Clinical and Radiographic Evaluation of Brånemark Implants with an Anodized Surface following Seven-to-Eight Years of Functional Loading
Identifieur interne : 002D60 ( Pmc/Curation ); précédent : 002D59; suivant : 002D61Clinical and Radiographic Evaluation of Brånemark Implants with an Anodized Surface following Seven-to-Eight Years of Functional Loading
Auteurs : David Gelb [États-Unis] ; Bradley Mcallister [États-Unis] ; Pirkka Nummikoski [États-Unis] ; Massimo Del Fabbro [Italie]Source :
- International Journal of Dentistry [ 1687-8728 ] ; 2013.
Abstract
The aim of this study was to evaluate the clinical and radiographic long-term outcomes of dental implants with an anodized TiUnite surface, placed in routine clinical practice. Two clinical centers participated in the study. One hundred and seven implants (80 in the maxilla and 27 in the mandible) in 52 patients were followed in the long term. Both one- and two-stage techniques were used for 38 and 69 implants, respectively. Thirty-eight single tooth restorations and 22 fixed partial prostheses were delivered, according to a delayed loading protocol, within 4 to 12 months since implant placement. All implants were stable at insertion and at the long-term follow-up visit, which occurred between 7 and 8 years of functional loading. The mean followup was 7.33 ± 0.47 years. The mean marginal bone level change at the long-term followup as compared to baseline was 1.49 ± 1.03 mm. No implant failure occurred. Healthy peri-implant mucosa was found around 95% of implants, whereas 91% of implants showed no visible plaque at the implant surfaces at the long-term followup. The study showed that dental implants with the TiUnite anodized surface demonstrate excellent long-term clinical and radiographic outcomes.
Url:
DOI: 10.1155/2013/583567
PubMed: 23533412
PubMed Central: 3606721
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Studi di Milano, 20161 Milano, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Biomedical, Surgical and Dental Sciences, Research Centre for Oral Health, IRCCS Istituto Ortopedico Galeazzi, Università degli Studi di Milano, 20161 Milano</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23533412</idno><idno type="pmc">3606721</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3606721</idno><idno type="RBID">PMC:3606721</idno><idno type="doi">10.1155/2013/583567</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">002D60</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002D60</idno><idno type="wicri:Area/Pmc/Curation">002D60</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002D60</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Clinical and Radiographic Evaluation of Brånemark Implants with an Anodized Surface following Seven-to-Eight Years of Functional Loading</title><author><name sortKey="Gelb, David" sort="Gelb, David" uniqKey="Gelb D" first="David" last="Gelb">David Gelb</name><affiliation wicri:level="1"><nlm:aff id="I1">West Hartford Hospital and Private Practice, West Hartford, CT 06119, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>West Hartford Hospital and Private Practice, West Hartford, CT 06119</wicri:regionArea></affiliation></author><author><name sortKey="Mcallister, Bradley" sort="Mcallister, Bradley" uniqKey="Mcallister B" first="Bradley" last="Mcallister">Bradley Mcallister</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Periodontology, Oregon Health Sciences University and Private Practice, Portland, OR 97224, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Periodontology, Oregon Health Sciences University and Private Practice, Portland, OR 97224</wicri:regionArea></affiliation></author><author><name sortKey="Nummikoski, Pirkka" sort="Nummikoski, Pirkka" uniqKey="Nummikoski P" first="Pirkka" last="Nummikoski">Pirkka Nummikoski</name><affiliation wicri:level="1"><nlm:aff id="I3">The University of Texas Health Science Center, San Antonio, TX 78229-3901, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>The University of Texas Health Science Center, San Antonio, TX 78229-3901</wicri:regionArea></affiliation></author><author><name sortKey="Del Fabbro, Massimo" sort="Del Fabbro, Massimo" uniqKey="Del Fabbro M" first="Massimo" last="Del Fabbro">Massimo Del