Upper full arch rehabilitation with sinus by-pass with tilted implants via tapered-threaded expanders in low density bone: a clinical trial
Identifieur interne : 002519 ( Pmc/Curation ); précédent : 002518; suivant : 002520Upper full arch rehabilitation with sinus by-pass with tilted implants via tapered-threaded expanders in low density bone: a clinical trial
Auteurs : M. Andreasi Bassi [Italie] ; C. Andrisani [Italie] ; S. Lico [Italie] ; Z. Ormanier [Israël] ; C. Arcuri [Italie]Source :
- Oral & Implantology [ 1974-5648 ] ; 2016.
Abstract
In the present paper the use of tapered-screw bone expanders (TSBEs) is proposed, in combination with the placement of tilted implants, in close proximity to the anterior sinus wall, solving the problem of the reduced height of the alveolar bone in the sub-antral area. The Authors present a case series of full-arch rehabilitations performed with this procedure named: Tilted Implant Expansion Osteotomy (TIEO).
12 patients (5 males and 7 females, average age 58.5 ± 8.1 years) with totally or partially edentulous maxilla were enrolled in this study. For each patient 4 implants were placed, the anterior implants in the area of lateral incisors or canines while, the posterior implants, immediately in front of the maxillary sinus, with an inclined position. Adopting the aforesaid procedure, 48 cylindrical two-piece implants were placed, 24 of which were placed in tilted position, in order to by-pass the maxillary sinus. After a healing period of 6 months, the second stage surgery was performed. The cases were finalized by means of a hybrid metal-acrylic prosthesis. The post finalization follow-up was at 12 months.
Survival rate was 100% since none fixtures were lost. At the one-year follow up the clinical and radiological appearance of the soft and hard tissues was optimal and no pathological signs were recorded.
TIEO is a promising surgical procedure for full-arch rehabilitation of maxillary edentulous sites and represents a therapeutic alternative to sinus lift techniques.
Url:
DOI: 10.11138/orl/2016.9.2.061
PubMed: 28042432
PubMed Central: 5159914
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<author><name sortKey="Bassi, M Andreasi" sort="Bassi, M Andreasi" uniqKey="Bassi M" first="M. Andreasi" last="Bassi">M. Andreasi Bassi</name>
<affiliation wicri:level="1"><nlm:aff id="af1-61-68">Private Practice in Rome, Rome, Italy</nlm:aff>
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<author><name sortKey="Lico, S" sort="Lico, S" uniqKey="Lico S" first="S." last="Lico">S. Lico</name>
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<series><title level="j">Oral & Implantology</title>
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<front><div type="abstract" xml:lang="en"><title>SUMMARY</title>
<sec><title>Purpose</title>
<p>In the present paper the use of tapered-screw bone expanders (TSBEs) is proposed, in combination with the placement of tilted implants, in close proximity to the anterior sinus wall, solving the problem of the reduced height of the alveolar bone in the sub-antral area. The Authors present a case series of full-arch rehabilitations performed with this procedure named: Tilted Implant Expansion Osteotomy (TIEO).</p>
</sec>
<sec><title>Materials and methods</title>
<p>12 patients (5 males and 7 females, average age 58.5 ± 8.1 years) with totally or partially edentulous maxilla were enrolled in this study. For each patient 4 implants were placed, the anterior implants in the area of lateral incisors or canines while, the posterior implants, immediately in front of the maxillary sinus, with an inclined position. Adopting the aforesaid procedure, 48 cylindrical two-piece implants were placed, 24 of which were placed in tilted position, in order to by-pass the maxillary sinus. After a healing period of 6 months, the second stage surgery was performed. The cases were finalized by means of a hybrid metal-acrylic prosthesis. The post finalization follow-up was at 12 months.</p>
</sec>
<sec><title>Results</title>
<p>Survival rate was 100% since none fixtures were lost. At the one-year follow up the clinical and radiological appearance of the soft and hard tissues was optimal and no pathological signs were recorded.</p>
</sec>
<sec><title>Conclusion</title>
<p>TIEO is a promising surgical procedure for full-arch rehabilitation of maxillary edentulous sites and represents a therapeutic alternative to sinus lift techniques.</p>
