The rehabilitation of completely edentulous maxillae with different degrees of resorption with four or more immediately loaded implants: a 5-year retrospective study and a new classification.
Identifieur interne : 001040 ( PubMed/Checkpoint ); précédent : 001039; suivant : 001041The rehabilitation of completely edentulous maxillae with different degrees of resorption with four or more immediately loaded implants: a 5-year retrospective study and a new classification.
Auteurs : Paulo Mal [Portugal] ; Miguel De Nobre ; Armando LopesSource :
- European journal of oral implantology [ 1756-2406 ] ; 2011.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Bruxisme (), Complications postopératoires, Conception de prothèse dentaire, Estimation de Kaplan-Meier, Facteurs de risque, Facteurs sexuels, Femelle, Humains, Implants dentaires, Maxillaire (), Modèles logistiques, Mâchoire édentée (), Mâchoire édentée (rééducation et réadaptation), Mâle, Odds ratio, Pose d'implant dentaire endo-osseux (), Pose immédiate d'implant dentaire, Prothèse dentaire implanto-portée, Résorption alvéolaire (rééducation et réadaptation), Résultat thérapeutique, Sujet âgé, Sujet âgé de 80 ans ou plus, Tabagisme (effets indésirables), Échec de restauration dentaire, Études rétrospectives.
- MESH :
- effets indésirables : Tabagisme.
- rééducation et réadaptation : Mâchoire édentée, Résorption alvéolaire.
- Adulte, Adulte d'âge moyen, Bruxisme, Complications postopératoires, Conception de prothèse dentaire, Estimation de Kaplan-Meier, Facteurs de risque, Facteurs sexuels, Femelle, Humains, Implants dentaires, Maxillaire, Modèles logistiques, Mâchoire édentée, Mâle, Odds ratio, Pose d'implant dentaire endo-osseux, Pose immédiate d'implant dentaire, Prothèse dentaire implanto-portée, Résultat thérapeutique, Sujet âgé, Sujet âgé de 80 ans ou plus, Échec de restauration dentaire, Études rétrospectives.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Alveolar Bone Loss (rehabilitation), Bruxism (complications), Dental Implantation, Endosseous (methods), Dental Implants, Dental Prosthesis Design, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Female, Humans, Immediate Dental Implant Loading, Jaw, Edentulous (classification), Jaw, Edentulous (rehabilitation), Jaw, Edentulous (surgery), Kaplan-Meier Estimate, Logistic Models, Male, Maxilla (surgery), Middle Aged, Odds Ratio, Postoperative Complications, Retrospective Studies, Risk Factors, Sex Factors, Smoking (adverse effects), Treatment Outcome.
- MESH :
- chemical : Dental Implants.
- adverse effects : Smoking.
- classification : Jaw, Edentulous.
- complications : Bruxism.
- methods : Dental Implantation, Endosseous.
- rehabilitation : Alveolar Bone Loss, Jaw, Edentulous.
- surgery : Jaw, Edentulous, Maxilla.
- Adult, Aged, Aged, 80 and over, Dental Prosthesis Design, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Female, Humans, Immediate Dental Implant Loading, Kaplan-Meier Estimate, Logistic Models, Male, Middle Aged, Odds Ratio, Postoperative Complications, Retrospective Studies, Risk Factors, Sex Factors, Treatment Outcome.
Abstract
To report the long-term outcome of immediately loaded implants in the rehabilitations of completely edentulous maxillae with different classifications. The secondary aim was to evaluate the influence of possible explanatory variables on the incidence of biological and mechanical complications.
PubMed: 22043467
Affiliations:
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pubmed:22043467Le document en format XML
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<term>Bruxism (complications)</term>
<term>Dental Implantation, Endosseous (methods)</term>
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<term>Dental Prosthesis Design</term>
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<term>Smoking (adverse effects)</term>
<term>Treatment Outcome</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Bruxisme ()</term>
<term>Complications postopératoires</term>
<term>Conception de prothèse dentaire</term>
<term>Estimation de Kaplan-Meier</term>
<term>Facteurs de risque</term>
<term>Facteurs sexuels</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Maxillaire ()</term>
<term>Modèles logistiques</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Odds ratio</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Pose immédiate d'implant dentaire</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Résorption alvéolaire (rééducation et réadaptation)</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tabagisme (effets indésirables)</term>
<term>Échec de restauration dentaire</term>
<term>Études rétrospectives</term>
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<keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Jaw, Edentulous</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Bruxism</term>
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<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Tabagisme</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Dental Implantation, Endosseous</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Alveolar Bone Loss</term>
<term>Jaw, Edentulous</term>
</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire édentée</term>
<term>Résorption alvéolaire</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous</term>
<term>Maxilla</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Female</term>
<term>Humans</term>
<term>Immediate Dental Implant Loading</term>
<term>Kaplan-Meier Estimate</term>
<term>Logistic Models</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Odds Ratio</term>
<term>Postoperative Complications</term>
<term>Retrospective Studies</term>
<term>Risk Factors</term>
<term>Sex Factors</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Bruxisme</term>
<term>Complications postopératoires</term>
<term>Conception de prothèse dentaire</term>
<term>Estimation de Kaplan-Meier</term>
<term>Facteurs de risque</term>
<term>Facteurs sexuels</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Maxillaire</term>
<term>Modèles logistiques</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Odds ratio</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Pose immédiate d'implant dentaire</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Échec de restauration dentaire</term>
<term>Études rétrospectives</term>
