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Immediate fixed rehabilitation of the edentulous maxilla: a prospective clinical and radiological study after 3 years of loading.

Identifieur interne : 000680 ( PubMed/Checkpoint ); précédent : 000679; suivant : 000681

Immediate fixed rehabilitation of the edentulous maxilla: a prospective clinical and radiological study after 3 years of loading.

Auteurs : Enrico L. Agliardi [Italie] ; Alessandro Pozzi ; Christian F J. Stappert ; Riccardo Benzi ; Davide Romeo ; Enrico Gherlone

Source :

RBID : pubmed:22882310

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English descriptors

Abstract

The aim of this study was to prospectively evaluate the clinical and radiographic outcomes of immediate full-arch fixed maxillary prosthesis supported by two axial and four tilted implants after 3 years of loading.

DOI: 10.1111/j.1708-8208.2012.00482.x
PubMed: 22882310


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pubmed:22882310

Le document en format XML

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<nlm:affiliation>Advanced Oral Surgery Unit, Department of Dentistry, Vita Salute University, San Raffaele Hospital, Milan, Italy.</nlm:affiliation>
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<name sortKey="Stappert, Christian F J" sort="Stappert, Christian F J" uniqKey="Stappert C" first="Christian F J" last="Stappert">Christian F J. Stappert</name>
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<name sortKey="Benzi, Riccardo" sort="Benzi, Riccardo" uniqKey="Benzi R" first="Riccardo" last="Benzi">Riccardo Benzi</name>
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<name sortKey="Romeo, Davide" sort="Romeo, Davide" uniqKey="Romeo D" first="Davide" last="Romeo">Davide Romeo</name>
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<term>Aged</term>
<term>Dental Implants</term>
<term>Female</term>
<term>Humans</term>
<term>Immediate Dental Implant Loading</term>
<term>Jaw, Edentulous (diagnostic imaging)</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Male</term>
<term>Maxilla (surgery)</term>
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<term>Radiography, Panoramic</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Maxillaire ()</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (imagerie diagnostique)</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Pose immédiate d'implant dentaire</term>
<term>Radiographie panoramique</term>
<term>Sujet âgé</term>
<term>Études prospectives</term>
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<term>Jaw, Edentulous</term>
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<term>Mâchoire édentée</term>
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<term>Jaw, Edentulous</term>
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<term>Mâchoire édentée</term>
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<term>Jaw, Edentulous</term>
<term>Maxilla</term>
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<term>Adult</term>
<term>Aged</term>
<term>Female</term>
<term>Humans</term>
<term>Immediate Dental Implant Loading</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
<term>Radiography, Panoramic</term>
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<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Pose immédiate d'implant dentaire</term>
<term>Radiographie panoramique</term>
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<front>
<div type="abstract" xml:lang="en">The aim of this study was to prospectively evaluate the clinical and radiographic outcomes of immediate full-arch fixed maxillary prosthesis supported by two axial and four tilted implants after 3 years of loading.</div>
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<Day>09</Day>
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<Day>25</Day>
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<ISSN IssnType="Electronic">1708-8208</ISSN>
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<Volume>16</Volume>
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<Month>Apr</Month>
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<Title>Clinical implant dentistry and related research</Title>
<ISOAbbreviation>Clin Implant Dent Relat Res</ISOAbbreviation>
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<ArticleTitle>Immediate fixed rehabilitation of the edentulous maxilla: a prospective clinical and radiological study after 3 years of loading.</ArticleTitle>
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<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">The aim of this study was to prospectively evaluate the clinical and radiographic outcomes of immediate full-arch fixed maxillary prosthesis supported by two axial and four tilted implants after 3 years of loading.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Thirty-two patients with atrophic maxilla were consecutively enrolled and treated. Each patient received a fixed full-arch maxillary rehabilitation supported by four tilted implants that engaged the posterior and the anterior sinus walls and two axial anterior implants. A total of 192 implants (30 Brånemark System MK IV and 162 NobelSpeedy Groovy, Nobel Biocare AB, Göteborg, Sweden) were inserted and immediately loaded. The definitive restorations were placed 6 months later, and follow-up visits were scheduled every 6 months. During follow-ups, marginal bone loss (MBL), plaque and bleeding scores, and patient's satisfaction were recorded.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">All patients reached at least 3-year follow-up examination (range 36-78, average 55.53 months). Two tilted implants failed before delivering the definitive restoration, resulting in a cumulative survival rate of 98.96%. All final prostheses were stable and functional, resulting in a cumulative survival and success rate of 100%. At the 3-year follow-up there was no significant difference in MBL between axial (1.55 ± 0.31 mm) and tilted implants (1.46 ± 0.19 mm) (p = .05). Plaque and bleeding scores decreased over time, while patient's satisfaction in both aesthetics and function increased.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Implants placement with this configuration could be considered a predictable and cost- and time-effective alternative approach for the immediate restoration of the edentulous maxilla, avoiding bone grafting procedures, even with a medium-term follow-up.</AbstractText>
<CopyrightInformation>© 2012 Wiley Periodicals, Inc.</CopyrightInformation>
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<Affiliation>Advanced Oral Surgery Unit, Department of Dentistry, Vita Salute University, San Raffaele Hospital, Milan, Italy.</Affiliation>
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