Serveur d'exploration sur le patient édenté

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Clinical Evaluation of Small Diameter Straumann Implants in Partially Edentulous Patients: A 5-Year Retrospective Study

Identifieur interne : 003935 ( Ncbi/Merge ); précédent : 003934; suivant : 003936

Clinical Evaluation of Small Diameter Straumann Implants in Partially Edentulous Patients: A 5-Year Retrospective Study

Auteurs : M. Yaltirik ; B. Gökçen-Röhlig ; S. Ozer ; G. Evlioglu

Source :

RBID : PMC:3184735

Abstract

Objective:

The aim of the present study was to retrospectively evaluate small-diameter (3.3 mm) Straumann® dental implants placed in the maxilla or the mandible over a period of 5 years in function.

Materials and Methods:

Twenty-eight partially edentulous patients received a total of 48 implants over a 5-year period. After the standard healing period (3 to 6 months), the implants were restored with single-tooth prostheses or fixed partial dentures. All patients were followed according to a strict maintenance program with regular recalls. The cumulative survival rates of implants were analyzed and prosthetic complications were assessed.

Results:

After 5 years of function, one single 10-mm-long implant in the maxillary premolar region was lost because of recurrent peri-implant infection in a female patient. Two single 10-mm-long maxillary implants placed in the posterior region were lost due to body fracture. The cumulative 5-year survival rate of the implants was 93.75 %. The most common prosthetic complication was loosening of the occlusal screw.

Conclusion:

Within the limited observation period and the number of patients included in this study, it may be concluded that the use of small-diameter implants appears to be predictable if clinical guidelines are followed and appropriate prosthetic restorations are provided. However, it should be noted that fatigue fracture may occur.


