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A comparison of labial and crestal incisions for the 1-stage placement of IMZ implants : A pilot study. Discussion

Identifieur interne : 000670 ( PascalFrancis/Corpus ); précédent : 000669; suivant : 000671

A comparison of labial and crestal incisions for the 1-stage placement of IMZ implants : A pilot study. Discussion

Auteurs : Kees Heydenrijk ; Gerry M. Raghoebar ; Rutger H. K. Batenburg ; Boudewijn Stegenga ; Dennis P. Tarnow

Source :

RBID : Pascal:01-0002054

Descripteurs français

English descriptors

Abstract

Purpose: The aim of this study was to compare the crestal incision with the labial flap design when inserting a 2-stage implant system in a nonsubmerged manner. Patients and Methods: Ten consecutive edentulous patients with a severely resorbed mandible (Cawood Class V to VI) that resulted in reduced stability and insufficient retention of the lower denture were included. In all patients, 2 IMZ implants were inserted in a 1-stage procedure in the mandibular canine regions as part of an implant overdenture treatment. In 5 patients, the labial flap approach was used, and a crestal incision approach was used in the other 5 patients. Standardized evaluations were performed at 2, 6, and 12 weeks after implant placement and 12 months after placement of the new prosthesis. Results: In the first postoperative weeks, more hyperplasia occurred around the implants inserted by the crestal incision than the labial flap. However, after 1 year of function, no striking differences between the 2 groups were present with regard to the clinical and radiographic parameters. Conclusions: From this pilot study, it was concluded that both the crestal incision and the labial flap approach are reliable procedures for insertion of IMZ implants in a 1-stage procedure. However, because of the smaller risk of soft tissue overgrowth, there is a preference for the labial flap approach.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A11 02  1    @1 RAGHOEBAR (Gerry M.)
A11 03  1    @1 BATENBURG (Rutger H. K.)
A11 04  1    @1 STEGENGA (Boudewijn)
A11 05  1    @1 TARNOW (Dennis P.) @9 comment.
A14 01      @1 Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University Hospital Groningen @3 NLD @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 4 aut.
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Format Inist (serveur)

NO : PASCAL 01-0002054 INIST
ET : A comparison of labial and crestal incisions for the 1-stage placement of IMZ implants : A pilot study. Discussion
AU : HEYDENRIJK (Kees); RAGHOEBAR (Gerry M.); BATENBURG (Rutger H. K.); STEGENGA (Boudewijn); TARNOW (Dennis P.)
AF : Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University Hospital Groningen/Pays-Bas (1 aut., 2 aut., 3 aut., 4 aut.); Department of Implant Dentistry NYU College of Dentistry/New York New York/Etats-Unis (5 aut.)
DT : Publication en série; Article; Commentaire; Niveau analytique
SO : Journal of oral and maxillofacial surgery; ISSN 0278-2391; Coden JOMSDA; Etats-Unis; Da. 2000; Vol. 58; No. 10; Pp. 1119-1124; Bibl. 23 ref.
LA : Anglais
EA : Purpose: The aim of this study was to compare the crestal incision with the labial flap design when inserting a 2-stage implant system in a nonsubmerged manner. Patients and Methods: Ten consecutive edentulous patients with a severely resorbed mandible (Cawood Class V to VI) that resulted in reduced stability and insufficient retention of the lower denture were included. In all patients, 2 IMZ implants were inserted in a 1-stage procedure in the mandibular canine regions as part of an implant overdenture treatment. In 5 patients, the labial flap approach was used, and a crestal incision approach was used in the other 5 patients. Standardized evaluations were performed at 2, 6, and 12 weeks after implant placement and 12 months after placement of the new prosthesis. Results: In the first postoperative weeks, more hyperplasia occurred around the implants inserted by the crestal incision than the labial flap. However, after 1 year of function, no striking differences between the 2 groups were present with regard to the clinical and radiographic parameters. Conclusions: From this pilot study, it was concluded that both the crestal incision and the labial flap approach are reliable procedures for insertion of IMZ implants in a 1-stage procedure. However, because of the smaller risk of soft tissue overgrowth, there is a preference for the labial flap approach.
CC : 002B25C02
FD : Edentation; Traitement; Chirurgie; Implant; Etude comparative; Incision chirurgicale; Voie abord; Lambeau; Biomatériau; Mandibule; Technique; Complication; Postopératoire; Muqueuse; Cavité buccale; Efficacité traitement; Morbidité; Adulte; Partie molle; Arcade dentaire; Etude pilote
FG : Homme; Stomatologie; Dent pathologie; ORL pathologie; Génie biomédical
ED : Edentulousness; Treatment; Surgery; Implant; Comparative study; Surgical incision; Surgical approach; Flap (surgery); Biomaterial; Mandible; Technique; Complication; Postoperative; Mucosa; Oral cavity; Treatment efficiency; Morbidity; Adult; Soft tissue; Dental arch; Pilot study
EG : Human; Stomatology; Dental disease; ENT disease; Biomedical engineering
SD : Edentación; Tratamiento; Cirugía; Implante; Estudio comparativo; Incisión quirúrgica; Vía abordaje; Colgajo; Biomaterial; Mandíbula; Técnica; Complicación; Postoperatorio; Mucosa; Cavidad bucal; Eficacia tratamiento; Morbilidad; Adulto; Parte blanda; Arcada dental
LO : INIST-3005.354000092735420060
ID : 01-0002054