Fabbro</name><affiliation wicri:level="1"><nlm:aff id="I4">Department of Biomedical, Surgical and Dental Sciences, Research Centre for Oral Health, IRCCS Istituto Ortopedico Galeazzi, Università degli Studi di Milano, 20161 Milano, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Biomedical, Surgical and Dental Sciences, Research Centre for Oral Health, IRCCS Istituto Ortopedico Galeazzi, Università degli Studi di Milano, 20161 Milano</wicri:regionArea></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="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The aim of this study was to evaluate the clinical and radiographic long-term outcomes of dental implants with an anodized TiUnite surface, placed in routine clinical practice. Two clinical centers participated in the study. One hundred and seven implants (80 in the maxilla and 27 in the mandible) in 52 patients were followed in the long term. Both one- and two-stage techniques were used for 38 and 69 implants, respectively. Thirty-eight single tooth restorations and 22 fixed partial prostheses were delivered, according to a delayed loading protocol, within 4 to 12 months since implant placement. All implants were stable at insertion and at the long-term follow-up visit, which occurred between 7 and 8 years of functional loading. The mean followup was 7.33 ± 0.47 years. The mean marginal bone level change at the long-term followup as compared to baseline was 1.49 ± 1.03 mm. No implant failure occurred. Healthy peri-implant mucosa was found around 95% of implants, whereas 91% of implants showed no visible plaque at the implant surfaces at the long-term followup. 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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">23533412</article-id><article-id pub-id-type="pmc">3606721</article-id><article-id pub-id-type="doi">10.1155/2013/583567</article-id><article-categories><subj-group subj-group-type="heading"><subject>Clinical Study</subject></subj-group></article-categories><title-group><article-title>Clinical and Radiographic Evaluation of Brånemark Implants with an Anodized Surface following Seven-to-Eight Years of Functional Loading</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Gelb</surname><given-names>David</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>McAllister</surname><given-names>Bradley</given-names></name><xref ref-type="aff" rid="I2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Nummikoski</surname><given-names>Pirkka</given-names></name><xref ref-type="aff" rid="I3"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Del Fabbro</surname><given-names>Massimo</given-names></name><xref ref-type="aff" rid="I4"><sup>4</sup></xref><xref ref-type="corresp" rid="cor1">*</xref></contrib></contrib-group><aff id="I1"><sup>1</sup>West Hartford Hospital and Private Practice, West Hartford, CT 06119, USA</aff><aff id="I2"><sup>2</sup>Department of Periodontology, Oregon Health Sciences University and Private Practice, Portland, OR 97224, USA</aff><aff id="I3"><sup>3</sup>The University of Texas Health Science Center, San Antonio, TX 78229-3901, USA</aff><aff id="I4"><sup>4</sup>Department of Biomedical, Surgical and Dental Sciences, Research Centre for Oral Health, IRCCS Istituto Ortopedico Galeazzi, Università degli Studi di Milano, 20161 Milano, Italy</aff><author-notes><corresp id="cor1">*Massimo Del Fabbro: <email>massimo.delfabbro@unimi.it</email></corresp><fn fn-type="other"><p>Academic Editor: Francesco Carinci</p></fn></author-notes><pub-date pub-type="ppub"><year>2013</year></pub-date><pub-date pub-type="epub"><day>7</day><month>3</month><year>2013</year></pub-date><volume>2013</volume><elocation-id>583567</elocation-id><history><date date-type="received"><day>3</day><month>1</month><year>2013</year></date><date date-type="accepted"><day>10</day><month>2</month><year>2013</year></date></history><permissions><copyright-statement>Copyright © 2013 David Gelb et al.