Short implants versus bone augmentation for placing longer implants in atrophic maxillae: One-year post-loading results of a pilot randomised controlled trial.
Identifieur interne : 000339 ( PubMed/Corpus ); précédent : 000338; suivant : 000340Short implants versus bone augmentation for placing longer implants in atrophic maxillae: One-year post-loading results of a pilot randomised controlled trial.
Auteurs : Marco Esposito ; Carlo Barausse ; Roberto Pistilli ; Gilberto Sammartino ; Giovanni Grandi ; Pietro FeliceSource :
- European journal of oral implantology [ 1756-2406 ] ; 2015.
English descriptors
- KwdEn :
- Absorbable Implants, Adult, Aged, Atrophy, Autografts (transplantation), Bone Transplantation (methods), Dental Implantation, Endosseous (methods), Dental Implants, Dental Prosthesis Design, Dental Prosthesis, Implant-Supported, Denture Retention (instrumentation), Denture, Overlay, Female, Follow-Up Studies, Humans, Jaw, Edentulous (rehabilitation), Jaw, Edentulous (surgery), Male, Maxilla (pathology), Maxilla (surgery), Membranes, Artificial, Middle Aged, Patient Satisfaction, Pilot Projects, Postoperative Complications, Single-Blind Method, Sinus Floor Augmentation (methods), Treatment Outcome.
- MESH :
- chemical : Dental Implants, Membranes, Artificial.
- instrumentation : Denture Retention.
- methods : Bone Transplantation, Dental Implantation, Endosseous, Sinus Floor Augmentation.
- pathology : Maxilla.
- rehabilitation : Jaw, Edentulous.
- surgery : Jaw, Edentulous, Maxilla.
- transplantation : Autografts.
- Absorbable Implants, Adult, Aged, Atrophy, Dental Prosthesis Design, Dental Prosthesis, Implant-Supported, Denture, Overlay, Female, Follow-Up Studies, Humans, Male, Middle Aged, Patient Satisfaction, Pilot Projects, Postoperative Complications, Single-Blind Method, Treatment Outcome.
Abstract
To evaluate whether short (5.0 to 8.5 mm) dental implants could be a suitable alternative to longer (at least 11.5 mm-long) implants placed in atrophic maxillae augmented with autogenous bone for supporting dental prostheses.
PubMed: 26355170
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Short implants versus bone augmentation for placing longer implants in atrophic maxillae: One-year post-loading results of a pilot randomised controlled trial.</title><author><name sortKey="Esposito, Marco" sort="Esposito, Marco" uniqKey="Esposito M" first="Marco" last="Esposito">Marco Esposito</name></author><author><name sortKey="Barausse, Carlo" sort="Barausse, Carlo" uniqKey="Barausse C" first="Carlo" last="Barausse">Carlo Barausse</name></author><author><name sortKey="Pistilli, Roberto" sort="Pistilli, Roberto" uniqKey="Pistilli R" first="Roberto" last="Pistilli">Roberto Pistilli</name></author><author><name sortKey="Sammartino, Gilberto" sort="Sammartino, Gilberto" uniqKey="Sammartino G" first="Gilberto" last="Sammartino">Gilberto Sammartino</name></author><author><name sortKey="Grandi, Giovanni" sort="Grandi, Giovanni" uniqKey="Grandi G" first="Giovanni" last="Grandi">Giovanni Grandi</name></author><author><name sortKey="Felice, Pietro" sort="Felice, Pietro" uniqKey="Felice P" first="Pietro" last="Felice">Pietro Felice</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2015">2015</date><idno type="RBID">pubmed:26355170</idno><idno type="pmid">26355170</idno><idno type="wicri:Area/PubMed/Corpus">000339</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000339</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Short implants versus bone augmentation for placing longer implants in atrophic maxillae: One-year post-loading results of a pilot randomised controlled trial.</title><author><name sortKey="Esposito, Marco" sort="Esposito, Marco" uniqKey="Esposito M" first="Marco" last="Esposito">Marco Esposito</name></author><author><name sortKey="Barausse, Carlo" sort="Barausse, Carlo" uniqKey="Barausse C" first="Carlo" last="Barausse">Carlo Barausse</name></author><author><name sortKey="Pistilli, Roberto" sort="Pistilli, Roberto" uniqKey="Pistilli R" first="Roberto" last="Pistilli">Roberto Pistilli</name></author><author><name sortKey="Sammartino, Gilberto" sort="Sammartino, Gilberto" uniqKey="Sammartino G" first="Gilberto" last="Sammartino">Gilberto Sammartino</name></author><author><name sortKey="Grandi, Giovanni" sort="Grandi, Giovanni" uniqKey="Grandi G" first="Giovanni" last="Grandi">Giovanni Grandi</name></author><author><name sortKey="Felice, Pietro" sort="Felice, Pietro" uniqKey="Felice P" first="Pietro" last="Felice">Pietro Felice</name></author></analytic><series><title