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Pascal:01-0002054

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<s0>Purpose: The aim of this study was to compare the crestal incision with the labial flap design when inserting a 2-stage implant system in a nonsubmerged manner. Patients and Methods: Ten consecutive edentulous patients with a severely resorbed mandible (Cawood Class V to VI) that resulted in reduced stability and insufficient retention of the lower denture were included. In all patients, 2 IMZ implants were inserted in a 1-stage procedure in the mandibular canine regions as part of an implant overdenture treatment. In 5 patients, the labial flap approach was used, and a crestal incision approach was used in the other 5 patients. Standardized evaluations were performed at 2, 6, and 12 weeks after implant placement and 12 months after placement of the new prosthesis. Results: In the first postoperative weeks, more hyperplasia occurred around the implants inserted by the crestal incision than the labial flap. However, after 1 year of function, no striking differences between the 2 groups were present with regard to the clinical and radiographic parameters. Conclusions: From this pilot study, it was concluded that both the crestal incision and the labial flap approach are reliable procedures for insertion of IMZ implants in a 1-stage procedure. However, because of the smaller risk of soft tissue overgrowth, there is a preference for the labial flap approach.</s0>
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<s5>11</s5>
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<s5>11</s5>
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<s5>11</s5>
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<s5>12</s5>
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<s5>12</s5>
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<s5>13</s5>
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<s5>17</s5>
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<s5>19</s5>
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<s5>19</s5>
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<s5>19</s5>
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<s5>20</s5>
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<s5>21</s5>
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<s5>21</s5>
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<s5>21</s5>
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<s5>22</s5>
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<s5>22</s5>
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<s5>23</s5>
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<s5>96</s5>
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<s5>37</s5>
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<s5>37</s5>
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<s5>38</s5>
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<s5>38</s5>
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<s0>Diente patología</s0>
<s5>38</s5>
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<fC07 i1="04" i2="X" l="FRE">
<s0>ORL pathologie</s0>
<s5>40</s5>
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<fC07 i1="04" i2="X" l="ENG">
<s0>ENT disease</s0>
<s5>40</s5>
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<s5>40</s5>
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<s0>Génie biomédical</s0>
<s5>45</s5>
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<s0>Biomedical engineering</s0>
<s5>45</s5>
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<server>
<NO>PASCAL 01-0002054 INIST</NO>
<ET>A comparison of labial and crestal incisions for the 1-stage placement of IMZ implants : A pilot study. Discussion</ET>
<AU>HEYDENRIJK (Kees); RAGHOEBAR (Gerry M.); BATENBURG (Rutger H. K.); STEGENGA (Boudewijn); TARNOW (Dennis P.)</AU>
<AF>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University Hospital Groningen/Pays-Bas (1 aut., 2 aut., 3 aut., 4 aut.); Department of Implant Dentistry NYU College of Dentistry/New York New York/Etats-Unis (5 aut.)</AF>
<DT>Publication en série; Article; Commentaire; Niveau analytique</DT>
<SO>Journal of oral and maxillofacial surgery; ISSN 0278-2391; Coden JOMSDA; Etats-Unis; Da. 2000; Vol. 58; No. 10; Pp. 1119-1124; Bibl. 23 ref.</SO>
<LA>Anglais</LA>
<EA>Purpose: The aim of this study was to compare the crestal incision with the labial flap design when inserting a 2-stage implant system in a nonsubmerged manner. Patients and Methods: Ten consecutive edentulous patients with a severely resorbed mandible (Cawood Class V to VI) that resulted in reduced stability and insufficient retention of the lower denture were included. In all patients, 2 IMZ implants were inserted in a 1-stage procedure in the mandibular canine regions as part of an implant overdenture treatment. In 5 patients, the labial flap approach was used, and a crestal incision approach was used in the other 5 patients. Standardized evaluations were performed at 2, 6, and 12 weeks after implant placement and 12 months after placement of the new prosthesis. Results: In the first postoperative weeks, more hyperplasia occurred around the implants inserted by the crestal incision than the labial flap. However, after 1 year of function, no striking differences between the 2 groups were present with regard to the clinical and radiographic parameters. Conclusions: From this pilot study, it was concluded that both the crestal incision and the labial flap approach are reliable procedures for insertion of IMZ implants in a 1-stage procedure. However, because of the smaller risk of soft tissue overgrowth, there is a preference for the labial flap approach.</EA>
<CC>002B25C02</CC>
<FD>Edentation; Traitement; Chirurgie; Implant; Etude comparative; Incision chirurgicale; Voie abord; Lambeau; Biomatériau; Mandibule; Technique; Complication; Postopératoire; Muqueuse; Cavité buccale; Efficacité traitement; Morbidité; Adulte; Partie molle; Arcade dentaire; Etude pilote</FD>
<FG>Homme; Stomatologie; Dent pathologie; ORL pathologie; Génie biomédical</FG>
<ED>Edentulousness; Treatment; Surgery; Implant; Comparative study; Surgical incision; Surgical approach; Flap (surgery); Biomaterial; Mandible; Technique; Complication; Postoperative; Mucosa; Oral cavity; Treatment efficiency; Morbidity; Adult; Soft tissue; Dental arch; Pilot study</ED>
<EG>Human; Stomatology; Dental disease; ENT disease; Biomedical engineering</EG>
<SD>Edentación; Tratamiento; Cirugía; Implante; Estudio comparativo; Incisión quirúrgica; Vía abordaje; Colgajo; Biomaterial; Mandíbula; Técnica; Complicación; Postoperatorio; Mucosa; Cavidad bucal; Eficacia tratamiento; Morbilidad; Adulto; Parte blanda; Arcada dental</SD>
<LO>INIST-3005.354000092735420060</LO>
<ID>01-0002054</ID>
</server>
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