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Peri-implant evaluation of osseointegrated implants subjected to orthodontic forces: results after three years of functional loading

Identifieur interne : 000623 ( Pmc/Curation ); précédent : 000622; suivant : 000624

Peri-implant evaluation of osseointegrated implants subjected to orthodontic forces: results after three years of functional loading

Auteurs : Bruna De Rezende Marins [Brésil] ; Suy Ellen Pramiu [Brésil] ; Mauro Carlos Agner Busato [Brésil] ; Luiz Carlos Marchi [Brésil] ; Adriane Yaeko Togashi [Brésil]

Source :

RBID : PMC:4896285

Abstract

ABSTRACTObjective:

The objective of this study was to clinically and radiographically assess the peri-implant conditions of implants used as orthodontic anchorage.

Methods:

Two groups were studied: 1) a test group in which osseointegrated implants were used as orthodontic anchorage, with the application of 200-cN force; and 2) a control group in which implants were not subjected to orthodontic force, but supported a screw-retained prosthesis. Clinical evaluations were performed three, six and nine months after prosthesis installation and 1- and 3-year follow-up examinations. Intraoral periapical radiographs were obtained 30 days after surgical implant placement, at the time of prosthesis installation, and one, two and three years thereafter. The results were compared by Kruskal-Wallis test.

Results:

There was no statistically significant difference in clinical probing depth (p = 0.1078) or mesial and distal crestal bone resorption (p = 0.1832) during the study period. After three years of follow-up, the mean probing depth was 2.21 mm for the control group and 2.39 mm for the test group. The implants of the control group showed a mean distance between the bone crest and implant shoulder of 2.39 mm, whereas the implants used as orthodontic anchorage showed a mean distance of 2.58 mm at the distal site.

Conclusion:

Results suggest that the use of stable intraoral orthodontic anchorage did not compromise the health of peri-implant tissues or the longevity of the implant.


Url:
DOI: 10.1590/2177-6709.21.2.073-080.oar
PubMed: 27275618
PubMed Central: 4896285

