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Marginal bone resorption around immediate and delayed loaded implants supporting a locator-retained mandibular overdenture. A 1-year randomised controlled trial.

Identifieur interne : 000768 ( PubMed/Curation ); précédent : 000767; suivant : 000769

Marginal bone resorption around immediate and delayed loaded implants supporting a locator-retained mandibular overdenture. A 1-year randomised controlled trial.

Auteurs : M A Elsyad [Égypte] ; E A Elsaih ; A S Khairallah

Source :

RBID : pubmed:24814408

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English descriptors

Abstract

The aim of this 1-year study was to evaluate and compare crestal bone loss and clinical outcomes of immediate and delayed loaded implants supporting mandibular overdentures with Locator attachments. In a randomised controlled clinical trial, 36 completely edentulous patients (mean age 59.6 years) who desired to improve the stability of their mandibular dentures were randomly assigned into two groups. Each patient received two implants in the canine area of the mandible after a minimal flap reflection. Implants were loaded by mandibular overdentures either 3 months (delayed loading group, G1) or the same day (immediate loading group, G2) after implant placement. Locator attachments were used to retain all overdentures to the implants. Peri-implant vertical (VBL) and horizontal (HBLO) bone losses and clinical parameters [plaque scores (PI), gingival scores (GI), probing depths (PD) and implant stability (ISQ)] were assessed at time of overdenture insertion (T0), 6 months (T6) and 12 months (T12) after overdenture insertion. After 12 months of overdenture insertion, two implants (5.5%) failed in G2. Vertical bone loss was significantly higher in G2 compared with G1, while HBLO demonstrated insignificant differences between groups. All clinical parameters (PI, GI, PD and ISQ) did not differ significantly between groups. Vertical bone loss was significantly correlated with PD and HBLO. Immediately loaded two implants supporting a Locator-retained mandibular overdenture are associated with more vertical bone resorption when compared to delayed loaded implants after 1 year. Clinical outcomes do not differ significantly between loading protocols.

DOI: 10.1111/joor.12182
PubMed: 24814408

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<term>Alveolar Bone Loss (diagnostic imaging)</term>
<term>Bone Resorption (diagnostic imaging)</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Denture Design</term>
<term>Denture, Overlay</term>
<term>Female</term>
<term>Humans</term>
<term>Immediate Dental Implant Loading</term>
<term>Jaw, Edentulous (diagnostic imaging)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Male</term>
<term>Mandible (diagnostic imaging)</term>
<term>Mandible (surgery)</term>
<term>Mandibular Diseases (diagnostic imaging)</term>
<term>Middle Aged</term>
<term>Risk Factors</term>
<term>Tomography, X-Ray Computed</term>
<term>Treatment Outcome</term>
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<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte d'âge moyen</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Maladies mandibulaires (imagerie diagnostique)</term>
<term>Mandibule ()</term>
<term>Mandibule (imagerie diagnostique)</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (imagerie diagnostique)</term>
<term>Mâle</term>
<term>Overdenture</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Pose immédiate d'implant dentaire</term>
<term>Résorption alvéolaire (imagerie diagnostique)</term>
<term>Résorption osseuse (imagerie diagnostique)</term>
<term>Résultat thérapeutique</term>
<term>Tomodensitométrie</term>
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<term>Alveolar Bone Loss</term>
<term>Bone Resorption</term>
<term>Jaw, Edentulous</term>
<term>Mandible</term>
<term>Mandibular Diseases</term>
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<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr">
<term>Maladies mandibulaires</term>
<term>Mandibule</term>
<term>Mâchoire édentée</term>
<term>Résorption alvéolaire</term>
<term>Résorption osseuse</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Dental Implantation, Endosseous</term>
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<term>Jaw, Edentulous</term>
<term>Mandible</term>
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<term>Denture Design</term>
<term>Denture, Overlay</term>
<term>Female</term>
<term>Humans</term>
<term>Immediate Dental Implant Loading</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Risk Factors</term>
<term>Tomography, X-Ray Computed</term>
<term>Treatment Outcome</term>
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<term>Adulte d'âge moyen</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mandibule</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Overdenture</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Pose immédiate d'implant dentaire</term>
<term>Résultat thérapeutique</term>
<term>Tomodensitométrie</term>
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<div type="abstract" xml:lang="en">The aim of this 1-year study was to evaluate and compare crestal bone loss and clinical outcomes of immediate and delayed loaded implants supporting mandibular overdentures with Locator attachments. In a randomised controlled clinical trial, 36 completely edentulous patients (mean age 59.6 years) who desired to improve the stability of their mandibular dentures were randomly assigned into two groups. Each patient received two implants in the canine area of the mandible after a minimal flap reflection. Implants were loaded by mandibular overdentures either 3 months (delayed loading group, G1) or the same day (immediate loading group, G2) after implant placement. Locator attachments were used to retain all overdentures to the implants. Peri-implant vertical (VBL) and horizontal (HBLO) bone losses and clinical parameters [plaque scores (PI), gingival scores (GI), probing depths (PD) and implant stability (ISQ)] were assessed at time of overdenture insertion (T0), 6 months (T6) and 12 months (T12) after overdenture insertion. After 12 months of overdenture insertion, two implants (5.5%) failed in G2. Vertical bone loss was significantly higher in G2 compared with G1, while HBLO demonstrated insignificant differences between groups. All clinical parameters (PI, GI, PD and ISQ) did not differ significantly between groups. Vertical bone loss was significantly correlated with PD and HBLO. Immediately loaded two implants supporting a Locator-retained mandibular overdenture are associated with more vertical bone resorption when compared to delayed loaded implants after 1 year. Clinical outcomes do not differ significantly between loading protocols.</div>
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<AbstractText>The aim of this 1-year study was to evaluate and compare crestal bone loss and clinical outcomes of immediate and delayed loaded implants supporting mandibular overdentures with Locator attachments. In a randomised controlled clinical trial, 36 completely edentulous patients (mean age 59.6 years) who desired to improve the stability of their mandibular dentures were randomly assigned into two groups. Each patient received two implants in the canine area of the mandible after a minimal flap reflection. Implants were loaded by mandibular overdentures either 3 months (delayed loading group, G1) or the same day (immediate loading group, G2) after implant placement. Locator attachments were used to retain all overdentures to the implants. Peri-implant vertical (VBL) and horizontal (HBLO) bone losses and clinical parameters [plaque scores (PI), gingival scores (GI), probing depths (PD) and implant stability (ISQ)] were assessed at time of overdenture insertion (T0), 6 months (T6) and 12 months (T12) after overdenture insertion. After 12 months of overdenture insertion, two implants (5.5%) failed in G2. Vertical bone loss was significantly higher in G2 compared with G1, while HBLO demonstrated insignificant differences between groups. All clinical parameters (PI, GI, PD and ISQ) did not differ significantly between groups. Vertical bone loss was significantly correlated with PD and HBLO. Immediately loaded two implants supporting a Locator-retained mandibular overdenture are associated with more vertical bone resorption when compared to delayed loaded implants after 1 year. Clinical outcomes do not differ significantly between loading protocols.</AbstractText>
<CopyrightInformation>© 2014 John Wiley & Sons Ltd.</CopyrightInformation>
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<Keyword MajorTopicYN="N">bone loss</Keyword>
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<Keyword MajorTopicYN="N">implant</Keyword>
<Keyword MajorTopicYN="N">locator</Keyword>
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