Url:
PubMed: 21998812
PubMed Central: 3184735

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PMC:3184735

Le document en format XML

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<nlm:aff id="af1-jod-8-2-075">Associate Professor, Department of Oral Surgery, Faculty of Dentistry, Istanbul University</nlm:aff>
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<name sortKey="Gokcen Rohlig, B" sort="Gokcen Rohlig, B" uniqKey="Gokcen Rohlig B" first="B." last="Gökçen-Röhlig">B. Gökçen-Röhlig</name>
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<nlm:aff id="af2-jod-8-2-075"> Assistant Professor, Department of Maxillofacial Prosthodontics, Faculty of Dentistry, Istanbul University</nlm:aff>
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<nlm:aff id="af3-jod-8-2-075"> Resident, Department of Oral Surgery, Faculty of Dentistry, Istanbul University</nlm:aff>
<wicri:noCountry code="subfield">Istanbul University</wicri:noCountry>
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<name sortKey="Evlioglu, G" sort="Evlioglu, G" uniqKey="Evlioglu G" first="G." last="Evlioglu">G. Evlioglu</name>
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<nlm:aff id="af4-jod-8-2-075"> Professor, Department of Maxillofacial Prosthodontics, Faculty of Dentistry, Istanbul University</nlm:aff>
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<title>Objective:</title>
<p>The aim of the present study was to retrospectively evaluate small-diameter (3.3 mm) Straumann® dental implants placed in the maxilla or the mandible over a period of 5 years in function.</p>
</sec>
<sec>
<title>Materials and Methods:</title>
<p>Twenty-eight partially edentulous patients received a total of 48 implants over a 5-year period. After the standard healing period (3 to 6 months), the implants were restored with single-tooth prostheses or fixed partial dentures. All patients were followed according to a strict maintenance program with regular recalls. The cumulative survival rates of implants were analyzed and prosthetic complications were assessed.</p>
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<sec>
<title>Results:</title>
<p>After 5 years of function, one single 10-mm-long implant in the maxillary premolar region was lost because of recurrent peri-implant infection in a female patient. Two single 10-mm-long maxillary implants placed in the posterior region were lost due to body fracture. The cumulative 5-year survival rate of the implants was 93.75 %. The most common prosthetic complication was loosening of the occlusal screw.</p>
</sec>
<sec>
<title>Conclusion:</title>
<p>Within the limited observation period and the number of patients included in this study, it may be concluded that the use of small-diameter implants appears to be predictable if clinical guidelines are followed and appropriate prosthetic restorations are provided. However, it should be noted that fatigue fracture may occur.</p>
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<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">J Dent (Tehran)</journal-id>
<journal-title-group>
<journal-title>Journal of Dentistry (Tehran, Iran)</journal-title>
</journal-title-group>
<issn pub-type="ppub">1735-2150</issn>
<issn pub-type="epub">2008-2185</issn>
<publisher>
<publisher-name>Tehran University of Medical Sciences</publisher-name>
</publisher>
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<article-id pub-id-type="pmc">3184735</article-id>
<article-id pub-id-type="publisher-id">jod-8-075</article-id>
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<subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Clinical Evaluation of Small Diameter Straumann Implants in Partially Edentulous Patients: A 5-Year Retrospective Study</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Yaltirik</surname>
<given-names>M.</given-names>
</name>
<xref ref-type="aff" rid="af1-jod-8-2-075">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="c1-jod-8-2-075"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>GÖKÇEN-RÖHLIG</surname>
<given-names>B.</given-names>
</name>
<xref ref-type="aff" rid="af2-jod-8-2-075">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>OZER</surname>
<given-names>S.</given-names>
</name>
<xref ref-type="aff" rid="af3-jod-8-2-075">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>EVLIOGLU</surname>
<given-names>G.</given-names>
</name>
<xref ref-type="aff" rid="af4-jod-8-2-075">
<sup>4</sup>
</xref>
</contrib>
</contrib-group>
<aff id="af1-jod-8-2-075">
<label>1</label>
Associate Professor, Department of Oral Surgery, Faculty of Dentistry, Istanbul University</aff>
<aff id="af2-jod-8-2-075">
<label>2</label>
Assistant Professor, Department of Maxillofacial Prosthodontics, Faculty of Dentistry, Istanbul University</aff>
<aff id="af3-jod-8-2-075">
<label>3</label>
Resident, Department of Oral Surgery, Faculty of Dentistry, Istanbul University</aff>
<aff id="af4-jod-8-2-075">
<label>4</label>
Professor, Department of Maxillofacial Prosthodontics, Faculty of Dentistry, Istanbul University</aff>
<author-notes>
<corresp id="c1-jod-8-2-075">Corresponding author: M. Yaltirik, Department of Oral Surgery, Istanbul University, Faculty of Dentistry, Istanbul, Turkey,
<email>myaltrk@yahoo.com</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<season>Spring</season>
<year>2011</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>6</month>
<year>2011</year>
</pub-date>
<pub-date pub-type="collection">
<year>2011</year>
</pub-date>
<volume>8</volume>
<issue>2</issue>
<fpage>75</fpage>
<lpage>80</lpage>
<history>
<date date-type="received">
<day>29</day>
<month>12</month>
<year>2011</year>
</date>
<date date-type="accepted">
<day>23</day>
<month>3</month>
<year>2011</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright © Dental Research Center, Tehran University of Medical Sciences</copyright-statement>
<copyright-year>2011</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">
<license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution NonCommercial 3.0 License (CC BY-NC 3.0), which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.</license-p>
</license>
</permissions>
<abstract>
<sec>
<title>Objective:</title>
<p>The aim of the present study was to retrospectively evaluate small-diameter (3.3 mm) Straumann® dental implants placed in the maxilla or the mandible over a period of 5 years in function.</p>
</sec>
<sec>
