Maxillary Overdentures Supported by Four Splinted Direct Metal Laser Sintering Implants: A 3-Year Prospective Clinical Study
Identifieur interne : 005768 ( Ncbi/Merge ); précédent : 005767; suivant : 005769Maxillary Overdentures Supported by Four Splinted Direct Metal Laser Sintering Implants: A 3-Year Prospective Clinical Study
Auteurs : Francesco Mangano [Italie] ; Fabrizia Luongo [Italie] ; Jamil Awad Shibli [Brésil] ; Sukumaran Anil [Arabie saoudite] ; Carlo Mangano [Italie]Source :
- International Journal of Dentistry [ 1687-8728 ] ; 2014.
Abstract
Url:
DOI: 10.1155/2014/252343
PubMed: 25580124
PubMed Central: 4279819
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Maxillary Overdentures Supported by Four Splinted Direct Metal Laser Sintering Implants: A 3-Year Prospective Clinical Study</title><author><name sortKey="Mangano, Francesco" sort="Mangano, Francesco" uniqKey="Mangano F" first="Francesco" last="Mangano">Francesco Mangano</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Surgical and Morphological Science, Dental School, University of Varese, Via Giuseppe Piatti 10, 21100 Varese, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Surgical and Morphological Science, Dental School, University of Varese, Via Giuseppe Piatti 10, 21100 Varese</wicri:regionArea><wicri:noRegion>21100 Varese</wicri:noRegion></affiliation></author><author><name sortKey="Luongo, Fabrizia" sort="Luongo, Fabrizia" uniqKey="Luongo F" first="Fabrizia" last="Luongo">Fabrizia Luongo</name><affiliation wicri:level="1"><nlm:aff id="I2">Private Practice, 00193 Rome, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Private Practice, 00193 Rome</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author><author><name sortKey="Shibli, Jamil Awad" sort="Shibli, Jamil Awad" uniqKey="Shibli J" first="Jamil Awad" last="Shibli">Jamil Awad Shibli</name><affiliation wicri:level="2"><nlm:aff id="I3">Dental Research Division, Department of Periodontology, Guarulhos University, Praca Teresa Cristina 229, 07023070 Guarulhos, SP, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Dental Research Division, Department of Periodontology, Guarulhos University, Praca Teresa Cristina 229, 07023070 Guarulhos, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Anil, Sukumaran" sort="Anil, Sukumaran" uniqKey="Anil S" first="Sukumaran" last="Anil">Sukumaran Anil</name><affiliation wicri:level="1"><nlm:aff id="I4">Division of Periodontics, College of Dentistry, King Saud University, P.O. Box 60169, Riyadh 11545, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Division of Periodontics, College of Dentistry, King Saud University, P.O. Box 60169, Riyadh 11545</wicri:regionArea><wicri:noRegion>Riyadh 11545</wicri:noRegion></affiliation></author><author><name sortKey="Mangano, Carlo" sort="Mangano, Carlo" uniqKey="Mangano C" first="Carlo" last="Mangano">Carlo Mangano</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Surgical and Morphological Science, Dental School, University of Varese, Via Giuseppe Piatti 10, 21100 Varese, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Surgical and Morphological Science, Dental School, University of Varese, Via Giuseppe Piatti 10, 21100 Varese</wicri:regionArea><wicri:noRegion>21100 Varese</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25580124</idno><idno type="pmc">4279819</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4279819</idno><idno type="RBID">PMC:4279819</idno><idno type="doi">10.1155/2014/252343</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">002D84</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002D84</idno><idno type="wicri:Area/Pmc/Curation">002D84</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002D84</idno><idno type="wicri:Area/Pmc/Checkpoint">001353</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001353</idno><idno type="wicri:Area/Ncbi/Merge">005768</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Maxillary Overdentures Supported by Four Splinted Direct Metal Laser Sintering Implants: A 3-Year Prospective Clinical Study</title><author><name