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Morse Taper Connection Implants Placed in Grafted Sinuses in 65 Patients: A Retrospective Clinical Study with 10 Years of Follow-Up

Identifieur interne : 002E21 ( Pmc/Curation ); précédent : 002E20; suivant : 002E22

Morse Taper Connection Implants Placed in Grafted Sinuses in 65 Patients: A Retrospective Clinical Study with 10 Years of Follow-Up

Auteurs : Francesco Mangano [Italie] ; Renata Bakaj [Italie] ; Irene Frezzato [Italie] ; Alberto Frezzato [Italie] ; Sergio Montini [Italie] ; Carlo Mangano [Italie]

Source :

RBID : PMC:5564123

Abstract

Purpose

To investigate the 10-year survival and complication rates of Morse taper connection implants (MTCIs) placed in grafted sinuses.

Methods

This study reports on patients treated with maxillary sinus augmentation (with the lateral window technique (LWT) or the transalveolar osteotomy technique (TOT)) and installed with MTCIs supporting fixed restorations (single crowns (SCs) and fixed partial dentures (FPDs)), in two dental clinics. The outcomes of the study were the 10-year implant survival and complication rates.

Results

Sixty-five patients (30 males and 35 females) with a mean age of 62.7 (±10.2) years were installed with 142 MTCIs: 79 fixtures were inserted with the LWT and 63 were placed with the TOT. After ten years, five implants failed, for an overall survival rate of 96.5%. Three implants failed in the LWT group, for a survival rate of 96.3%; two implants failed in the TOT group, for a survival rate of 96.9%. The 10-year incidence of biologic complications was 11.9%. Prosthetic complications were all technical in nature and amounted to 7.6%.

Conclusions

MTCIs seem to represent a successful procedure for the prosthetic restoration of the grafted posterior maxilla, in the long term. This study was registered in the ISRCTN registry with number ISRCTN30772506.