<title>Materials and Methods:</title>
<p>Twenty-eight partially edentulous patients received a total of 48 implants over a 5-year period. After the standard healing period (3 to 6 months), the implants were restored with single-tooth prostheses or fixed partial dentures. All patients were followed according to a strict maintenance program with regular recalls. The cumulative survival rates of implants were analyzed and prosthetic complications were assessed.</p>
</sec>
<sec>
<title>Results:</title>
<p>After 5 years of function, one single 10-mm-long implant in the maxillary premolar region was lost because of recurrent peri-implant infection in a female patient. Two single 10-mm-long maxillary implants placed in the posterior region were lost due to body fracture. The cumulative 5-year survival rate of the implants was 93.75 %. The most common prosthetic complication was loosening of the occlusal screw.</p>
</sec>
<sec>
<title>Conclusion:</title>
<p>Within the limited observation period and the number of patients included in this study, it may be concluded that the use of small-diameter implants appears to be predictable if clinical guidelines are followed and appropriate prosthetic restorations are provided. However, it should be noted that fatigue fracture may occur.</p>
</sec>
</abstract>
<kwd-group>
<kwd>Small Diameter Implants</kwd>
<kwd>Complications</kwd>
<kwd>Follow-Up</kwd>
<kwd>Partial Fixed Prosthesis</kwd>
</kwd-group>
</article-meta>
</front>
<floats-group>
<table-wrap id="t1-jod-8-2-075" position="float">
<label>Table 1</label>
<caption>
<p>Distribution of Failing Implants by Site and Survival Rates</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="center" valign="middle" rowspan="2" colspan="1">Interval (years)</th>
<th align="center" valign="middle" rowspan="2" colspan="1">Site</th>
<th align="center" valign="middle" rowspan="2" colspan="1">No. placed</th>
<th colspan="2" align="center" valign="middle" rowspan="1">Gender
<hr></hr>
</th>
<th align="center" valign="middle" rowspan="2" colspan="1">No. failed</th>
<th colspan="2" align="center" valign="middle" rowspan="1">Gender
<hr></hr>
</th>
<th align="center" valign="middle" rowspan="2" colspan="1">Survival rates(%)</th>
</tr>
<tr>
<th align="center" valign="middle" rowspan="1" colspan="1">F</th>
<th align="center" valign="middle" rowspan="1" colspan="1">M</th>
<th align="center" valign="middle" rowspan="1" colspan="1">F</th>
<th align="center" valign="middle" rowspan="1" colspan="1">M</th>
</tr>
</thead>
<tbody>
<tr>
<td align="center" valign="middle" rowspan="1" colspan="1">0–5</td>
<td align="center" valign="middle" rowspan="1" colspan="1">Maxillary anterior
<xref ref-type="table-fn" rid="tfn1-jod-8-2-075">*</xref>
</td>
<td align="center" valign="middle" rowspan="1" colspan="1">4</td>
<td align="center" valign="middle" rowspan="1" colspan="1">2</td>
<td align="center" valign="middle" rowspan="1" colspan="1">2</td>
<td align="center" valign="middle" rowspan="1" colspan="1">2</td>
<td align="center" valign="middle" rowspan="1" colspan="1">1</td>
<td align="center" valign="middle" rowspan="1" colspan="1">1</td>
<td align="center" valign="middle" rowspan="3" colspan="1">80.0%</td>
</tr>
<tr>
<td align="center" valign="middle" colspan="8" rowspan="1">
<hr></hr>
</td>
</tr>
<tr>
<td align="center" valign="middle" rowspan="1" colspan="1">0–5</td>
<td align="center" valign="middle" rowspan="1" colspan="1">Maxillary posterior
<xref ref-type="table-fn" rid="tfn2-jod-8-2-075">**</xref>
</td>
<td align="center" valign="middle" rowspan="1" colspan="1">11</td>
<td align="center" valign="middle" rowspan="1" colspan="1">5</td>
<td align="center" valign="middle" rowspan="1" colspan="1">6</td>
<td align="center" valign="middle" rowspan="1" colspan="1">1</td>
<td align="center" valign="middle" rowspan="1" colspan="1">1</td>
<td align="center" valign="middle" rowspan="1" colspan="1">0</td>
</tr>
<tr>
<td align="center" valign="middle" colspan="9" rowspan="1">
<hr></hr>
</td>
</tr>
<tr>
<td align="center" valign="middle" rowspan="1" colspan="1">0–5</td>
<td align="center" valign="middle" rowspan="1" colspan="1">Mandibular anterior
<xref ref-type="table-fn" rid="tfn1-jod-8-2-075">*</xref>
</td>
<td align="center" valign="middle" rowspan="1" colspan="1">11</td>
<td align="center" valign="middle" rowspan="1" colspan="1">7</td>
<td align="center" valign="middle" rowspan="1" colspan="1">4</td>
<td align="center" valign="middle" rowspan="1" colspan="1">0</td>
<td align="center" valign="middle" rowspan="1" colspan="1">0</td>
<td align="center" valign="middle" rowspan="1" colspan="1">0</td>
<td align="center" valign="middle" rowspan="3" colspan="1">100%</td>
</tr>
<tr>
<td align="center" valign="middle" colspan="8" rowspan="1">
<hr></hr>
</td>
</tr>
<tr>
<td align="center" valign="middle" rowspan="1" colspan="1">0–5</td>
<td align="center" valign="middle" rowspan="1" colspan="1">Mandibular posterior
<xref ref-type="table-fn" rid="tfn2-jod-8-2-075">**</xref>
</td>
<td align="center" valign="middle" rowspan="1" colspan="1">22</td>
<td align="center" valign="middle" rowspan="1" colspan="1">10</td>
<td align="center" valign="middle" rowspan="1" colspan="1">12</td>
<td align="center" valign="middle" rowspan="1" colspan="1">0</td>
<td align="center" valign="middle" rowspan="1" colspan="1">0</td>
<td align="center" valign="middle" rowspan="1" colspan="1">0</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn1-jod-8-2-075">
<label>*</label>
<p>Anterior region including the canine and incisive districts</p>
</fn>
<fn id="tfn2-jod-8-2-075">
<label>**</label>
<p>Posterior region including premolar and molar districts</p>
</fn>
<fn id="tfn3-jod-8-2-075">
<p>F: Female</p>
</fn>
<fn id="tfn4-jod-8-2-075">
<p>M: Male</p>
</fn>
</table-wrap-foot>
</table-wrap>
</floats-group>
</pmc>
<affiliations>
<list></list>
<tree>
<noCountry>
<name sortKey="Evlioglu, G" sort="Evlioglu, G" uniqKey="Evlioglu G" first="G." last="Evlioglu">G. Evlioglu</name>
<name sortKey="Gokcen Rohlig, B" sort="Gokcen Rohlig, B" uniqKey="Gokcen Rohlig B" first="B." last="Gökçen-Röhlig">B. Gökçen-Röhlig</name>
<name sortKey="Ozer, S" sort="Ozer, S" uniqKey="Ozer S" first="S." last="Ozer">S. Ozer</name>
<name sortKey="Yaltirik, M" sort="Yaltirik, M" uniqKey="Yaltirik M" first="M." last="Yaltirik">M. Yaltirik</name>
</noCountry>
</tree>
</affiliations>
</record>

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