Immediate functional loading of provisional implants in the reconstructed atrophic maxilla: preliminary results of a prospective study after 6 months of loading with a provisional bridge.
Identifieur interne : 001458 ( PubMed/Corpus ); précédent : 001457; suivant : 001459Immediate functional loading of provisional implants in the reconstructed atrophic maxilla: preliminary results of a prospective study after 6 months of loading with a provisional bridge.
Auteurs : O. Lenssen ; L. Barbier ; C. De ClercqSource :
- International journal of oral and maxillofacial surgery [ 1399-0020 ] ; 2011.
English descriptors
- KwdEn :
- Adult, Alveolar Bone Loss (pathology), Alveolar Bone Loss (rehabilitation), Alveolar Bone Loss (surgery), Atrophy, Bone Transplantation (methods), Dental Implantation, Endosseous (methods), Dental Implants, Dental Prosthesis, Implant-Supported, Dental Restoration, Permanent (methods), Dental Restoration, Temporary (methods), Denture Retention, Denture, Complete, Immediate, Denture, Complete, Upper, Female, Humans, Jaw, Edentulous (pathology), Jaw, Edentulous (rehabilitation), Jaw, Edentulous (surgery), Male, Maxilla (diagnostic imaging), Maxilla (pathology), Maxilla (surgery), Middle Aged, Pilot Projects, Prospective Studies, Radiography, Severity of Illness Index, Time Factors, Treatment Outcome.
- MESH :
- chemical : Dental Implants.
- diagnostic imaging : Maxilla.
- methods : Bone Transplantation, Dental Implantation, Endosseous, Dental Restoration, Permanent, Dental Restoration, Temporary.
- pathology : Alveolar Bone Loss, Jaw, Edentulous, Maxilla.
- rehabilitation : Alveolar Bone Loss, Jaw, Edentulous.
- surgery : Alveolar Bone Loss, Jaw, Edentulous, Maxilla.
- Adult, Atrophy, Dental Prosthesis, Implant-Supported, Denture Retention, Denture, Complete, Immediate, Denture, Complete, Upper, Female, Humans, Male, Middle Aged, Pilot Projects, Prospective Studies, Radiography, Severity of Illness Index, Time Factors, Treatment Outcome.
Abstract
Implant-prosthetic rehabilitation of atrophic maxillae remains a challenging problem. The aim of this paper is to describe a novel treatment for functional rehabilitation of the atrophic maxilla and to discuss preliminary results of this treatment protocol. A prospective pilot study was carried out in 10 patients who underwent bony reconstruction of atrophic maxillae under general anaesthesia, with autologous calvarial bone grafts and simultaneous placement of six provisional implants. The provisional implants were loaded with a provisional acrylic bridge 1 day after surgery. After 6 months, the provisional implants were removed and final implants were placed under local anaesthesia, again in an immediate loading concept with a provisional bridge, followed by a final bridge after another 6 months of healing. The bone grafts integrated well in all 10 patients without infectious complications. The prosthetic survival of the provisional bridge at the time of placing the implants was 100%. All final implants could be placed and immediately loaded with a second provisional bridge. Patient satisfaction was high due to limited postoperative inconvenience and immediate fixed prosthetic rehabilitation. The preliminary results of this pilot study demonstrate that this treatment protocol is a well tolerated treatment for patients with maxillary atrophy desiring dental rehabilitation.
