Peri-implant conditions in periodontally compromised patients following maxillary sinus augmentation. A long-term post-therapy trial.
Identifieur interne : 002E62 ( PubMed/Checkpoint ); précédent : 002E61; suivant : 002E63Peri-implant conditions in periodontally compromised patients following maxillary sinus augmentation. A long-term post-therapy trial.
Auteurs : R. Buchmann [Allemagne] ; F. Khoury ; C. Faust ; D E LangeSource :
- Clinical oral implants research [ 0905-7161 ] ; 1999.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Atrophie, Femelle, Humains, Implants dentaires, Indice parodontal, Maxillaire (), Mâchoire édentée (), Mâchoire édentée (rééducation et réadaptation), Mâle, Ostéo-intégration, Parodontite (), Pose d'implant dentaire endo-osseux (), Procédures de chirurgie préprothétique en odontologie (), Récession gingivale (étiologie), Résorption alvéolaire (), Sinus maxillaire (), Statistique non paramétrique, Sujet âgé, Transplantation osseuse ().
- MESH :
- rééducation et réadaptation : Mâchoire édentée.
- étiologie : Récession gingivale.
- Adolescent, Adulte, Adulte d'âge moyen, Atrophie, Femelle, Humains, Implants dentaires, Indice parodontal, Maxillaire, Mâchoire édentée, Mâle, Ostéo-intégration, Parodontite, Pose d'implant dentaire endo-osseux, Procédures de chirurgie préprothétique en odontologie, Résorption alvéolaire, Sinus maxillaire, Statistique non paramétrique, Sujet âgé, Transplantation osseuse.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Alveolar Bone Loss (complications), Alveolar Bone Loss (surgery), Atrophy, Bone Transplantation (methods), Dental Implantation, Endosseous (methods), Dental Implants, Female, Gingival Recession (etiology), Humans, Jaw, Edentulous (complications), Jaw, Edentulous (rehabilitation), Male, Maxilla (surgery), Maxillary Sinus (surgery), Middle Aged, Oral Surgical Procedures, Preprosthetic (methods), Osseointegration, Periodontal Index, Periodontitis (complications), Periodontitis (therapy), Statistics, Nonparametric.
- MESH :
- chemical : Dental Implants.
- complications : Alveolar Bone Loss, Jaw, Edentulous, Periodontitis.
- etiology : Gingival Recession.
- methods : Bone Transplantation, Dental Implantation, Endosseous, Oral Surgical Procedures, Preprosthetic.
- rehabilitation : Jaw, Edentulous.
- surgery : Alveolar Bone Loss, Maxilla, Maxillary Sinus.
- therapy : Periodontitis.
- Adolescent, Adult, Aged, Atrophy, Female, Humans, Male, Middle Aged, Osseointegration, Periodontal Index, Statistics, Nonparametric.
Abstract
Augmentation of the maxillary sinus in the atrophied edentulous posterior maxilla is an integral part of implant prosthodontics. This study examined the clinical outcome in 50 periodontally compromised successfully treated subjects with severe maxillary atrophy following oral implantation with Brånemark, IMZ or Frialit-2 endosseous implants between 1991 and 1994. Simultaneous sinus augmentation was achieved using autogenous bone grafts harvested from the anterior mandible. Oral implants in 37 periodontally healthy patients directly placed in the stable local maxillary bone served as controls. The oral rehabilitation included implant supported restorations or removable superstructures over a period between 3 and 5 years. The peri-implant status of implant abutments inserted in the periodontal compromised augmented maxilla resulted in values comparable to the local maxillary bone except for the GCF rates with enhanced levels of 63.9 +/- 49.9 (controls 37.9 +/- 40.7). The average peri-implant Periotest values in the augmented maxillary sinus (test group) were -3.1 PT and +0.2 PT in the controls. The Periotest scores in the sinus area ranked between -7.0 and +5.0 with mean PT values of -1.5 for IMZ, -3.2 for Brånemark and -4.0 for Frialit-2 abutments. The functional integration of oral implants following sinus augmentation with autologous bone grafts and conventionally placed endosseous implants in the local bone was similar. The additional implant stabilization within the mandibular cortical bone grafts resulted in very low Periotest scores. In periodontally compromised subjects treated for chronic adult periodontitis with minimal maxillary bone height less than 5 mm the endosseous implantation with simultaneous sinus augmentation is recommended as an appropriate technique for long-term oral implant rehabilitation.
