Serveur d'exploration sur le patient édenté

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Computer-guided versus free-hand placement of immediately loaded dental implants: 1-year post-loading results of a multicentre randomised controlled trial.

Identifieur interne : 000673 ( PubMed/Curation ); précédent : 000672; suivant : 000674

Computer-guided versus free-hand placement of immediately loaded dental implants: 1-year post-loading results of a multicentre randomised controlled trial.

Auteurs : Alessandro Pozzi ; Marco Tallarico ; Massimiliano Marchetti ; Bruno Scarf ; Marco Esposito

Source :

RBID : pubmed:25237668

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English descriptors

Abstract

To compare planning and patient rehabilitation using a 3D dental planning software and dedicated surgical guides with conventional rehabilitation of partially or fully edentulous patients using flapless or mini-flap procedures and immediate loading.

PubMed: 25237668

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pubmed:25237668

Le document en format XML

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<term>Analgesics (therapeutic use)</term>
<term>Cone-Beam Computed Tomography (methods)</term>
<term>Dental Implantation, Endosseous (economics)</term>
<term>Dental Implantation, Endosseous (instrumentation)</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Edema (etiology)</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Imaging, Three-Dimensional (methods)</term>
<term>Immediate Dental Implant Loading (methods)</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Mouth, Edentulous (rehabilitation)</term>
<term>Mouth, Edentulous (surgery)</term>
<term>Operative Time</term>
<term>Pain, Postoperative (etiology)</term>
<term>Patient Care Planning</term>
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<term>Surgery, Computer-Assisted (instrumentation)</term>
<term>Surgery, Computer-Assisted (methods)</term>
<term>Surgical Flaps (surgery)</term>
<term>Torque</term>
<term>Treatment Outcome</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analgésiques (usage thérapeutique)</term>
<term>Bouche édentée ()</term>
<term>Bouche édentée (rééducation et réadaptation)</term>
<term>Chirurgie assistée par ordinateur ()</term>
<term>Chirurgie assistée par ordinateur (instrumentation)</term>
<term>Chirurgie assistée par ordinateur (économie)</term>
<term>Complications postopératoires</term>
<term>Douleur postopératoire (étiologie)</term>
<term>Durée opératoire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Imagerie tridimensionnelle ()</term>
<term>Lambeaux chirurgicaux ()</term>
<term>Moment de torsion</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Oedème (étiologie)</term>
<term>Planification des soins du patient</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Pose d'implant dentaire endo-osseux (instrumentation)</term>
<term>Pose d'implant dentaire endo-osseux (économie)</term>
<term>Pose immédiate d'implant dentaire ()</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Résultat thérapeutique</term>
<term>Satisfaction du patient</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tomodensitométrie à faisceau conique ()</term>
<term>Échec de restauration dentaire</term>
<term>Études de suivi</term>
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<term>Analgesics</term>
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<term>Dental Implantation, Endosseous</term>
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<term>Dental Implantation, Endosseous</term>
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<term>Immediate Dental Implant Loading</term>
<term>Surgery, Computer-Assisted</term>
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<term>Jaw, Edentulous, Partially</term>
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<term>Bouche édentée</term>
<term>Mâchoire partiellement édentée</term>
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<term>Jaw, Edentulous, Partially</term>
<term>Mouth, Edentulous</term>
<term>Surgical Flaps</term>
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<keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr">
<term>Analgésiques</term>
<term>Chirurgie assistée par ordinateur</term>
<term>Pose d'implant dentaire endo-osseux</term>
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<keywords scheme="MESH" qualifier="économie" xml:lang="fr">
<term>Chirurgie assistée par ordinateur</term>
<term>Pose d'implant dentaire endo-osseux</term>
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<term>Douleur postopératoire</term>
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<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Female</term>
<term>Follow-Up Studies</term>
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<term>Middle Aged</term>
<term>Operative Time</term>
<term>Patient Care Planning</term>
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<term>Treatment Outcome</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Bouche édentée</term>
<term>Chirurgie assistée par ordinateur</term>
<term>Complications postopératoires</term>
<term>Durée opératoire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Imagerie tridimensionnelle</term>
<term>Lambeaux chirurgicaux</term>
<term>Moment de torsion</term>
<term>Mâchoire partiellement édentée</term>
<term>Mâle</term>
<term>Planification des soins du patient</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Pose immédiate d'implant dentaire</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Résultat thérapeutique</term>
<term>Satisfaction du patient</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tomodensitométrie à faisceau conique</term>
<term>Échec de restauration dentaire</term>
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<front>
<div type="abstract" xml:lang="en">To compare planning and patient rehabilitation using a 3D dental planning software and dedicated surgical guides with conventional rehabilitation of partially or fully edentulous patients using flapless or mini-flap procedures and immediate loading.</div>
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<Title>European journal of oral implantology</Title>
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<ArticleTitle>Computer-guided versus free-hand placement of immediately loaded dental implants: 1-year post-loading results of a multicentre randomised controlled trial.</ArticleTitle>
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<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To compare planning and patient rehabilitation using a 3D dental planning software and dedicated surgical guides with conventional rehabilitation of partially or fully edentulous patients using flapless or mini-flap procedures and immediate loading.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Fifty-one fully or partially edentulous patients requiring at least 2 implants to be restored with a single prosthesis, having at least 7 mm of bone height and 4 mm in bone width, had their implant rehabilitation planned on three-dimensional (3D) cone beam computed tomography (CBCT) scans using a dedicated software. Afterwards they were randomised according to a parallel group study design into two arms: computer-guided implant placement aided with templates (computer-guided group) versus conventional implant placement without templates (conventional group) in three different centres. Implants were to be placed flapless and loaded immediately; if inserted with a torque over 35 Ncm with reinforced provisional prostheses, then replaced, after 4 months, by definitive prostheses. Outcome measures, assessed by masked assessors were: prosthesis and implant failures, complications, peri-implant bone level changes, number of treatment sessions, duration of treatment, post-surgical pain and swelling, consumption of pain killers, treatment time, time required to solve complications, additional treatment cost, patient satisfaction. Patients were followed up to 1 year after loading.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Twenty-six patients were randomised to the conventional treatment and 25 to computerguided rehabilitation. No patient dropped out. One provisional prosthesis failed, since one of the two supporting implants failed 11 days after implantation in the conventional group (P = 1.0). Four patients of the conventionally loaded groups experienced one complication each, versus five patients (6 complications) in the computer-guided group (P = 0.726). There were no statistically significant differences between the two groups for any of the tested outcomes with the exception of more postoperative surgical pain (P = 0.002) and swelling (P = 0.024) at conventionally treated patients.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">When treatment planning was made on 3D CBTC scan using a dedicated software, no statistically significant differences were observed between computer-guided and a free-hand rehabilitations, with the exception of more postoperative pain and swelling at sites treated freehand because more frequently flaps were elevated.</AbstractText>
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