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Brånemark Implants and Osteoporosis: A Clinical Exploratory Study

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Brånemark Implants and Osteoporosis: A Clinical Exploratory Study

Auteurs : Bertil Friberg [Suède] ; Annika Ekestubbe [Suède] ; Dan Mellström [Suède] ; Lars Sennerby [Suède]

Source :

Clinical Implant Dentistry and Related Research [ 1523-0899 ] ; 2001-01.

RBID : ISTEX:2AC2B8ABEBCC941B9A082D387C1253C89D580E6C

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- topic : Service de santé.

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Abstract

Background: Oral implant treatment on patients with poor jaw‐bone texture has shown increased failure rates in series of studies. Purpose: The purpose of the present study was to retrospectively follow patients with osteoporosis of the axial or appendicular skeleton, including the jaw bone, being subjected to oral implant treatment. The outcome of inserted implants, when using an adapted bone site preparation technique and extended healing periods, was evaluated. Materials and Methods: Based on data obtained from preoperative radiographs, patient medical history, and resistance of the jaw bone perceived during drilling, 14 of 16 patients were referred to the Osteoporosis Laboratory, Sahlgren University Hospital, Göteborg, Sweden, for bone density measurements. Two patients already had an established diagnosis of osteoporosis. Fourteen jaws in 13 patients (11 females, 2 males; mean age:68 yr) were subsequently subjected to oral implant treatment with a total of 70 implants (Brånemark System) of various designs. The mean follow‐up period was 3 years and 4 months (range:6 mo‐11 yr). Results: Osteoporosis of either the spine, the hip, or both regions was diagnosed in 14 patients, and osteopenia was diagnosed in 2 patients. Two implants failed, and the overall implant survival rate at the end of the study period was 97.0% for maxillae and 97.3% for mandibles. The marginal bone resorption at the 1‐year follow‐up concurs with the outcome of other studies, irrespective of the preoperative bone texture present. Conclusion: The outcome of the present study showed that implant placement in patients in whom the average bone density showed osteoporosis in both lumbar spine and hip as well as poor local bone texture may be successful over a period of many years.

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https://api.istex.fr/document/2AC2B8ABEBCC941B9A082D387C1253C89D580E6C/fulltext/pdf

