Immediate loading short implants inserted on low bone quantity for the rehabilitation of the edentulous maxilla using an All-on-4 design.
Identifieur interne : 000380 ( PubMed/Curation ); précédent : 000379; suivant : 000381Immediate loading short implants inserted on low bone quantity for the rehabilitation of the edentulous maxilla using an All-on-4 design.
Auteurs : P. Mal [Portugal] ; M A De Araújo Nobre [Portugal] ; A V Lopes [Portugal] ; R. Rodrigues [Portugal]Source :
- Journal of oral rehabilitation [ 1365-2842 ] ; 2015.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Conception de prothèse dentaire, Femelle, Humains, Implants dentaires, Maxillaire (), Maxillaire (physiopathologie), Mâchoire édentée (rééducation et réadaptation), Mâle, Pose immédiate d'implant dentaire, Prothèse dentaire implanto-portée, Résultat thérapeutique, Sujet âgé, Sujet âgé de 80 ans ou plus, Échec de restauration dentaire, Études rétrospectives.
- MESH :
- physiopathologie : Maxillaire.
- rééducation et réadaptation : Mâchoire édentée.
- Adulte, Adulte d'âge moyen, Conception de prothèse dentaire, Femelle, Humains, Implants dentaires, Maxillaire, Mâle, Pose immédiate d'implant dentaire, Prothèse dentaire implanto-portée, Résultat thérapeutique, Sujet âgé, Sujet âgé de 80 ans ou plus, Échec de restauration dentaire, Études rétrospectives.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Dental Implants, Dental Prosthesis Design, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Female, Humans, Immediate Dental Implant Loading, Jaw, Edentulous (rehabilitation), Male, Maxilla (physiopathology), Maxilla (surgery), Middle Aged, Retrospective Studies, Treatment Outcome.
- MESH :
- chemical : Dental Implants.
- physiopathology : Maxilla.
- rehabilitation : Jaw, Edentulous.
- surgery : Maxilla.
- Adult, Aged, Aged, 80 and over, Dental Prosthesis Design, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Female, Humans, Immediate Dental Implant Loading, Male, Middle Aged, Retrospective Studies, Treatment Outcome.
Abstract
More studies evaluating the outcome of short-length dental implants in immediate loading are needed. To evaluate the use of short-length tapered implants in immediate loading for complete edentulous maxillae rehabilitations using an All-on-4 design. This retrospective clinical study included a cohort of 43 patients with 172 implants (74 short-length implants) inserted in low bone quantity. The patients were followed between 4 months and 6 years (average = 3 years). Outcome measures were implant survival, marginal bone remodelling, biological and mechanical complications. Two patients with four short-length implants were lost to follow-up during the first year. Three short and three long implants failed in four patients, rendering an overall cumulative survival rate implant and patient level, respectively, of 95.7% and 95.1% for short implants, 100% for regular implants and 96.6% and 95.2% for long implants. The average marginal bone remodelling at 1 and 3 years was 0.97 and 1.25 mm for the short implants, 0.82 and 0.87 mm for regular implants and 0.87 and 0.98 mm for long implants. Three patients presented 4 short-length implants with peri-implant pockets (3 implants in 2 patients were pseudo-pockets). Mechanical complications were registered in 13 patients (7 provisional prostheses fractures and 6 abutment screw loosening). All complications were treated successfully. Within the limitations of this clinical study, the short-term outcome of fixed prosthetic complete edentulous maxillae rehabilitations supported by short-length implants inserted in low bone quantity areas is viable. Long-term clinical studies are necessary for evaluating the outcome of these implants.
DOI: 10.1111/joor.12291
PubMed: 25757870
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pubmed:25757870Le document en format XML
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<front><div type="abstract" xml:lang="en">More studies evaluating the outcome of short-length dental implants in immediate loading are needed. To evaluate the use of short-length tapered implants in immediate loading for complete edentulous maxillae rehabilitations using an All-on-4 design. This retrospective clinical study included a cohort of 43 patients with 172 implants (74 short-length implants) inserted in low bone quantity. The patients were followed between 4 months and 6 years (average = 3 years). Outcome measures were implant survival, marginal bone remodelling, biological and mechanical complications. Two patients with four short-length implants were lost to follow-up during the first year. Three short and three long implants failed in four patients, rendering an overall cumulative survival rate implant and patient level, respectively, of 95.7% and 95.1% for short implants, 100% for regular implants and 96.6% and 95.2% for long implants. The average marginal bone remodelling at 1 and 3 years was 0.97 and 1.25 mm for the short implants, 0.82 and 0.87 mm for regular implants and 0.87 and 0.98 mm for long implants. Three patients presented 4 short-length implants with peri-implant pockets (3 implants in 2 patients were pseudo-pockets). Mechanical complications were registered in 13 patients (7 provisional prostheses fractures and 6 abutment screw loosening). All complications were treated successfully. Within the limitations of this clinical study, the short-term outcome of fixed prosthetic complete edentulous maxillae rehabilitations supported by short-length implants inserted in low bone quantity areas is viable. Long-term clinical studies are necessary for evaluating the outcome of these implants.</div>
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