Url:
DOI: 10.1155/2017/4573037
PubMed: 28848604
PubMed Central: 5564123

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PMC:5564123

Le document en format XML

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<title>Purpose</title>
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<title> Methods</title>
<p> This study reports on patients treated with maxillary sinus augmentation (with the lateral window technique (LWT) or the transalveolar osteotomy technique (TOT)) and installed with MTCIs supporting fixed restorations (single crowns (SCs) and fixed partial dentures (FPDs)), in two dental clinics. The outcomes of the study were the 10-year implant survival and complication rates.</p>
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</TEI>
<pmc article-type="research-article">
<pmc-dir>properties open_access</pmc-dir>
<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</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">28848604</article-id>
<article-id pub-id-type="pmc">5564123</article-id>
<article-id pub-id-type="doi">10.1155/2017/4573037</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Clinical Study</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Morse Taper Connection Implants Placed in Grafted Sinuses in 65 Patients: A Retrospective Clinical Study with 10 Years of Follow-Up</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0001-5488-4268</contrib-id>
<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">
<name>
<surname>Bakaj</surname>
<given-names>Renata</given-names>
</name>
<xref ref-type="aff" rid="I1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Frezzato</surname>
<given-names>Irene</given-names>
</name>
<xref ref-type="aff" rid="I2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Frezzato</surname>
<given-names>Alberto</given-names>
</name>
<xref ref-type="aff" rid="I2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Montini</surname>
<given-names>Sergio</given-names>
</name>
<xref ref-type="aff" rid="I3">
<sup>3</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="I4">
<sup>4</sup>
</xref>
</contrib>
</contrib-group>
<aff id="I1">
<sup>1</sup>
Department of Medicine and Surgery, University of Insubria, 21100 Varese, Italy</aff>
<aff id="I2">
<sup>2</sup>
Private Practice, 45100 Rovigo, Italy</aff>
<aff id="I3">
<sup>3</sup>
Private Practice, 22019 Tremezzo, Italy</aff>
<aff id="I4">
<sup>4</sup>
Department of Dental Science, Vita Salute S. Raffaele University, 20132 Milan, Italy</aff>
<author-notes>
<corresp id="cor1">*Francesco Mangano:
<email>francescoguidomangano@gmail.com</email>
</corresp>
<fn fn-type="other">
<p>Academic Editor: Luigi Canullo</p>
</fn>
</author-notes>
<pub-date pub-type="ppub">
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>7</day>
<month>8</month>
<year>2017</year>
</pub-date>
<volume>2017</volume>
<elocation-id>4573037</elocation-id>
<history>
<date date-type="received">
<day>19</day>
<month>6</month>
<year>2017</year>
</date>
<date date-type="accepted">
<day>10</day>
<month>7</month>
<year>2017</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright © 2017 Francesco Mangano et al.</copyright-statement>
<copyright-year>2017</copyright-year>
<license xlink:href="https://creativecommons.org/licenses/by/4.0/">
<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>
<sec>
<title>Purpose</title>
<p> To investigate the 10-year survival and complication rates of Morse taper connection implants (MTCIs) placed in grafted sinuses.</p>
</sec>
<sec>
<title> Methods</title>
<p> This study reports on patients treated with maxillary sinus augmentation (with the lateral window technique (LWT) or the transalveolar osteotomy technique (TOT)) and installed with MTCIs supporting fixed restorations (single crowns (SCs) and fixed partial dentures (FPDs)), in two dental clinics. The outcomes of the study were the 10-year implant survival and complication rates.</p>
</sec>
<sec>
<title> Results</title>
<p> Sixty-five patients (30 males and 35 females) with a mean age of 62.7 (±10.2) years were installed with 142 MTCIs: 79 fixtures were inserted with the LWT and 63 were placed with the TOT. After ten years, five implants failed, for an overall survival rate of 96.5%. Three implants failed in the LWT group, for a survival rate of 96.3%; two implants failed in the TOT group, for a survival rate of 96.9%. The 10-year incidence of biologic complications was 11.9%. Prosthetic complications were all technical in nature and amounted to 7.6%.</p>
</sec>
<sec>
<title> Conclusions</title>
<p> MTCIs seem to represent a successful procedure for the prosthetic restoration of the grafted posterior maxilla, in the long term. This study was registered in the ISRCTN registry with number
<ext-link ext-link-type="uri" xlink:href="http://www.isrctn.com/ISRCTN30772506?q=&filters=conditionCategory:Oral%20Health,ageRange:Adult,trialStatus:Completed&sort=&offset=2&totalResults=124&page=1&pageSize=10&searchType=basic-search">ISRCTN30772506</ext-link>
.</p>
</sec>
</abstract>
</article-meta>
</front>
<floats-group>
<fig id="fig1" orientation="portrait" position="float">
<label>Figure 1</label>
<caption>
<p>The sandblasted-acid-etched surface of the implants used in this study, at different magnification: (a) ×100; (b) ×200; (c) ×500; (d) ×1000. Implant surface was treated with a sandblasting process producing an average roughness
<italic>R</italic>
<sub>
