Ongoing Crestal Bone Loss around Implants Subjected to Computer-Guided Flapless Surgery and Immediate Loading Using the All-on-4® Concept.
Identifieur interne : 000331 ( PubMed/Curation ); précédent : 000330; suivant : 000332Ongoing Crestal Bone Loss around Implants Subjected to Computer-Guided Flapless Surgery and Immediate Loading Using the All-on-4® Concept.
Auteurs : Hilde Browaeys [Belgique] ; Melissa Dierens [Belgique] ; Christian Ruyffelaert [Belgique] ; Carine Matthijs [Belgique] ; Hugo De Bruyn [Belgique] ; Stefan Vandeweghe [Belgique]Source :
- Clinical implant dentistry and related research [ 1708-8208 ] ; 2015.
Descripteurs français
- KwdFr :
- MESH :
- imagerie diagnostique : Résorption alvéolaire.
- épidémiologie : Résorption alvéolaire.
- Adulte, Adulte d'âge moyen, Femelle, Humains, Implants dentaires, Mandibule, Maxillaire, Mâchoire édentée, Mâle, Pose immédiate d'implant dentaire, Sujet âgé, Études prospectives.
English descriptors
- KwdEn :
- MESH :
- chemical : Dental Implants.
- diagnostic imaging : Alveolar Bone Loss.
- epidemiology : Alveolar Bone Loss.
- statistics & numerical data : Immediate Dental Implant Loading.
- surgery : Jaw, Edentulous, Mandible, Maxilla.
- Adult, Aged, Female, Humans, Male, Middle Aged, Prospective Studies.
Abstract
The All-on-4(®) concept is widely applied for full-arch rehabilitations, using two tilted and two axially loaded implants in order to overcome anatomical constraints.
DOI: 10.1111/cid.12197
PubMed: 24397413
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Maxillofacial Surgery, Dental School, Faculty of Medicine and Health Sciences, University of Ghent, University Hospital Ghent, Ghent, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Dental School, Faculty of Medicine and Health Sciences, University of Ghent, University Hospital Ghent, Ghent</wicri:regionArea></affiliation></author><author><name sortKey="Dierens, Melissa" sort="Dierens, Melissa" uniqKey="Dierens M" first="Melissa" last="Dierens">Melissa Dierens</name><affiliation wicri:level="1"><nlm:affiliation>Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University of Ghent, University Hospital Ghent, Ghent, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University of Ghent, University Hospital Ghent, Ghent</wicri:regionArea></affiliation></author><author><name sortKey="Ruyffelaert, Christian" sort="Ruyffelaert, Christian" uniqKey="Ruyffelaert C" first="Christian" last="Ruyffelaert">Christian Ruyffelaert</name><affiliation wicri:level="1"><nlm:affiliation>Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University of Ghent, University Hospital Ghent, Ghent, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University of Ghent, University Hospital Ghent, Ghent</wicri:regionArea></affiliation></author><author><name sortKey="Matthijs, Carine" sort="Matthijs, Carine" uniqKey="Matthijs C" first="Carine" last="Matthijs">Carine Matthijs</name><affiliation wicri:level="1"><nlm:affiliation>Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University of Ghent, University Hospital Ghent, Ghent, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University of Ghent, University Hospital Ghent, Ghent</wicri:regionArea></affiliation></author><author><name sortKey="De Bruyn, Hugo" sort="De Bruyn, Hugo" uniqKey="De Bruyn H" first="Hugo" last="De Bruyn">Hugo De Bruyn</name><affiliation wicri:level="1"><nlm:affiliation>Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University of Ghent, University Hospital Ghent, Ghent, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University of Ghent, University Hospital Ghent, Ghent</wicri:regionArea></affiliation></author><author><name sortKey="Vandeweghe, Stefan" sort="Vandeweghe, Stefan" uniqKey="Vandeweghe S" first="Stefan" last="Vandeweghe">Stefan Vandeweghe</name><affiliation wicri:level="1"><nlm:affiliation>Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University of Ghent, University Hospital Ghent, Ghent, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University of Ghent, University Hospital Ghent, Ghent</wicri:regionArea></affiliation></author></analytic><series><title level="j">Clinical implant dentistry and related research</title><idno type="eISSN">1708-8208</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Alveolar Bone Loss (diagnostic imaging)</term><term>Alveolar Bone Loss (epidemiology)</term><term>Dental Implants</term><term>Female</term><term>Humans</term><term>Immediate Dental Implant Loading (statistics & numerical data)</term><term>Jaw, Edentulous (surgery)</term><term>Male</term><term>Mandible (surgery)</term><term>Maxilla (surgery)</term><term>Middle Aged</term><term>Prospective Studies</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Implants dentaires</term><term>Mandibule ()</term><term>Maxillaire ()</term><term>Mâchoire édentée ()</term><term>Mâle</term><term>Pose immédiate d'implant dentaire ()</term><term>Résorption alvéolaire (imagerie diagnostique)</term><term>Résorption alvéolaire (épidémiologie)</term><term>Sujet âgé</term><term>Études prospectives</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Alveolar Bone Loss</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Alveolar Bone Loss</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Résorption alvéolaire</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Immediate Dental Implant Loading</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous</term><term>Mandible</term><term>Maxilla</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Résorption alvéolaire</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Prospective Studies</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Implants dentaires</term><term>Mandibule</term><term>Maxillaire</term><term>Mâchoire édentée</term><term>Mâle</term><term>Pose immédiate d'implant dentaire</term><term>Sujet âgé</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The All-on-4(®) concept is widely applied for full-arch rehabilitations, using two tilted and two axially loaded implants in order to overcome anatomical constraints.