PubMed: 10219129
Affiliations:
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pubmed:10219129Le document en format XML
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<affiliation wicri:level="1"><nlm:affiliation>Department of Periodontology, School of Dental Medicine, University of Münster, Germany. buchmar@uni-muenster.de</nlm:affiliation>
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<term>Alveolar Bone Loss (surgery)</term>
<term>Atrophy</term>
<term>Bone Transplantation (methods)</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants</term>
<term>Female</term>
<term>Gingival Recession (etiology)</term>
<term>Humans</term>
<term>Jaw, Edentulous (complications)</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Male</term>
<term>Maxilla (surgery)</term>
<term>Maxillary Sinus (surgery)</term>
<term>Middle Aged</term>
<term>Oral Surgical Procedures, Preprosthetic (methods)</term>
<term>Osseointegration</term>
<term>Periodontal Index</term>
<term>Periodontitis (complications)</term>
<term>Periodontitis (therapy)</term>
<term>Statistics, Nonparametric</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Atrophie</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Indice parodontal</term>
<term>Maxillaire ()</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Ostéo-intégration</term>
<term>Parodontite ()</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Procédures de chirurgie préprothétique en odontologie ()</term>
<term>Récession gingivale (étiologie)</term>
<term>Résorption alvéolaire ()</term>
<term>Sinus maxillaire ()</term>
<term>Statistique non paramétrique</term>
<term>Sujet âgé</term>
<term>Transplantation osseuse ()</term>
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<term>Jaw, Edentulous</term>
<term>Periodontitis</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Gingival Recession</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Bone Transplantation</term>
<term>Dental Implantation, Endosseous</term>
<term>Oral Surgical Procedures, Preprosthetic</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous</term>
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<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire édentée</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Alveolar Bone Loss</term>
<term>Maxilla</term>
<term>Maxillary Sinus</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Periodontitis</term>
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<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Récession gingivale</term>
</keywords>
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<term>Adult</term>
<term>Aged</term>
<term>Atrophy</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Osseointegration</term>
<term>Periodontal Index</term>
<term>Statistics, Nonparametric</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Atrophie</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Indice parodontal</term>
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<term>Pose d'implant dentaire endo-osseux</term>
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<term>Résorption alvéolaire</term>
<term>Sinus maxillaire</term>
<term>Statistique non paramétrique</term>
<term>Sujet âgé</term>
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<front><div type="abstract" xml:lang="en">Augmentation of the maxillary sinus in the atrophied edentulous posterior maxilla is an integral part of implant prosthodontics. This study examined the clinical outcome in 50 periodontally compromised successfully treated subjects with severe maxillary atrophy following oral implantation with Brånemark, IMZ or Frialit-2 endosseous implants between 1991 and 1994. Simultaneous sinus augmentation was achieved using autogenous bone grafts harvested from the anterior mandible. Oral implants in 37 periodontally healthy patients directly placed in the stable local maxillary bone served as controls. The oral rehabilitation included implant supported restorations or removable superstructures over a period between 3 and 5 years. The peri-implant status of implant abutments inserted in the periodontal compromised augmented maxilla resulted in values comparable to the local maxillary bone except for the GCF rates with enhanced levels of 63.9 +/- 49.9 (controls 37.9 +/- 40.7). The average peri-implant Periotest values in the augmented maxillary sinus (test group) were -3.1 PT and +0.2 PT in the controls. The Periotest scores in the sinus area ranked between -7.0 and +5.0 with mean PT values of -1.5 for IMZ, -3.2 for Brånemark and -4.0 for Frialit-2 abutments. The functional integration of oral implants following sinus augmentation with autologous bone grafts and conventionally placed endosseous implants in the local bone was similar. The additional implant stabilization within the mandibular cortical bone grafts resulted in very low Periotest scores. In periodontally compromised subjects treated for chronic adult periodontitis with minimal maxillary bone height less than 5 mm the endosseous implantation with simultaneous sinus augmentation is recommended as an appropriate technique for long-term oral implant rehabilitation.</div>
</front>
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<DateRevised><Year>2004</Year>
<Month>11</Month>
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<Title>Clinical oral implants research</Title>
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<Abstract><AbstractText>Augmentation of the maxillary sinus in the atrophied edentulous posterior maxilla is an integral part of implant prosthodontics. This study examined the clinical outcome in 50 periodontally compromised successfully treated subjects with severe maxillary atrophy following oral implantation with Brånemark, IMZ or Frialit-2 endosseous implants between 1991 and 1994. Simultaneous sinus augmentation was achieved using autogenous bone grafts harvested from the anterior mandible. Oral implants in 37 periodontally healthy patients directly placed in the stable local maxillary bone served as controls. The oral rehabilitation included implant supported restorations or removable superstructures over a period between 3 and 5 years. The peri-implant status of implant abutments inserted in the periodontal compromised augmented maxilla resulted in values comparable to the local maxillary bone except for the GCF rates with enhanced levels of 63.9 +/- 49.9 (controls 37.9 +/- 40.7). The average peri-implant Periotest values in the augmented maxillary sinus (test group) were -3.1 PT and +0.2 PT in the controls. The Periotest scores in the sinus area ranked between -7.0 and +5.0 with mean PT values of -1.5 for IMZ, -3.2 for Brånemark and -4.0 for Frialit-2 abutments. The functional integration of oral implants following sinus augmentation with autologous bone grafts and conventionally placed endosseous implants in the local bone was similar. The additional implant stabilization within the mandibular cortical bone grafts resulted in very low Periotest scores. In periodontally compromised subjects treated for chronic adult periodontitis with minimal maxillary bone height less than 5 mm the endosseous implantation with simultaneous sinus augmentation is recommended as an appropriate technique for long-term oral implant rehabilitation.</AbstractText>
</Abstract>
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<ForeName>R</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>Department of Periodontology, School of Dental Medicine, University of Münster, Germany. buchmar@uni-muenster.de</Affiliation>
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</MeshHeading>
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<MeshHeading><DescriptorName UI="D008443" MajorTopicYN="N">Maxillary Sinus</DescriptorName>
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<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<MeshHeading><DescriptorName UI="D013516" MajorTopicYN="Y">Oral Surgical Procedures, Preprosthetic</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
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<MeshHeading><DescriptorName UI="D016348" MajorTopicYN="N">Osseointegration</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D010512" MajorTopicYN="N">Periodontal Index</DescriptorName>
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<MeshHeading><DescriptorName UI="D010518" MajorTopicYN="N">Periodontitis</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName>
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<MeshHeading><DescriptorName UI="D018709" MajorTopicYN="N">Statistics, Nonparametric</DescriptorName>
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