sortKey="Mangano, Francesco" sort="Mangano, Francesco" uniqKey="Mangano F" first="Francesco" last="Mangano">Francesco Mangano</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Surgical and Morphological Science, Dental School, University of Varese, Via Giuseppe Piatti 10, 21100 Varese, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Surgical and Morphological Science, Dental School, University of Varese, Via Giuseppe Piatti 10, 21100 Varese</wicri:regionArea><wicri:noRegion>21100 Varese</wicri:noRegion></affiliation></author><author><name sortKey="Luongo, Fabrizia" sort="Luongo, Fabrizia" uniqKey="Luongo F" first="Fabrizia" last="Luongo">Fabrizia Luongo</name><affiliation wicri:level="1"><nlm:aff id="I2">Private Practice, 00193 Rome, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Private Practice, 00193 Rome</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author><author><name sortKey="Shibli, Jamil Awad" sort="Shibli, Jamil Awad" uniqKey="Shibli J" first="Jamil Awad" last="Shibli">Jamil Awad Shibli</name><affiliation wicri:level="2"><nlm:aff id="I3">Dental Research Division, Department of Periodontology, Guarulhos University, Praca Teresa Cristina 229, 07023070 Guarulhos, SP, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Dental Research Division, Department of Periodontology, Guarulhos University, Praca Teresa Cristina 229, 07023070 Guarulhos, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Anil, Sukumaran" sort="Anil, Sukumaran" uniqKey="Anil S" first="Sukumaran" last="Anil">Sukumaran Anil</name><affiliation wicri:level="1"><nlm:aff id="I4">Division of Periodontics, College of Dentistry, King Saud University, P.O. Box 60169, Riyadh 11545, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Division of Periodontics, College of Dentistry, King Saud University, P.O. Box 60169, Riyadh 11545</wicri:regionArea><wicri:noRegion>Riyadh 11545</wicri:noRegion></affiliation></author><author><name sortKey="Mangano, Carlo" sort="Mangano, Carlo" uniqKey="Mangano C" first="Carlo" last="Mangano">Carlo Mangano</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Surgical and Morphological Science, Dental School, University of Varese, Via Giuseppe Piatti 10, 21100 Varese, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Surgical and Morphological Science, Dental School, University of Varese, Via Giuseppe Piatti 10, 21100 Varese</wicri:regionArea><wicri:noRegion>21100 Varese</wicri:noRegion></affiliation></author></analytic><series><title level="j">International Journal of Dentistry</title><idno type="ISSN">1687-8728</idno><idno type="eISSN">1687-8736</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><italic>Purpose</italic>. Nowadays, the advancements in direct metal laser sintering (DMLS) technology allow the fabrication of titanium dental implants. The aim of this study was to evaluate implant survival, complications, and peri-implant marginal bone loss of DMLS implants used to support bar-retained maxillary overdentures.<italic> Materials and Methods</italic>. Over a 2-year period, 120 implants were placed in the maxilla of 30 patients (18 males, 12 females) to support bar-retained maxillary overdentures (ODs). Each OD was supported by 4 implants splinted by a rigid cobalt-chrome bar. At each annual follow-up session, clinical and radiographic parameters were assessed. The outcome measures were implant failure, biological and prosthetic complications, and peri-implant marginal bone loss (distance between the implant shoulder and the first visible bone-to-implant contact, DIB).<italic> Results</italic>. The 3-year implant survival rate was 97.4% (implant-based) and 92.9% (patient-based). Three implants failed. The incidence of biological complication was 3.5% (implant-based) and 7.1% (patient-based). The incidence of prosthetic complication was 17.8% (patient-based). No detrimental effects on marginal bone level were evidenced.<italic> Conclusions</italic>. The use of 4 DMLS titanium implants to support bar-retained maxillary ODs seems to represent a safe and successful procedure. Long-term clinical studies on a larger sample of patients are needed to confirm these results.