DOI: 10.1111/j.1708-8208.2001.tb00128.x

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<author><name sortKey="Ekestubbe, Annika" sort="Ekestubbe, Annika" uniqKey="Ekestubbe A" first="Annika" last="Ekestubbe">Annika Ekestubbe</name>
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<author><name sortKey="Mellstrom, Dan" sort="Mellstrom, Dan" uniqKey="Mellstrom D" first="Dan" last="Mellström">Dan Mellström</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Abutment connection</term>
<term>Abutment operation</term>
<term>Appendicular skeleton</term>
<term>Bone density</term>
<term>Bone density measurements</term>
<term>Bone mass</term>
<term>Bone mineral content</term>
<term>Bone quality</term>
<term>Bone resistance</term>
<term>Bone site preparation technique</term>
<term>Bone texture</term>
<term>Brdnemark implants</term>
<term>Brinemark zarb</term>
<term>Brlnemark clinic</term>
<term>Case report</term>
<term>Clinical dentistry</term>
<term>Clinical study</term>
<term>Dental implants</term>
<term>Edentulous</term>
<term>Edentulous mandible</term>
<term>Edentulous maxillae</term>
<term>First year</term>
<term>Fracture</term>
<term>Frequency distribution</term>
<term>Friberg</term>
<term>General osteoporosis</term>
<term>Goteborg</term>
<term>Goteborg university</term>
<term>Healing period</term>
<term>Healing periods</term>
<term>Health service</term>
<term>Implant</term>
<term>Implant placement</term>
<term>Implant stability</term>
<term>Implant treatment</term>
<term>Lekholm</term>
<term>Lumbar</term>
<term>Lumbar spine</term>
<term>Mandible</term>
<term>Mandibular</term>
<term>Many years</term>
<term>Marginal bone level</term>
<term>Marginal bone level change</term>
<term>Marginal bone resorption</term>
<term>Maxilla</term>
<term>Maxillofac</term>
<term>Mechanical intervention</term>
<term>Mkii</term>
<term>Nobel biocare</term>
<term>Oral implant treatment</term>
<term>Oral implants</term>
<term>Oral maxillofac implants</term>
<term>Oral maxillofac surg</term>
<term>Oral pathol</term>
<term>Oral surg</term>
<term>Osseointegrated implants</term>
<term>Osteoporosis</term>
<term>Osteoporosis laboratory</term>
<term>Other studies</term>
<term>Overall implant survival rate</term>
<term>Panoramic mandibular index</term>
<term>Peak bone mass</term>
<term>Posterior mandible</term>
<term>Postmenopausal osteoporosis</term>
<term>Present study</term>
<term>Prospective multicenter study</term>
<term>Rabbit bone</term>
<term>Removal torque</term>
<term>Sahlgren university hospital</term>
<term>Severe osteoporosis</term>
<term>Study period</term>
<term>Surg</term>
<term>Titanium implants</term>
<term>Total mandible</term>
<term>Total maxilla</term>
<term>Various designs</term>
<term>World health organization</term>
<term>Young women</term>
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<keywords scheme="Teeft" xml:lang="en"><term>Abutment connection</term>
<term>Abutment operation</term>
<term>Appendicular skeleton</term>
<term>Bone density</term>
<term>Bone density measurements</term>
<term>Bone mass</term>
<term>Bone mineral content</term>
<term>Bone quality</term>
<term>Bone resistance</term>
<term>Bone site preparation technique</term>
<term>Bone texture</term>
<term>Brdnemark implants</term>
<term>Brinemark zarb</term>
<term>Brlnemark clinic</term>
<term>Case report</term>
<term>Clinical dentistry</term>
<term>Clinical study</term>
<term>Dental implants</term>
<term>Edentulous</term>
<term>Edentulous mandible</term>
<term>Edentulous maxillae</term>
<term>First year</term>
<term>Fracture</term>
<term>Frequency distribution</term>
<term>Friberg</term>
<term>General osteoporosis</term>
<term>Goteborg</term>
<term>Goteborg university</term>
<term>Healing period</term>
<term>Healing periods</term>
<term>Health service</term>
<term>Implant</term>
<term>Implant placement</term>
<term>Implant stability</term>
<term>Implant treatment</term>
<term>Lekholm</term>
<term>Lumbar</term>
<term>Lumbar spine</term>
<term>Mandible</term>
<term>Mandibular</term>
<term>Many years</term>
<term>Marginal bone level</term>
<term>Marginal bone level change</term>
<term>Marginal bone resorption</term>
<term>Maxilla</term>
<term>Maxillofac</term>
<term>Mechanical intervention</term>
<term>Mkii</term>
<term>Nobel biocare</term>
<term>Oral implant treatment</term>
<term>Oral implants</term>
<term>Oral maxillofac implants</term>
<term>Oral maxillofac surg</term>
<term>Oral pathol</term>
<term>Oral surg</term>
<term>Osseointegrated implants</term>
<term>Osteoporosis</term>
<term>Osteoporosis laboratory</term>
<term>Other studies</term>
<term>Overall implant survival rate</term>
<term>Panoramic mandibular index</term>
<term>Peak bone mass</term>
<term>Posterior mandible</term>
<term>Postmenopausal osteoporosis</term>
<term>Present study</term>
<term>Prospective multicenter study</term>
<term>Rabbit bone</term>
<term>Removal torque</term>
<term>Sahlgren university hospital</term>
<term>Severe osteoporosis</term>
<term>Study period</term>
<term>Surg</term>
<term>Titanium implants</term>
<term>Total mandible</term>
<term>Total maxilla</term>
<term>Various designs</term>
<term>World health organization</term>
<term>Young women</term>
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<front><div type="abstract" xml:lang="en">Background: Oral implant treatment on patients with poor jaw‐bone texture has shown increased failure rates in series of studies. Purpose: The purpose of the present study was to retrospectively follow patients with osteoporosis of the axial or appendicular skeleton, including the jaw bone, being subjected to oral implant treatment. The outcome of inserted implants, when using an adapted bone site preparation technique and extended healing periods, was evaluated. Materials and Methods: Based on data obtained from preoperative radiographs, patient medical history, and resistance of the jaw bone perceived during drilling, 14 of 16 patients were referred to the Osteoporosis Laboratory, Sahlgren University Hospital, Göteborg, Sweden, for bone density measurements. Two patients already had an established diagnosis of osteoporosis. Fourteen jaws in 13 patients (11 females, 2 males; mean age:68 yr) were subsequently subjected to oral implant treatment with a total of 70 implants (Brånemark System) of various designs. The mean follow‐up period was 3 years and 4 months (range:6 mo‐11 yr). Results: Osteoporosis of either the spine, the hip, or both regions was diagnosed in 14 patients, and osteopenia was diagnosed in 2 patients. Two implants failed, and the overall implant survival rate at the end of the study period was 97.0% for maxillae and 97.3% for mandibles. The marginal bone resorption at the 1‐year follow‐up concurs with the outcome of other studies, irrespective of the preoperative bone texture present. Conclusion: The outcome of the present study showed that implant placement in patients in whom the average bone density showed osteoporosis in both lumbar spine and hip as well as poor local bone texture may be successful over a period of many years.</div>
</front>
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Brånemark Implants and Osteoporosis: A Clinical Exploratory Study

Brånemark Implants and Osteoporosis: A Clinical Exploratory Study

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Abstract

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