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PMC:4896285

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<p> The objective of this study was to clinically and radiographically assess the peri-implant conditions of implants used as orthodontic anchorage. </p>
</sec>
<sec>
<title>Methods:</title>
<p> Two groups were studied: 1) a test group in which osseointegrated implants were used as orthodontic anchorage, with the application of 200-cN force; and 2) a control group in which implants were not subjected to orthodontic force, but supported a screw-retained prosthesis. Clinical evaluations were performed three, six and nine months after prosthesis installation and 1- and 3-year follow-up examinations. Intraoral periapical radiographs were obtained 30 days after surgical implant placement, at the time of prosthesis installation, and one, two and three years thereafter. The results were compared by Kruskal-Wallis test. </p>
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<p>There was no statistically significant difference in clinical probing depth (
<italic>p</italic>
= 0.1078) or mesial and distal crestal bone resorption (
<italic>p</italic>
= 0.1832) during the study period. After three years of follow-up, the mean probing depth was 2.21 mm for the control group and 2.39 mm for the test group. The implants of the control group showed a mean distance between the bone crest and implant shoulder of 2.39 mm, whereas the implants used as orthodontic anchorage showed a mean distance of 2.58 mm at the distal site. </p>
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<title>Conclusion: </title>
<p>Results suggest that the use of stable intraoral orthodontic anchorage did not compromise the health of peri-implant tissues or the longevity of the implant.</p>
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<biblStruct>
<analytic>
<author>
<name sortKey="Roberts, We" uniqKey="Roberts W">WE Roberts</name>
</author>
<author>
<name sortKey="Engen, Dw" uniqKey="Engen D">DW Engen</name>
</author>
<author>
<name sortKey="Schneider, Pm" uniqKey="Schneider P">PM Schneider</name>
</author>
<author>
<name sortKey="Hohlt, Wf" uniqKey="Hohlt W">WF. Hohlt</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Leonhardt, A" uniqKey="Leonhardt A">A Leonhardt</name>
</author>
<author>
<name sortKey="Adolfsson, B" uniqKey="Adolfsson B">B Adolfsson</name>
</author>
<author>
<name sortKey="Lekholm, U" uniqKey="Lekholm U">U Lekholm</name>
</author>
<author>
<name sortKey="Wikstrom, M" uniqKey="Wikstrom M">M Wikström</name>
</author>
<author>
<name sortKey="Dahlen, G" uniqKey="Dahlen G">G. Dahlén</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Wehrbein, H" uniqKey="Wehrbein H">H Wehrbein</name>
</author>
<author>
<name sortKey="Merz, Br" uniqKey="Merz B">BR Merz</name>
</author>
<author>
<name sortKey="Hammerle, Ch" uniqKey="Hammerle C">CH Hammerle</name>
</author>
<author>
<name sortKey="Lang, Np" uniqKey="Lang N">NP Lang</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Pinho, T" uniqKey="Pinho T">T Pinho</name>
</author>
<author>
<name sortKey="Neves, M" uniqKey="Neves M">M Neves</name>
</author>
<author>
<name sortKey="Alves, C" uniqKey="Alves C">C Alves</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Palagi, Lm" uniqKey="Palagi L">LM Palagi</name>
</author>
<author>
<name sortKey="Sabrosa, Ce" uniqKey="Sabrosa C">CE Sabrosa</name>
</author>
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<name sortKey="Gava, Ec" uniqKey="Gava E">EC Gava</name>
</author>
<author>
<name sortKey="Baccetti, T" uniqKey="Baccetti T">T Baccetti</name>
</author>
<author>
<name sortKey="Miguel, Ja" uniqKey="Miguel J">JA. Miguel</name>
</author>
</analytic>
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</listBibl>
</div1>
</back>
</TEI>
<pmc article-type="research-article">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Dental Press J Orthod</journal-id>
<journal-id journal-id-type="iso-abbrev">Dental Press J Orthod</journal-id>
<journal-id journal-id-type="publisher-id">dpjo</journal-id>
<journal-title-group>
<journal-title>Dental Press Journal of Orthodontics</journal-title>
</journal-title-group>
<issn pub-type="ppub">2176-9451</issn>
<issn pub-type="epub">2177-6709</issn>
<publisher>
<publisher-name>Dental Press International</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">27275618</article-id>
<article-id pub-id-type="pmc">4896285</article-id>
<article-id pub-id-type="doi">10.1590/2177-6709.21.2.073-080.oar</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Peri-implant evaluation of osseointegrated implants subjected to orthodontic forces: results after three years of functional loading</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Marins</surname>
<given-names>Bruna de Rezende</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Pramiu</surname>
<given-names>Suy Ellen</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Busato</surname>
<given-names>Mauro Carlos Agner</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Marchi</surname>
<given-names>Luiz Carlos</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Togashi</surname>
<given-names>Adriane Yaeko</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
</contrib>
</contrib-group>
<aff id="aff1">
<label>1</label>
Graduate student in Oral and Maxillofacial Surgery, Universidade Estadual do Oeste do Paraná (UNIOESTE), School of Dentistry, Cascavel, Paraná, Brazil.</aff>
<aff id="aff2">
<label>2</label>
Undergraduate student, Universidade Estadual do Oeste do Paraná (UNIOESTE), School of Dentistry, Cascavel, Paraná, Brazil.</aff>
<aff id="aff3">
<label>3</label>
