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Three-year results from a randomised controlled trial comparing prostheses supported by 5-mm long implants or by longer implants in augmented bone in posterior atrophic edentulous jaws.

Identifieur interne : 000A14 ( PubMed/Corpus ); précédent : 000A13; suivant : 000A15

Three-year results from a randomised controlled trial comparing prostheses supported by 5-mm long implants or by longer implants in augmented bone in posterior atrophic edentulous jaws.

Auteurs : Marco Esposito ; Roberto Pistilli ; Carlo Barausse ; Pietro Felice

Source :

RBID : pubmed:25422826

English descriptors

Abstract

To evaluate whether 5-mm short dental implants could be an alternative to augmentation with anorganic bovine bone and placement of at least 10-mm long implants in posterior atrophic jaws.

PubMed: 25422826

Links to Exploration step

pubmed:25422826

Le document en format XML

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<title xml:lang="en">Three-year results from a randomised controlled trial comparing prostheses supported by 5-mm long implants or by longer implants in augmented bone in posterior atrophic edentulous jaws.</title>
<author>
<name sortKey="Esposito, Marco" sort="Esposito, Marco" uniqKey="Esposito M" first="Marco" last="Esposito">Marco Esposito</name>
</author>
<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="Barausse, Carlo" sort="Barausse, Carlo" uniqKey="Barausse C" first="Carlo" last="Barausse">Carlo Barausse</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 xml:lang="en">Three-year results from a randomised controlled trial comparing prostheses supported by 5-mm long implants or by longer implants in augmented bone in posterior atrophic edentulous jaws.</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="Pistilli, Roberto" sort="Pistilli, Roberto" uniqKey="Pistilli R" first="Roberto" last="Pistilli">Roberto Pistilli</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="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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<term>Absorbable Implants</term>
<term>Adult</term>
<term>Aged</term>
<term>Alveolar Bone Loss (classification)</term>
<term>Alveolar Ridge Augmentation (methods)</term>
<term>Atrophy</term>
<term>Bone Substitutes (therapeutic use)</term>
<term>Dental Implantation, Endosseous (instrumentation)</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</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>Mandible (surgery)</term>
<term>Maxilla (surgery)</term>
<term>Membranes, Artificial</term>
<term>Middle Aged</term>
<term>Osseointegration (physiology)</term>
<term>Paresthesia (etiology)</term>
<term>Piezosurgery (methods)</term>
<term>Postoperative Complications</term>
<term>Sinus Floor Augmentation (methods)</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en">
<term>Bone Substitutes</term>
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<term>Paresthesia</term>
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<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en">
<term>Dental Implantation, Endosseous</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Alveolar Ridge Augmentation</term>
<term>Dental Implantation, Endosseous</term>
<term>Piezosurgery</term>
<term>Sinus Floor Augmentation</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Osseointegration</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>Mandible</term>
<term>Maxilla</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Absorbable Implants</term>
<term>Adult</term>
<term>Aged</term>
<term>Atrophy</term>
<term>Dental Implants</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Membranes, Artificial</term>
<term>Middle Aged</term>
<term>Postoperative Complications</term>
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<front>
<div type="abstract" xml:lang="en">To evaluate whether 5-mm short dental implants could be an alternative to augmentation with anorganic bovine bone and placement of at least 10-mm long implants in posterior atrophic jaws.</div>
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<PMID Version="1">25422826</PMID>
<DateCompleted>
<Year>2015</Year>
<Month>02</Month>
<Day>05</Day>
</DateCompleted>
<DateRevised>
<Year>2014</Year>
<Month>11</Month>
<Day>25</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">1756-2406</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>7</Volume>
<Issue>4</Issue>
<PubDate>
<Year>2014</Year>
<Season>Winter</Season>
</PubDate>
</JournalIssue>
<Title>European journal of oral implantology</Title>
<ISOAbbreviation>Eur J Oral Implantol</ISOAbbreviation>
</Journal>
<ArticleTitle>Three-year results from a randomised controlled trial comparing prostheses supported by 5-mm long implants or by longer implants in augmented bone in posterior atrophic edentulous jaws.</ArticleTitle>
<Pagination>
<MedlinePgn>383-95</MedlinePgn>
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<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To evaluate whether 5-mm short dental implants could be an alternative to augmentation with anorganic bovine bone and placement of at least 10-mm long implants in posterior atrophic jaws.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Fifteen patients with bilateral atrophic mandibles (5 mm to 7 mm bone height above the mandibular canal) and 15 patients with bilateral atrophic maxillae (4 mm to 6 mm bone height below the maxillary sinus), and bone thickness of at least 8 mm, were randomised according to a split-mouth design to receive one to three 5-mm short implants or at least 10-mm long implants in augmented bone. Mandibles were vertically augmented with interpositional bone blocks and maxillary sinuses with particulated bone via a lateral window. Implants were placed after 4 months, submerged and loaded, after another 4 months, with provisional prostheses. Four months later, definitive provisionally cemented prostheses were delivered. Outcome measures were: prosthesis and implant failures; any complication and peri-implant marginal bone level changes.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">In five augmented mandibles, the planned 10-mm long implants could not be placed and shorter implants (7 mm and 8.5 mm) had to be used instead. Three years after loading, two patients, one treated in the mandible and one in the maxilla, dropped out. Three prostheses (1 mandibular and 2 maxillary) failed in the short implant group versus none in the long implant group. In mandibles, one long implant failed versus two short implants in 1 patient. In maxillae, one long implant failed versus three short implants in 2 patients. There were no statistically significant differences in the failures. Eight patients had 13 complications at short implants (1 patient accounted for 6 complications) and 11 patients had 13 complications at long implants. There were no statistically significant differences in complications (P = 0.63, difference = 0.10, 95% CI from -0.22 to 0.42). Three years after loading, patients with mandibular implants lost on average 1.44 mm at short implants and 1.63 mm at long implants of peri-implant marginal bone. This difference was not statistically significant (difference = 0.24 mm; 95% CI -0.01, 0.49 P = 0.059). In maxillae, patients lost on average 1.02 mm at short implants and 1.54 mm at long implants. This difference was statistically significant (difference = 0.41 mm; 95% CI 0.21, 0.60, P = 0.001).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Three years after loading, 5-mm short implants achieved similar results as longer implants in augmented bone. Short implants might be a preferable choice to vertical bone augmentation, especially in mandibles, since the treatment is faster and cheaper, however there are still insufficient data on the long-term prognosis of short implants.</AbstractText>
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<Language>eng</Language>
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<Country>England</Country>
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<DescriptorName UI="D020341" MajorTopicYN="N">Absorbable Implants</DescriptorName>
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<DescriptorName UI="D018786" MajorTopicYN="N">Bone Substitutes</DescriptorName>
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<DescriptorName UI="D059546" MajorTopicYN="N">Sinus Floor Augmentation</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
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