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Treatment of the atrophic edentulous maxilla: short implants versus bone augmentation for placing longer implants. Five-month post-loading results of a pilot randomised controlled trial.

Identifieur interne : 001422 ( PubMed/Corpus ); précédent : 001421; suivant : 001423

Treatment of the atrophic edentulous maxilla: short implants versus bone augmentation for placing longer implants. Five-month post-loading results of a pilot randomised controlled trial.

Auteurs : Pietro Felice ; Elisa Soardi ; Gerardo Pellegrino ; Roberto Pistilli ; Claudio Marchetti ; Manlio Gessaroli ; Marco Esposito

Source :

RBID : pubmed:22043464

English descriptors

Abstract

To evaluate whether short (5 to 8.5 mm) dental implants could be a suitable alternative to longer (>11.5 mm) implants placed in atrophic maxillae augmented with autogenous bone for supporting dental prostheses.

PubMed: 22043464

Links to Exploration step

pubmed:22043464

Le document en format XML

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<title xml:lang="en">Treatment of the atrophic edentulous maxilla: short implants versus bone augmentation for placing longer implants. Five-month post-loading results of a pilot randomised controlled trial.</title>
<author>
<name sortKey="Felice, Pietro" sort="Felice, Pietro" uniqKey="Felice P" first="Pietro" last="Felice">Pietro Felice</name>
<affiliation>
<nlm:affiliation>Department of Peridontology and Implantology, Univeristy of Bologna, Italy.</nlm:affiliation>
</affiliation>
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<author>
<name sortKey="Soardi, Elisa" sort="Soardi, Elisa" uniqKey="Soardi E" first="Elisa" last="Soardi">Elisa Soardi</name>
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<author>
<name sortKey="Pellegrino, Gerardo" sort="Pellegrino, Gerardo" uniqKey="Pellegrino G" first="Gerardo" last="Pellegrino">Gerardo Pellegrino</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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<name sortKey="Marchetti, Claudio" sort="Marchetti, Claudio" uniqKey="Marchetti C" first="Claudio" last="Marchetti">Claudio Marchetti</name>
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<author>
<name sortKey="Gessaroli, Manlio" sort="Gessaroli, Manlio" uniqKey="Gessaroli M" first="Manlio" last="Gessaroli">Manlio Gessaroli</name>
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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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<title xml:lang="en">Treatment of the atrophic edentulous maxilla: short implants versus bone augmentation for placing longer implants. Five-month post-loading results of a pilot randomised controlled trial.</title>
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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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<name sortKey="Soardi, Elisa" sort="Soardi, Elisa" uniqKey="Soardi E" first="Elisa" last="Soardi">Elisa Soardi</name>
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<name sortKey="Pellegrino, Gerardo" sort="Pellegrino, Gerardo" uniqKey="Pellegrino G" first="Gerardo" last="Pellegrino">Gerardo Pellegrino</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="Marchetti, Claudio" sort="Marchetti, Claudio" uniqKey="Marchetti C" first="Claudio" last="Marchetti">Claudio Marchetti</name>
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<name sortKey="Gessaroli, Manlio" sort="Gessaroli, Manlio" uniqKey="Gessaroli M" first="Manlio" last="Gessaroli">Manlio Gessaroli</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>Adult</term>
<term>Aged</term>
<term>Alveolar Bone Loss (complications)</term>
<term>Alveolar Bone Loss (diagnostic imaging)</term>
<term>Alveolar Bone Loss (rehabilitation)</term>
<term>Alveolar Bone Loss (surgery)</term>
<term>Alveolar Ridge Augmentation (methods)</term>
<term>Bone Transplantation</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants</term>
<term>Dental Prosthesis Design</term>
<term>Dental Restoration Failure</term>
<term>Denture, Overlay</term>
<term>Female</term>
<term>Guided Tissue Regeneration, Periodontal (methods)</term>
<term>Humans</term>
<term>Jaw, Edentulous (complications)</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Male</term>
<term>Maxilla (surgery)</term>
<term>Middle Aged</term>
<term>Patient Satisfaction</term>
<term>Pilot Projects</term>
<term>Postoperative Complications</term>
<term>Radiography</term>
<term>Sinus Floor Augmentation</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Alveolar Bone Loss</term>
<term>Jaw, Edentulous</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en">
<term>Alveolar Bone Loss</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Alveolar Ridge Augmentation</term>
<term>Dental Implantation, Endosseous</term>
