Immediate functional loading of TiOblast dental implants in full-arch edentulous maxillae: a 3-year prospective study.
Identifieur interne : 002486 ( Ncbi/Merge ); précédent : 002485; suivant : 002487Immediate functional loading of TiOblast dental implants in full-arch edentulous maxillae: a 3-year prospective study.
Auteurs : Bruno Collaert [Belgique] ; Hugo De BruynSource :
- Clinical oral implants research [ 1600-0501 ] ; 2008.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Analyse de survie, Contrainte mécanique, Femelle, Humains, Implants dentaires, Maxillaire, Mise en charge, Mâchoire édentée (), Mâchoire édentée (rééducation et réadaptation), Mâle, Piliers dentaires, Pose d'implant dentaire endo-osseux (), Prothèse dentaire complète immédiate, Prothèse dentaire complète supérieure, Prothèse dentaire implanto-portée (), Restaurations dentaires temporaires, Résultat thérapeutique, Sujet âgé, Études de suivi, Études prospectives.
- MESH :
- rééducation et réadaptation : Mâchoire édentée.
- Adulte, Adulte d'âge moyen, Analyse de survie, Contrainte mécanique, Femelle, Humains, Implants dentaires, Maxillaire, Mise en charge, Mâchoire édentée, Mâle, Piliers dentaires, Pose d'implant dentaire endo-osseux, Prothèse dentaire complète immédiate, Prothèse dentaire complète supérieure, Prothèse dentaire implanto-portée, Restaurations dentaires temporaires, Résultat thérapeutique, Sujet âgé, Études de suivi, Études prospectives.
English descriptors
- KwdEn :
- Adult, Aged, Dental Abutments, Dental Implantation, Endosseous (methods), Dental Implants, Dental Prosthesis, Implant-Supported (methods), Dental Restoration, Temporary, Denture, Complete, Immediate, Denture, Complete, Upper, Female, Follow-Up Studies, Humans, Jaw, Edentulous (rehabilitation), Jaw, Edentulous (surgery), Male, Maxilla, Middle Aged, Prospective Studies, Stress, Mechanical, Survival Analysis, Treatment Outcome, Weight-Bearing.
- MESH :
- chemical : Dental Implants.
- methods : Dental Implantation, Endosseous, Dental Prosthesis, Implant-Supported.
- rehabilitation : Jaw, Edentulous.
- surgery : Jaw, Edentulous.
- Adult, Aged, Dental Abutments, Dental Restoration, Temporary, Denture, Complete, Immediate, Denture, Complete, Upper, Female, Follow-Up Studies, Humans, Male, Maxilla, Middle Aged, Prospective Studies, Stress, Mechanical, Survival Analysis, Treatment Outcome, Weight-Bearing.
Abstract
Immediate functional loading of dental implants for full-arch restoration is a patient-friendly approach, shown to be feasible with a good long-term prognosis in a completely edentulous mandible. For the complete restoration of the maxilla, acceptable long-term clinical follow-up is lacking or based on case reports rather than on prospective studies.
DOI: 10.1111/j.1600-0501.2008.01586.x
PubMed: 19040440
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pubmed:19040440Le document en format XML
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<author><name sortKey="Collaert, Bruno" sort="Collaert, Bruno" uniqKey="Collaert B" first="Bruno" last="Collaert">Bruno Collaert</name>
<affiliation wicri:level="1"><nlm:affiliation>Center for Periodontology and Implantology Leuven, Belgium. collaert@paro-implanto.be</nlm:affiliation>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Center for Periodontology and Implantology Leuven</wicri:regionArea>
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<author><name sortKey="De Bruyn, Hugo" sort="De Bruyn, Hugo" uniqKey="De Bruyn H" first="Hugo" last="De Bruyn">Hugo De Bruyn</name>
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<term>Aged</term>
<term>Dental Abutments</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants</term>
<term>Dental Prosthesis, Implant-Supported (methods)</term>
<term>Dental Restoration, Temporary</term>
<term>Denture, Complete, Immediate</term>
<term>Denture, Complete, Upper</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Male</term>
<term>Maxilla</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
<term>Stress, Mechanical</term>
<term>Survival Analysis</term>
<term>Treatment Outcome</term>
<term>Weight-Bearing</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse de survie</term>
<term>Contrainte mécanique</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Maxillaire</term>
<term>Mise en charge</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Piliers dentaires</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Prothèse dentaire complète immédiate</term>
<term>Prothèse dentaire complète supérieure</term>
<term>Prothèse dentaire implanto-portée ()</term>
<term>Restaurations dentaires temporaires</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</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="methods" xml:lang="en"><term>Dental Implantation, Endosseous</term>
<term>Dental Prosthesis, Implant-Supported</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous</term>
</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire édentée</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Dental Abutments</term>
<term>Dental Restoration, Temporary</term>
<term>Denture, Complete, Immediate</term>
<term>Denture, Complete, Upper</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Maxilla</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
<term>Stress, Mechanical</term>
<term>Survival Analysis</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>Analyse de survie</term>
<term>Contrainte mécanique</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Maxillaire</term>
<term>Mise en charge</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Piliers dentaires</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire complète immédiate</term>
