Short implants versus longer implants in vertically augmented posterior mandibles: a randomised controlled trial with 5-year after loading follow-up.
Identifieur interne : 000A16 ( PubMed/Curation ); précédent : 000A15; suivant : 000A17Short implants versus longer implants in vertically augmented posterior mandibles: a randomised controlled trial with 5-year after loading follow-up.
Auteurs : Pietro Felice ; Gioacchino Cannizzaro ; Carlo Barausse ; Roberto Pistilli ; Marco EspositoSource :
- European journal of oral implantology [ 1756-2406 ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Complications postopératoires, Conception de prothèse dentaire, Femelle, Humains, Implant résorbable, Implants dentaires, Mandibule (), Membrane artificielle, Mâchoire partiellement édentée (), Mâchoire partiellement édentée (rééducation et réadaptation), Mâle, Ostéotomie (), Paresthésie (étiologie), Piézochirurgie (), Pose d'implant dentaire endo-osseux (), Pose d'implant dentaire endo-osseux (instrumentation), Propriétés de surface, Prothèse dentaire implanto-portée, Reconstruction de crête alvéolaire (), Résorption alvéolaire (), Résultat thérapeutique, Substituts osseux (usage thérapeutique), Sujet âgé, Échec de restauration dentaire, Études de suivi.
- MESH :
- rééducation et réadaptation : Mâchoire partiellement édentée.
- usage thérapeutique : Pose d'implant dentaire endo-osseux, Substituts osseux.
- étiologie : Paresthésie.
- Adulte, Adulte d'âge moyen, Complications postopératoires, Conception de prothèse dentaire, Femelle, Humains, Implant résorbable, Implants dentaires, Mandibule, Membrane artificielle, Mâchoire partiellement édentée, Mâle, Ostéotomie, Piézochirurgie, Pose d'implant dentaire endo-osseux, Propriétés de surface, Prothèse dentaire implanto-portée, Reconstruction de crête alvéolaire, Résorption alvéolaire, Résultat thérapeutique, Sujet âgé, Échec de restauration dentaire, Études de suivi.
English descriptors
- KwdEn :
- Absorbable Implants, Adult, Aged, Alveolar Bone Loss (classification), Alveolar Ridge Augmentation (methods), Bone Substitutes (therapeutic use), Dental Implantation, Endosseous (instrumentation), Dental Implantation, Endosseous (methods), Dental Implants, Dental Prosthesis Design, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Female, Follow-Up Studies, Humans, Jaw, Edentulous, Partially (rehabilitation), Jaw, Edentulous, Partially (surgery), Male, Mandible (surgery), Membranes, Artificial, Middle Aged, Osteotomy (methods), Paresthesia (etiology), Piezosurgery (methods), Postoperative Complications, Surface Properties, Treatment Outcome.
- MESH :
- chemical , therapeutic use : Bone Substitutes.
- classification : Alveolar Bone Loss.
- etiology : Paresthesia.
- instrumentation : Dental Implantation, Endosseous.
- methods : Alveolar Ridge Augmentation, Dental Implantation, Endosseous, Osteotomy, Piezosurgery.
- rehabilitation : Jaw, Edentulous, Partially.
- surgery : Jaw, Edentulous, Partially, Mandible.
- Absorbable Implants, Adult, Aged, Dental Implants, Dental Prosthesis Design, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Female, Follow-Up Studies, Humans, Male, Membranes, Artificial, Middle Aged, Postoperative Complications, Surface Properties, Treatment Outcome.
Abstract
To evaluate whether 6.6-mm long implants could be a suitable alternative to longer implants placed in vertically augmented atrophic posterior mandibles.
