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Immediate functional loading of implants placed with flapless surgery versus conventional implants in partially edentulous patients: a 3-year randomized controlled clinical trial.

Identifieur interne : 002018 ( PubMed/Corpus ); précédent : 002017; suivant : 002019

Immediate functional loading of implants placed with flapless surgery versus conventional implants in partially edentulous patients: a 3-year randomized controlled clinical trial.

Auteurs : Gioacchino Cannizzaro ; Michele Leone ; Ugo Consolo ; Vittorio Ferri ; Marco Esposito

Source :

RBID : pubmed:19014156

English descriptors

Abstract

To compare the efficacy of immediate functionally loaded implants placed with a flapless procedure (test group) versus implants placed after flap elevation and conventional load-free healing (control group) in partially edentulous patients.

PubMed: 19014156

Links to Exploration step

pubmed:19014156

Le document en format XML

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<title xml:lang="en">Immediate functional loading of implants placed with flapless surgery versus conventional implants in partially edentulous patients: a 3-year randomized controlled clinical trial.</title>
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<name sortKey="Cannizzaro, Gioacchino" sort="Cannizzaro, Gioacchino" uniqKey="Cannizzaro G" first="Gioacchino" last="Cannizzaro">Gioacchino Cannizzaro</name>
<affiliation>
<nlm:affiliation>Department of Dentistry and Maxillo-Facial Surgery, University of Modena and Reggio Emilia, Pavia, Italy. gio_cannizzaro@libero.it</nlm:affiliation>
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<author>
<name sortKey="Leone, Michele" sort="Leone, Michele" uniqKey="Leone M" first="Michele" last="Leone">Michele Leone</name>
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<author>
<name sortKey="Consolo, Ugo" sort="Consolo, Ugo" uniqKey="Consolo U" first="Ugo" last="Consolo">Ugo Consolo</name>
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<author>
<name sortKey="Ferri, Vittorio" sort="Ferri, Vittorio" uniqKey="Ferri V" first="Vittorio" last="Ferri">Vittorio Ferri</name>
</author>
<author>
<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">Immediate functional loading of implants placed with flapless surgery versus conventional implants in partially edentulous patients: a 3-year randomized controlled clinical trial.</title>
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<name sortKey="Leone, Michele" sort="Leone, Michele" uniqKey="Leone M" first="Michele" last="Leone">Michele Leone</name>
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<name sortKey="Consolo, Ugo" sort="Consolo, Ugo" uniqKey="Consolo U" first="Ugo" last="Consolo">Ugo Consolo</name>
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<name sortKey="Ferri, Vittorio" sort="Ferri, Vittorio" uniqKey="Ferri V" first="Vittorio" last="Ferri">Vittorio Ferri</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 level="j">The International journal of oral & maxillofacial implants</title>
<idno type="ISSN">0882-2786</idno>
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<term>Adult</term>
<term>Dental Implantation, Endosseous (adverse effects)</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants (adverse effects)</term>
<term>Dental Prosthesis, Implant-Supported (adverse effects)</term>
<term>Dental Restoration Failure</term>
<term>Dental Restoration, Temporary</term>
<term>Dental Stress Analysis</term>
<term>Female</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Male</term>
<term>Nasal Mucosa (injuries)</term>
<term>Stomatitis (etiology)</term>
<term>Surgical Flaps</term>
<term>Surgical Wound Dehiscence</term>
<term>Time Factors</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en">
<term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en">
<term>Dental Implantation, Endosseous</term>
<term>Dental Prosthesis, Implant-Supported</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Stomatitis</term>
</keywords>
<keywords scheme="MESH" qualifier="injuries" xml:lang="en">
<term>Nasal Mucosa</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Dental Implantation, Endosseous</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Jaw, Edentulous, Partially</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Dental Restoration Failure</term>
<term>Dental Restoration, Temporary</term>
<term>Dental Stress Analysis</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Surgical Flaps</term>
<term>Surgical Wound Dehiscence</term>
<term>Time Factors</term>
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<front>
<div type="abstract" xml:lang="en">To compare the efficacy of immediate functionally loaded implants placed with a flapless procedure (test group) versus implants placed after flap elevation and conventional load-free healing (control group) in partially edentulous patients.</div>
</front>
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<Month>12</Month>
<Day>22</Day>
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<Year>2008</Year>
<Month>11</Month>
<Day>18</Day>
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<ISSN IssnType="Print">0882-2786</ISSN>
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<Volume>23</Volume>
<Issue>5</Issue>
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<MedlineDate>2008 Sep-Oct</MedlineDate>
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<Title>The International journal of oral & maxillofacial implants</Title>
<ISOAbbreviation>Int J Oral Maxillofac Implants</ISOAbbreviation>
</Journal>
<ArticleTitle>Immediate functional loading of implants placed with flapless surgery versus conventional implants in partially edentulous patients: a 3-year randomized controlled clinical trial.</ArticleTitle>
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<MedlinePgn>867-75</MedlinePgn>
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<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To compare the efficacy of immediate functionally loaded implants placed with a flapless procedure (test group) versus implants placed after flap elevation and conventional load-free healing (control group) in partially edentulous patients.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Forty patients were randomized: 20 to the flapless immediately loaded group and 20 to the conventional group. To be immediately loaded, implants had to be inserted with a minimum torque > 45 Ncm. Implants in the immediately loaded group were provided with full acrylic resin temporary restorations the same day. Implants in the conventional group were submerged (anterior region) or left unsubmerged (posterior region) and were left load-free for 3 months (mandibles) or 4 months (maxillae). Provisional restorations were replaced with definitive single metal-ceramic crowns 1 month postloading. Outcome measures were prosthesis and implant failures, biological and prosthetic complications, postoperative edema, pain, and use of analgesics. Independent sample chi2 tests, Mann-Whitney tests, t tests, and paired t tests were used with a significance level of .05.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Fifty-two implants were placed in the flapless group and 56 in the conventionally loaded group. In the flapless group, 1 flap had to be raised to control the direction of the bur and 1 implant did not reach the planned primary stability and was treated as belonging to the conventional group. After 3 years no dropouts or failures occurred. There was no statistically significant difference for complications; however, patients in the conventional group had significantly more postoperative edema and pain and consumed more analgesics than those in the flapless group. Osstell values were significantly higher at baseline in the flapless group (P = .033). When comparing baseline data with years 1, 2, and 3 within each group, mean Osstell values of the flapless group did not increase, whereas there were statistically significant increases in the Periotest values.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Implants can be successfully placed flapless and loaded immediately without compromising success rates; the procedure decreases treatment time and patient discomfort.</AbstractText>
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