Posterior atrophic jaws rehabilitated with prostheses supported by 6 mm-long, 4 mm-wide implants or by longer implants in augmented bone. Preliminary results from a pilot randomised controlled trial.
Identifieur interne : 001199 ( PubMed/Curation ); précédent : 001198; suivant : 001200Posterior atrophic jaws rehabilitated with prostheses supported by 6 mm-long, 4 mm-wide implants or by longer implants in augmented bone. Preliminary results from a pilot randomised controlled trial.
Auteurs : Marco Esposito [Suède] ; Gioacchino Cannizzaro ; Elisa Soardi ; Roberto Pistilli ; Maurizio Piattelli ; Valeria Corvino ; Pietro FeliceSource :
- European journal of oral implantology [ 1756-2406 ] ; 2012.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Alliages métal céramique (), Atrophie, Complications postopératoires, Conception de prothèse dentaire, Couronnes, Femelle, Humains, Implant résorbable, Implants dentaires, Mandibule (), Mandibule (anatomopathologie), Maxillaire (), Maxillaire (anatomopathologie), Mâchoire partiellement édentée (), Mâchoire partiellement édentée (rééducation et réadaptation), Mâle, Pose d'implant dentaire endo-osseux (), Projets pilotes, Prothèse dentaire implanto-portée, Préférence du patient, Reconstruction de crête alvéolaire (), Rehaussement du plancher du sinus (), Résultat thérapeutique, Rétention de prothèse dentaire, Substituts osseux (usage thérapeutique), Sujet âgé, Sujet âgé de 80 ans ou plus, Survie du greffon, Échec de restauration dentaire, Études de suivi.
- MESH :
- anatomopathologie : Mandibule, Maxillaire.
- rééducation et réadaptation : Mâchoire partiellement édentée.
- usage thérapeutique : Substituts osseux.
- Adulte, Adulte d'âge moyen, Alliages métal céramique, Atrophie, Complications postopératoires, Conception de prothèse dentaire, Couronnes, Femelle, Humains, Implant résorbable, Implants dentaires, Mandibule, Maxillaire, Mâchoire partiellement édentée, Mâle, Pose d'implant dentaire endo-osseux, Projets pilotes, Prothèse dentaire implanto-portée, Préférence du patient, Reconstruction de crête alvéolaire, Rehaussement du plancher du sinus, Résultat thérapeutique, Rétention de prothèse dentaire, Sujet âgé, Sujet âgé de 80 ans ou plus, Survie du greffon, Échec de restauration dentaire, Études de suivi.
English descriptors
- KwdEn :
- Absorbable Implants, Adult, Aged, Aged, 80 and over, Alveolar Ridge Augmentation (methods), Atrophy, Bone Substitutes (therapeutic use), Crowns, Dental Implantation, Endosseous (methods), Dental Implants, Dental Prosthesis Design, Dental Prosthesis Retention, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Female, Follow-Up Studies, Graft Survival, Humans, Jaw, Edentulous, Partially (rehabilitation), Jaw, Edentulous, Partially (surgery), Male, Mandible (pathology), Mandible (surgery), Maxilla (pathology), Maxilla (surgery), Metal Ceramic Alloys (chemistry), Middle Aged, Patient Preference, Pilot Projects, Postoperative Complications, Sinus Floor Augmentation (methods), Treatment Outcome.
- MESH :
- chemical , chemistry : Metal Ceramic Alloys.
- chemical , therapeutic use : Bone Substitutes.
- methods : Alveolar Ridge Augmentation, Dental Implantation, Endosseous, Sinus Floor Augmentation.
- pathology : Mandible, Maxilla.
- rehabilitation : Jaw, Edentulous, Partially.
- surgery : Jaw, Edentulous, Partially, Mandible, Maxilla.
- Absorbable Implants, Adult, Aged, Aged, 80 and over, Atrophy, Crowns, Dental Implants, Dental Prosthesis Design, Dental Prosthesis Retention, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Female, Follow-Up Studies, Graft Survival, Humans, Male, Middle Aged, Patient Preference, Pilot Projects, Postoperative Complications, Treatment Outcome.
