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 : 000902A 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. WeinsteinSource :
- Clinical oral implants research [ 0905-7161 ] ; 2002.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Conception de prothèse dentaire, Contrainte mécanique, Femelle, Humains, Implants dentaires, Implants dentaires unitaires, Mandibule (), Maxillaire (), Mise en charge, Mordançage à l'acide, Mâchoire partiellement édentée (), Mâchoire partiellement édentée (rééducation et réadaptation), Mâchoire édentée (), Mâchoire édentée (rééducation et réadaptation), Mâle, Propriétés de surface, Prothèse dentaire complète, Prothèse dentaire implanto-portée, Prothèse partielle fixe, Résultat thérapeutique, Sujet âgé, Sujet âgé de 80 ans ou plus, Tables de survie, Taux de survie, Échec de restauration dentaire, Études de suivi, Études prospectives.
- MESH :
- rééducation et réadaptation : Mâchoire partiellement édentée, Mâchoire édentée.
- Adulte, Adulte d'âge moyen, Conception de prothèse dentaire, Contrainte mécanique, Femelle, Humains, Implants dentaires, Implants dentaires unitaires, Mandibule, Maxillaire, Mise en charge, Mordançage à l'acide, Mâchoire partiellement édentée, Mâchoire édentée, Mâle, Propriétés de surface, Prothèse dentaire complète, Prothèse dentaire implanto-portée, Prothèse partielle fixe, Résultat thérapeutique, Sujet âgé, Sujet âgé de 80 ans ou plus, Tables de survie, Taux de survie, Échec de restauration dentaire, Études de suivi, Études prospectives.
English descriptors
- KwdEn :
- Acid Etching, Dental, Adult, Aged, Aged, 80 and over, Dental Implants, Dental Implants, Single-Tooth, Dental Prosthesis Design, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Denture, Complete, Denture, Partial, Fixed, Female, Follow-Up Studies, Humans, Jaw, Edentulous (rehabilitation), Jaw, Edentulous (surgery), Jaw, Edentulous, Partially (rehabilitation), Jaw, Edentulous, Partially (surgery), Life Tables, Male, Mandible (surgery), Maxilla (surgery), Middle Aged, Prospective Studies, Stress, Mechanical, Surface Properties, Survival Rate, Treatment Outcome, Weight-Bearing.
- MESH :
- chemical : Dental Implants.
- rehabilitation : Jaw, Edentulous, Jaw, Edentulous, Partially.
- surgery : Jaw, Edentulous, Jaw, Edentulous, Partially, Mandible, Maxilla.
- Acid Etching, Dental, Adult, Aged, Aged, 80 and over, Dental Implants, Single-Tooth, Dental Prosthesis Design, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Denture, Complete, Denture, Partial, Fixed, Female, Follow-Up Studies, Humans, Life Tables, Male, Middle Aged, Prospective Studies, Stress, Mechanical, Surface Properties, Survival Rate, Treatment Outcome, Weight-Bearing.
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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pubmed:11952735Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acid Etching, Dental</term>
<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>
</keywords>
<keywords scheme="KwdFr" 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 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>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous</term>
<term>Jaw, Edentulous, Partially</term>
</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire partiellement édentée</term>
<term>Mâchoire édentée</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous</term>
<term>Jaw, Edentulous, Partially</term>
<term>Mandible</term>
<term>Maxilla</term>
</keywords>
<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>
</front>
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