<term>Prothèse dentaire complète supérieure</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Restaurations dentaires temporaires</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Études de suivi</term>
<term>Études prospectives</term>
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<front><div type="abstract" xml:lang="en">Immediate functional loading of dental implants for full-arch restoration is a patient-friendly approach, shown to be feasible with a good long-term prognosis in a completely edentulous mandible. For the complete restoration of the maxilla, acceptable long-term clinical follow-up is lacking or based on case reports rather than on prospective studies.</div>
</front>
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<Month>04</Month>
<Day>03</Day>
</DateCompleted>
<DateRevised><Year>2008</Year>
<Month>12</Month>
<Day>01</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1600-0501</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>19</Volume>
<Issue>12</Issue>
<PubDate><Year>2008</Year>
<Month>Dec</Month>
</PubDate>
</JournalIssue>
<Title>Clinical oral implants research</Title>
<ISOAbbreviation>Clin Oral Implants Res</ISOAbbreviation>
</Journal>
<ArticleTitle>Immediate functional loading of TiOblast dental implants in full-arch edentulous maxillae: a 3-year prospective study.</ArticleTitle>
<Pagination><MedlinePgn>1254-60</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1111/j.1600-0501.2008.01586.x</ELocationID>
<Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Immediate functional loading of dental implants for full-arch restoration is a patient-friendly approach, shown to be feasible with a good long-term prognosis in a completely edentulous mandible. For the complete restoration of the maxilla, acceptable long-term clinical follow-up is lacking or based on case reports rather than on prospective studies.</AbstractText>
<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">This prospective mono-centre study reports the 3-year outcome of immediately functionally loaded Astra Tech Dental implants in completely edentulous maxillae based on clinical survival and success based on radiographical assessment of bone level.</AbstractText>
<AbstractText Label="MATERIAL AND METHODS" NlmCategory="METHODS">One hundred and ninety-five Astra Tech TiOblast surface fixtures were installed in 25 consecutively treated patients (age range: 42-76 years), of whom eight were smokers, 12 had a confirmed history of periodontitis and six had poor bone quality normally deemed for delayed loading. Fixtures and abutments were inserted in a one-stage procedure and functionally loaded within 24 h with a 10-unit provisional glass-fibre or metal-reinforced screw-retained restoration. After 6 months, each implant was checked for stability using a manual torque of 20 N cm and the provisional restoration was replaced by a 10-12-unit screw-retained metal-ceramic or metal-resin cantilever bridge. Bone level was assessed radiographically from the day of surgery up to 3 years and used to calculate mean bone loss at the patient level and individual implant success.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">No failures occurred in implants or prostheses, the total survival rate being 100%. Mean marginal bone loss was 0.58 mm (SD 0.58); 0.6 mm (SD 0.53); 0.63 (SD 0.61); and 0.72 (SD 0.63) after 6 and 12 months, and 2 and 3 years, respectively, yielding a 100% success at the patient level. Wilcoxon's signed ranks test showed only statistically significant bone loss between baseline and 6 months and a steady-state condition during all other intervals. At the individual fixture level, 82% lost <1 mm marginal bone between baseline and 1 year. After 3 years, 86% have <1.5 mm total bone loss and can be considered a success. The fixtures expressing more bone loss were all inserted in smokers.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Immediate loading of a full-arch maxillary bridgework on 7-9 Astra Tech TiOblast implants is a predictable treatment option with 100% fixture survival and stable bone-to-implant contact up to 3 years. The steady state in bone remodelling is indicative of a good long-term prognosis in non-smokers but smokers seem to be more prone to bone loss.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Collaert</LastName>
<ForeName>Bruno</ForeName>
<Initials>B</Initials>
<AffiliationInfo><Affiliation>Center for Periodontology and Implantology Leuven, Belgium. collaert@paro-implanto.be</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>De Bruyn</LastName>
<ForeName>Hugo</ForeName>
<Initials>H</Initials>
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<MeshHeading><DescriptorName UI="D000044" MajorTopicYN="N">Dental Abutments</DescriptorName>
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</MeshHeading>
<MeshHeading><DescriptorName UI="D003794" MajorTopicYN="N">Dental Restoration, Temporary</DescriptorName>
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</MeshHeading>
<MeshHeading><DescriptorName UI="D003827" MajorTopicYN="Y">Denture, Complete, Upper</DescriptorName>
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<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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<MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName>
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<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007575" MajorTopicYN="N">Jaw, Edentulous</DescriptorName>
<QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008437" MajorTopicYN="N">Maxilla</DescriptorName>
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<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName>
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<MeshHeading><DescriptorName UI="D016474" MajorTopicYN="N">Weight-Bearing</DescriptorName>
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