Abstract
To evaluate whether 6 mm-long by 4 mm-wide dental implants could be an alternative to at least 10 mm-long implants placed in bone augmented with bone substitutes in posterior atrophic jaws.
PubMed: 22518377
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pubmed:22518377Le document en format XML
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<term>Aged, 80 and over</term>
<term>Alveolar Ridge Augmentation (methods)</term>
<term>Atrophy</term>
<term>Bone Substitutes (therapeutic use)</term>
<term>Crowns</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis Retention</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Graft Survival</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Male</term>
<term>Mandible (pathology)</term>
<term>Mandible (surgery)</term>
<term>Maxilla (pathology)</term>
<term>Maxilla (surgery)</term>
<term>Metal Ceramic Alloys (chemistry)</term>
<term>Middle Aged</term>
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<term>Alliages métal céramique ()</term>
<term>Atrophie</term>
<term>Complications postopératoires</term>
<term>Conception de prothèse dentaire</term>
<term>Couronnes</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implant résorbable</term>
<term>Implants dentaires</term>
<term>Mandibule ()</term>
<term>Mandibule (anatomopathologie)</term>
<term>Maxillaire ()</term>
<term>Maxillaire (anatomopathologie)</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Projets pilotes</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Préférence du patient</term>
<term>Reconstruction de crête alvéolaire ()</term>
<term>Rehaussement du plancher du sinus ()</term>
<term>Résultat thérapeutique</term>
<term>Rétention de prothèse dentaire</term>
<term>Substituts osseux (usage thérapeutique)</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Survie du greffon</term>
<term>Échec de restauration dentaire</term>
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<keywords scheme="MESH" type="chemical" qualifier="chemistry" xml:lang="en"><term>Metal Ceramic Alloys</term>
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<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Mandibule</term>
<term>Maxillaire</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Alveolar Ridge Augmentation</term>
<term>Dental Implantation, Endosseous</term>
<term>Sinus Floor Augmentation</term>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Mandible</term>
<term>Maxilla</term>
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<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire partiellement édentée</term>
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<term>Mandible</term>
<term>Maxilla</term>
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<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Atrophy</term>
<term>Crowns</term>
<term>Dental Implants</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis Retention</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Graft Survival</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Patient Preference</term>
<term>Pilot Projects</term>
<term>Postoperative Complications</term>
<term>Treatment Outcome</term>
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<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Alliages métal céramique</term>
<term>Atrophie</term>
<term>Complications postopératoires</term>
<term>Conception de prothèse dentaire</term>
<term>Couronnes</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implant résorbable</term>
<term>Implants dentaires</term>
<term>Mandibule</term>
<term>Maxillaire</term>
<term>Mâchoire partiellement édentée</term>
<term>Mâle</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Projets pilotes</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Préférence du patient</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Rehaussement du plancher du sinus</term>
<term>Résultat thérapeutique</term>
<term>Rétention de prothèse dentaire</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Survie du greffon</term>
<term>Échec de restauration dentaire</term>
<term>Études de suivi</term>
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<front><div type="abstract" xml:lang="en">To evaluate whether 6 mm-long by 4 mm-wide dental implants could be an alternative to at least 10 mm-long implants placed in bone augmented with bone substitutes in posterior atrophic jaws.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">22518377</PMID>
<DateCompleted><Year>2012</Year>
<Month>05</Month>
<Day>31</Day>
</DateCompleted>
<DateRevised><Year>2012</Year>
<Month>04</Month>
<Day>20</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Print">1756-2406</ISSN>
<JournalIssue CitedMedium="Print"><Volume>5</Volume>
<Issue>1</Issue>
<PubDate><Year>2012</Year>
<Season>Spring</Season>
</PubDate>
</JournalIssue>
<Title>European journal of oral implantology</Title>
<ISOAbbreviation>Eur J Oral Implantol</ISOAbbreviation>
</Journal>
