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Conventional drills vs piezoelectric surgery preparation for placement of four immediately loaded zygomatic oncology implants in edentulous maxillae: results from 1-year split-mouth randomised controlled trial.

Identifieur interne : 000035 ( PubMed/Corpus ); précédent : 000034; suivant : 000036

Conventional drills vs piezoelectric surgery preparation for placement of four immediately loaded zygomatic oncology implants in edentulous maxillae: results from 1-year split-mouth randomised controlled trial.

Auteurs : Marco Esposito ; Carlo Barausse ; Andrea Balercia ; Roberto Pistilli ; Daniela Rita Ippolito ; Pietro Felice

Source :

RBID : pubmed:28555205

English descriptors

Abstract

To compare the outcome of site preparation for zygomatic oncology implants using conventional preparation with rotary drills or piezoelectric surgery with dedicated inserts for placing two zygomatic implants per zygoma according to a split-mouth design.

PubMed: 28555205

Links to Exploration step

pubmed:28555205

Le document en format XML

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<title xml:lang="en">Conventional drills vs piezoelectric surgery preparation for placement of four immediately loaded zygomatic oncology implants in edentulous maxillae: results from 1-year split-mouth randomised controlled trial.</title>
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<name sortKey="Esposito, Marco" sort="Esposito, Marco" uniqKey="Esposito M" first="Marco" last="Esposito">Marco Esposito</name>
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<name sortKey="Barausse, Carlo" sort="Barausse, Carlo" uniqKey="Barausse C" first="Carlo" last="Barausse">Carlo Barausse</name>
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<author>
<name sortKey="Balercia, Andrea" sort="Balercia, Andrea" uniqKey="Balercia A" first="Andrea" last="Balercia">Andrea Balercia</name>
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<author>
<name sortKey="Pistilli, Roberto" sort="Pistilli, Roberto" uniqKey="Pistilli R" first="Roberto" last="Pistilli">Roberto Pistilli</name>
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<author>
<name sortKey="Ippolito, Daniela Rita" sort="Ippolito, Daniela Rita" uniqKey="Ippolito D" first="Daniela Rita" last="Ippolito">Daniela Rita Ippolito</name>
</author>
<author>
<name sortKey="Felice, Pietro" sort="Felice, Pietro" uniqKey="Felice P" first="Pietro" last="Felice">Pietro Felice</name>
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<title xml:lang="en">Conventional drills vs piezoelectric surgery preparation for placement of four immediately loaded zygomatic oncology implants in edentulous maxillae: results from 1-year split-mouth randomised controlled trial.</title>
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<name sortKey="Esposito, Marco" sort="Esposito, Marco" uniqKey="Esposito M" first="Marco" last="Esposito">Marco Esposito</name>
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<name sortKey="Barausse, Carlo" sort="Barausse, Carlo" uniqKey="Barausse C" first="Carlo" last="Barausse">Carlo Barausse</name>
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<name sortKey="Balercia, Andrea" sort="Balercia, Andrea" uniqKey="Balercia A" first="Andrea" last="Balercia">Andrea Balercia</name>
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<name sortKey="Pistilli, Roberto" sort="Pistilli, Roberto" uniqKey="Pistilli R" first="Roberto" last="Pistilli">Roberto Pistilli</name>
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<name sortKey="Ippolito, Daniela Rita" sort="Ippolito, Daniela Rita" uniqKey="Ippolito D" first="Daniela Rita" last="Ippolito">Daniela Rita Ippolito</name>
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<name sortKey="Felice, Pietro" sort="Felice, Pietro" uniqKey="Felice P" first="Pietro" last="Felice">Pietro Felice</name>
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<title level="j">European journal of oral implantology</title>
<idno type="ISSN">1756-2406</idno>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Dental Instruments</term>
<term>Dental Prosthesis, Implant-Supported (instrumentation)</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Immediate Dental Implant Loading (instrumentation)</term>
<term>Jaw Neoplasms (surgery)</term>
<term>Male</term>
<term>Maxilla (surgery)</term>
<term>Middle Aged</term>
<term>Mouth, Edentulous (surgery)</term>
<term>Piezosurgery (instrumentation)</term>
<term>Postoperative Complications (etiology)</term>
<term>Prosthesis Failure</term>
<term>Research Design</term>
<term>Zygoma (surgery)</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Postoperative Complications</term>
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<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en">
<term>Dental Prosthesis, Implant-Supported</term>
<term>Immediate Dental Implant Loading</term>
<term>Piezosurgery</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Jaw Neoplasms</term>
<term>Maxilla</term>
<term>Mouth, Edentulous</term>
<term>Zygoma</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Dental Instruments</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Prosthesis Failure</term>
<term>Research Design</term>
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<front>
