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A multicenter prospective evaluation of 2-months loaded Osseotite implants placed in the posterior jaws: 3-year follow-up results.

Identifieur interne : 000901 ( Ncbi/Curation ); précédent : 000900; suivant : 000902

A multicenter prospective evaluation of 2-months loaded Osseotite implants placed in the posterior jaws: 3-year follow-up results.

Auteurs : Tiziano Testori [Italie] ; Massimo Del Fabbro ; Sylvan Feldman ; Gianpaolo Vincenzi ; Daniel Sullivan ; Renato Rossi ; Eduardo Anitua ; Francesca Bianchi ; Luca Francetti ; Roberto L. Weinstein

Source :

RBID : pubmed:11952735

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English descriptors

Abstract

In this prospective study, the clinical outcome of 2-months loaded implants placed in the posterior jaws was evaluated after up to 3 years of functional loading. 405 Osseotite implants with microtextured acid-etched surface were consecutively placed in 11 fully and 164 partially edentulous patients (mean age 53.5 +/- 15.3 (S.D.) years) using a one-stage technique. 282 implants, supporting 154 restorations, were placed in the mandible, while 123 implants, supporting 75 restorations, were placed in the maxilla. A total of 99 single-tooth restorations, 119 short-span fixed bridges and 11 full-arch prostheses were applied. The mean time interval from surgery to connection of provisional restoration was 2.0 +/- 0.7 months. 9 failures were reported up to 3 years of follow-up; of these, 4 mandibular and 2 maxillary implants failed during the initial healing period (before prosthesis connection), while 3 mandibular implants failed after loading. No other complications occurred throughout the study. Life table analysis showed a cumulative survival rate of 97.5% for the mandible and 98.4% for the maxilla. Post-loading implant survival rate was 98.9% for the mandible and 100% for the maxilla. The excellent outcome of this interim report suggests that microtextured Osseotite implants in the posterior jaws may safely bear a functional load applied 2 months after insertion. The results of the present study are particularly encouraging for implants placed in the maxilla, since both a significant reduction of the healing period compared to the 6 months suggested by the classical Brånemark protocol, and an excellent post-loading function may be achieved also in low quality bone.

PubMed: 11952735

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<nlm:affiliation>Department of Periodontology, University of Milan, and C.E.R.I.B. (European Center for the Research in Implant dentistry and Biomaterials), Milan, Italy. ttestor@tin.it</nlm:affiliation>
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<name sortKey="Del Fabbro, Massimo" sort="Del Fabbro, Massimo" uniqKey="Del Fabbro M" first="Massimo" last="Del Fabbro">Massimo Del Fabbro</name>
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<name sortKey="Feldman, Sylvan" sort="Feldman, Sylvan" uniqKey="Feldman S" first="Sylvan" last="Feldman">Sylvan Feldman</name>
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<name sortKey="Vincenzi, Gianpaolo" sort="Vincenzi, Gianpaolo" uniqKey="Vincenzi G" first="Gianpaolo" last="Vincenzi">Gianpaolo Vincenzi</name>
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<name sortKey="Sullivan, Daniel" sort="Sullivan, Daniel" uniqKey="Sullivan D" first="Daniel" last="Sullivan">Daniel Sullivan</name>
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<name sortKey="Rossi, Renato" sort="Rossi, Renato" uniqKey="Rossi R" first="Renato" last="Rossi">Renato Rossi</name>
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<title level="j">Clinical oral implants research</title>
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<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Dental Implants</term>
<term>Dental Implants, Single-Tooth</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Denture, Complete</term>
<term>Denture, Partial, Fixed</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Life Tables</term>
<term>Male</term>
<term>Mandible (surgery)</term>
<term>Maxilla (surgery)</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
<term>Stress, Mechanical</term>
<term>Surface Properties</term>
<term>Survival Rate</term>
<term>Treatment Outcome</term>
<term>Weight-Bearing</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Conception de prothèse dentaire</term>
<term>Contrainte mécanique</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Implants dentaires unitaires</term>
<term>Mandibule ()</term>
<term>Maxillaire ()</term>
<term>Mise en charge</term>
<term>Mordançage à l'acide</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Propriétés de surface</term>
<term>Prothèse dentaire complète</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse partielle fixe</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tables de survie</term>
<term>Taux de survie</term>
<term>Échec de restauration dentaire</term>
<term>Études de suivi</term>
<term>Études prospectives</term>
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<term>Dental Implants</term>
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<term>Jaw, Edentulous</term>
<term>Jaw, Edentulous, Partially</term>
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<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr">
<term>Mâchoire partiellement édentée</term>
<term>Mâchoire édentée</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Jaw, Edentulous</term>
<term>Jaw, Edentulous, Partially</term>
<term>Mandible</term>
<term>Maxilla</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Acid Etching, Dental</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Dental Implants, Single-Tooth</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Denture, Complete</term>
<term>Denture, Partial, Fixed</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Life Tables</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
<term>Stress, Mechanical</term>
<term>Surface Properties</term>
<term>Survival Rate</term>
<term>Treatment Outcome</term>
<term>Weight-Bearing</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Conception de prothèse dentaire</term>
<term>Contrainte mécanique</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Implants dentaires unitaires</term>
<term>Mandibule</term>
<term>Maxillaire</term>
<term>Mise en charge</term>
<term>Mordançage à l'acide</term>
<term>Mâchoire partiellement édentée</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Propriétés de surface</term>
<term>Prothèse dentaire complète</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse partielle fixe</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tables de survie</term>
<term>Taux de survie</term>
<term>Échec de restauration dentaire</term>
<term>Études de suivi</term>
<term>Études prospectives</term>
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<front>
<div type="abstract" xml:lang="en">In this prospective study, the clinical outcome of 2-months loaded implants placed in the posterior jaws was evaluated after up to 3 years of functional loading. 405 Osseotite implants with microtextured acid-etched surface were consecutively placed in 11 fully and 164 partially edentulous patients (mean age 53.5 +/- 15.3 (S.D.) years) using a one-stage technique. 282 implants, supporting 154 restorations, were placed in the mandible, while 123 implants, supporting 75 restorations, were placed in the maxilla. A total of 99 single-tooth restorations, 119 short-span fixed bridges and 11 full-arch prostheses were applied. The mean time interval from surgery to connection of provisional restoration was 2.0 +/- 0.7 months. 9 failures were reported up to 3 years of follow-up; of these, 4 mandibular and 2 maxillary implants failed during the initial healing period (before prosthesis connection), while 3 mandibular implants failed after loading. No other complications occurred throughout the study. Life table analysis showed a cumulative survival rate of 97.5% for the mandible and 98.4% for the maxilla. Post-loading implant survival rate was 98.9% for the mandible and 100% for the maxilla. The excellent outcome of this interim report suggests that microtextured Osseotite implants in the posterior jaws may safely bear a functional load applied 2 months after insertion. The results of the present study are particularly encouraging for implants placed in the maxilla, since both a significant reduction of the healing period compared to the 6 months suggested by the classical Brånemark protocol, and an excellent post-loading function may be achieved also in low quality bone.</div>
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