Bone augmentation versus 5-mm dental implants in posterior atrophic jaws. Four-month post-loading results from a randomised controlled clinical trial.
Identifieur interne : 001E49 ( PubMed/Corpus ); précédent : 001E48; suivant : 001E50Bone augmentation versus 5-mm dental implants in posterior atrophic jaws. Four-month post-loading results from a randomised controlled clinical trial.
Auteurs : Pietro Felice ; Vittorio Checchi ; Roberto Pistilli ; Antonio Scarano ; Gerardo Pellegrino ; Marco EspositoSource :
- European journal of oral implantology [ 1756-2406 ] ; 2009.
English descriptors
- KwdEn :
- Adult, Aged, Alveolar Bone Loss (etiology), Bone Substitutes, Dental Implantation, Endosseous (adverse effects), Dental Implantation, Endosseous (methods), Dental Implants, Dental Prosthesis Design, Female, Guided Tissue Regeneration, Periodontal, Humans, Jaw, Edentulous, Partially (rehabilitation), Jaw, Edentulous, Partially (surgery), Male, Maxillary Sinus (surgery), Middle Aged, Minerals, Oral Surgical Procedures, Preprosthetic (methods), Smoking, Treatment Outcome.
- MESH :
- chemical : Bone Substitutes, Dental Implants, Minerals.
- adverse effects : Dental Implantation, Endosseous.
- etiology : Alveolar Bone Loss.
- methods : Dental Implantation, Endosseous, Oral Surgical Procedures, Preprosthetic.
- rehabilitation : Jaw, Edentulous, Partially.
- surgery : Jaw, Edentulous, Partially, Maxillary Sinus.
- Adult, Aged, Dental Prosthesis Design, Female, Guided Tissue Regeneration, Periodontal, Humans, Male, Middle Aged, Smoking, Treatment Outcome.
Abstract
To evaluate whether short (5 mm) dental implants could be a suitable alternative to augmentation and placement of longer implants (10 mm) in posterior atrophic jaws.
PubMed: 20467603
Links to Exploration step
pubmed:20467603Le document en format XML
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Four-month post-loading results from a randomised controlled clinical 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 Periodontology and Implantology, University of Bologna, Bologna, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Checchi, Vittorio" sort="Checchi, Vittorio" uniqKey="Checchi V" first="Vittorio" last="Checchi">Vittorio Checchi</name></author><author><name sortKey="Pistilli, Roberto" sort="Pistilli, Roberto" uniqKey="Pistilli R" first="Roberto" last="Pistilli">Roberto Pistilli</name></author><author><name sortKey="Scarano, Antonio" sort="Scarano, Antonio" uniqKey="Scarano A" first="Antonio" last="Scarano">Antonio Scarano</name></author><author><name sortKey="Pellegrino, Gerardo" sort="Pellegrino, Gerardo" uniqKey="Pellegrino G" first="Gerardo" last="Pellegrino">Gerardo Pellegrino</name></author><author><name sortKey="Esposito, Marco" sort="Esposito, Marco" uniqKey="Esposito M" first="Marco" last="Esposito">Marco Esposito</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2009">2009</date><idno type="RBID">pubmed:20467603</idno><idno type="pmid">20467603</idno><idno type="wicri:Area/PubMed/Corpus">001E49</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001E49</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Bone augmentation versus 5-mm dental implants in posterior atrophic jaws. Four-month post-loading results from a randomised controlled clinical 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 Periodontology and Implantology, University of Bologna, Bologna, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Checchi, Vittorio" sort="Checchi, Vittorio" uniqKey="Checchi V" first="Vittorio" last="Checchi">Vittorio Checchi</name></author><author><name sortKey="Pistilli, Roberto" sort="Pistilli, Roberto" uniqKey="Pistilli R" first="Roberto" last="Pistilli">Roberto Pistilli</name></author><author><name sortKey="Scarano, Antonio" sort="Scarano, Antonio" uniqKey="Scarano A" first="Antonio" last="Scarano">Antonio Scarano</name></author><author><name sortKey="Pellegrino, Gerardo" sort="Pellegrino, Gerardo" uniqKey="Pellegrino G" first="Gerardo" last="Pellegrino">Gerardo Pellegrino</name></author><author><name sortKey="Esposito, Marco" sort="Esposito, Marco" uniqKey="Esposito M" first="Marco" last="Esposito">Marco Esposito</name></author></analytic><series><title level="j">European journal of oral implantology</title><idno type="ISSN">1756-2406</idno><imprint><date when="2009" type="published">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Alveolar Bone Loss (etiology)</term><term>Bone Substitutes</term><term>Dental Implantation, Endosseous (adverse effects)</term><term>Dental Implantation, Endosseous (methods)</term><term>Dental Implants</term><term>Dental Prosthesis Design</term><term>Female</term><term>Guided Tissue Regeneration, Periodontal</term><term>Humans</term><term>Jaw, Edentulous, Partially (rehabilitation)</term><term>Jaw, Edentulous, Partially (surgery)</term><term>Male</term><term>Maxillary Sinus (surgery)</term><term>Middle Aged</term><term>Minerals</term><term>Oral Surgical Procedures, Preprosthetic (methods)</term><term>Smoking</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Bone Substitutes</term><term>Dental Implants</term><term>Minerals</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Dental Implantation, Endosseous</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Alveolar Bone Loss</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Dental Implantation, Endosseous</term><term>Oral Surgical Procedures, Preprosthetic</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><term>Maxillary Sinus</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Dental Prosthesis Design</term><term>Female</term><term>Guided Tissue Regeneration, Periodontal</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Smoking</term><term>Treatment Outcome</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To evaluate whether short (5 mm) dental implants could be a suitable alternative to augmentation and placement of longer implants (10 mm) in posterior atrophic jaws.