</copyright-statement><copyright-year>2013</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>The aim of this study was to evaluate the clinical and radiographic long-term outcomes of dental implants with an anodized TiUnite surface, placed in routine clinical practice. Two clinical centers participated in the study. One hundred and seven implants (80 in the maxilla and 27 in the mandible) in 52 patients were followed in the long term. Both one- and two-stage techniques were used for 38 and 69 implants, respectively. Thirty-eight single tooth restorations and 22 fixed partial prostheses were delivered, according to a delayed loading protocol, within 4 to 12 months since implant placement. All implants were stable at insertion and at the long-term follow-up visit, which occurred between 7 and 8 years of functional loading. The mean followup was 7.33 ± 0.47 years. The mean marginal bone level change at the long-term followup as compared to baseline was 1.49 ± 1.03 mm. No implant failure occurred. Healthy peri-implant mucosa was found around 95% of implants, whereas 91% of implants showed no visible plaque at the implant surfaces at the long-term followup. The study showed that dental implants with the TiUnite anodized surface demonstrate excellent long-term clinical and radiographic outcomes.</p></abstract></article-meta></front><floats-group><fig id="fig1" orientation="portrait" position="float"><label>Figure 1</label><caption><p>Periapical radiograph at abutment connection. </p></caption><graphic xlink:href="IJD2013-583567.001"></graphic></fig><fig id="fig2" orientation="portrait" position="float"><label>Figure 2</label><caption><p>Periapical radiograph of the implants 8 years after implant placement. Substantial stability of peri-implant bone levels can be appreciated.</p></caption><graphic xlink:href="IJD2013-583567.002"></graphic></fig><fig id="fig3" orientation="portrait" position="float"><label>Figure 3</label><caption><p>Intraoral view of the implant crowns 8 years after implant placement. Peri-implant soft tissues appear healthy.</p></caption><graphic xlink:href="IJD2013-583567.003"></graphic></fig><table-wrap id="tab1" orientation="portrait" position="float"><label>Table 1</label><caption><p>Distribution of the implants used in this study.</p></caption><table frame="hsides" rules="groups"><thead><tr><th align="left" rowspan="1" colspan="1">Implant type</th><th align="center" rowspan="1" colspan="1">Implant length, mm</th><th align="center" rowspan="1" colspan="1">Maxilla, number of implants</th><th align="center" rowspan="1" colspan="1">Mandible, number of implants</th></tr></thead><tbody><tr><td align="left" rowspan="4" colspan="1">Brånemark System Mk IV TiUnite 4.0 mm </td><td align="center" rowspan="1" colspan="1">7 </td><td align="center" rowspan="1" colspan="1">2</td><td align="center" rowspan="1" colspan="1"> 0</td></tr><tr><td align="center" rowspan="1" colspan="1">10 </td><td align="center" rowspan="1" colspan="1">7</td><td align="center" rowspan="1" colspan="1"> 0</td></tr><tr><td align="center" rowspan="1" colspan="1">11.5 </td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1"> 0</td></tr><tr><td align="center" rowspan="1" colspan="1">13 </td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1"> 0</td></tr><tr><td align="left" colspan="4" rowspan="1"><hr></hr></td></tr><tr><td align="left" rowspan="7" colspan="1">Brånemark System Mk III TiUnite 4.0 mm </td><td align="center" rowspan="1" colspan="1">8.5 </td><td align="center" rowspan="1" colspan="1">2</td><td align="center" rowspan="1" colspan="1">1</td></tr><tr><td align="center" rowspan="1" colspan="1">10 </td><td align="center" rowspan="1" colspan="1">21</td><td align="center" rowspan="1" colspan="1">11</td></tr><tr><td align="center" rowspan="1" colspan="1">11.5 </td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">3</td></tr><tr><td align="center" rowspan="1" colspan="1">13 </td><td align="center" rowspan="1" colspan="1">28</td><td align="center" rowspan="1" colspan="1">10</td></tr><tr><td align="center" rowspan="1" colspan="1">15 </td><td align="center" rowspan="1" colspan="1">13</td><td align="center" rowspan="1" colspan="1">2</td></tr><tr><td align="center" rowspan="1" colspan="1">17 </td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1"> 0</td></tr><tr><td align="center" rowspan="1" colspan="1">18 </td><td align="center" rowspan="1" colspan="1">2</td><td align="center" rowspan="1" colspan="1"> 0</td></tr><tr><td align="left" colspan="4" rowspan="1"><hr></hr></td></tr><tr><td align="left" rowspan="1" colspan="1">Brånemark System MkIII TiUnite 3.75 mm</td><td align="center" rowspan="1" colspan="1">15 </td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1"> 0</td></tr><tr><td align="left" colspan="4" rowspan="1"><hr></hr></td></tr><tr><td align="left" rowspan="1" colspan="1">Total</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">80</td><td align="center" rowspan="1" colspan="1">27</td></tr></tbody></table></table-wrap><table-wrap id="tab2" orientation="portrait" position="float"><label>Table 2</label><caption><p>Kaplan-Meier (life-table) analysis.