Professor, Universidade Estadual do Oeste do Paraná (UNIOESTE), Department of Orthodontics, School of Dentistry, Cascavel, Paraná, Brazil.</aff>
<aff id="aff4">
<label>4</label>
Professor of Periodontology and Oral Implantology, Universidade Estadual do Oeste do Paraná (UNIOESTE), Department of Implantology, School of Dentistry, Cascavel, Paraná, Brazil.</aff>
<author-notes>
<corresp id="c1">Contact address: Adriane Yaeko Togashi Rua Universitária, 2069 - Jd. Universitário, Cascavel/PR - Brasil CEP: 85.814-110 - E-mail:
<email>adriane.togashi@unioeste.br</email>
</corresp>
<fn fn-type="con" id="fn1">
<p>Author contributions Conception or design of the study: MCAB, LCM, AYT. Data acquisition, analysis or interpretation: BRM, SEP, MCAB, LCM, AYT. Writing the article: BRM, SEP, MCAB, LCM, AYT. Critical revision of the article: BRM, SEP, AYT. Final approval of the article: BRM, SEP, MCAB, LCM, AYT. Obtained funding: AYT. Overall responsibility: BRM, SEP, MCAB, LCM, AYT.</p>
</fn>
</author-notes>
<pub-date pub-type="epub-ppub">
<season>Mar-Apr</season>
<year>2016</year>
</pub-date>
<pmc-comment>Fake ppub date generated by PMC from publisher pub-date/@pub-type='epub-ppub' </pmc-comment>
<pub-date pub-type="ppub">
<season>Mar-Apr</season>
<year>2016</year>
</pub-date>
<volume>21</volume>
<issue>2</issue>
<fpage>73</fpage>
<lpage>80</lpage>
<history>
<date date-type="received">
<day>05</day>
<month>10</month>
<year>2015</year>
</date>
<date date-type="accepted">
<day>08</day>
<month>1</month>
<year>2016</year>
</date>
</history>
<permissions>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/4.0/">
<license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution License</license-p>
</license>
</permissions>
<abstract>
<title>ABSTRACT</title>
<sec>
<title>Objective:</title>
<p> The objective of this study was to clinically and radiographically assess the peri-implant conditions of implants used as orthodontic anchorage. </p>
</sec>
<sec>
<title>Methods:</title>
<p> Two groups were studied: 1) a test group in which osseointegrated implants were used as orthodontic anchorage, with the application of 200-cN force; and 2) a control group in which implants were not subjected to orthodontic force, but supported a screw-retained prosthesis. Clinical evaluations were performed three, six and nine months after prosthesis installation and 1- and 3-year follow-up examinations. Intraoral periapical radiographs were obtained 30 days after surgical implant placement, at the time of prosthesis installation, and one, two and three years thereafter. The results were compared by Kruskal-Wallis test. </p>
</sec>
<sec>
<title>Results: </title>
<p>There was no statistically significant difference in clinical probing depth (
<italic>p</italic>
= 0.1078) or mesial and distal crestal bone resorption (
<italic>p</italic>
= 0.1832) during the study period. After three years of follow-up, the mean probing depth was 2.21 mm for the control group and 2.39 mm for the test group. The implants of the control group showed a mean distance between the bone crest and implant shoulder of 2.39 mm, whereas the implants used as orthodontic anchorage showed a mean distance of 2.58 mm at the distal site. </p>
</sec>
<sec>
<title>Conclusion: </title>
<p>Results suggest that the use of stable intraoral orthodontic anchorage did not compromise the health of peri-implant tissues or the longevity of the implant.</p>
</sec>
</abstract>
<trans-abstract xml:lang="pt">
<title>RESUMO</title>
<sec>
<title>Introdução:</title>
<p> o objetivo do presente estudo foi avaliar, clínica e radiograficamente, as condições peri-implantares de implantes usados como ancoragem ortodôntica. </p>
</sec>
<sec>
<title>Métodos: </title>
<p>dois grupos foram estudados: 1) Grupo Teste - no qual os implantes osseointegráveis foram utilizados como ancoragem ortodôntica, com aplicação de uma força de 200cN; e 2) Grupo Controle - no qual os implantes não foram submetidos à ancoragem ortodôntica, apenas serviram de suporte para fixação de prótese implantossuportada. Avaliações clínicas foram realizadas aos 3, 6 e 9 meses após a instalação das próteses, e após 1 e 3 anos de acompanhamento. Radiografias periapicais intrabucais foram obtidas 30 dias após a colocação do implante, no momento da instalação da prótese e após 1, 2 e 3 anos de acompanhamento. Os resultados foram comparados pelo teste de Kruskal-Wallis. </p>
</sec>
<sec>
<title>Resultados: </title>
<p>não houve diferenças quanto à profundidade clínica de sondagem (
<italic>p</italic>
= 0,1078) e a reabsorção das cristas ósseas mesial e distal (
<italic>p</italic>
= 0,1832) durante o período avaliado. Após três anos de acompanhamento, a média de profundidade de sondagem foi de 2,21mm para o Grupo Controle e de 2,39mm para o Grupo Teste. Os implantes do Grupo Controle apresentaram distância média de 2.39mm entre a crista óssea e o ombro do implante, enquanto os implantes usados como ancoragem ortodôntica mostraram distância média de 2,58mm na distal. </p>
</sec>
<sec>
<title>Conclusão: </title>
<p>esses resultados sugerem que o uso de uma ancoragem intrabucal estável não compromete a saúde dos tecidos peri-implantares ou a longevidade do implante.</p>
</sec>
</trans-abstract>
<kwd-group>
<title>Keywords:</title>
<kwd>Bones</kwd>
<kwd>Dental implants</kwd>
<kwd>Orthodontic appliances</kwd>
<kwd>Osseointegration</kwd>
</kwd-group>
<counts>
<fig-count count="6"></fig-count>
<table-count count="5"></table-count>
<equation-count count="0"></equation-count>
<ref-count count="30"></ref-count>
<page-count count="8"></page-count>
</counts>
</article-meta>
</front>
</pmc>
</record>

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