :
- BMC Oral Health [ 1472-6831 ] ; 2016.
Abstract
Acceptable short-term survival rates (>90 %) of mini-implants (diameter < 3.0 mm) are only documented for mandibular overdentures. Sound data for mini-implants as strategic abutments for a better retention of partial removable dental prosthesis (PRDP) are not available.
The purpose of this study is to test the hypothesis that immediately loaded mini-implants show more bone loss and less success than strategic mini-implants with delayed loading. In this four-center (one university hospital, three dental practices in Germany), parallel-group, controlled clinical trial, which is cluster randomized on patient level, a total of 80 partially edentulous patients with unfavourable number and distribution of remaining abutment teeth in at least one jaw will receive supplementary min-implants to stabilize their PRDP. The mini-implant are either immediately loaded after implant placement (test group) or delayed after four months (control group). Follow-up of the patients will be performed for 36 months. The primary outcome is the radiographic bone level changes at implants. The secondary outcome is the implant success as a composite variable. Tertiary outcomes include clinical, subjective (quality of life, satisfaction, chewing ability) and dental or technical complications.
Strategic implants under an existing PRDP are only documented for standard-diameter implants. Mini-implants could be a minimal invasive and low cost solution for this treatment modality.
The trial is registered at Deutsches Register Klinischer Studien (German register of clinical trials) under DRKS-ID:
The online version of this article (doi:10.1186/s12903-016-0259-z) contains supplementary material, which is available to authorized users.
Url:
DOI: 10.1186/s12903-016-0259-z
PubMed: 27473256
PubMed Central: 4967347
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Acceptable short-term survival rates (>90 %) of mini-implants (diameter < 3.0 mm) are only documented for mandibular overdentures. Sound data for mini-implants as strategic abutments for a better retention of partial removable dental prosthesis (PRDP) are not available.</p>
</sec>
<sec><title>Methods/design</title>
<p>The purpose of this study is to test the hypothesis that immediately loaded mini-implants show more bone loss and less success than strategic mini-implants with delayed loading. In this four-center (one university hospital, three dental practices in Germany), parallel-group, controlled clinical trial, which is cluster randomized on patient level, a total of 80 partially edentulous patients with unfavourable number and distribution of remaining abutment teeth in at least one jaw will receive supplementary min-implants to stabilize their PRDP. The mini-implant are either immediately loaded after implant placement (test group) or delayed after four months (control group). Follow-up of the patients will be performed for 36 months. The primary outcome is the radiographic bone level changes at implants. The secondary outcome is the implant success as a composite variable. Tertiary outcomes include clinical, subjective (quality of life, satisfaction, chewing ability) and dental or technical complications.</p>
</sec>
<sec><title>Discussion</title>
<p>Strategic implants under an existing PRDP are only documented for standard-diameter implants. Mini-implants could be a minimal invasive and low cost solution for this treatment modality.</p>
</sec>
<sec><title>Trial registration</title>
<p>The trial is registered at Deutsches Register Klinischer Studien (German register of clinical trials) under DRKS-ID: <ext-link ext-link-type="uri" xlink:href="https://drks-neu.uniklinik-freiburg.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00007589">DRKS00007589</ext-link>
(<ext-link ext-link-type="uri" xlink:href="http://www.germanctr.de">www.germanctr.de</ext-link>
) on January 13<sup>th</sup>
, 2015.</p>
</sec>
<sec><title>Electronic supplementary material</title>
<p>The online version of this article (doi:10.1186/s12903-016-0259-z) contains supplementary material, which is available to authorized users.</p>
</sec>
</div>
</front>
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