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<front><div type="abstract" xml:lang="en">To report the long-term outcome of immediately loaded implants in the rehabilitations of completely edentulous maxillae with different classifications. The secondary aim was to evaluate the influence of possible explanatory variables on the incidence of biological and mechanical complications.</div>
</front>
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<DateCompleted><Year>2011</Year>
<Month>11</Month>
<Day>29</Day>
</DateCompleted>
<DateRevised><Year>2011</Year>
<Month>11</Month>
<Day>01</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Print">1756-2406</ISSN>
<JournalIssue CitedMedium="Print"><Volume>4</Volume>
<Issue>3</Issue>
<PubDate><Year>2011</Year>
<Season>Autumn</Season>
</PubDate>
</JournalIssue>
<Title>European journal of oral implantology</Title>
<ISOAbbreviation>Eur J Oral Implantol</ISOAbbreviation>
</Journal>
<ArticleTitle>The rehabilitation of completely edentulous maxillae with different degrees of resorption with four or more immediately loaded implants: a 5-year retrospective study and a new classification.</ArticleTitle>
<Pagination><MedlinePgn>227-43</MedlinePgn>
</Pagination>
<Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To report the long-term outcome of immediately loaded implants in the rehabilitations of completely edentulous maxillae with different classifications. The secondary aim was to evaluate the influence of possible explanatory variables on the incidence of biological and mechanical complications.</AbstractText>
<AbstractText Label="MATERIAL AND METHODS" NlmCategory="METHODS">In total, 221 patients were consecutively included and classified into four groups that allowed implant placement in a vertical position: Group 1 (bone available up to first molar), Group 2 (bone available up to second premolar), Group 3 (bone available up to first premolar) and Group 4 (bone available up to canine). Outcome measures were prosthesis and implant survival, and biological and mechanical complications.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 995 implants were placed. Eighteen patients (8% of the sample) dropped out of the study. After 5 years, three patients lost their prosthesis due to implant failures, giving a survival rate of 98.6%; 25 patients lost 41 implants, giving a survival rate of 88.7% (25/221) and an implant-specific survival rate of 95.8% (41/995). According to the edentulism classification, the patient-specific survival rate after 5 years was 78.6% for Group 1, 89.3% for Group 2, 92.4% for Group 3 and 91.7% for Group 4. In total, 129 biological complications occurred affecting 129 implants (13%) in 66 patients (30%). Smoking was identified as a risk factor for the incidence of biological complications with an OR of 3.03 (95% CI 2.03-4.56; P < 0.0001), while 'gender' (male; OR = 0.56; 95% CI 0.37-0.85; P = 0.007) was a factor that had a protective effect. A total of 170 mechanical complications occurred, affecting 170 implants (17%) in 71 patients (38%). Bruxism was identified as a risk factor for the incidence of mechanical complications with an OR of 60.95 (95% CI 21.40-173.54; P < 0.0001), while a Group 2 edentulism classification had a protective effect for the incidence of mechanical complications with an OR of 0.22 (95% CI 0.07-0.71; P = 0.011).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">It is a viable treatment option to rehabilitate completely edentulous maxillae using four implants or more to support a fixed prosthesis.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Maló</LastName>
<ForeName>Paulo</ForeName>
<Initials>P</Initials>
<AffiliationInfo><Affiliation>Oral Surgery Department, Maló Clinic, London, Portugal. pmalo@maloclinics.com</Affiliation>
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</Author>
<Author ValidYN="Y"><LastName>Nobre</LastName>
<ForeName>Miguel de</ForeName>
<Initials>Md</Initials>
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<Author ValidYN="Y"><LastName>Lopes</LastName>
<ForeName>Armando</ForeName>
<Initials>A</Initials>
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<Language>eng</Language>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
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<MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016301" MajorTopicYN="N">Alveolar Bone Loss</DescriptorName>
<QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D002012" MajorTopicYN="N">Bruxism</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
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<MeshHeading><DescriptorName UI="D003758" MajorTopicYN="N">Dental Implantation, Endosseous</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
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<MeshHeading><DescriptorName UI="D015921" MajorTopicYN="N">Dental Implants</DescriptorName>
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<MeshHeading><DescriptorName UI="D017267" MajorTopicYN="N">Dental Prosthesis Design</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D019094" MajorTopicYN="Y">Dental Prosthesis, Implant-Supported</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D019232" MajorTopicYN="N">Dental Restoration Failure</DescriptorName>
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<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D057893" MajorTopicYN="Y">Immediate Dental Implant Loading</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007575" MajorTopicYN="N">Jaw, Edentulous</DescriptorName>
<QualifierName UI="Q000145" MajorTopicYN="N">classification</QualifierName>
<QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D053208" MajorTopicYN="N">Kaplan-Meier Estimate</DescriptorName>
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<MeshHeading><DescriptorName UI="D016015" MajorTopicYN="N">Logistic Models</DescriptorName>
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<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008437" MajorTopicYN="N">Maxilla</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016017" MajorTopicYN="N">Odds Ratio</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012737" MajorTopicYN="N">Sex Factors</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012907" MajorTopicYN="N">Smoking</DescriptorName>
<QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName>
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<MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName>
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