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Brånemark System and ITI Dental Implant System for treatment of mandibular edentulism. A comparative randomized study: 3-year follow-up.

Identifieur interne : 008A80 ( Main/Merge ); précédent : 008A79; suivant : 008A81

Brånemark System and ITI Dental Implant System for treatment of mandibular edentulism. A comparative randomized study: 3-year follow-up.

Auteurs : L E Moberg [Suède] ; P A Köndell ; G B Sagulin ; A. Bolin ; A. Heimdahl ; G W Gynther

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RBID : pubmed:11564104

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Abstract

In a randomized prospective study, two implant systems were compared in forty consecutive patients treated for mandibular edentulism. The patients were randomly allotted for treatment by the Brånemark two-stage (submerged) system (BRS), or the ITI(R) one-stage (non-submerged) system. In all, 102 Brånemark selftapping implants and 106 ITI hollow screw implants were installed and all patients were treated with full bridges. Biological and prosthodontic parameters, complications, success rates, clinical efficacy, patient satisfaction and resource requirements were evaluated. No differences were found in plaque accumulation, bleeding or complications during the follow-up period. The BRS group showed deeper periimplant sulcus, less attached mucosa, larger bridge-mucosa distance and higher Periotest values. Prosthetic complications were not related to the configuration of the implant systems. After 3 years, the cumulative success rates were 97.9% and 96.8% for the Brånemark and ITI systems, respectively (difference not statistically significant). One implant in the BRS group had failed to osseointegrate at the time of abutment connection, and another was lost after 2 years due to progressive breakdown of bone. In the ITI group, three implants showed progressive bone loss after 1-3 years associated with periimplant infection. All 40 bridges were intact and remained stable throughout the study. There was general patient satisfaction, but about half the Brånemark patients reported difficulty in coping with the surgical procedures. Treatment time was similar for the two systems. It is concluded that both systems meet the current requirements for dental implant systems in the treatment of mandibular edentulism.

PubMed: 11564104

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<term>Adaptation, Psychological</term>
<term>Adult</term>
<term>Aged</term>
<term>Attitude to Health</term>
<term>Bone Resorption (etiology)</term>
<term>Dental Abutments</term>
<term>Dental Implantation, Endosseous (adverse effects)</term>
<term>Dental Implantation, Endosseous (instrumentation)</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implantation, Endosseous (psychology)</term>
<term>Dental Implants (adverse effects)</term>
<term>Dental Implants (psychology)</term>
<term>Dental Plaque (etiology)</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Denture, Complete, Lower</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Gingival Hemorrhage (etiology)</term>
<term>Humans</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Logistic Models</term>
<term>Male</term>
<term>Mandible (surgery)</term>
<term>Mandibular Diseases (etiology)</term>
<term>Middle Aged</term>
<term>Osseointegration</term>
<term>Patient Satisfaction</term>
<term>Periodontal Attachment Loss (etiology)</term>
<term>Periodontal Pocket (etiology)</term>
<term>Prospective Studies</term>
<term>Statistics as Topic</term>
<term>Treatment Outcome</term>
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<term>Adaptation psychologique</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Attitude envers la santé</term>
<term>Conception de prothèse dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Hémorragie gingivale (étiologie)</term>
<term>Implants dentaires (effets indésirables)</term>
<term>Implants dentaires (psychologie)</term>
<term>Maladies mandibulaires (étiologie)</term>
<term>Mandibule ()</term>
<term>Modèles logistiques</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Ostéo-intégration</term>
<term>Perte d'attache parodontale (étiologie)</term>
<term>Piliers dentaires</term>
<term>Plaque dentaire (étiologie)</term>
<term>Poche parodontale (étiologie)</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Pose d'implant dentaire endo-osseux (effets indésirables)</term>
<term>Pose d'implant dentaire endo-osseux (instrumentation)</term>
<term>Pose d'implant dentaire endo-osseux (psychologie)</term>
<term>Prothèse dentaire complète inférieure</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Résorption osseuse (étiologie)</term>
<term>Résultat thérapeutique</term>
<term>Satisfaction du patient</term>
<term>Statistiques comme sujet</term>
<term>Sujet âgé</term>
<term>Échec de restauration dentaire</term>
<term>Études de suivi</term>
<term>Études prospectives</term>
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<term>Implants dentaires</term>
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<term>Mâchoire édentée</term>
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<term>Jaw, Edentulous</term>
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<term>Maladies mandibulaires</term>
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<term>Pose d'implant dentaire endo-osseux</term>
<term>Résorption osseuse</term>
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<term>Adult</term>
<term>Aged</term>
<term>Attitude to Health</term>
<term>Dental Abutments</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Denture, Complete, Lower</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Logistic Models</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Osseointegration</term>
<term>Patient Satisfaction</term>
<term>Prospective Studies</term>
<term>Statistics as Topic</term>
<term>Treatment Outcome</term>
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<keywords scheme="MESH" xml:lang="fr">
<term>Adaptation psychologique</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Attitude envers la santé</term>
<term>Conception de prothèse dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mandibule</term>
<term>Modèles logistiques</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Ostéo-intégration</term>
<term>Piliers dentaires</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire complète inférieure</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Résultat thérapeutique</term>
<term>Satisfaction du patient</term>
<term>Statistiques comme sujet</term>
<term>Sujet âgé</term>
<term>Échec de restauration dentaire</term>
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<front>
<div type="abstract" xml:lang="en">In a randomized prospective study, two implant systems were compared in forty consecutive patients treated for mandibular edentulism. The patients were randomly allotted for treatment by the Brånemark two-stage (submerged) system (BRS), or the ITI(R) one-stage (non-submerged) system. In all, 102 Brånemark selftapping implants and 106 ITI hollow screw implants were installed and all patients were treated with full bridges. Biological and prosthodontic parameters, complications, success rates, clinical efficacy, patient satisfaction and resource requirements were evaluated. No differences were found in plaque accumulation, bleeding or complications during the follow-up period. The BRS group showed deeper periimplant sulcus, less attached mucosa, larger bridge-mucosa distance and higher Periotest values. Prosthetic complications were not related to the configuration of the implant systems. After 3 years, the cumulative success rates were 97.9% and 96.8% for the Brånemark and ITI systems, respectively (difference not statistically significant). One implant in the BRS group had failed to osseointegrate at the time of abutment connection, and another was lost after 2 years due to progressive breakdown of bone. In the ITI group, three implants showed progressive bone loss after 1-3 years associated with periimplant infection. All 40 bridges were intact and remained stable throughout the study. There was general patient satisfaction, but about half the Brånemark patients reported difficulty in coping with the surgical procedures. Treatment time was similar for the two systems. It is concluded that both systems meet the current requirements for dental implant systems in the treatment of mandibular edentulism.</div>
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