<italic>a</italic>
</sub>
of 2.5 
<italic>μ</italic>
m: fixtures were blasted with alumina particles. Sandblasting was followed by a decontamination treatment series, including a passivation process with nitric acid.</p>
</caption>
<graphic xlink:href="IJD2017-4573037.001"></graphic>
</fig>
<fig id="fig2" orientation="portrait" position="float">
<label>Figure 2</label>
<caption>
<p>The implants used in this study featured a cone Morse taper interference-fit (TIF) locking-taper, with a taper angle of 1.5°, combined with an internal hexagon.</p>
</caption>
<graphic xlink:href="IJD2017-4573037.002"></graphic>
</fig>
<fig id="fig3" orientation="portrait" position="float">
<label>Figure 3</label>
<caption>
<p>Two implants (#15 and #16) inserted with the transalveolar osteotomy technique: (a) preoperative rx; (b) radiographic control at the delivery of final restorations; (c) radiographic control 1 year after implant placement; (d) radiographic control 5 years after implant placement; (e) radiographic control 10 years after implant placement.</p>
</caption>
<graphic xlink:href="IJD2017-4573037.003"></graphic>
</fig>
<fig id="fig4" orientation="portrait" position="float">
<label>Figure 4</label>
<caption>
<p>Two implants (#25 and #26) inserted with the transalveolar osteotomy technique: (a) preoperative rx; (b) the implants placed after the sinus elevation with the Summers technique; (c) radiographic control 1 year after implant placement; (d) radiographic control 5 years after implant placement; (e) radiographic control 10 years after implant placement.</p>
</caption>
<graphic xlink:href="IJD2017-4573037.004"></graphic>
</fig>
<fig id="fig5" orientation="portrait" position="float">
<label>Figure 5</label>
<caption>
<p>Three implants (#14, #15, and #16) inserted with the lateral window technique. (a) preoperative rx; (b) periapical rx after the sinus augmentation procedure according to Tatum; (c) 6 months later the implants are inserted; (d) radiographic control at the delivery of the final restoration; (e) radiographic control 5 years after implant placement; (f) radiographic control 10 years after implant placement.</p>
</caption>
<graphic xlink:href="IJD2017-4573037.005"></graphic>
</fig>
<table-wrap id="tab1" orientation="portrait" position="float">
<label>Table 1</label>
<caption>
<p>Patient distribution.</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 patients (%)</th>
<th align="center" rowspan="1" colspan="1">
<sup>
<italic></italic>
</sup>
<italic>p</italic>
</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" rowspan="1" colspan="1">Gender</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">
<italic>Males</italic>
</td>
<td align="center" rowspan="1" colspan="1">30 (46.2%)</td>
<td rowspan="2" align="center" colspan="1">0.535</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">
<italic>Females</italic>
</td>
<td align="center" rowspan="1" colspan="1">35 (53.8%)</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">Age at surgery</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">
<italic>20–39 years</italic>
</td>
<td align="center" rowspan="1" colspan="1">2 (3.1%)</td>
<td rowspan="3" align="center" colspan="1"><0.0001</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">
<italic>40–59 years</italic>
</td>
<td align="center" rowspan="1" colspan="1">21 (32.3%)</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">
<italic>60–79 years</italic>
</td>
<td align="center" rowspan="1" colspan="1">42 (64.6%)</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">Smoking habit</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">
<italic>Yes</italic>
</td>
<td align="center" rowspan="1" colspan="1">15 (23.1%)</td>
<td rowspan="2" align="center" colspan="1"><0.0001</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">
<italic>No</italic>
</td>
<td align="center" rowspan="1" colspan="1">50 (76.9%)</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">Oral hygiene</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">
<italic>Satisfactory</italic>
</td>
<td align="center" rowspan="1" colspan="1">35 (53.8%)</td>
<td rowspan="2" align="center" colspan="1">0.535</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">
<italic>Not satisfactory</italic>
</td>
<td align="center" rowspan="1" colspan="1">30 (46.2%)</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">Total</td>
<td align="center" rowspan="1" colspan="1">65 (100%)</td>
<td align="center" rowspan="1" colspan="1"></td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>
<sup>
<italic></italic>
</sup>
<italic>p</italic>
= Chi-square test.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="tab2" orientation="portrait" position="float">
<label>Table 2</label>
<caption>
<p>Implant distribution.</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">
<sup>
<italic></italic>
</sup>
<italic>p</italic>
</th>
</tr>
</thead>
<tbody>
<tr>
<td colspan="3" align="left" rowspan="1">Sinus augmentation technique</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">
<italic>Lateral window technique</italic>
</td>
<td align="center" rowspan="1" colspan="1">79 (55.6%)</td>
<td rowspan="2" align="center" colspan="1">0.179</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">
<italic>Transalveolar osteotomy technique</italic>
</td>
<td align="center" rowspan="1" colspan="1">63 (44.4%)</td>
</tr>
<tr>
