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Implant surgery using bone- and mucosa-supported stereolithographic guides in totally edentulous jaws: surgical and post-operative outcomes of computer-aided vs. standard techniques.

Identifieur interne : 001467 ( PubMed/Checkpoint ); précédent : 001466; suivant : 001468

Implant surgery using bone- and mucosa-supported stereolithographic guides in totally edentulous jaws: surgical and post-operative outcomes of computer-aided vs. standard techniques.

Auteurs : Volkan Arisan [Turquie] ; Cüneyt Z. Karabuda ; Tayfun Ozdemir

Source :

RBID : pubmed:20497439

Descripteurs français

English descriptors

Abstract

The aim of this study was to compare the surgical and post-operative outcomes of a computer-aided implant surgery performed by bone- and mucosa-supported stereolithographic (SLA) guides against the standard technique.

DOI: 10.1111/j.1600-0501.2010.01957.x
PubMed: 20497439


Affiliations:


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pubmed:20497439

Le document en format XML

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<term>Cone-Beam Computed Tomography</term>
<term>Dental Implantation, Endosseous (instrumentation)</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Restoration Failure</term>
<term>Edema (etiology)</term>
<term>Equipment Design</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Jaw, Edentulous (diagnostic imaging)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Mouth Mucosa (pathology)</term>
<term>Mouth Mucosa (surgery)</term>
<term>Osteotomy (instrumentation)</term>
<term>Osteotomy (methods)</term>
<term>Pain Measurement</term>
<term>Pain, Postoperative (drug therapy)</term>
<term>Pain, Postoperative (etiology)</term>
<term>Patient Care Planning</term>
<term>Postoperative Complications (etiology)</term>
<term>Postoperative Hemorrhage (etiology)</term>
<term>Radiography, Panoramic</term>
<term>Surgery, Computer-Assisted (instrumentation)</term>
<term>Surgical Flaps</term>
<term>Survival Analysis</term>
<term>Time Factors</term>
<term>Treatment Outcome</term>
<term>Trismus (etiology)</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analgésiques (usage thérapeutique)</term>
<term>Analyse de survie</term>
<term>Chirurgie assistée par ordinateur (instrumentation)</term>
<term>Complications postopératoires (étiologie)</term>
<term>Conception assistée par ordinateur (instrumentation)</term>
<term>Conception d'appareillage</term>
<term>Douleur postopératoire (traitement médicamenteux)</term>
<term>Douleur postopératoire (étiologie)</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Hémorragie postopératoire (étiologie)</term>
<term>Lambeaux chirurgicaux</term>
<term>Mesure de la douleur</term>
<term>Muqueuse de la bouche ()</term>
<term>Muqueuse de la bouche (anatomopathologie)</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (imagerie diagnostique)</term>
<term>Mâle</term>
<term>Oedème (étiologie)</term>
<term>Ostéotomie ()</term>
<term>Ostéotomie (instrumentation)</term>
<term>Planification des soins du patient</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Pose d'implant dentaire endo-osseux (instrumentation)</term>
<term>Radiographie panoramique</term>
<term>Résultat thérapeutique</term>
<term>Tomodensitométrie à faisceau conique</term>
<term>Trismus (étiologie)</term>
<term>Échec de restauration dentaire</term>
<term>Études de suivi</term>
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<term>Analgesics</term>
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<term>Muqueuse de la bouche</term>
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<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en">
<term>Jaw, Edentulous</term>
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<term>Pain, Postoperative</term>
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<term>Pain, Postoperative</term>
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<term>Postoperative Hemorrhage</term>
<term>Trismus</term>
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<term>Mâchoire édentée</term>
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<term>Computer-Aided Design</term>
<term>Dental Implantation, Endosseous</term>
<term>Osteotomy</term>
<term>Surgery, Computer-Assisted</term>
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<term>Dental Implantation, Endosseous</term>
<term>Osteotomy</term>
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<term>Mouth Mucosa</term>
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<term>Jaw, Edentulous</term>
<term>Mouth Mucosa</term>
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<term>Chirurgie assistée par ordinateur</term>
<term>Conception assistée par ordinateur</term>
<term>Douleur postopératoire</term>
<term>Ostéotomie</term>
<term>Pose d'implant dentaire endo-osseux</term>
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<term>Analgésiques</term>
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<term>Complications postopératoires</term>
<term>Douleur postopératoire</term>
<term>Hémorragie postopératoire</term>
<term>Oedème</term>
<term>Trismus</term>
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<term>Adult</term>
<term>Cone-Beam Computed Tomography</term>
<term>Dental Restoration Failure</term>
<term>Equipment Design</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Pain Measurement</term>
<term>Patient Care Planning</term>
<term>Radiography, Panoramic</term>
<term>Surgical Flaps</term>
<term>Survival Analysis</term>
<term>Time Factors</term>
<term>Treatment Outcome</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse de survie</term>
<term>Conception d'appareillage</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lambeaux chirurgicaux</term>
<term>Mesure de la douleur</term>
<term>Muqueuse de la bouche</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Ostéotomie</term>
<term>Planification des soins du patient</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Radiographie panoramique</term>
<term>Résultat thérapeutique</term>
<term>Tomodensitométrie à faisceau conique</term>
<term>Échec de restauration dentaire</term>
<term>Études de suivi</term>
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<front>
<div type="abstract" xml:lang="en">The aim of this study was to compare the surgical and post-operative outcomes of a computer-aided implant surgery performed by bone- and mucosa-supported stereolithographic (SLA) guides against the standard technique.</div>
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<Month>12</Month>
<Day>08</Day>
</DateCompleted>
<DateRevised>
<Year>2016</Year>
<Month>11</Month>
