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Tilted implants as an alternative to maxillary sinus grafting: a clinical, radiologic, and periotest study.

Identifieur interne : 002A17 ( PubMed/Checkpoint ); précédent : 002A16; suivant : 002A18

Tilted implants as an alternative to maxillary sinus grafting: a clinical, radiologic, and periotest study.

Auteurs : C. Aparicio [Suède] ; P. Perales ; B. Rangert

Source :

RBID : pubmed:11441542

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English descriptors

Abstract

Owing to mechanical and anatomic difficulties, implant treatment in the atrophic maxilla represents a challenge. The maxillary sinus floor augmentation procedure is still not universally accepted because of its complexity and its unpredictability.

PubMed: 11441542


Affiliations:


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pubmed:11441542

Le document en format XML

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<nlm:affiliation>Department of Biomaterials and Handicap Research, University of Göteborg, Sweden. cpob@arrakis.es</nlm:affiliation>
<country xml:lang="fr">Suède</country>
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<wicri:noRegion>University of Göteborg</wicri:noRegion>
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<name sortKey="Perales, P" sort="Perales, P" uniqKey="Perales P" first="P" last="Perales">P. Perales</name>
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<name sortKey="Rangert, B" sort="Rangert, B" uniqKey="Rangert B" first="B" last="Rangert">B. Rangert</name>
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<nlm:affiliation>Department of Biomaterials and Handicap Research, University of Göteborg, Sweden. cpob@arrakis.es</nlm:affiliation>
<country xml:lang="fr">Suède</country>
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<wicri:noRegion>University of Göteborg</wicri:noRegion>
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<name sortKey="Perales, P" sort="Perales, P" uniqKey="Perales P" first="P" last="Perales">P. Perales</name>
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<title level="j">Clinical implant dentistry and related research</title>
<idno type="ISSN">1523-0899</idno>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Alveolar Ridge Augmentation</term>
<term>Bone Resorption (diagnostic imaging)</term>
<term>Bone Resorption (surgery)</term>
<term>Chi-Square Distribution</term>
<term>Dental Abutments</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis Retention</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Denture, Partial, Fixed</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Male</term>
<term>Maxilla (diagnostic imaging)</term>
<term>Maxilla (surgery)</term>
<term>Maxillary Diseases (diagnostic imaging)</term>
<term>Maxillary Diseases (surgery)</term>
<term>Maxillary Sinus (surgery)</term>
<term>Middle Aged</term>
<term>Multivariate Analysis</term>
<term>Osseointegration</term>
<term>Radiography</term>
<term>Retrospective Studies</term>
<term>Safety</term>
<term>Survival Analysis</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte d'âge moyen</term>
<term>Analyse de survie</term>
<term>Analyse multivariée</term>
<term>Conception de prothèse dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Loi du khi-deux</term>
<term>Maladies du maxillaire supérieur ()</term>
<term>Maladies du maxillaire supérieur (imagerie diagnostique)</term>
<term>Maxillaire ()</term>
<term>Maxillaire (imagerie diagnostique)</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Ostéo-intégration</term>
<term>Piliers dentaires</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse partielle fixe</term>
<term>Radiographie</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Résorption osseuse ()</term>
<term>Résorption osseuse (imagerie diagnostique)</term>
<term>Résultat thérapeutique</term>
<term>Rétention de prothèse dentaire</term>
<term>Sinus maxillaire ()</term>
<term>Sécurité</term>
<term>Échec de restauration dentaire</term>
<term>Études de suivi</term>
<term>Études rétrospectives</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en">
<term>Bone Resorption</term>
<term>Maxilla</term>
<term>Maxillary Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr">
<term>Maladies du maxillaire supérieur</term>
<term>Maxillaire</term>
<term>Résorption osseuse</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>Jaw, Edentulous, Partially</term>
</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr">
<term>Mâchoire partiellement édentée</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Bone Resorption</term>
<term>Jaw, Edentulous, Partially</term>
<term>Maxilla</term>
<term>Maxillary Diseases</term>
<term>Maxillary Sinus</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Alveolar Ridge Augmentation</term>
<term>Chi-Square Distribution</term>
<term>Dental Abutments</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis Retention</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Denture, Partial, Fixed</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Multivariate Analysis</term>
<term>Osseointegration</term>
<term>Radiography</term>
<term>Retrospective Studies</term>
