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A 5-year report from a multicentre randomised clinical trial: immediate non-occlusal versus early loading of dental implants in partially edentulous patients.

Identifieur interne : 001816 ( PubMed/Corpus ); précédent : 001815; suivant : 001817

A 5-year report from a multicentre randomised clinical trial: immediate non-occlusal versus early loading of dental implants in partially edentulous patients.

Auteurs : Matteo Capelli ; Marco Esposito ; Francesco Zuffetti ; Fabio Galli ; Massimo Del Fabbro ; Tiziano Testroi

Source :

RBID : pubmed:20847991

English descriptors

Abstract

To compare peri-implant bone and soft-tissue levels of immediately non-occlusally loaded versus non-submerged early loaded implants in partially edentulous patients 5 years after implant placement.

PubMed: 20847991

Links to Exploration step

pubmed:20847991

Le document en format XML

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<title xml:lang="en">A 5-year report from a multicentre randomised clinical trial: immediate non-occlusal versus early loading of dental implants in partially edentulous patients.</title>
<author>
<name sortKey="Capelli, Matteo" sort="Capelli, Matteo" uniqKey="Capelli M" first="Matteo" last="Capelli">Matteo Capelli</name>
<affiliation>
<nlm:affiliation>Section of Implantology and Oral Rehabilitation, Dental Clinic, IRCCS Galeazzi Orthopaedic Institute, Department of Health Technologies, Università degli Studi di Milano, Milan, Italy.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Esposito, Marco" sort="Esposito, Marco" uniqKey="Esposito M" first="Marco" last="Esposito">Marco Esposito</name>
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<author>
<name sortKey="Zuffetti, Francesco" sort="Zuffetti, Francesco" uniqKey="Zuffetti F" first="Francesco" last="Zuffetti">Francesco Zuffetti</name>
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<name sortKey="Galli, Fabio" sort="Galli, Fabio" uniqKey="Galli F" first="Fabio" last="Galli">Fabio Galli</name>
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<author>
<name sortKey="Del Fabbro, Massimo" sort="Del Fabbro, Massimo" uniqKey="Del Fabbro M" first="Massimo" last="Del Fabbro">Massimo Del Fabbro</name>
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<name sortKey="Testroi, Tiziano" sort="Testroi, Tiziano" uniqKey="Testroi T" first="Tiziano" last="Testroi">Tiziano Testroi</name>
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<title xml:lang="en">A 5-year report from a multicentre randomised clinical trial: immediate non-occlusal versus early loading of dental implants in partially edentulous patients.</title>
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<name sortKey="Capelli, Matteo" sort="Capelli, Matteo" uniqKey="Capelli M" first="Matteo" last="Capelli">Matteo Capelli</name>
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<nlm:affiliation>Section of Implantology and Oral Rehabilitation, Dental Clinic, IRCCS Galeazzi Orthopaedic Institute, Department of Health Technologies, Università degli Studi di Milano, Milan, Italy.</nlm:affiliation>
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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="Zuffetti, Francesco" sort="Zuffetti, Francesco" uniqKey="Zuffetti F" first="Francesco" last="Zuffetti">Francesco Zuffetti</name>
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<name sortKey="Galli, Fabio" sort="Galli, Fabio" uniqKey="Galli F" first="Fabio" last="Galli">Fabio Galli</name>
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<name sortKey="Del Fabbro, Massimo" sort="Del Fabbro, Massimo" uniqKey="Del Fabbro M" first="Massimo" last="Del Fabbro">Massimo Del Fabbro</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 (etiology)</term>
<term>Bone Density (physiology)</term>
<term>Dental Abutments</term>
<term>Dental Implantation, Endosseous (instrumentation)</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants</term>
<term>Dental Implants, Single-Tooth</term>
<term>Dental Occlusion</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Dental Restoration, Temporary</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Gingival Recession (etiology)</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Periodontitis (etiology)</term>
<term>Time Factors</term>
<term>Torque</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Alveolar Bone Loss</term>
<term>Gingival Recession</term>
<term>Periodontitis</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en">
<term>Dental Implantation, Endosseous</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Dental Implantation, Endosseous</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Bone Density</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Jaw, Edentulous, Partially</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Jaw, Edentulous, Partially</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Dental Abutments</term>
<term>Dental Implants, Single-Tooth</term>
<term>Dental Occlusion</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Dental Restoration, Temporary</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Time Factors</term>
<term>Torque</term>
<term>Treatment Outcome</term>
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<front>
<div type="abstract" xml:lang="en">To compare peri-implant bone and soft-tissue levels of immediately non-occlusally loaded versus non-submerged early loaded implants in partially edentulous patients 5 years after implant placement.</div>
</front>
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<DateCompleted>
<Year>2010</Year>
<Month>11</Month>
<Day>02</Day>
</DateCompleted>
<DateRevised>
<Year>2010</Year>
<Month>09</Month>
<Day>17</Day>
</DateRevised>
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<ISSN IssnType="Print">1756-2406</ISSN>
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<Volume>3</Volume>
<Issue>3</Issue>
<PubDate>
<Year>2010</Year>
<Season>Autumn</Season>
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</JournalIssue>
<Title>European journal of oral implantology</Title>
<ISOAbbreviation>Eur J Oral Implantol</ISOAbbreviation>
</Journal>
<ArticleTitle>A 5-year report from a multicentre randomised clinical trial: immediate non-occlusal versus early loading of dental implants in partially edentulous patients.</ArticleTitle>
<Pagination>
<MedlinePgn>209-19</MedlinePgn>
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<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To compare peri-implant bone and soft-tissue levels of immediately non-occlusally loaded versus non-submerged early loaded implants in partially edentulous patients 5 years after implant placement.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Fifty-two patients were randomised in five Italian private practices: 25 in the immediately loaded group and 27 in the early loaded group. To be immediately loaded, single implants had to be inserted with a torque of > 30 Ncm, and splinted implants with a torque of > 20 Ncm. Immediately loaded implants were provided with non-occluding temporary restorations within 48 hours. After 2 months, the provisional restorations were put in full occlusion. Implants were early loaded after 2 months. Final restorations were provided 8 months after implant placement. Outcome measures were prosthesis and implant failures as well as biological and prosthetic complications recorded by non-blinded assessors. Blinded assessors evaluated peri-implant bone and soft-tissue levels.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Fifty-two implants were immediately loaded and 52 early loaded. One patient of the early loaded group dropped out after the 1-year recall. One single immediately loaded implant failed 2 months after placement. Only one complication (iatrogenic peri-implantitis) occurred in one patient of the early loading group. Both groups gradually lost peri-implant bone in a highly statistically significant way at 2, 8 and 14 months and at 4 and 5 years. After 5 years, patients of both groups had lost an average of 1.2 mm of peri-implant marginal bone. There were no statistically significant differences in peri-implant bone and soft-tissue level changes between the 2 groups. At 5 years, there was a statistically significant recession (0.2 mm) of the vestibular soft tissues from baseline (delivery of the final restorations 8 months after implant placement) only for immediately loaded implants.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">In well maintained patients, complications are uncommon and healthy and stable periimplant tissues can be maintained for 5 years around immediately and early loaded implants.</AbstractText>
</Abstract>
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