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Effect of splinting mini-implants on marginal bone loss: a biomechanical model and clinical randomized study with mandibular overdentures.

Identifieur interne : 003355 ( Ncbi/Merge ); précédent : 003354; suivant : 003356

Effect of splinting mini-implants on marginal bone loss: a biomechanical model and clinical randomized study with mandibular overdentures.

Auteurs : Jorge Jofre [Chili] ; Patricio Cendoya ; Paola Munoz

Source :

The International journal of oral & maxillofacial implants [ 0882-2786 ]

RBID : pubmed:21197490

Descripteurs français

English descriptors

KwdEn :
- Aged, Aged, 80 and over, Alveolar Bone Loss (etiology), Alveolar Bone Loss (pathology), Alveolar Bone Loss (prevention & control), Biomechanical Phenomena, Dental Implantation, Endosseous (instrumentation), Dental Implantation, Endosseous (methods), Dental Implants (adverse effects), Dental Prosthesis Design, Dental Prosthesis, Implant-Supported (adverse effects), Dental Stress Analysis, Denture Retention (instrumentation), Denture, Overlay, Female, Finite Element Analysis, Humans, Jaw, Edentulous (pathology), Jaw, Edentulous (rehabilitation), Longitudinal Studies, Male, Mandible (pathology), Mandible (surgery), Middle Aged, Models, Theoretical, Oral Surgical Procedures, Preprosthetic (instrumentation), Oral Surgical Procedures, Preprosthetic (methods), Splints, Treatment Outcome.
MESH :
- chemical , adverse effects : Dental Implants.
- adverse effects : Dental Prosthesis, Implant-Supported.
- etiology : Alveolar Bone Loss.
- instrumentation : Dental Implantation, Endosseous, Denture Retention, Oral Surgical Procedures, Preprosthetic.
- methods : Dental Implantation, Endosseous, Oral Surgical Procedures, Preprosthetic.
- pathology : Alveolar Bone Loss, Jaw, Edentulous, Mandible.
- prevention & control : Alveolar Bone Loss.
- rehabilitation : Jaw, Edentulous.
- surgery : Mandible.
- Aged, Aged, 80 and over, Biomechanical Phenomena, Dental Prosthesis Design, Dental Stress Analysis, Denture, Overlay, Female, Finite Element Analysis, Humans, Longitudinal Studies, Male, Middle Aged, Models, Theoretical, Splints, Treatment Outcome.

Abstract

This aim of this study was to evaluate the effect of splinting mini-implants on marginal bone loss when used to retain mandibular overdentures.