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Emami, E" uniqKey="Emami E">E. Emami</name></author><author><name sortKey="De Souza, R F" uniqKey="De Souza R">R. F. de Souza</name></author><author><name sortKey="Kabawat, M" uniqKey="Kabawat M">M. Kabawat</name></author><author><name sortKey="Feine, J S" uniqKey="Feine J">J. S. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Int J Dent</journal-id><journal-id journal-id-type="iso-abbrev">Int J Dent</journal-id><journal-id journal-id-type="publisher-id">IJD</journal-id><journal-title-group><journal-title>International Journal of Dentistry</journal-title></journal-title-group><issn pub-type="ppub">1687-8728</issn><issn pub-type="epub">1687-8736</issn><publisher><publisher-name>Hindawi Publishing Corporation</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25580124</article-id><article-id pub-id-type="pmc">4279819</article-id><article-id pub-id-type="doi">10.1155/2014/252343</article-id><article-categories><subj-group subj-group-type="heading"><subject>Clinical Study</subject></subj-group></article-categories><title-group><article-title>Maxillary Overdentures Supported by Four Splinted Direct Metal Laser Sintering Implants: A 3-Year Prospective Clinical Study</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Mangano</surname><given-names>Francesco</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0001-7998-613X</contrib-id><name><surname>Luongo</surname><given-names>Fabrizia</given-names></name><xref ref-type="aff" rid="I2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Shibli</surname><given-names>Jamil Awad</given-names></name><xref ref-type="aff" rid="I3"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Anil</surname><given-names>Sukumaran</given-names></name><xref ref-type="aff" rid="I4"><sup>4</sup></xref></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0002-4419-4674</contrib-id><name><surname>Mangano</surname><given-names>Carlo</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref></contrib></contrib-group><aff id="I1"><sup>1</sup>Department of Surgical and Morphological Science, Dental School, University of Varese, Via Giuseppe Piatti 10, 21100 Varese, Italy</aff><aff id="I2"><sup>2</sup>Private Practice, 00193 Rome, Italy</aff><aff id="I3"><sup>3</sup>Dental Research Division, Department of Periodontology, Guarulhos University, Praca Teresa Cristina 229, 07023070 Guarulhos, SP, Brazil</aff><aff id="I4"><sup>4</sup>Division of Periodontics, College of Dentistry, King Saud University, P.O. Box 60169, Riyadh 11545, Saudi Arabia</aff><author-notes><corresp id="cor1">*Francesco Mangano: <email>francescomangano1@mclink.net</email></corresp><fn fn-type="other"><p>Academic Editor: Andreas Stavropoulos</p></fn></author-notes><pub-date pub-type="ppub"><year>2014</year></pub-date><pub-date pub-type="epub"><day>14</day><month>12</month><year>2014</year></pub-date><volume>2014</volume><elocation-id>252343</elocation-id><history><date date-type="received"><day>15</day><month>9</month><year>2014</year></date><date date-type="accepted"><day>26</day><month>11</month><year>2014</year></date></history><permissions><copyright-statement>Copyright © 2014 Francesco Mangano et al.</copyright-statement><copyright-year>2014</copyright-year><license xlink:href="https://creativecommons.org/licenses/by/3.0/"><license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><p><italic>Purpose</italic>. Nowadays, the advancements in direct metal laser sintering (DMLS) technology allow the fabrication of titanium dental implants. The aim of this study was to evaluate implant survival, complications, and peri-implant marginal bone loss of DMLS implants used to support bar-retained maxillary overdentures.