PubMed: 25422824
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last="Cannizzaro">Gioacchino Cannizzaro</name></author><author><name sortKey="Barausse, Carlo" sort="Barausse, Carlo" uniqKey="Barausse C" first="Carlo" last="Barausse">Carlo Barausse</name></author><author><name sortKey="Pistilli, Roberto" sort="Pistilli, Roberto" uniqKey="Pistilli R" first="Roberto" last="Pistilli">Roberto Pistilli</name></author><author><name sortKey="Esposito, Marco" sort="Esposito, Marco" uniqKey="Esposito M" first="Marco" last="Esposito">Marco Esposito</name></author></analytic><series><title level="j">European journal of oral implantology</title><idno type="ISSN">1756-2406</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Absorbable Implants</term><term>Adult</term><term>Aged</term><term>Alveolar Bone Loss (classification)</term><term>Alveolar Ridge Augmentation (methods)</term><term>Bone Substitutes (therapeutic use)</term><term>Dental Implantation, Endosseous (instrumentation)</term><term>Dental Implantation, Endosseous (methods)</term><term>Dental Implants</term><term>Dental Prosthesis Design</term><term>Dental Prosthesis, Implant-Supported</term><term>Dental Restoration Failure</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Jaw, Edentulous, Partially (rehabilitation)</term><term>Jaw, Edentulous, Partially (surgery)</term><term>Male</term><term>Mandible (surgery)</term><term>Membranes, Artificial</term><term>Middle Aged</term><term>Osteotomy (methods)</term><term>Paresthesia (etiology)</term><term>Piezosurgery (methods)</term><term>Postoperative Complications</term><term>Surface Properties</term><term>Treatment Outcome</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Complications postopératoires</term><term>Conception de prothèse dentaire</term><term>Femelle</term><term>Humains</term><term>Implant résorbable</term><term>Implants dentaires</term><term>Mandibule ()</term><term>Membrane artificielle</term><term>Mâchoire partiellement édentée ()</term><term>Mâchoire partiellement édentée (rééducation et réadaptation)</term><term>Mâle</term><term>Ostéotomie ()</term><term>Paresthésie (étiologie)</term><term>Piézochirurgie ()</term><term>Pose d'implant dentaire endo-osseux ()</term><term>Pose d'implant dentaire endo-osseux (instrumentation)</term><term>Propriétés de surface</term><term>Prothèse dentaire implanto-portée</term><term>Reconstruction de crête alvéolaire ()</term><term>Résorption alvéolaire ()</term><term>Résultat thérapeutique</term><term>Substituts osseux (usage thérapeutique)</term><term>Sujet âgé</term><term>Échec de restauration dentaire</term><term>Études de suivi</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Bone Substitutes</term></keywords><keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Alveolar Bone Loss</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Paresthesia</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Dental Implantation, Endosseous</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Alveolar Ridge Augmentation</term><term>Dental Implantation, Endosseous</term><term>Osteotomy</term><term>Piezosurgery</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous, Partially</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire partiellement édentée</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous, Partially</term><term>Mandible</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Pose d'implant dentaire endo-osseux</term><term>Substituts osseux</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Paresthésie</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Absorbable Implants</term><term>Adult</term><term>Aged</term><term>Dental Implants</term><term>Dental Prosthesis Design</term><term>Dental Prosthesis, Implant-Supported</term><term>Dental Restoration Failure</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Male</term><term>Membranes, Artificial</term><term>Middle Aged</term><term>Postoperative Complications</term><term>Surface Properties</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Complications postopératoires</term><term>Conception de prothèse dentaire</term><term>Femelle</term><term>Humains</term><term>Implant résorbable</term><term>Implants dentaires</term><term>Mandibule</term><term>Membrane artificielle</term><term>Mâchoire partiellement édentée</term><term>Mâle</term><term>Ostéotomie</term><term>Piézochirurgie</term><term>Pose d'implant dentaire endo-osseux</term><term>Propriétés de surface</term><term>Prothèse dentaire implanto-portée</term><term>Reconstruction de crête alvéolaire</term><term>Résorption alvéolaire</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Échec de restauration dentaire</term><term>Études de suivi</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To evaluate whether 6.6-mm long implants could be a suitable alternative to longer implants placed in vertically augmented atrophic posterior mandibles.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25422824</PMID><DateCompleted><Year>2015</Year><Month>02</Month><Day>05</Day></DateCompleted><DateRevised><Year>2014</Year><Month>11</Month><Day>25</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">1756-2406</ISSN><JournalIssue CitedMedium="Print"><Volume>7</Volume><Issue>4</Issue><PubDate><Year>2014</Year><Season>Winter</Season></PubDate></JournalIssue><Title>European journal of oral implantology</Title><ISOAbbreviation>Eur J Oral Implantol</ISOAbbreviation></Journal><ArticleTitle>Short implants versus longer implants in vertically augmented posterior mandibles: a randomised controlled trial with 5-year after loading follow-up.</ArticleTitle><Pagination><MedlinePgn>359-69</MedlinePgn></Pagination><Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To evaluate whether 6.6-mm long implants could be a suitable alternative to longer implants placed in vertically augmented atrophic posterior mandibles.