<term>Guided Tissue Regeneration, Periodontal</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Alveolar Bone Loss</term>
<term>Jaw, Edentulous</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Alveolar Bone Loss</term>
<term>Jaw, Edentulous</term>
<term>Maxilla</term>
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<term>Adult</term>
<term>Aged</term>
<term>Bone Transplantation</term>
<term>Dental Prosthesis Design</term>
<term>Dental Restoration Failure</term>
<term>Denture, Overlay</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Patient Satisfaction</term>
<term>Pilot Projects</term>
<term>Postoperative Complications</term>
<term>Radiography</term>
<term>Sinus Floor Augmentation</term>
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<front>
<div type="abstract" xml:lang="en">To evaluate whether short (5 to 8.5 mm) dental implants could be a suitable alternative to longer (>11.5 mm) implants placed in atrophic maxillae augmented with autogenous bone for supporting dental prostheses.</div>
</front>
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<DateCompleted>
<Year>2011</Year>
<Month>11</Month>
<Day>29</Day>
</DateCompleted>
<DateRevised>
<Year>2016</Year>
<Month>11</Month>
<Day>25</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">1756-2406</ISSN>
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<Volume>4</Volume>
<Issue>3</Issue>
<PubDate>
<Year>2011</Year>
<Season>Autumn</Season>
</PubDate>
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<Title>European journal of oral implantology</Title>
<ISOAbbreviation>Eur J Oral Implantol</ISOAbbreviation>
</Journal>
<ArticleTitle>Treatment of the atrophic edentulous maxilla: short implants versus bone augmentation for placing longer implants. Five-month post-loading results of a pilot randomised controlled trial.</ArticleTitle>
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<MedlinePgn>191-202</MedlinePgn>
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<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To evaluate whether short (5 to 8.5 mm) dental implants could be a suitable alternative to longer (>11.5 mm) 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 having 5 to 9 mm of residual crestal bone height at least 5 mm thick, as measured on computerised tomography scans, were randomised into two groups either to receive 4 to 8 short (5 to 8.5 mm) implants (15 patients) or autogenous bone from the iliac crest to allow the placement of at least 11.5 mmlong implants (13 patients). Bone blocks and the windows at 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 fixed dental prostheses. Outcome measures were: prosthesis and implant failures, any complications (including prolonged postoperative pain) and patient satisfaction. All patients were followed for 5 months after loading.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">All patients could be rehabilitated with implant-supported prostheses and none dropped out. One bilateral sinus lift procedure failed due to infection, though short implants could be placed. One implant failed in the augmented group versus 2 short implants in 2 patients. All failures occurred before loading. Significantly more complications occurred in augmented patients: 8 complications occurred in 5 augmented patients (all complained of pain 1 month after bone harvesting from the iliac crest). No complications occurred in the short implant group. All patients were fully satisfied with the treatment and would do 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>
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<LastName>Felice</LastName>
<ForeName>Pietro</ForeName>
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<Affiliation>Department of Peridontology and Implantology, Univeristy of Bologna, Italy.</Affiliation>
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<LastName>Soardi</LastName>
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<ForeName>Gerardo</ForeName>
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<Language>eng</Language>
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<DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
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<DescriptorName UI="D016301" MajorTopicYN="N">Alveolar Bone Loss</DescriptorName>
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<DescriptorName UI="D003828" MajorTopicYN="N">Denture, Overlay</DescriptorName>
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<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</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="D017060" MajorTopicYN="N">Patient Satisfaction</DescriptorName>
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<DescriptorName UI="D011859" MajorTopicYN="N">Radiography</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D059546" MajorTopicYN="Y">Sinus Floor Augmentation</DescriptorName>
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