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">20467603</PMID><DateCompleted><Year>2010</Year><Month>06</Month><Day>07</Day></DateCompleted><DateRevised><Year>2011</Year><Month>02</Month><Day>14</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">1756-2406</ISSN><JournalIssue CitedMedium="Print"><Volume>2</Volume><Issue>4</Issue><PubDate><Year>2009</Year><Season>Winter</Season></PubDate></JournalIssue><Title>European journal of oral implantology</Title><ISOAbbreviation>Eur J Oral Implantol</ISOAbbreviation></Journal><ArticleTitle>Bone augmentation versus 5-mm dental implants in posterior atrophic jaws. Four-month post-loading results from a randomised controlled clinical trial.</ArticleTitle><Pagination><MedlinePgn>267-81</MedlinePgn></Pagination><Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To evaluate whether short (5 mm) dental implants could be a suitable alternative to augmentation and placement of longer implants (10 mm) in posterior atrophic jaws.</AbstractText><AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Thirty partially edentulous patients with bilateral posterior edentulism were included: 15 patients having 5 to 7 mm of residual crestal height above the mandibular canal, and 15 patients having 4 to 6 mm of residual crestal height below the maxillary sinus and bone thickness of at least 8 mm measured on a CT scan. The patients were randomised either to receive one to three submerged 5-mm-long Rescue implants (Megagen) or 10-mm-long implants placed in augmented bone according to a split-mouth design. Mandibles were augmented with interpositional anorganic bovine bone blocks (Bio-Oss) and maxillae with granular Bio-Oss placed through a lateral window under the lifted sinus membrane. Resorbable barriers were used to cover the grafted sites. Grafts were left to heal for 4 months before placing the implants using a submerged technique. Four months after implant placement, provisional reinforced acrylic prostheses were delivered and replaced 4 months later by definitive screw-retained metal-ceramic prostheses. Outcome measures were: prosthesis and implant failures, any complications, time needed to fully recover mental nerve function (only for mandibular implants) and patient preference assessed 1 month after loading. All patients were followed up to delivery of the final restorations (4 months after loading).</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">A systematic deviation from the research protocol occurred: the operator used another implant system (EZ Plus, Megagen) for implants 10 mm or longer with a diameter of 4 mm at the augmented sites. No patients dropped out. In 5 patients of the augmented group (all mandibles), there was not enough height to place 10-mm-long implants as planned and shorter implants (7 and 8.5 mm) were used instead. In each group, one prosthesis could not be placed when planned because an implant was found to be mobile at abutment connection: one 5 mm maxillary implant and one 8.5 mm mandibular implant in the augmented group. Five complications occurred: two in the augmented group (one maxillary sinus perforation and one mandibular wound dehiscence after implant placement possibly associated with the failure of one implant) versus three maxillary sinus perforations in the 5-mm-long implant group. The difference was not statistically significant. No patient suffered from permanent disruption of alveolar inferior nerve function, however, significantly more patients had paraesthesia for up to 3 days in the augmented group. There was no statistically significant difference in patient preference with the majority of patients expressing no preference for which treatment they received, finding both of them acceptable.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Felice</LastName><ForeName>Pietro</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of Periodontology and Implantology, University of Bologna, Bologna, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Checchi</LastName><ForeName>Vittorio</ForeName><Initials>V</Initials></Author><Author ValidYN="Y"><LastName>Pistilli</LastName><ForeName>Roberto</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Scarano</LastName><ForeName>Antonio</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Pellegrino</LastName><ForeName>Gerardo</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Esposito</LastName><ForeName>Marco</ForeName><Initials>M</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><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="C077540">Bio-Oss</NameOfSubstance></Chemical><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D018786">Bone Substitutes</NameOfSubstance></Chemical><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D015921">Dental Implants</NameOfSubstance></Chemical><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D008903">Minerals</NameOfSubstance></Chemical></ChemicalList><CitationSubset>D</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016301" MajorTopicYN="N">Alveolar Bone Loss</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D018786" MajorTopicYN="N">Bone Substitutes</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003758" MajorTopicYN="Y">Dental Implantation, Endosseous</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName><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="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016557" MajorTopicYN="N">Guided Tissue Regeneration, Periodontal</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007576" MajorTopicYN="N">Jaw, Edentulous, Partially</DescriptorName><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="D008443" MajorTopicYN="N">Maxillary Sinus</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008903" MajorTopicYN="N">Minerals</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013516" MajorTopicYN="N">Oral Surgical Procedures, Preprosthetic</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012907" MajorTopicYN="N">Smoking</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2010</Year><Month>5</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2009</Year><Month>1</Month><Day>1</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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