Serveur d'exploration sur le patient édenté

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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 : 002487

Immediate functional loading of TiOblast dental implants in full-arch edentulous maxillae: a 3-year prospective study.

Auteurs : Bruno Collaert [Belgique] ; Hugo De Bruyn

Source :

RBID : pubmed:19040440

Descripteurs français

English descriptors

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:19040440

Le document en format XML

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<title xml:lang="en">Immediate functional loading of TiOblast dental implants in full-arch edentulous maxillae: a 3-year prospective study.</title>
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<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>
</affiliation>
</author>
<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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<title xml:lang="en">Immediate functional loading of TiOblast dental implants in full-arch edentulous maxillae: a 3-year prospective study.</title>
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<name sortKey="Collaert, Bruno" sort="Collaert, Bruno" uniqKey="Collaert B" first="Bruno" last="Collaert">Bruno Collaert</name>
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<nlm:affiliation>Center for Periodontology and Implantology Leuven, Belgium. collaert@paro-implanto.be</nlm:affiliation>
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<wicri:regionArea>Center for Periodontology and Implantology Leuven</wicri:regionArea>
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<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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<title level="j">Clinical oral implants research</title>
<idno type="eISSN">1600-0501</idno>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Adult</term>
<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>
</keywords>
<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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<PMID Version="1">19040440</PMID>
<DateCompleted>
<Year>2009</Year>
<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>
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<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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<Language>eng</Language>
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<PublicationType UI="D016430">Clinical Trial</PublicationType>
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<Country>Denmark</Country>
<MedlineTA>Clin Oral Implants Res</MedlineTA>
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<ISSNLinking>0905-7161</ISSNLinking>
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<RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D015921">Dental Implants</NameOfSubstance>
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<DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
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<DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
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<DescriptorName UI="D000044" MajorTopicYN="N">Dental Abutments</DescriptorName>
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<DescriptorName UI="D003758" MajorTopicYN="N">Dental Implantation, Endosseous</DescriptorName>
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<DescriptorName UI="D015921" MajorTopicYN="Y">Dental Implants</DescriptorName>
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<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
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<DescriptorName UI="D003794" MajorTopicYN="N">Dental Restoration, Temporary</DescriptorName>
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<DescriptorName UI="D003827" MajorTopicYN="Y">Denture, Complete, Upper</DescriptorName>
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<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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<DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName>
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<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
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<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>
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<MeshHeading>
<DescriptorName UI="D008437" MajorTopicYN="N">Maxilla</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName>
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<DescriptorName UI="D013314" MajorTopicYN="N">Stress, Mechanical</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D016019" MajorTopicYN="N">Survival Analysis</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D016474" MajorTopicYN="N">Weight-Bearing</DescriptorName>
</MeshHeading>
</MeshHeadingList>
</MedlineCitation>
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<History>
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<Year>2008</Year>
<Month>12</Month>
<Day>2</Day>
<Hour>9</Hour>
<Minute>0</Minute>
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<PubMedPubDate PubStatus="medline">
<Year>2009</Year>
<Month>4</Month>
<Day>4</Day>
<Hour>9</Hour>
<Minute>0</Minute>
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<PubMedPubDate PubStatus="entrez">
<Year>2008</Year>
<Month>12</Month>
<Day>2</Day>
<Hour>9</Hour>
<Minute>0</Minute>
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<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList>
<ArticleId IdType="pubmed">19040440</ArticleId>
<ArticleId IdType="pii">CLR1586</ArticleId>
<ArticleId IdType="doi">10.1111/j.1600-0501.2008.01586.x</ArticleId>
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<li>Belgique</li>
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