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A longitudinal study of the survival of All-on-4 implants in the mandible with up to 10 years of follow-up.

Identifieur interne : 001296 ( PubMed/Checkpoint ); précédent : 001295; suivant : 001297

A longitudinal study of the survival of All-on-4 implants in the mandible with up to 10 years of follow-up.

Auteurs : Paulo Malo [Portugal] ; Miguel De Araújo Nobre ; Armando Lopes ; Steve M. Moss ; Guillermo J. Molina

Source :

RBID : pubmed:21357865

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Abstract

Immediate-function implants have become an accepted alternative for fixed restoration protocols in edentulous mandibles on the basis of documented high success rates. The All-on-4 concept (Nobel Biocare, Göteborg, Sweden), a surgical and prosthetic protocol for immediate function involving the use of four implants to support a fixed prosthesis in patients with completely edentulous mandibles, represents one of these protocols. The authors conducted a study to document long-term follow-up of the All-on-4 concept.

PubMed: 21357865


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pubmed:21357865

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<title xml:lang="en">A longitudinal study of the survival of All-on-4 implants in the mandible with up to 10 years of follow-up.</title>
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<name sortKey="Malo, Paulo" sort="Malo, Paulo" uniqKey="Malo P" first="Paulo" last="Malo">Paulo Malo</name>
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<nlm:affiliation>Malo Clinic Lisbon, Lisboa, Portugal. mnobre@maloclinics.com</nlm:affiliation>
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<name sortKey="De Araujo Nobre, Miguel" sort="De Araujo Nobre, Miguel" uniqKey="De Araujo Nobre M" first="Miguel" last="De Araújo Nobre">Miguel De Araújo Nobre</name>
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<name sortKey="Lopes, Armando" sort="Lopes, Armando" uniqKey="Lopes A" first="Armando" last="Lopes">Armando Lopes</name>
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<name sortKey="Moss, Steve M" sort="Moss, Steve M" uniqKey="Moss S" first="Steve M" last="Moss">Steve M. Moss</name>
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<name sortKey="Molina, Guillermo J" sort="Molina, Guillermo J" uniqKey="Molina G" first="Guillermo J" last="Molina">Guillermo J. Molina</name>
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<term>Dental Implants</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Immediate Dental Implant Loading</term>
<term>Jaw, Edentulous (rehabilitation)</term>
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<term>Mandible</term>
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<term>Conception de prothèse dentaire</term>
<term>Facteurs de risque</term>
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<term>Humains</term>
<term>Implants dentaires</term>
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<term>Mandibule</term>
<term>Modèles de hasards proportionnels</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Pose d'implant dentaire endo-osseux</term>
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<term>Aged, 80 and over</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
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<term>Follow-Up Studies</term>
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<term>Immediate Dental Implant Loading</term>
<term>Longitudinal Studies</term>
<term>Male</term>
<term>Mandible</term>
<term>Middle Aged</term>
<term>Postoperative Complications</term>
<term>Proportional Hazards Models</term>
<term>Risk Factors</term>
<term>Survival Analysis</term>
<term>Young Adult</term>
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<term>Adulte d'âge moyen</term>
<term>Analyse de survie</term>
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<term>Conception de prothèse dentaire</term>
<term>Facteurs de risque</term>
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<term>Modèles de hasards proportionnels</term>
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<front>
<div type="abstract" xml:lang="en">Immediate-function implants have become an accepted alternative for fixed restoration protocols in edentulous mandibles on the basis of documented high success rates. The All-on-4 concept (Nobel Biocare, Göteborg, Sweden), a surgical and prosthetic protocol for immediate function involving the use of four implants to support a fixed prosthesis in patients with completely edentulous mandibles, represents one of these protocols. The authors conducted a study to document long-term follow-up of the All-on-4 concept.</div>
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<Year>2011</Year>
<Month>07</Month>
<Day>12</Day>
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<Title>Journal of the American Dental Association (1939)</Title>
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<ArticleTitle>A longitudinal study of the survival of All-on-4 implants in the mandible with up to 10 years of follow-up.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Immediate-function implants have become an accepted alternative for fixed restoration protocols in edentulous mandibles on the basis of documented high success rates. The All-on-4 concept (Nobel Biocare, Göteborg, Sweden), a surgical and prosthetic protocol for immediate function involving the use of four implants to support a fixed prosthesis in patients with completely edentulous mandibles, represents one of these protocols. The authors conducted a study to document long-term follow-up of the All-on-4 concept.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">This longitudinal study included 245 patients with a total of 980 immediate-function implants (four per patient), all placed in the anterior region, to support fixed full-arch mandibular prostheses. The inclusion criterion was having an edentulous mandible, or a mandible with hopeless teeth, in need of fixed implant restorations.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 21 implants failed in 13 patients, giving cumulative patient-related and implant-related success rates of 94.8 percent and 98.1 percent, respectively, at five years, and 93.8 percent and 94.8 percent, respectively, with up to 10 years of follow-up. The prostheses' survival rate was 99.2 percent with up to 10 years of follow up.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The results support the conclusion that use of the All-on-4 immediate-function implant concept in completely edentulous mandibles is viable in the long term.</AbstractText>
<AbstractText Label="CLINICAL IMPLICATIONS" NlmCategory="CONCLUSIONS">High prosthesis survival rates can be achieved by the use of four implants to support a full-arch fixed prosthesis in the mandible.</AbstractText>
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