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Marginal Bone Remodeling around healing Abutment vs Final Abutment Placement at Second Stage Implant Surgery: A 12-month Randomized Clinical Trial.

Identifieur interne : 000272 ( PubMed/Curation ); précédent : 000271; suivant : 000273

Marginal Bone Remodeling around healing Abutment vs Final Abutment Placement at Second Stage Implant Surgery: A 12-month Randomized Clinical Trial.

Auteurs : Nabih Nader [Liban] ; Maissa Aboulhosn [Liban] ; Antoine Berberi [Oman] ; Cordahi Manal [Liban] ; Ronald Younes

Source :

RBID : pubmed:27084856

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Abstract

The periimplant bone level has been used as one of the criteria to assess the success of dental implants. It has been documented that the bone supporting two-piece implants undergoes resorption first following the second-stage surgery and later on further to abutment connection and delivery of the final prosthesis.

PubMed: 27084856

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Ronald Younes
<affiliation>
<nlm:affiliation>Faculty of Dental Medicine, Saint Joseph University Beirut Lebanon.</nlm:affiliation>
<wicri:noCountry code="subField">Saint Joseph University Beirut Lebanon</wicri:noCountry>
</affiliation>

Le document en format XML

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<name sortKey="Aboulhosn, Maissa" sort="Aboulhosn, Maissa" uniqKey="Aboulhosn M" first="Maissa" last="Aboulhosn">Maissa Aboulhosn</name>
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<name sortKey="Berberi, Antoine" sort="Berberi, Antoine" uniqKey="Berberi A" first="Antoine" last="Berberi">Antoine Berberi</name>
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<title level="j">The journal of contemporary dental practice</title>
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<term>Aged</term>
<term>Bone Remodeling</term>
<term>Dental Abutments</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Implants</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Mouth, Edentulous</term>
<term>Prospective Studies</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte d'âge moyen</term>
<term>Bouche édentée</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Mâle</term>
<term>Piliers dentaires</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Remodelage osseux</term>
<term>Sujet âgé</term>
<term>Études prospectives</term>
</keywords>
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<term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Aged</term>
<term>Bone Remodeling</term>
<term>Dental Abutments</term>
<term>Dental Implantation, Endosseous</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Mouth, Edentulous</term>
<term>Prospective Studies</term>
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<term>Adulte d'âge moyen</term>
<term>Bouche édentée</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Mâle</term>
<term>Piliers dentaires</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Remodelage osseux</term>
<term>Sujet âgé</term>
<term>Études prospectives</term>
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<front>
<div type="abstract" xml:lang="en">The periimplant bone level has been used as one of the criteria to assess the success of dental implants. It has been documented that the bone supporting two-piece implants undergoes resorption first following the second-stage surgery and later on further to abutment connection and delivery of the final prosthesis.</div>
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<DateCompleted>
<Year>2017</Year>
<Month>09</Month>
<Day>20</Day>
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<DateRevised>
<Year>2017</Year>
<Month>09</Month>
<Day>20</Day>
</DateRevised>
<Article PubModel="Electronic">
<Journal>
<ISSN IssnType="Electronic">1526-3711</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>17</Volume>
<Issue>1</Issue>
<PubDate>
<Year>2016</Year>
<Month>Jan</Month>
<Day>01</Day>
</PubDate>
</JournalIssue>
<Title>The journal of contemporary dental practice</Title>
<ISOAbbreviation>J Contemp Dent Pract</ISOAbbreviation>
</Journal>
<ArticleTitle>Marginal Bone Remodeling around healing Abutment vs Final Abutment Placement at Second Stage Implant Surgery: A 12-month Randomized Clinical Trial.</ArticleTitle>
<Pagination>
<MedlinePgn>7-15</MedlinePgn>