</AbstractText><AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Sixty partially edentulous patients having 7 to 8 mm of residual crestal height and at least 5.5 mm thickness measured on CT scans above the mandibular canal were randomised according to a parallel group design. They were either to receive 1 to 3 submerged 6.6-mm long implants or 9.6 mm or longer implants (30 patients per group) placed in vertically augmented bone. Bone was augmented with interpositional anorganic bovine bone blocks covered by resorbable barriers. Grafts were left to heal for 5 months before implant placement. Four months after provisional acrylic prostheses were delivered, they were replaced, after 4 months, by definitive metal-ceramic prostheses. Outcome measures were: prosthesis and implant failures; complications; and radiographic peri-implant marginal bone level changes. All patients were followed up to 5 years after loading.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Five years after loading, 8 patients dropped out: 3 from the short implant group and 5 from the augmented group. The augmentation procedure failed in 2 patients and only 6.6-mm long implants could be inserted. There were no statistically significant differences for prosthesis and implant failures. Five prostheses failed in 4 patients of the short implant group versus 5 prostheses in 5 patients in the augmented group (Fishers exact test P = 1.0; difference in proportions = 0.07; 95% CI -0.29 to 0.43). Five short implants failed in 3 patients versus 3 long implants in 3 patients (Fishers exact test P = 1.00 difference in proportions = 0.00; 95% CI -0.43 to 0.43). There were statistically more complications in augmented patients (25 complications in 21 augmented patients versus 6 complications in 6 patients of the short implant group) (Fishers exact test P < 0.0001; difference in proportions = 0.60; 95% CI 0.38, 0.82). Both groups gradually lost peri-implant bone in a statistically significant way. Five years after loading, short implant group patients lost an average of 1.49 mm peri-implant bone compared with 2.34 mm in the augmented group. Short implants experienced statistically significantly less bone loss (0.82 mm, 95% CI 0.48; 1.16, P < 0.0001) than long implants.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">When residual bone height over the mandibular canal is between 7 to 8 mm, 6.6 mm short implants could be an interesting alternative to vertical augmentation in posterior atrophic mandibles since the treatment is faster, cheaper and associated with less morbidity. Longer follow-ups may still be needed to confirm these results, however the medium-term prognosis (5 years after loading) of short implants is at least as good as those of longer implants placed vertically in augmented mandibles.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Felice</LastName><ForeName>Pietro</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Cannizzaro</LastName><ForeName>Gioacchino</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Barausse</LastName><ForeName>Carlo</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Pistilli</LastName><ForeName>Roberto</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Esposito</LastName><ForeName>Marco</ForeName><Initials>M</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016449">Randomized Controlled Trial</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Eur J Oral Implantol</MedlineTA><NlmUniqueID>101473719</NlmUniqueID><ISSNLinking>1756-2406</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D018786">Bone Substitutes</NameOfSubstance></Chemical><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D015921">Dental Implants</NameOfSubstance></Chemical><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D008567">Membranes, Artificial</NameOfSubstance></Chemical></ChemicalList><CitationSubset>D</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D020341" MajorTopicYN="N">Absorbable Implants</DescriptorName></MeshHeading><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="Q000145" MajorTopicYN="N">classification</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000540" MajorTopicYN="N">Alveolar Ridge Augmentation</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D018786" MajorTopicYN="N">Bone Substitutes</DescriptorName><QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003758" MajorTopicYN="N">Dental Implantation, Endosseous</DescriptorName><QualifierName UI="Q000295" MajorTopicYN="N">instrumentation</QualifierName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015921" MajorTopicYN="Y">Dental Implants</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017267" MajorTopicYN="Y">Dental Prosthesis Design</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019094" MajorTopicYN="N">Dental Prosthesis, Implant-Supported</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019232" MajorTopicYN="N">Dental Restoration Failure</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007576" MajorTopicYN="N">Jaw, Edentulous, Partially</DescriptorName><QualifierName UI="Q000534" MajorTopicYN="N">rehabilitation</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">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="D008567" MajorTopicYN="N">Membranes, Artificial</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010027" MajorTopicYN="N">Osteotomy</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010292" MajorTopicYN="N">Paresthesia</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D059745" MajorTopicYN="N">Piezosurgery</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013499" MajorTopicYN="N">Surface Properties</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>11</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>11</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>2</Month><Day>6</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25422824</ArticleId><ArticleId 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