level="j">European journal of oral implantology</title><idno type="ISSN">1756-2406</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Absorbable Implants</term><term>Adult</term><term>Aged</term><term>Atrophy</term><term>Autografts (transplantation)</term><term>Bone Transplantation (methods)</term><term>Dental Implantation, Endosseous (methods)</term><term>Dental Implants</term><term>Dental Prosthesis Design</term><term>Dental Prosthesis, Implant-Supported</term><term>Denture Retention (instrumentation)</term><term>Denture, Overlay</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Jaw, Edentulous (rehabilitation)</term><term>Jaw, Edentulous (surgery)</term><term>Male</term><term>Maxilla (pathology)</term><term>Maxilla (surgery)</term><term>Membranes, Artificial</term><term>Middle Aged</term><term>Patient Satisfaction</term><term>Pilot Projects</term><term>Postoperative Complications</term><term>Single-Blind Method</term><term>Sinus Floor Augmentation (methods)</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term><term>Membranes, Artificial</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Denture Retention</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Bone Transplantation</term><term>Dental Implantation, Endosseous</term><term>Sinus Floor Augmentation</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Maxilla</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous</term><term>Maxilla</term></keywords><keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Autografts</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Absorbable Implants</term><term>Adult</term><term>Aged</term><term>Atrophy</term><term>Dental Prosthesis Design</term><term>Dental Prosthesis, Implant-Supported</term><term>Denture, Overlay</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Patient Satisfaction</term><term>Pilot Projects</term><term>Postoperative Complications</term><term>Single-Blind Method</term><term>Treatment Outcome</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To evaluate whether short (5.0 to 8.5 mm) dental implants could be a suitable alternative to longer (at least 11.5 mm-long) implants placed in atrophic maxillae augmented with autogenous bone for supporting dental prostheses.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26355170</PMID><DateCompleted><Year>2016</Year><Month>02</Month><Day>04</Day></DateCompleted><DateRevised><Year>2015</Year><Month>09</Month><Day>10</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">1756-2406</ISSN><JournalIssue CitedMedium="Print"><Volume>8</Volume><Issue>3</Issue><PubDate><Year>2015</Year><Season>Autumn</Season></PubDate></JournalIssue><Title>European journal of oral implantology</Title><ISOAbbreviation>Eur J Oral Implantol</ISOAbbreviation></Journal><ArticleTitle>Short implants versus bone augmentation for placing longer implants in atrophic maxillae: One-year post-loading results of a pilot randomised controlled trial.</ArticleTitle><Pagination><MedlinePgn>257-68</MedlinePgn></Pagination><Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To evaluate whether short (5.0 to 8.5 mm) dental implants could be a suitable alternative to longer (at least 11.5 mm-long) implants placed in atrophic maxillae augmented with autogenous bone for supporting dental prostheses.</AbstractText><AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Twenty-eight patients with fully edentulous atrophic maxillae, whom had 5 to 9 mm of residual crestal bone height which was at least 5 mm thick, measured using computerised tomography (CT) scans, were randomised into two groups either to receive 4 to 8 short (5.0 to 8.5 mm) implants (15 patients) or autogenous bone from the iliac crest to allow the placement of at least 11.5 mm-long implants (13 patients). Bone blocks and the windows at the maxillary sinuses were covered with rigid resorbable barriers. Grafts were left to heal for 4 months before placing implants which were submerged. After 4 months, provisional reinforced acrylic prostheses or bar retained overdentures were delivered. Provisional prostheses were replaced, after 4 months, by definitive screw-retained metal-resin cross-arch restorations. Outcome measures were prosthesis and implant failures, any complications, peri-implant marginal bone level changes and patient satisfaction. Patients were followed up to 1 year after loading.