DOI: 10.1016/j.ijom.2011.05.001
PubMed: 21658910
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pubmed:21658910Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Immediate functional loading of provisional implants in the reconstructed atrophic maxilla: preliminary results of a prospective study after 6 months of loading with a provisional bridge.</title><author><name sortKey="Lenssen, O" sort="Lenssen, O" uniqKey="Lenssen O" first="O" last="Lenssen">O. Lenssen</name><affiliation><nlm:affiliation>Department of Surgery, Division of Maxillofacial Surgery, General Hospital St. John Bruges, Ruddershove 10, 8000 Bruges, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Barbier, L" sort="Barbier, L" uniqKey="Barbier L" first="L" last="Barbier">L. Barbier</name></author><author><name sortKey="De Clercq, C" sort="De Clercq, C" uniqKey="De Clercq C" first="C" last="De Clercq">C. De Clercq</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2011">2011</date><idno type="RBID">pubmed:21658910</idno><idno type="pmid">21658910</idno><idno type="doi">10.1016/j.ijom.2011.05.001</idno><idno type="wicri:Area/PubMed/Corpus">001458</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001458</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Immediate functional loading of provisional implants in the reconstructed atrophic maxilla: preliminary results of a prospective study after 6 months of loading with a provisional bridge.</title><author><name sortKey="Lenssen, O" sort="Lenssen, O" uniqKey="Lenssen O" first="O" last="Lenssen">O. Lenssen</name><affiliation><nlm:affiliation>Department of Surgery, Division of Maxillofacial Surgery, General Hospital St. John Bruges, Ruddershove 10, 8000 Bruges, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Barbier, L" sort="Barbier, L" uniqKey="Barbier L" first="L" last="Barbier">L. Barbier</name></author><author><name sortKey="De Clercq, C" sort="De Clercq, C" uniqKey="De Clercq C" first="C" last="De Clercq">C. De Clercq</name></author></analytic><series><title level="j">International journal of oral and maxillofacial surgery</title><idno type="eISSN">1399-0020</idno><imprint><date when="2011" type="published">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Alveolar Bone Loss (pathology)</term><term>Alveolar Bone Loss (rehabilitation)</term><term>Alveolar Bone Loss (surgery)</term><term>Atrophy</term><term>Bone Transplantation (methods)</term><term>Dental Implantation, Endosseous (methods)</term><term>Dental Implants</term><term>Dental Prosthesis, Implant-Supported</term><term>Dental Restoration, Permanent (methods)</term><term>Dental Restoration, Temporary (methods)</term><term>Denture Retention</term><term>Denture, Complete, Immediate</term><term>Denture, Complete, Upper</term><term>Female</term><term>Humans</term><term>Jaw, Edentulous (pathology)</term><term>Jaw, Edentulous (rehabilitation)</term><term>Jaw, Edentulous (surgery)</term><term>Male</term><term>Maxilla (diagnostic imaging)</term><term>Maxilla (pathology)</term><term>Maxilla (surgery)</term><term>Middle Aged</term><term>Pilot Projects</term><term>Prospective Studies</term><term>Radiography</term><term>Severity of Illness Index</term><term>Time Factors</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Maxilla</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Bone Transplantation</term><term>Dental Implantation, Endosseous</term><term>Dental Restoration, Permanent</term><term>Dental Restoration, Temporary</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Alveolar Bone Loss</term><term>Jaw, Edentulous</term><term>Maxilla</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Alveolar Bone Loss</term><term>Jaw, Edentulous</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Alveolar Bone Loss</term><term>Jaw, Edentulous</term><term>Maxilla</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Atrophy</term><term>Dental Prosthesis, Implant-Supported</term><term>Denture Retention</term><term>Denture, Complete, Immediate</term><term>Denture, Complete, Upper</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Pilot Projects</term><term>Prospective Studies</term><term>Radiography</term><term>Severity of Illness Index</term><term>Time Factors</term><term>Treatment Outcome</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Implant-prosthetic rehabilitation of atrophic maxillae remains a challenging problem. The aim of this paper is to describe a novel treatment for functional rehabilitation of the atrophic maxilla and to discuss preliminary results of this treatment protocol. A prospective pilot study was carried out in 10 patients who underwent bony reconstruction of atrophic maxillae under general anaesthesia, with autologous calvarial bone grafts and simultaneous placement of six provisional implants. The provisional implants were loaded with a provisional acrylic bridge 1 day after surgery. After 6 months, the provisional implants were removed and final implants were placed under local anaesthesia, again in an immediate loading concept with a provisional bridge, followed by a final bridge after another 6 months of healing. The bone grafts integrated well in all 10 patients without infectious complications. The prosthetic survival of the provisional bridge at the time of placing the implants was 100%. All final implants could be placed and immediately loaded with a second provisional bridge. Patient satisfaction was high due to limited postoperative inconvenience and immediate fixed prosthetic rehabilitation. The preliminary results of this pilot study demonstrate that this treatment protocol is a well tolerated treatment for patients with maxillary atrophy desiring dental rehabilitation.