<td colspan="3" align="left" rowspan="1">Position</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">
<italic>Premolars</italic>
</td>
<td align="center" rowspan="1" colspan="1">55 (38.7%)</td>
<td rowspan="2" align="center" colspan="1">0.007</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">
<italic>Molars</italic>
</td>
<td align="center" rowspan="1" colspan="1">87 (61.3%)</td>
</tr>
<tr>
<td colspan="3" align="left" rowspan="1">Length</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">
<italic>8 mm</italic>
</td>
<td align="center" rowspan="1" colspan="1">35 (24.7%)</td>
<td rowspan="4" align="center" colspan="1">0.045</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">
<italic>10 mm</italic>
</td>
<td align="center" rowspan="1" colspan="1">49 (34.5%)</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">
<italic>12 mm</italic>
</td>
<td align="center" rowspan="1" colspan="1">32 (22.5%)</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">
<italic>14 mm</italic>
</td>
<td align="center" rowspan="1" colspan="1">26 (18.3%)</td>
</tr>
<tr>
<td colspan="3" align="left" rowspan="1">Diameter</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">
<italic>3.3 mm</italic>
</td>
<td align="center" rowspan="1" colspan="1">24 (16.9%)</td>
<td rowspan="3" align="center" colspan="1"><0.0001</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">
<italic>4.1 mm</italic>
</td>
<td align="center" rowspan="1" colspan="1">75 (52.8%)</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">
<italic>4.8 mm</italic>
</td>
<td align="center" rowspan="1" colspan="1">43 (30.3%)</td>
</tr>
<tr>
<td colspan="3" align="left" rowspan="1">Restoration</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">
<italic>SC</italic>
</td>
<td align="center" rowspan="1" colspan="1">44 (31.0%)</td>
<td rowspan="2" align="center" colspan="1"><0.0001</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">
<italic>FPD</italic>
</td>
<td align="center" rowspan="1" colspan="1">98 (69.0%)</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">Total</td>
<td align="center" rowspan="1" colspan="1">142 (100%)</td>
<td align="center" rowspan="1" colspan="1"></td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>
<sup>
<italic></italic>
</sup>
<italic>p</italic>
= Chi-square test.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="tab3" orientation="portrait" position="float">
<label>Table 3</label>
<caption>
<p>Failed implants.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" rowspan="1" colspan="1">Gender</th>
<th align="center" rowspan="1" colspan="1">Age </th>
<th align="center" rowspan="1" colspan="1">Smoke</th>
<th align="center" rowspan="1" colspan="1">Hygiene</th>
<th align="center" rowspan="1" colspan="1">Procedure</th>
<th align="center" rowspan="1" colspan="1">Position</th>
<th align="center" rowspan="1" colspan="1">Type</th>
<th align="center" rowspan="1" colspan="1">Reason/timing</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" rowspan="1" colspan="1">Male</td>
<td align="center" rowspan="1" colspan="1">46</td>
<td align="center" rowspan="1" colspan="1">No</td>
<td align="center" rowspan="1" colspan="1">Poor</td>
<td align="center" rowspan="1" colspan="1">LWT</td>
<td align="center" rowspan="1" colspan="1">Premolar</td>
<td align="center" rowspan="1" colspan="1">4.1 × 10</td>
<td align="center" rowspan="1" colspan="1">Failure to osseointegrate after 3 months</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">Male</td>
<td align="center" rowspan="1" colspan="1">66</td>
<td align="center" rowspan="1" colspan="1">Yes</td>
<td align="center" rowspan="1" colspan="1">Good</td>
<td align="center" rowspan="1" colspan="1">LWT</td>
<td align="center" rowspan="1" colspan="1">Premolar</td>
<td align="center" rowspan="1" colspan="1">4.1 × 10</td>
<td align="center" rowspan="1" colspan="1">Failure to osseointegrate after 3 months</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">Female</td>
<td align="center" rowspan="1" colspan="1">59</td>
<td align="center" rowspan="1" colspan="1">No</td>
<td align="center" rowspan="1" colspan="1">Good</td>
<td align="center" rowspan="1" colspan="1">LWT</td>
<td align="center" rowspan="1" colspan="1">Molar</td>
<td align="center" rowspan="1" colspan="1">4.8 × 8</td>
<td align="center" rowspan="1" colspan="1">Failure to osseointegrate after 3 months</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">Female</td>
<td align="center" rowspan="1" colspan="1">66</td>
<td align="center" rowspan="1" colspan="1">Yes</td>
<td align="center" rowspan="1" colspan="1">Poor</td>
<td align="center" rowspan="1" colspan="1">TOT</td>
<td align="center" rowspan="1" colspan="1">Premolar</td>
<td align="center" rowspan="1" colspan="1">4.1 × 12</td>
<td align="center" rowspan="1" colspan="1">Peri-implantitis after 6 years</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">Female</td>
<td align="center" rowspan="1" colspan="1">66</td>
<td align="center" rowspan="1" colspan="1">Yes</td>
<td align="center" rowspan="1" colspan="1">Poor</td>
<td align="center" rowspan="1" colspan="1">TOT</td>
<td align="center" rowspan="1" colspan="1">Molar</td>
<td align="center" rowspan="1" colspan="1">4.8 × 10</td>
<td align="center" rowspan="1" colspan="1">Peri-implantitis after 6 years</td>
</tr>
</tbody>
</table>
</table-wrap>
</floats-group>
</pmc>
</record>

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