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Immediate loading of two (fixed-on-2) vs four (fixed-on-4) implants placed with a flapless technique supporting mandibular cross-arch fixed prostheses: 3-year results from a pilot randomised controlled trial.

Identifieur interne : 000036 ( PubMed/Corpus ); précédent : 000035; suivant : 000037

Immediate loading of two (fixed-on-2) vs four (fixed-on-4) implants placed with a flapless technique supporting mandibular cross-arch fixed prostheses: 3-year results from a pilot randomised controlled trial.

Auteurs : Gioacchino Cannizzaro ; Pietro Felice ; Enrico Gherlone ; Carlo Barausse ; Vittorio Ferri ; Michele Leone ; Anna Trullenque-Eriksson ; Marco Esposito

Source :

RBID : pubmed:28555204

English descriptors

Abstract

To evaluate the outcome of two vs four implants placed flapless in fully edentulous mandibles and immediately restored with metal-resin screw-retained cross-arch prostheses.

PubMed: 28555204

Links to Exploration step

pubmed:28555204

Le document en format XML

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<title xml:lang="en">Immediate loading of two (fixed-on-2) vs four (fixed-on-4) implants placed with a flapless technique supporting mandibular cross-arch fixed prostheses: 3-year results from a pilot randomised controlled trial.</title>
<author>
<name sortKey="Cannizzaro, Gioacchino" sort="Cannizzaro, Gioacchino" uniqKey="Cannizzaro G" first="Gioacchino" last="Cannizzaro">Gioacchino Cannizzaro</name>
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<author>
<name sortKey="Felice, Pietro" sort="Felice, Pietro" uniqKey="Felice P" first="Pietro" last="Felice">Pietro Felice</name>
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<author>
<name sortKey="Gherlone, Enrico" sort="Gherlone, Enrico" uniqKey="Gherlone E" first="Enrico" last="Gherlone">Enrico Gherlone</name>
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<author>
<name sortKey="Barausse, Carlo" sort="Barausse, Carlo" uniqKey="Barausse C" first="Carlo" last="Barausse">Carlo Barausse</name>
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<author>
<name sortKey="Ferri, Vittorio" sort="Ferri, Vittorio" uniqKey="Ferri V" first="Vittorio" last="Ferri">Vittorio Ferri</name>
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<name sortKey="Leone, Michele" sort="Leone, Michele" uniqKey="Leone M" first="Michele" last="Leone">Michele Leone</name>
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<name sortKey="Trullenque Eriksson, Anna" sort="Trullenque Eriksson, Anna" uniqKey="Trullenque Eriksson A" first="Anna" last="Trullenque-Eriksson">Anna Trullenque-Eriksson</name>
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<author>
<name sortKey="Esposito, Marco" sort="Esposito, Marco" uniqKey="Esposito M" first="Marco" last="Esposito">Marco Esposito</name>
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<title xml:lang="en">Immediate loading of two (fixed-on-2) vs four (fixed-on-4) implants placed with a flapless technique supporting mandibular cross-arch fixed prostheses: 3-year results from a pilot randomised controlled trial.</title>
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<name sortKey="Cannizzaro, Gioacchino" sort="Cannizzaro, Gioacchino" uniqKey="Cannizzaro G" first="Gioacchino" last="Cannizzaro">Gioacchino Cannizzaro</name>
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<name sortKey="Gherlone, Enrico" sort="Gherlone, Enrico" uniqKey="Gherlone E" first="Enrico" last="Gherlone">Enrico Gherlone</name>
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<name sortKey="Ferri, Vittorio" sort="Ferri, Vittorio" uniqKey="Ferri V" first="Vittorio" last="Ferri">Vittorio Ferri</name>
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<name sortKey="Leone, Michele" sort="Leone, Michele" uniqKey="Leone M" first="Michele" last="Leone">Michele Leone</name>
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<name sortKey="Trullenque Eriksson, Anna" sort="Trullenque Eriksson, Anna" uniqKey="Trullenque Eriksson A" first="Anna" last="Trullenque-Eriksson">Anna Trullenque-Eriksson</name>
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<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Dental Arch (surgery)</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Immediate Dental Implant Loading</term>
<term>Italy</term>
<term>Male</term>
<term>Mandible (surgery)</term>
<term>Middle Aged</term>
<term>Mouth, Edentulous (surgery)</term>
<term>Prosthesis Failure</term>
<term>Surgical Flaps (surgery)</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Dental Implantation, Endosseous</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Dental Arch</term>
<term>Mandible</term>
<term>Mouth, Edentulous</term>
<term>Surgical Flaps</term>
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<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Immediate Dental Implant Loading</term>
<term>Italy</term>
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<div type="abstract" xml:lang="en">To evaluate the outcome of two vs four implants placed flapless in fully edentulous mandibles and immediately restored with metal-resin screw-retained cross-arch prostheses.</div>
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<Year>2017</Year>
<Month>09</Month>
<Day>01</Day>
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<Year>2017</Year>
<Month>09</Month>
<Day>01</Day>
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<Volume>10</Volume>
<Issue>2</Issue>
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<MedlineDate>2017</MedlineDate>
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<Title>European journal of oral implantology</Title>
<ISOAbbreviation>Eur J Oral Implantol</ISOAbbreviation>
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<ArticleTitle>Immediate loading of two (fixed-on-2) vs four (fixed-on-4) implants placed with a flapless technique supporting mandibular cross-arch fixed prostheses: 3-year results from a pilot randomised controlled trial.</ArticleTitle>
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<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To evaluate the outcome of two vs four implants placed flapless in fully edentulous mandibles and immediately restored with metal-resin screw-retained cross-arch prostheses.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">A total of 60 patients from two different centres were randomised: 30 to the fixed-on-2 group and 30 to the fixed-on-4 group according to a parallel group design. To be immediately loaded implants had to be inserted with a minimum torque of 40 Newton/cm (Ncm). Outcome measures were prosthesis and implant failures, complications, and marginal bone level changes.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Flaps were raised in 18 patients. Two implants in two patients did not reach the planned insertion torque and were replaced immediately by larger diameter ones. Three years after loading, two patients dropped out from the fixed-on-2 group and one from the fixed-on-4 group. No implant failure or prosthetic failure occurred. A total of 12 fixed-on-2 patients were affected by one complication each vs 13 fixed-on-4 patients. There were no statistically significant differences for complications between groups (difference in proportion = -0.03; 95% CI -29 to 0.22; P [Fisher's exact test] =1.000). There were no statistically significant differences for marginal peri-implant bone loss between the two groups (mean difference = 0.14; CI 95% -0.17 to 0.45; P [ANCOVA] = 0.356), with both groups losing marginal bone in a statistically significant way (1.70 mm for fixed-on-2 implants and 1.56 mm for fixed-on-4 implants). There were statistically significant differences between the two centres, with more bone being lost for the Bologna centre (2.18 vs 1.13 mm; P (ANCOVA) < 0.001).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Up to 3 years after loading, these preliminary results suggest that immediately loaded mandibular cross-arch fixed prostheses can be supported by only two dental implants. Longer follow-ups (about 10 years) are needed to properly evaluate this therapeutic option. Conflict of interest statement: This study was completely self-financed and no funding from the implant manufacturers has been sought or obtained, not even in the form of free materials.</AbstractText>
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