PubMed: 21197490

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pubmed:21197490

Le document en format XML

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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term>
<term>Aged, 80 and over</term>
<term>Alveolar Bone Loss (etiology)</term>
<term>Alveolar Bone Loss (pathology)</term>
<term>Alveolar Bone Loss (prevention & control)</term>
<term>Biomechanical Phenomena</term>
<term>Dental Implantation, Endosseous (instrumentation)</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants (adverse effects)</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported (adverse effects)</term>
<term>Dental Stress Analysis</term>
<term>Denture Retention (instrumentation)</term>
<term>Denture, Overlay</term>
<term>Female</term>
<term>Finite Element Analysis</term>
<term>Humans</term>
<term>Jaw, Edentulous (pathology)</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Longitudinal Studies</term>
<term>Male</term>
<term>Mandible (pathology)</term>
<term>Mandible (surgery)</term>
<term>Middle Aged</term>
<term>Models, Theoretical</term>
<term>Oral Surgical Procedures, Preprosthetic (instrumentation)</term>
<term>Oral Surgical Procedures, Preprosthetic (methods)</term>
<term>Splints</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Analyse des éléments finis</term>
<term>Analyse du stress dentaire</term>
<term>Attelles</term>
<term>Conception de prothèse dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires (effets indésirables)</term>
<term>Mandibule ()</term>
<term>Mandibule (anatomopathologie)</term>
<term>Modèles théoriques</term>
<term>Mâchoire édentée (anatomopathologie)</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Overdenture</term>
<term>Phénomènes biomécaniques</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Pose d'implant dentaire endo-osseux (instrumentation)</term>
<term>Procédures de chirurgie préprothétique en odontologie ()</term>
<term>Procédures de chirurgie préprothétique en odontologie (instrumentation)</term>
<term>Prothèse dentaire implanto-portée (effets indésirables)</term>
<term>Résorption alvéolaire ()</term>
<term>Résorption alvéolaire (anatomopathologie)</term>
<term>Résorption alvéolaire (étiologie)</term>
<term>Résultat thérapeutique</term>
<term>Rétention d'appareil de prothèse dentaire (instrumentation)</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Études longitudinales</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en"><term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Dental Prosthesis, Implant-Supported</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Mandibule</term>
<term>Mâchoire édentée</term>
<term>Résorption alvéolaire</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Implants dentaires</term>
<term>Prothèse dentaire implanto-portée</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Alveolar Bone Loss</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Dental Implantation, Endosseous</term>
<term>Denture Retention</term>
<term>Oral Surgical Procedures, Preprosthetic</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Dental Implantation, Endosseous</term>
<term>Oral Surgical Procedures, Preprosthetic</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Alveolar Bone Loss</term>
<term>Jaw, Edentulous</term>
<term>Mandible</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Alveolar Bone Loss</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>Mandible</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Pose d'implant dentaire endo-osseux</term>
<term>Procédures de chirurgie préprothétique en odontologie</term>
<term>Résorption alvéolaire</term>
<term>Rétention d'appareil de prothèse dentaire</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Aged, 80 and over</term>
<term>Biomechanical Phenomena</term>
<term>Dental Prosthesis Design</term>
<term>Dental Stress Analysis</term>
<term>Denture, Overlay</term>
<term>Female</term>
<term>Finite Element Analysis</term>
<term>Humans</term>
<term>Longitudinal Studies</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Models, Theoretical</term>
<term>Splints</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Analyse des éléments finis</term>
<term>Analyse du stress dentaire</term>
<term>Attelles</term>
<term>Conception de prothèse dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mandibule</term>
<term>Modèles théoriques</term>
<term>Mâle</term>
<term>Overdenture</term>
<term>Phénomènes biomécaniques</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Procédures de chirurgie préprothétique en odontologie</term>
<term>Résorption alvéolaire</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Études longitudinales</term>
</keywords>
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<front><div type="abstract" xml:lang="en">This aim of this study was to evaluate the effect of splinting mini-implants on marginal bone loss when used to retain mandibular overdentures.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">21197490</PMID>
<DateCompleted><Year>2011</Year>
<Month>02</Month>
<Day>24</Day>
</DateCompleted>
<DateRevised><Year>2013</Year>
<Month>11</Month>
<Day>21</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Print">0882-2786</ISSN>
<JournalIssue CitedMedium="Print"><Volume>25</Volume>
<Issue>6</Issue>
<PubDate><MedlineDate>2010 Nov-Dec</MedlineDate>
</PubDate>
</JournalIssue>
<Title>The International journal of oral & maxillofacial implants</Title>
<ISOAbbreviation>Int J Oral Maxillofac Implants</ISOAbbreviation>
</Journal>
<ArticleTitle>Effect of splinting mini-implants on marginal bone loss: a biomechanical model and clinical randomized study with mandibular overdentures.</ArticleTitle>
<Pagination><MedlinePgn>1137-44</MedlinePgn>
</Pagination>
<Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">This aim of this study was to evaluate the effect of splinting mini-implants on marginal bone loss when used to retain mandibular overdentures.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">With mathematical models, a finite element analysis was performed to compare the bone stress distribution around two mini-implants, either splinted with a bar superstructure or not splinted. In the clinical portion of this study, 90 mini-implants were placed in the anterior mandibles of 45 completely edentulous patients selected from a public health center. Patients were randomly allocated into two groups. Group-ball (22 patients, n = 44) received two single ball-type mini-implants, and group-bar (23 patients, n = 46) received two mini-implants splinted with a prefabricated bar. All implants were placed using a flapless technique and loaded immediately. Marginal bone loss was assessed through standardized retroalveolar radiographs of each mini-implant and compared 5, 10, 15, and 24 months after implant placement.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The finite element analysis showed the highest minimum principal stress (-118 MPa) in bone surrounding the unsplinted mini-implant, while around the splinted implants the principal stresses were -56.8 MPa. After 2 years of follow-up in the clinical study, group-ball showed a trend toward greater marginal bone loss than group-bar (1.43 ± 1.26 mm and 0.92 ± 0.75 mm, respectively). Group-ball showed a significantly higher prevalence of vertical bone loss than group-bar (chi-square test, two-tailed).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Splinted mini-implants with a rigid superstructure decrease the bone stress level in comparison with single mini-implants. The effects of bone stress magnitude may explain the clinical outcome, in which splinted mini-implants supporting a mandibular overdenture showed less marginal bone loss compared with nonsplinted mini-implants. Vertical bone resorption morphology was significantly more prevalent in the latter group.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Jofre</LastName>
<ForeName>Jorge</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Center for Advanced Prosthodontic and Implantology, CRAI, University of Concepcion, Chile. jjofre@udec.cl</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Cendoya</LastName>
<ForeName>Patricio</ForeName>
<Initials>P</Initials>
</Author>
<Author ValidYN="Y"><LastName>Munoz</LastName>
<ForeName>Paola</ForeName>
<Initials>P</Initials>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D016449">Randomized Controlled Trial</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
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<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>Int J Oral Maxillofac Implants</MedlineTA>
<NlmUniqueID>8611905</NlmUniqueID>
<ISSNLinking>0882-2786</ISSNLinking>
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<ChemicalList><Chemical><RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D015921">Dental Implants</NameOfSubstance>
</Chemical>
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<CitationSubset>D</CitationSubset>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016301" MajorTopicYN="N">Alveolar Bone Loss</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
<QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D001696" MajorTopicYN="N">Biomechanical Phenomena</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003758" MajorTopicYN="N">Dental Implantation, Endosseous</DescriptorName>
<QualifierName UI="Q000295" MajorTopicYN="N">instrumentation</QualifierName>
<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D015921" MajorTopicYN="Y">Dental Implants</DescriptorName>
<QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D017267" MajorTopicYN="Y">Dental Prosthesis Design</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D019094" MajorTopicYN="Y">Dental Prosthesis, Implant-Supported</DescriptorName>
<QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003799" MajorTopicYN="N">Dental Stress Analysis</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003781" MajorTopicYN="N">Denture Retention</DescriptorName>
<QualifierName UI="Q000295" MajorTopicYN="N">instrumentation</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003828" MajorTopicYN="Y">Denture, Overlay</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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</MeshHeading>
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<QualifierName UI="Q000534" MajorTopicYN="N">rehabilitation</QualifierName>
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<MeshHeading><DescriptorName UI="D008137" MajorTopicYN="N">Longitudinal Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
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<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
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<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<MeshHeading><DescriptorName UI="D013516" MajorTopicYN="N">Oral Surgical Procedures, Preprosthetic</DescriptorName>
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<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
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<MeshHeading><DescriptorName UI="D013165" MajorTopicYN="Y">Splints</DescriptorName>
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<MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName>
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Effect of splinting mini-implants on marginal bone loss: a biomechanical model and clinical randomized study with mandibular overdentures.

Effect of splinting mini-implants on marginal bone loss: a biomechanical model and clinical randomized study with mandibular overdentures.

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Abstract

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