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24397413</PMID><DateCompleted><Year>2017</Year><Month>01</Month><Day>10</Day></DateCompleted><DateRevised><Year>2017</Year><Month>01</Month><Day>11</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1708-8208</ISSN><JournalIssue CitedMedium="Internet"><Volume>17</Volume><Issue>5</Issue><PubDate><Year>2015</Year><Month>Oct</Month></PubDate></JournalIssue><Title>Clinical implant dentistry and related research</Title><ISOAbbreviation>Clin Implant Dent Relat Res</ISOAbbreviation></Journal><ArticleTitle>Ongoing Crestal Bone Loss around Implants Subjected to Computer-Guided Flapless Surgery and Immediate Loading Using the All-on-4® Concept.</ArticleTitle><Pagination><MedlinePgn>831-43</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1111/cid.12197</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The All-on-4(®) concept is widely applied for full-arch rehabilitations, using two tilted and two axially loaded implants in order to overcome anatomical constraints.</AbstractText><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">The aim of this study was to assess the survival and individual success of implants immediately loaded with an All-on-4 full-arch screw-retained prosthetic bridge in fully edentulous mandibles or maxillae over up to 3 years.</AbstractText><AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">In total, 20 patients with atrophic jaws (9 maxillae, 11 mandibles) were treated with computer-guided flapless surgery and immediately provided with a provisional bridge. The final prosthesis was delivered after 6 months. In total, 80 TiUnite(™) Brånemark implants were placed. Radiographs were taken after surgery and 1 and 3 years later.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">A 3-year survival rate of 100% was seen for all implants, both in lower and in upper jaw. None of the temporary or definite prostheses were lost over the follow-up period of 3 years. After 1 year, the mean bone loss was 1.13 mm (SD 0.94; range -0.1 to 3.8), and after 3 years, it was 1.61 mm (SD 1.40; range 0 to 5). The mean bone loss between the 1-year and 3-year follow-ups was 0.48 mm (SD 0.66; range -1.2 to 3.6). This difference was statistically significant (p < .001), indicative of ongoing bone loss. Twenty-six percent of the implants had bone loss above 1.5 mm after 1 year, but after 3 years, 30% of the implants had already lost more than 1.9 mm.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The implant and prosthetic survival was 100%, and patients benefited from the All-on-4 treatment. However, unacceptable ongoing bone loss was seen in 49.2% of the patients; this may be a warning sign for future problems and needs clinical attention. Overloading and surgery-related aspects need to be investigated as potential explanations.</AbstractText><CopyrightInformation>© 2014 Wiley Periodicals, Inc.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Browaeys</LastName><ForeName>Hilde</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Department of Oral and Maxillofacial Surgery, Dental School, Faculty of Medicine and Health Sciences, University of Ghent, University Hospital Ghent, Ghent, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dierens</LastName><ForeName>Melissa</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University of Ghent, University Hospital Ghent, Ghent, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ruyffelaert</LastName><ForeName>Christian</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University of Ghent, University Hospital Ghent, Ghent, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Matthijs</LastName><ForeName>Carine</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University of Ghent, University Hospital Ghent, Ghent, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>De Bruyn</LastName><ForeName>Hugo</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University of Ghent, University Hospital Ghent, Ghent, Belgium.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Prosthodontics, School of Dentistry, Malmö University, Malmö, Sweden.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Vandeweghe</LastName><ForeName>Stefan</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University of Ghent, University Hospital Ghent, Ghent, Belgium.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2014</Year><Month>01</Month><Day>08</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Clin Implant Dent Relat Res</MedlineTA><NlmUniqueID>100888977</NlmUniqueID><ISSNLinking>1523-0899</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D015921">Dental Implants</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="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015921" MajorTopicYN="Y">Dental Implants</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D057893" MajorTopicYN="Y">Immediate Dental Implant Loading</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007575" MajorTopicYN="N">Jaw, Edentulous</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008334" MajorTopicYN="N">Mandible</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008437" MajorTopicYN="N">Maxilla</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">All-on-4</Keyword><Keyword MajorTopicYN="N">bone level</Keyword><Keyword MajorTopicYN="N">bone remodeling</Keyword><Keyword MajorTopicYN="N">immediate loading</Keyword><Keyword MajorTopicYN="N">one-stage surgery</Keyword><Keyword MajorTopicYN="N">prosthetic complications</Keyword><Keyword MajorTopicYN="N">success</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>1</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>1</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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