</sec>
</div>
</front>
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<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Oral Implantol (Rome)</journal-id>
<journal-id journal-id-type="iso-abbrev">Oral Implantol (Rome)</journal-id>
<journal-id journal-id-type="publisher-id">OAI</journal-id>
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<issn pub-type="ppub">1974-5648</issn>
<issn pub-type="epub">2035-2468</issn>
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<article-id pub-id-type="publisher-id">61-68</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original Research Article</subject>
</subj-group>
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<title-group><article-title>Upper full arch rehabilitation with sinus by-pass with tilted implants via tapered-threaded expanders in low density bone: a clinical trial</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>BASSI</surname>
<given-names>M. ANDREASI</given-names>
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<contrib contrib-type="author"><name><surname>LICO</surname>
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<aff id="af1-61-68"><label>1</label>
Private Practice in Rome, Rome, Italy</aff>
<aff id="af2-61-68"><label>2</label>
Private Practice in Matera, Matera, Italy</aff>
<aff id="af3-61-68"><label>3</label>
Private Practice in Olevano Romano (RM), Italy</aff>
<aff id="af4-61-68"><label>4</label>
Department of Oral Rehabilitation, Tel-Aviv University, Tel-Aviv, Israel</aff>
<aff id="af5-61-68"><label>5</label>
Department of Clinical Sciences and Translational Medicine, University of Rome “Tor Vergata”, Rome, Italy</aff>
<author-notes><corresp id="c1-61-68">Correspondence to: Prof. Claudio Arcuri, Department of Clinical Sciences and Translational Medicine, University of Rome “Tor Vergata”, Rome, Italy, Tel: +39 06 68371, E-mail: <email>arcuri@med.uniroma2.it</email>
</corresp>
</author-notes>
<pub-date pub-type="collection"><season>Apr-Jun</season>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub"><day>13</day>
<month>11</month>
<year>2016</year>
</pub-date>
<volume>9</volume>
<issue>2</issue>
<fpage>61</fpage>
<lpage>68</lpage>
<permissions><copyright-statement>© Copyright 2016, CIC Edizioni Internazionali, Roma</copyright-statement>
<copyright-year>2016</copyright-year>
</permissions>
<abstract><title>SUMMARY</title>
<sec><title>Purpose</title>
<p>In the present paper the use of tapered-screw bone expanders (TSBEs) is proposed, in combination with the placement of tilted implants, in close proximity to the anterior sinus wall, solving the problem of the reduced height of the alveolar bone in the sub-antral area. The Authors present a case series of full-arch rehabilitations performed with this procedure named: Tilted Implant Expansion Osteotomy (TIEO).</p>
</sec>
<sec><title>Materials and methods</title>
<p>12 patients (5 males and 7 females, average age 58.5 ± 8.1 years) with totally or partially edentulous maxilla were enrolled in this study. For each patient 4 implants were placed, the anterior implants in the area of lateral incisors or canines while, the posterior implants, immediately in front of the maxillary sinus, with an inclined position. Adopting the aforesaid procedure, 48 cylindrical two-piece implants were placed, 24 of which were placed in tilted position, in order to by-pass the maxillary sinus. After a healing period of 6 months, the second stage surgery was performed. The cases were finalized by means of a hybrid metal-acrylic prosthesis. The post finalization follow-up was at 12 months.</p>
</sec>
<sec><title>Results</title>
<p>Survival rate was 100% since none fixtures were lost. At the one-year follow up the clinical and radiological appearance of the soft and hard tissues was optimal and no pathological signs were recorded.</p>
</sec>
<sec><title>Conclusion</title>
<p>TIEO is a promising surgical procedure for full-arch rehabilitation of maxillary edentulous sites and represents a therapeutic alternative to sinus lift techniques.</p>
</sec>
</abstract>
<kwd-group><kwd>low density bone</kwd>
<kwd>sinus lift</kwd>
<kwd>tilted implants</kwd>
<kwd>tapered-screw bone expanders</kwd>
<kwd>bone expansion</kwd>
</kwd-group>
</article-meta>
</front>
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