<term>Safety</term>
<term>Survival Analysis</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adulte d'âge moyen</term>
<term>Analyse de survie</term>
<term>Analyse multivariée</term>
<term>Conception de prothèse dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Loi du khi-deux</term>
<term>Maladies du maxillaire supérieur</term>
<term>Maxillaire</term>
<term>Mâchoire partiellement édentée</term>
<term>Mâle</term>
<term>Ostéo-intégration</term>
<term>Piliers dentaires</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse partielle fixe</term>
<term>Radiographie</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Résorption osseuse</term>
<term>Résultat thérapeutique</term>
<term>Rétention de prothèse dentaire</term>
<term>Sinus maxillaire</term>
<term>Sécurité</term>
<term>Échec de restauration dentaire</term>
<term>Études de suivi</term>
<term>Études rétrospectives</term>
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<front>
<div type="abstract" xml:lang="en">Owing to mechanical and anatomic difficulties, implant treatment in the atrophic maxilla represents a challenge. The maxillary sinus floor augmentation procedure is still not universally accepted because of its complexity and its unpredictability.</div>
</front>
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<PMID Version="1">11441542</PMID>
<DateCompleted>
<Year>2001</Year>
<Month>08</Month>
<Day>16</Day>
</DateCompleted>
<DateRevised>
<Year>2016</Year>
<Month>11</Month>
<Day>24</Day>
</DateRevised>
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<ISSN IssnType="Print">1523-0899</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>3</Volume>
<Issue>1</Issue>
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<Year>2001</Year>
</PubDate>
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<Title>Clinical implant dentistry and related research</Title>
<ISOAbbreviation>Clin Implant Dent Relat Res</ISOAbbreviation>
</Journal>
<ArticleTitle>Tilted implants as an alternative to maxillary sinus grafting: a clinical, radiologic, and periotest study.</ArticleTitle>
<Pagination>
<MedlinePgn>39-49</MedlinePgn>
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<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Owing to mechanical and anatomic difficulties, implant treatment in the atrophic maxilla represents a challenge. The maxillary sinus floor augmentation procedure is still not universally accepted because of its complexity and its unpredictability.</AbstractText>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">In this study, a combination of tilted and axial implants was used in patients with severely resorbed posterior maxillae as an alternative to sinus grafting.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Twenty-five patients were rehabilitated with 29 fixed partial prostheses supported by 101 Brånemark System implants. Fifty-nine implants were installed in an axial and 42 in a tilted direction. The average follow-up period was 37 months (range: 21-87 mo post loading).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">After 5 years, the implant cumulative success rate was 95.2% (survival: rate 100%) for the tilted implants and 91.3% (survival rate: 96.5%) for the axial implants, and the prosthesis survival rate was 100%. At the fifth year, the average marginal bone loss was 1.21 mm for the tilted implants and 0.92 mm for the axial ones. The mean Periotest values (PTV) at loading time were -2.62 and -3.57, and after 5 years the PTVs were -4.73 and -5.00 for the tilted and the axial implants, respectively. During the follow-up, all prostheses but two were mechanically stable, retightening of 18 abutment screws and of 5 gold screws in 14 prostheses was done, and fracture of two abutment screws and two occlusal surfaces was experienced.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Results indicate that the use of tilted implants is an effective and safe alternative to maxillary sinus floor augmentation procedures.</AbstractText>
</Abstract>
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<LastName>Aparicio</LastName>
<ForeName>C</ForeName>
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<Affiliation>Department of Biomaterials and Handicap Research, University of Göteborg, Sweden. cpob@arrakis.es</Affiliation>
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<MeshHeadingList>
<MeshHeading>
<DescriptorName UI="D000540" MajorTopicYN="N">Alveolar Ridge Augmentation</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D001862" MajorTopicYN="N">Bone Resorption</DescriptorName>
<QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName>
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<DescriptorName UI="D016009" MajorTopicYN="N">Chi-Square Distribution</DescriptorName>
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<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
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<DescriptorName UI="D008443" MajorTopicYN="N">Maxillary Sinus</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D016348" MajorTopicYN="N">Osseointegration</DescriptorName>
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