<div type="abstract" xml:lang="en">To compare the outcome of site preparation for zygomatic oncology implants using conventional preparation with rotary drills or piezoelectric surgery with dedicated inserts for placing two zygomatic implants per zygoma according to a split-mouth design.</div>
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<DateCompleted>
<Year>2017</Year>
<Month>09</Month>
<Day>01</Day>
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<DateRevised>
<Year>2017</Year>
<Month>09</Month>
<Day>01</Day>
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<ISSN IssnType="Print">1756-2406</ISSN>
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<Volume>10</Volume>
<Issue>2</Issue>
<PubDate>
<MedlineDate>2017</MedlineDate>
</PubDate>
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<Title>European journal of oral implantology</Title>
<ISOAbbreviation>Eur J Oral Implantol</ISOAbbreviation>
</Journal>
<ArticleTitle>Conventional drills vs piezoelectric surgery preparation for placement of four immediately loaded zygomatic oncology implants in edentulous maxillae: results from 1-year split-mouth randomised controlled trial.</ArticleTitle>
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<MedlinePgn>147-158</MedlinePgn>
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<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To compare the outcome of site preparation for zygomatic oncology implants using conventional preparation with rotary drills or piezoelectric surgery with dedicated inserts for placing two zygomatic implants per zygoma according to a split-mouth design.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Twenty edentulous patients with severely atrophic maxillas not having sufficient bone volume for placing dental implants and less than 4 mm of bone height subantrally had their hemi-maxillas randomised according to a split-mouth design into implant site preparation with conventional rotational drills or piezoelectric surgery. Two zygomatic oncology implants (unthreaded coronal portion) were placed in each hemi-maxilla. Implants that achieved an insertion torque superior to 40 Ncm were immediately loaded with screw-retained metal reinforced acrylic provisional prostheses. Outcome measures were: prosthesis and implant failures, any complications, time to place the implants, presence of post-operative haematoma, and patient's preference by independent assessors. All patients were followed up to 1 year after loading.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">In two patients drills had also to be used at the piezoelectric surgery side to enable implant sites to be prepared. One implant for the conventional drill group did not achieve an insertion torque superior to 40 Ncm since it fractured the zygoma. No patients dropped out and two distal oncology implants failed in the same patient (one per group), who was not prosthetically rehabilitated. Six complications occurred at drilled sites and three at piezoelectric surgery sites (two patients had bilateral complications), the difference being not statistically significant (P (McNemar's test) = 0.375; odds ratio = 4.00; 95% CI of odds ratio: 0.45 to 35.79). Implant placement with convention drills took on average 14.35 ± 1.76 min and with piezoelectric surgery 23.50 ± 2.26 min, implant placement time being significantly shorter with conventional drilling (difference = 9.15 ± 1.69 min; 95%CI: 8.36 to 9.94 min; P < 0.001). Post-operative haematomas were more frequent at drilled sites (P = 0.001), and 16 patients found both techniques equally acceptable, while four preferred piezoelectric surgery (P = 0.125).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Both drilling techniques achieved similar clinical results, but conventional drilling required 9 min less and could be used in all instances, although it was more aggressive. These results may be system-dependent, therefore they cannot be generalised to other zygomatic systems with confidence. Conflict-of-interest statement: This study was partially supported by Southern Implants (Irene, South Africa), the manufacturer of the zygomatic implants and the conventional drills evaluated in this study. However, data property belonged to the authors and by no means did the manufacturer interfere with the conduct of the trial or the publication of its results. Drs Felice and Pistilli developed the piezoelectric surgery zygomatic insert used in the present study.</AbstractText>
</Abstract>
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<Language>eng</Language>
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<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<DescriptorName UI="D057893" MajorTopicYN="N">Immediate Dental Implant Loading</DescriptorName>
<QualifierName UI="Q000295" MajorTopicYN="Y">instrumentation</QualifierName>
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<DescriptorName UI="D008437" MajorTopicYN="N">Maxilla</DescriptorName>
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<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<DescriptorName UI="D009066" MajorTopicYN="N">Mouth, Edentulous</DescriptorName>
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<DescriptorName UI="D012107" MajorTopicYN="N">Research Design</DescriptorName>
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<DescriptorName UI="D015050" MajorTopicYN="N">Zygoma</DescriptorName>
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