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3-year prospective multicenter study on one-stage implant surgery and early loading in the edentulous mandible.

Identifieur interne : 003014 ( PubMed/Corpus ); précédent : 003013; suivant : 003015

3-year prospective multicenter study on one-stage implant surgery and early loading in the edentulous mandible.

Auteurs : Gerry M. Raghoebar ; Bertil Friberg ; Ingrid Grunert ; John A. Hobkirk ; Gabor Tepper ; Inger Wendelhag

Source :

RBID : pubmed:12831727

English descriptors

Abstract

The long-term success rates achieved in dental implantology suggest that flexibility might well exist within the various implant systems to a degree that an altered protocol (ie, one-stage surgery and immediate or early loading) can be performed under controlled conditions. However, before variations of the protocol can be considered for general use, they must be subjected to critical analysis, particularly with respect to the predictability of osseointegration, alteration of soft tissue barrier, and relative change in bone height around the implants.

PubMed: 12831727

Links to Exploration step

pubmed:12831727

Le document en format XML

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<title xml:lang="en">3-year prospective multicenter study on one-stage implant surgery and early loading in the edentulous mandible.</title>
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<name sortKey="Raghoebar, Gerry M" sort="Raghoebar, Gerry M" uniqKey="Raghoebar G" first="Gerry M" last="Raghoebar">Gerry M. Raghoebar</name>
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<nlm:affiliation>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University Hospital Groningen, The Netherlands. g.m.raghoebar@kchir.azg.nl</nlm:affiliation>
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<name sortKey="Friberg, Bertil" sort="Friberg, Bertil" uniqKey="Friberg B" first="Bertil" last="Friberg">Bertil Friberg</name>
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<name sortKey="Grunert, Ingrid" sort="Grunert, Ingrid" uniqKey="Grunert I" first="Ingrid" last="Grunert">Ingrid Grunert</name>
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<name sortKey="Hobkirk, John A" sort="Hobkirk, John A" uniqKey="Hobkirk J" first="John A" last="Hobkirk">John A. Hobkirk</name>
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<name sortKey="Tepper, Gabor" sort="Tepper, Gabor" uniqKey="Tepper G" first="Gabor" last="Tepper">Gabor Tepper</name>
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<name sortKey="Wendelhag, Inger" sort="Wendelhag, Inger" uniqKey="Wendelhag I" first="Inger" last="Wendelhag">Inger Wendelhag</name>
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<title xml:lang="en">3-year prospective multicenter study on one-stage implant surgery and early loading in the edentulous mandible.</title>
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<term>Adult</term>
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<term>Alveolar Bone Loss (etiology)</term>
<term>Chi-Square Distribution</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants (adverse effects)</term>
<term>Dental Plaque (etiology)</term>
<term>Dental Prosthesis Retention</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Denture, Overlay</term>
<term>Denture, Partial, Fixed</term>
<term>Denture, Partial, Immediate</term>
<term>Female</term>
<term>Humans</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Life Tables</term>
<term>Male</term>
<term>Mandible</term>
<term>Middle Aged</term>
<term>Odds Ratio</term>
<term>Osseointegration</term>
<term>Periodontal Index</term>
<term>Prospective Studies</term>
<term>Statistics, Nonparametric</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en">
<term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Alveolar Bone Loss</term>
<term>Dental Plaque</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</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Chi-Square Distribution</term>
<term>Dental Prosthesis Retention</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Denture, Overlay</term>
<term>Denture, Partial, Fixed</term>
<term>Denture, Partial, Immediate</term>
<term>Female</term>
<term>Humans</term>
<term>Life Tables</term>
<term>Male</term>
<term>Mandible</term>
<term>Middle Aged</term>
<term>Odds Ratio</term>
<term>Osseointegration</term>
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<term>Prospective Studies</term>
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<div type="abstract" xml:lang="en">The long-term success rates achieved in dental implantology suggest that flexibility might well exist within the various implant systems to a degree that an altered protocol (ie, one-stage surgery and immediate or early loading) can be performed under controlled conditions. However, before variations of the protocol can be considered for general use, they must be subjected to critical analysis, particularly with respect to the predictability of osseointegration, alteration of soft tissue barrier, and relative change in bone height around the implants.</div>
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<Day>28</Day>
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<Year>2006</Year>
<Month>07</Month>
<Day>24</Day>
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<Issue>1</Issue>
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<Title>Clinical implant dentistry and related research</Title>
<ISOAbbreviation>Clin Implant Dent Relat Res</ISOAbbreviation>
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<ArticleTitle>3-year prospective multicenter study on one-stage implant surgery and early loading in the edentulous mandible.</ArticleTitle>
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<MedlinePgn>39-46</MedlinePgn>
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<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The long-term success rates achieved in dental implantology suggest that flexibility might well exist within the various implant systems to a degree that an altered protocol (ie, one-stage surgery and immediate or early loading) can be performed under controlled conditions. However, before variations of the protocol can be considered for general use, they must be subjected to critical analysis, particularly with respect to the predictability of osseointegration, alteration of soft tissue barrier, and relative change in bone height around the implants.</AbstractText>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">The aim of this prospective multicenter study was to evaluate implant survival and periimplant conditions around endosseous implants placed in a one-stage surgical procedure and early loading.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">A total of 170 implants were placed in 40 patients with mandibular edentulism and were functionally loaded within 6 weeks with overdentures (n = 30) or fixed prostheses (n = 10). All patients and prosthetic constructions were evaluated according to a standardized protocol during 3 years of follow-up. Cumulative implant survival rates were calculated, and implant loss in relation to implant size and bone quality and quantity were evaluated. Furthermore, the protocol included assessment of clinical (plaque and bleeding scores, prosthesis stability) and radiographic parameters.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Over a period of 3 years, the implant survival rate was 93% for both implants and prostheses (fixed or removable). No implants were lost after the first year of loading. The periimplant tissues were in a healthy condition. Mean marginal bone resorption from the time of loading to the 3-year follow-up was 0.41 mm (SD 0.52).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">From this study it may be concluded that early loading results in good implant survival and proper periimplant health in edentulous mandibles.</AbstractText>
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