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">21658910</PMID><DateCompleted><Year>2012</Year><Month>01</Month><Day>23</Day></DateCompleted><DateRevised><Year>2016</Year><Month>11</Month><Day>25</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1399-0020</ISSN><JournalIssue CitedMedium="Internet"><Volume>40</Volume><Issue>9</Issue><PubDate><Year>2011</Year><Month>Sep</Month></PubDate></JournalIssue><Title>International journal of oral and maxillofacial surgery</Title><ISOAbbreviation>Int J Oral Maxillofac Surg</ISOAbbreviation></Journal><ArticleTitle>Immediate functional loading of provisional implants in the reconstructed atrophic maxilla: preliminary results of a prospective study after 6 months of loading with a provisional bridge.</ArticleTitle><Pagination><MedlinePgn>907-15</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.ijom.2011.05.001</ELocationID><Abstract><AbstractText>Implant-prosthetic rehabilitation of atrophic maxillae remains a challenging problem. The aim of this paper is to describe a novel treatment for functional rehabilitation of the atrophic maxilla and to discuss preliminary results of this treatment protocol. A prospective pilot study was carried out in 10 patients who underwent bony reconstruction of atrophic maxillae under general anaesthesia, with autologous calvarial bone grafts and simultaneous placement of six provisional implants. The provisional implants were loaded with a provisional acrylic bridge 1 day after surgery. After 6 months, the provisional implants were removed and final implants were placed under local anaesthesia, again in an immediate loading concept with a provisional bridge, followed by a final bridge after another 6 months of healing. The bone grafts integrated well in all 10 patients without infectious complications. The prosthetic survival of the provisional bridge at the time of placing the implants was 100%. All final implants could be placed and immediately loaded with a second provisional bridge. Patient satisfaction was high due to limited postoperative inconvenience and immediate fixed prosthetic rehabilitation. The preliminary results of this pilot study demonstrate that this treatment protocol is a well tolerated treatment for patients with maxillary atrophy desiring dental rehabilitation.</AbstractText><CopyrightInformation>Copyright © 2011 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Lenssen</LastName><ForeName>O</ForeName><Initials>O</Initials><AffiliationInfo><Affiliation>Department of Surgery, Division of Maxillofacial Surgery, General Hospital St. John Bruges, Ruddershove 10, 8000 Bruges, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Barbier</LastName><ForeName>L</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>De Clercq</LastName><ForeName>C</ForeName><Initials>C</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2011</Year><Month>06</Month><Day>11</Day></ArticleDate></Article><MedlineJournalInfo><Country>Denmark</Country><MedlineTA>Int J Oral Maxillofac Surg</MedlineTA><NlmUniqueID>8605826</NlmUniqueID><ISSNLinking>0901-5027</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D015921">Dental Implants</NameOfSubstance></Chemical></ChemicalList><CitationSubset>D</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016301" MajorTopicYN="N">Alveolar Bone Loss</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000534" MajorTopicYN="N">rehabilitation</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001284" MajorTopicYN="N">Atrophy</DescriptorName></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="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015921" MajorTopicYN="N">Dental Implants</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019094" MajorTopicYN="Y">Dental Prosthesis, Implant-Supported</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003793" MajorTopicYN="N">Dental Restoration, Permanent</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003794" MajorTopicYN="N">Dental Restoration, Temporary</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003781" MajorTopicYN="N">Denture Retention</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003825" MajorTopicYN="Y">Denture, Complete, Immediate</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003827" MajorTopicYN="Y">Denture, Complete, Upper</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007575" MajorTopicYN="N">Jaw, Edentulous</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008437" MajorTopicYN="N">Maxilla</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010865" MajorTopicYN="N">Pilot Projects</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011859" MajorTopicYN="N">Radiography</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012720" MajorTopicYN="N">Severity of Illness Index</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013997" MajorTopicYN="N">Time Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate 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