</Pagination>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The periimplant bone level has been used as one of the criteria to assess the success of dental implants. It has been documented that the bone supporting two-piece implants undergoes resorption first following the second-stage surgery and later on further to abutment connection and delivery of the final prosthesis.</AbstractText>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">The aim of this multicentric randomized clinical trial was to evaluate the crestal bone resorption around internal connection dental implants using a new surgical protocol that aims to respect the biological distance, relying on the benefit of a friction fit connection abutment (test group) compared with implants receiving conventional healing abutments at second-stage surgery (control group).</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">A total of partially edentulous patients were consecutively treated at two private clinics, with two adjacent two-stage implants. Three months after the first surgery, one of the implants was randomly allocated to the control group and was uncovered using a healing abutment, while the other implant received a standard final abutment and was seated and tightened to 30 Ncm. At each step of the prosthetic try-in, the abutment in the test group was removed and then retightened to 30 Ncm. Horizontal bone changes were assessed using periapical radiographs immediately after implant placement and at 3 (second-stage surgery), 6, 9 and 12 months follow-up examinations.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">At 12 months follow-up, no implant failure was reported in both groups. In the control group, the mean periimplant bone resorption was 0.249 ± 0.362 at M3, 0.773 ± 0.413 at M6, 0.904 ± 0.36 at M9 and 1.047 ± 0.395 at M12. The test group revealed a statistically significant lower marginal bone loss of 20.88% at M3 (0.197 ± 0.262), 22.25% at M6 (0.601 ± 0.386), 24.23% at M9 (0.685 ± 0.341) and 19.2% at M9 (0.846 ± 0.454). The results revealed that bone loss increased over time, with the greatest change in bone loss occurring between 3 and 6 months. Alveolar bone loss was significantly greater in the control condition than the test condition.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The results of this prospective study demonstrated the benefit of placing a prosthetic component with a stable connection at second-stage surgery, in terms of reduced marginal bone remodeling when compared with conventional procedure.</AbstractText>
<AbstractText Label="CLINICAL SIGNIFICANCE" NlmCategory="CONCLUSIONS">The use of a stable connection in a healing component during try-in stages prior to final restoration placement leads to less periimplant marginal bone loss.</AbstractText>
</Abstract>
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<LastName>Nader</LastName>
<ForeName>Nabih</ForeName>
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<Affiliation>School of Dentistry, Lebanese University, Beirut, Lebanon.</Affiliation>
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<LastName>Aboulhosn</LastName>
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<Affiliation>Professor, Department of Oral and Maxillofacial Surgery, School of Dentistry, Lebanese University, Beirut, Lebanon, Phone: +9613731173 e-mail: anberberi@gmail.com.</Affiliation>
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<Affiliation>Faculty of Dental Medicine, Saint Joseph University Beirut Lebanon.</Affiliation>
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<Language>eng</Language>
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<Country>India</Country>
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<NameOfSubstance UI="D015921">Dental Implants</NameOfSubstance>
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<MeshHeading>
<DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D016723" MajorTopicYN="Y">Bone Remodeling</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000044" MajorTopicYN="Y">Dental Abutments</DescriptorName>
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<DescriptorName UI="D003758" MajorTopicYN="N">Dental Implantation, Endosseous</DescriptorName>
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<DescriptorName UI="D015921" MajorTopicYN="Y">Dental Implants</DescriptorName>
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<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName>
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</MeshHeadingList>
<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="N">Aboulhosn M</Keyword>
<Keyword MajorTopicYN="N">Berberi A</Keyword>
<Keyword MajorTopicYN="N">Friction fit connection</Keyword>
<Keyword MajorTopicYN="N">Healing abutment marginal bone loss</Keyword>
<Keyword MajorTopicYN="N">Manal C</Keyword>
<Keyword MajorTopicYN="N">Microgap. How to cite this article: Nader N</Keyword>
<Keyword MajorTopicYN="N">Younes R. Marginal Bone Remodeling around healing Abutment vs Final Abutment Placement at Second Stage Surgery: A 12-month Randomized Clinical Trial. J Contemp Dent Pract 2016;17(1):7-15. Source of support: Nil Conflict of interest: None.</Keyword>
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