<Day>25</Day>
</DateRevised>
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<Journal>
<ISSN IssnType="Electronic">1600-0501</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>21</Volume>
<Issue>9</Issue>
<PubDate>
<Year>2010</Year>
<Month>Sep</Month>
</PubDate>
</JournalIssue>
<Title>Clinical oral implants research</Title>
<ISOAbbreviation>Clin Oral Implants Res</ISOAbbreviation>
</Journal>
<ArticleTitle>Implant surgery using bone- and mucosa-supported stereolithographic guides in totally edentulous jaws: surgical and post-operative outcomes of computer-aided vs. standard techniques.</ArticleTitle>
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<Abstract>
<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">The aim of this study was to compare the surgical and post-operative outcomes of a computer-aided implant surgery performed by bone- and mucosa-supported stereolithographic (SLA) guides against the standard technique.</AbstractText>
<AbstractText Label="MATERIAL AND METHODS" NlmCategory="METHODS">Multiple- and single-type SLA guides from two commercial manufacturers were produced and a total of 341 implants were placed to 52 patients using the standard technique (Control group), bone- (bone-supported guide [BSG] group) and mucosa-supported SLA guides (Flapless group) in 21, 16 and 15 patients, respectively. Surgical duration (min), number of analgesics (tablets) as well as hemorrhage, difficulty in mouth opening (or trismus) and other incidences were recorded. Pain and swelling was assessed using the visual analog scale (VAS). Parametric and non-parametric tests were used for statistical analysis (P<.05).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The mean surgery duration (23.53+/-5.48 min) and the number of analgesics consumed (four tablets) in the Flapless group were lower than those in the control (68.71+/-11.4 min and 10 tablets) and BSG groups (60.94+/-13.07 min and 11 tablets, P<0.01). The change in pain scores (VAS) and the number of analgesics consumed in time were statistically significant (P<0.01 and 0.05, respectively) and the Flapless group reported a lower pain score than the BSG (P<0.01) and Control groups (P<0.001). The Flapless group experienced less hemorrhage (chi(2)=4.12, P=0.041 on the day of surgery) and fewer instances of trismus (chi(2)=6.91, P=0.031 the day after surgery). The differences in early-term failures were not statistically significant between the groups (log-rank test: P=0.782).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The use of mucosa-supported single SLA guides for flapless implant placement may help reduce the surgery duration, pain intensity, related analgesic consumption and most other complications typical in the post-implant surgery period. However, there are particular drawbacks in both guide types and further studies are required to confirm the prosthodontic conformity and long-term success of implants placed using computer-assisted techniques.</AbstractText>
</Abstract>
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<LastName>Arisan</LastName>
<ForeName>Volkan</ForeName>
<Initials>V</Initials>
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<Affiliation>Department of Oral Implantology, Faculty of Dentistry, Istanbul University, Capa, Istanbul, Turkey. varisan@istanbul.edu.tr</Affiliation>
</AffiliationInfo>
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<LastName>Karabuda</LastName>
<ForeName>Cüneyt Z</ForeName>
<Initials>CZ</Initials>
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<Author ValidYN="Y">
<LastName>Ozdemir</LastName>
<ForeName>Tayfun</ForeName>
<Initials>T</Initials>
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<Language>eng</Language>
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<PublicationType UI="D003160">Comparative Study</PublicationType>
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<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
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<Year>2010</Year>
<Month>05</Month>
<Day>24</Day>
</ArticleDate>
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<Country>Denmark</Country>
<MedlineTA>Clin Oral Implants Res</MedlineTA>
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</Chemical>
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<DescriptorName UI="D000700" MajorTopicYN="N">Analgesics</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D017076" MajorTopicYN="N">Computer-Aided Design</DescriptorName>
<QualifierName UI="Q000295" MajorTopicYN="Y">instrumentation</QualifierName>
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<MeshHeading>
<DescriptorName UI="D054893" MajorTopicYN="N">Cone-Beam Computed Tomography</DescriptorName>
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<DescriptorName UI="D003758" MajorTopicYN="N">Dental Implantation, Endosseous</DescriptorName>
<QualifierName UI="Q000295" MajorTopicYN="N">instrumentation</QualifierName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
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<MeshHeading>
<DescriptorName UI="D019232" MajorTopicYN="N">Dental Restoration Failure</DescriptorName>
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<DescriptorName UI="D004487" MajorTopicYN="N">Edema</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
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<DescriptorName UI="D004867" MajorTopicYN="N">Equipment Design</DescriptorName>
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<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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<DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName>
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<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
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<DescriptorName UI="D011862" MajorTopicYN="N">Radiography, Panoramic</DescriptorName>
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<DescriptorName UI="D025321" MajorTopicYN="N">Surgery, Computer-Assisted</DescriptorName>
<QualifierName UI="Q000295" MajorTopicYN="Y">instrumentation</QualifierName>
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<MeshHeading>
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<MeshHeading>
<DescriptorName UI="D016019" MajorTopicYN="N">Survival Analysis</DescriptorName>
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<MeshHeading>
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<name sortKey="Ozdemir, Tayfun" sort="Ozdemir, Tayfun" uniqKey="Ozdemir T" first="Tayfun" last="Ozdemir">Tayfun Ozdemir</name>
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