<ArticleTitle>Posterior atrophic jaws rehabilitated with prostheses supported by 6 mm-long, 4 mm-wide implants or by longer implants in augmented bone. Preliminary results from a pilot randomised controlled trial.</ArticleTitle>
<Pagination><MedlinePgn>19-33</MedlinePgn>
</Pagination>
<Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To evaluate whether 6 mm-long by 4 mm-wide dental implants could be an alternative to at least 10 mm-long implants placed in bone augmented with bone substitutes in posterior atrophic jaws.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Twenty patients with bilateral atrophic mandibles and 20 patients with bilateral atrophic maxillae, having 5 to 7 mm of bone height above the mandibular canal or below the maxillary sinus, were randomised according to a split-mouth design to receive one to three 6 mm-long and 4 mm-wide implants or at least 10-mm long implants in augmented bone at two centres. Mandibles were vertically augmented with interpositional equine bone blocks and resorbable barriers, and implants were placed after 3 months. Maxillary sinuses were augmented with particulated porcine bone via a lateral window and implants were placed simultaneously. All implants were submerged and loaded, after 4 months, with provisional prostheses. Four months later, definitive screw-retained metal-ceramic prostheses were delivered. Outcome measures were prosthesis and implant failures, any complication, time needed to fully recover mental nerve function (only for mandibular implants) and patient preference.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">All screened patients had sufficient bone width to support 4 mm-diameter implants. Patients were followed up to 5 months post-loading and none dropped out. There were no statistically significant differences in graft, implant or prosthesis failures, though significantly more intra- and postoperative complications occurred at grafted sites. Fourteen complications occurred in 12 patients at augmented sites versus none at short implants. All complications occurred before loading. Three complications were associated with the failure of the mandibular grafts (15%), determining the failures of 3 implants in one patient and 2 prostheses could not be delivered. One patient was re-grafted and 2 patients received short implants instead. Apart from those complications associated with graft failures, there were 4 perforations of the sinus membrane during sinus lifting and 7 temporary lower lip paraesthesiae lasting up to 4 days with no long-term consequences for the patients. All maxillary implants and prostheses were successful. All 20 patients treated with mandibular implants and 15 patients treated with maxillary implants preferred short implants, whereas 5 patients treated with maxillary implants described both procedures as equally acceptable. These differences were statistically significant.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Short-term data (5 months after loading) indicate that 6 mm-long implants with a conventional diameter of 4 mm achieved similar if not better results than longer implants placed in augmented bone. Short implants might be a preferable choice to bone augmentation, especially in posterior mandibles since the treatment is faster, cheaper and associated with less morbidity. However, 5- to 10-year post-loading data are necessary before making reliable recommendations.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Esposito</LastName>
<ForeName>Marco</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Department of Biomaterials, Goteborg University, Sweden. espositomarco@hotmail.com</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Cannizzaro</LastName>
<ForeName>Gioacchino</ForeName>
<Initials>G</Initials>
</Author>
<Author ValidYN="Y"><LastName>Soardi</LastName>
<ForeName>Elisa</ForeName>
<Initials>E</Initials>
</Author>
<Author ValidYN="Y"><LastName>Pistilli</LastName>
<ForeName>Roberto</ForeName>
<Initials>R</Initials>
</Author>
<Author ValidYN="Y"><LastName>Piattelli</LastName>
<ForeName>Maurizio</ForeName>
<Initials>M</Initials>
</Author>
<Author ValidYN="Y"><LastName>Corvino</LastName>
<ForeName>Valeria</ForeName>
<Initials>V</Initials>
</Author>
<Author ValidYN="Y"><LastName>Felice</LastName>
<ForeName>Pietro</ForeName>
<Initials>P</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>
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<MedlineJournalInfo><Country>England</Country>
<MedlineTA>Eur J Oral Implantol</MedlineTA>
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<ISSNLinking>1756-2406</ISSNLinking>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D020341" MajorTopicYN="N">Absorbable Implants</DescriptorName>
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<QualifierName UI="Q000534" MajorTopicYN="N">rehabilitation</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
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<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
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