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Immediate rehabilitation of the edentulous maxilla: preliminary results of a single-cohort prospective study.

Identifieur interne : 002979 ( Ncbi/Merge ); précédent : 002978; suivant : 002980

Immediate rehabilitation of the edentulous maxilla: preliminary results of a single-cohort prospective study.

Auteurs : Enrico L. Agliardi ; Luca Francetti ; Davide Romeo ; Massimo Del Fabbro

Source :

RBID : pubmed:19865629

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English descriptors

Abstract

This article reports preliminary results of a single-cohort prospective study that sought to evaluate a new surgical protocol for the immediate rehabilitation of edentulous maxilla without using bone grafting.

PubMed: 19865629

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pubmed:19865629

Le document en format XML

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<nlm:affiliation>Department of Health Technologies, Milan University, Milan, Itally.</nlm:affiliation>
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<name sortKey="Francetti, Luca" sort="Francetti, Luca" uniqKey="Francetti L" first="Luca" last="Francetti">Luca Francetti</name>
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<name sortKey="Romeo, Davide" sort="Romeo, Davide" uniqKey="Romeo D" first="Davide" last="Romeo">Davide Romeo</name>
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<term>Dental Abutments</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Implants</term>
<term>Dental Plaque Index</term>
<term>Dental Prosthesis, Implant-Supported</term>
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<term>Adulte d'âge moyen</term>
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<term>Humains</term>
<term>Implants dentaires</term>
<term>Indice de plaque dentaire</term>
<term>Indice parodontal</term>
<term>Maxillaire ()</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 implanto-portée</term>
<term>Radiographie panoramique</term>
<term>Résorption alvéolaire ()</term>
<term>Résultat thérapeutique</term>
<term>Satisfaction du patient</term>
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<term>Études de cohortes</term>
<term>Études de suivi</term>
<term>Études prospectives</term>
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<term>Mâchoire édentée</term>
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<term>Cohort Studies</term>
<term>Dental Abutments</term>
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<term>Patient Satisfaction</term>
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<term>Treatment Outcome</term>
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<term>Adulte d'âge moyen</term>
<term>Analyse de survie</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
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<term>Mâchoire édentée</term>
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<term>Piliers dentaires</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire complète immédiate</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Radiographie panoramique</term>
<term>Résorption alvéolaire</term>
<term>Résultat thérapeutique</term>
<term>Satisfaction du patient</term>
<term>Sujet âgé</term>
<term>Tomodensitométrie</term>
<term>Études de cohortes</term>
<term>Études de suivi</term>
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<front>
<div type="abstract" xml:lang="en">This article reports preliminary results of a single-cohort prospective study that sought to evaluate a new surgical protocol for the immediate rehabilitation of edentulous maxilla without using bone grafting.</div>
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<Month>03</Month>
<Day>04</Day>
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<DateRevised>
<Year>2009</Year>
<Month>10</Month>
<Day>29</Day>
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<Title>The International journal of oral & maxillofacial implants</Title>
<ISOAbbreviation>Int J Oral Maxillofac Implants</ISOAbbreviation>
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<ArticleTitle>Immediate rehabilitation of the edentulous maxilla: preliminary results of a single-cohort prospective study.</ArticleTitle>
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<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">This article reports preliminary results of a single-cohort prospective study that sought to evaluate a new surgical protocol for the immediate rehabilitation of edentulous maxilla without using bone grafting.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Twenty consecutive patients in need of a full-arch maxillary rehabilitation were included in the study. Each patient received four tilted implants that engaged the posterior and the anterior sinus wall and two axial implants in the anterior maxilla. A total of 120 implants (30 Branemark System MK IV and 90 NobelSpeedy Groovy) was inserted. Acrylic resin provisional prostheses were delivered within 4 hours of implant placement, and definitive restorations were placed 4 to 6 months later. Follow-up visits were scheduled every 6 months for the first 2 years and yearly thereafter. At each follow-up appointment, plaque and bleeding indexes were scored, periapical radiographs were obtained to assess marginal bone level changes, and patient satisfaction was recorded by means of a questionnaire.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The follow-up ranged between 18 and 42 months (average, 27.2 months). No implants failed. All prostheses were stable and functional. No adverse events occurred. At 1 year, mean marginal bone loss around axial and tilted implants was similar: 0.8 mm for axial implants (SD 0.4, n = 30) and 0.9 mm for tilted implants (SD 0.5 mm, n = 60) (P > .05). Plaque and bleeding scores decreased over time, and patient satisfaction with both esthetics and function increased.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This technique can be considered a viable treatment modality for the immediate rehabilitation of the edentulous maxilla, as it provides optimal support in the posterior region, minimizes distal cantilevers, and avoids bone grafting or sinus augmentation.</AbstractText>
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