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">All patients were rehabilitated with implant-supported prostheses but two patients dropped out from the augmented group. One bilateral sinus lift procedure failed for infection, although short implants could be placed. One implant failed in the augmented group versus two short implants in two patients (Fishers exact test P = 1.00; difference in proportions = 0.06; 95% CI -0.28 to 0.17). All failures occurred before loading. Significantly more complications occurred in augmented patients: eight complications occurred in 5 augmented patients (all of them complained of pain 1 month after bone harvesting from the iliac crest) versus no complications in the short implant (Fisher's exact test P = 0.013; difference in proportions = 0.38; 95% CI 0.11 to 0.65). Both groups presented a significant peri-implant marginal bone loss at 1 year after loading (P < 0.0001); -1.05 (0.20) mm for short implants and -1.01 (0.16) mm for the augmented group, respectively, with no statistically significant differences between the two groups (mean difference -0.04 mm; 95% CI -0.22 to 0.14; P = 0.59). All patients were fully satisfied with the treatment and would have it again.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This pilot study suggests that short implants may be a suitable, cheaper and faster alternative to longer implants placed in bone augmented with autogenous bone for rehabilitating edentulous atrophic maxillae, however, these preliminary results need to be confirmed by larger trials with follow-ups of at least 5 years.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Esposito</LastName><ForeName>Marco</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Barausse</LastName><ForeName>Carlo</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Pistilli</LastName><ForeName>Roberto</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Sammartino</LastName><ForeName>Gilberto</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Grandi</LastName><ForeName>Giovanni</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Felice</LastName><ForeName>Pietro</ForeName><Initials>P</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016449">Randomized Controlled Trial</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Eur J Oral Implantol</MedlineTA><NlmUniqueID>101473719</NlmUniqueID><ISSNLinking>1756-2406</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D015921">Dental Implants</NameOfSubstance></Chemical><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D008567">Membranes, Artificial</NameOfSubstance></Chemical></ChemicalList><CitationSubset>D</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D020341" MajorTopicYN="N">Absorbable Implants</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001284" MajorTopicYN="N">Atrophy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D064592" MajorTopicYN="N">Autografts</DescriptorName><QualifierName UI="Q000637" MajorTopicYN="N">transplantation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016025" MajorTopicYN="N">Bone Transplantation</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003758" MajorTopicYN="N">Dental Implantation, Endosseous</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015921" MajorTopicYN="Y">Dental Implants</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017267" MajorTopicYN="Y">Dental Prosthesis Design</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019094" MajorTopicYN="N">Dental Prosthesis, Implant-Supported</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003781" MajorTopicYN="N">Denture Retention</DescriptorName><QualifierName UI="Q000295" MajorTopicYN="N">instrumentation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003828" MajorTopicYN="N">Denture, Overlay</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007575" MajorTopicYN="N">Jaw, Edentulous</DescriptorName><QualifierName UI="Q000534" MajorTopicYN="N">rehabilitation</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008437" MajorTopicYN="N">Maxilla</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008567" MajorTopicYN="N">Membranes, Artificial</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017060" MajorTopicYN="N">Patient Satisfaction</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010865" MajorTopicYN="N">Pilot Projects</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016037" MajorTopicYN="N">Single-Blind Method</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D059546" MajorTopicYN="N">Sinus Floor Augmentation</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>9</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>9</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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