<italic> Materials and Methods</italic>. Over a 2-year period, 120 implants were placed in the maxilla of 30 patients (18 males, 12 females) to support bar-retained maxillary overdentures (ODs). Each OD was supported by 4 implants splinted by a rigid cobalt-chrome bar. At each annual follow-up session, clinical and radiographic parameters were assessed. The outcome measures were implant failure, biological and prosthetic complications, and peri-implant marginal bone loss (distance between the implant shoulder and the first visible bone-to-implant contact, DIB).<italic> Results</italic>. The 3-year implant survival rate was 97.4% (implant-based) and 92.9% (patient-based). Three implants failed. The incidence of biological complication was 3.5% (implant-based) and 7.1% (patient-based). The incidence of prosthetic complication was 17.8% (patient-based). No detrimental effects on marginal bone level were evidenced.<italic> Conclusions</italic>. The use of 4 DMLS titanium implants to support bar-retained maxillary ODs seems to represent a safe and successful procedure. Long-term clinical studies on a larger sample of patients are needed to confirm these results.</p></abstract></article-meta></front><floats-group><fig id="fig1" orientation="portrait" position="float"><label>Figure 1</label><caption><p>Macroscopical and microscopical features of the direct metal laser sintering (DMLS) titanium implants used in this study: the implants had an external hexagon connection (a); the scanning electron microscopy of the implant (×1700) showed a porous surface with ridge-like and globular protrusions, interspersed by intercommunicating pores and irregular crevices (b).</p></caption><graphic xlink:href="IJD2014-252343.001"></graphic></fig><fig id="fig2" orientation="portrait" position="float"><label>Figure 2</label><caption><p>Three-dimensional (3D) reconstruction of the maxilla by means of implant navigation software, with virtual planning of implant placement.</p></caption><graphic xlink:href="IJD2014-252343.002"></graphic></fig><fig id="fig3" orientation="portrait" position="float"><label>Figure 3</label><caption><p>Surgical and prosthetic procedures: panoramic radiograph at implant placement (a); the implants after 4 months of undisturbed healing (b); the maxillary bar after application (c); clinical view of the maxillary overdenture (OD) at delivery (d).</p></caption><graphic xlink:href="IJD2014-252343.003"></graphic></fig><fig id="fig4" orientation="portrait" position="float"><label>Figure 4</label><caption><p>Distribution of the implants by length and diameter.</p></caption><graphic xlink:href="IJD2014-252343.004"></graphic></fig><fig id="fig5" orientation="portrait" position="float"><label>Figure 5</label><caption><p>The maxillary overdenture (OD) at the 3-year follow-up: panoramic control radiograph (a); clinical view of the bar (b).</p></caption><graphic xlink:href="IJD2014-252343.005"></graphic></fig><fig id="fig6" orientation="portrait" position="float"><label>Figure 6</label><caption><p>Periapical radiographs of an implant at the 1-year (a), 2-year (b), and 3-year (c) follow-up examination, respectively.</p></caption><graphic xlink:href="IJD2014-252343.006"></graphic></fig></floats-group></pmc><affiliations><list><country><li>Arabie saoudite</li><li>Brésil</li><li>Italie</li></country><region><li>Latium</li><li>État de São Paulo</li></region><settlement><li>Rome</li></settlement></list><tree><country name="Italie"><noRegion><name sortKey="Mangano, Francesco" sort="Mangano, Francesco" uniqKey="Mangano F" first="Francesco" last="Mangano">Francesco Mangano</name></noRegion><name sortKey="Luongo, Fabrizia" sort="Luongo, Fabrizia" uniqKey="Luongo F" first="Fabrizia" last="Luongo">Fabrizia Luongo</name><name sortKey="Mangano, Carlo" sort="Mangano, Carlo" uniqKey="Mangano C" first="Carlo" last="Mangano">Carlo Mangano</name></country><country name="Brésil"><region name="État de São Paulo"><name sortKey="Shibli, Jamil Awad" sort="Shibli, Jamil Awad" uniqKey="Shibli J" first="Jamil Awad" last="Shibli">Jamil Awad Shibli</name></region></country><country name="Arabie saoudite"><noRegion><name sortKey="Anil, Sukumaran" sort="Anil, Sukumaran" uniqKey="Anil S" first="Sukumaran" last="Anil">Sukumaran Anil</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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