</p></caption><table frame="hsides" rules="groups"><thead><tr><th align="left" rowspan="1" colspan="1">Time interval</th><th align="center" rowspan="1" colspan="1">Followed implants</th><th align="center" rowspan="1" colspan="1">Failed implants</th><th align="center" rowspan="1" colspan="1">Implants lost to followup</th><th align="center" rowspan="1" colspan="1">Cumulative survival rate</th></tr></thead><tbody><tr><td align="left" rowspan="1" colspan="1">Insertion–6 months</td><td align="center" rowspan="1" colspan="1">113</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">100%</td></tr><tr><td align="left" rowspan="1" colspan="1">6 months–1 year</td><td align="center" rowspan="1" colspan="1">113</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">100%</td></tr><tr><td align="left" rowspan="1" colspan="1">1-2 years</td><td align="center" rowspan="1" colspan="1">113</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">4</td><td align="center" rowspan="1" colspan="1">100%</td></tr><tr><td align="left" rowspan="1" colspan="1">2-3 years</td><td align="center" rowspan="1" colspan="1">109</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">100%</td></tr><tr><td align="left" rowspan="1" colspan="1">3-4 years</td><td align="center" rowspan="1" colspan="1">109</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">100%</td></tr><tr><td align="left" rowspan="1" colspan="1">4-5 years</td><td align="center" rowspan="1" colspan="1">109</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">100%</td></tr><tr><td align="left" rowspan="1" colspan="1">5-6 years</td><td align="center" rowspan="1" colspan="1">109</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">2</td><td align="center" rowspan="1" colspan="1">100%</td></tr><tr><td align="left" rowspan="1" colspan="1">6-7 years</td><td align="center" rowspan="1" colspan="1">107</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">100%</td></tr><tr><td align="left" rowspan="1" colspan="1">7-8 years</td><td align="center" rowspan="1" colspan="1">107</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">100%</td></tr></tbody></table></table-wrap><table-wrap id="tab3" orientation="portrait" position="float"><label>Table 3</label><caption><p>Soft tissue scores after 7-8 years.</p></caption><table frame="hsides" rules="groups"><thead><tr><th align="left" rowspan="1" colspan="1"> </th><th align="center" rowspan="1" colspan="1">Number of implants</th><th align="center" rowspan="1" colspan="1">%</th></tr></thead><tbody><tr><td align="left" rowspan="1" colspan="1">Gingival index</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> 0 = normal mucosa</td><td align="center" rowspan="1" colspan="1">102</td><td align="center" rowspan="1" colspan="1">95</td></tr><tr><td align="left" rowspan="1" colspan="1"> 1 = bleeding on superficial probing</td><td align="center" rowspan="1" colspan="1">5</td><td align="center" rowspan="1" colspan="1">5</td></tr><tr><td align="left" rowspan="1" colspan="1"> 2 = discoloration, spontaneous bleeding</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">0</td></tr><tr><td align="left" rowspan="1" colspan="1">Plaque index</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"></td></tr><tr><td align="left" rowspan="1" colspan="1"> Yes</td><td align="center" rowspan="1" colspan="1">10</td><td align="center" rowspan="1" colspan="1">9</td></tr><tr><td align="left" rowspan="1" colspan="1"> No</td><td align="center" rowspan="1" colspan="1">97</td><td align="center" rowspan="1" colspan="1">91</td></tr></tbody></table></table-wrap></floats-group></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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