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Immediate occlusal loading in edentulous jaws, CT-guided surgery and fixed provisional prosthesis: a maxillary arch clinical report.

Identifieur interne : 001613 ( PubMed/Curation ); précédent : 001612; suivant : 001614

Immediate occlusal loading in edentulous jaws, CT-guided surgery and fixed provisional prosthesis: a maxillary arch clinical report.

Auteurs : Carl Drago [États-Unis] ; Robert Del Castillo ; Thomas Peterson

Source :

RBID : pubmed:21070431

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English descriptors

Abstract

Immediate occlusal loading (IOL) in edentulous jaws has been reported in numerous publications with implant cumulative survival rates consistent with conventional, unloaded healing protocols. Computed Tomography (CT)-guided surgery has more recently been developed and accepted as an additional treatment modality for maxillary and mandibular implant placement, with or without IOL. Reports as to the accuracy of planned versus actual implant placement in CT-guided surgeries have indicated that CT-guided surgery is not 100% accurate; standard deviations have been reported with values between 1 and 2 mm in terms of actual versus planned placement. The purpose of this article is to review the clinical parameters associated with IOL, and CT-guided surgery in edentulous jaws; and to present a clinical case illustrating the clinical and laboratory phases of treatment. The illustrated treatment was accomplished with an IOL protocol and includes fabrication and placement of a laboratory-processed provisional maxillary prosthesis. This particular protocol had slightly increased costs relative to conventional implant placement; however, the clinicians and patient benefited from improved accuracy of the provisional prostheses and decreased chairtime for the clinical procedures. The benefits and limitations of this treatment protocol are also discussed.

DOI: 10.1111/j.1532-849X.2010.00661.x
PubMed: 21070431

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pubmed:21070431

Le document en format XML

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<nlm:affiliation>The Ohio State University College of Dentistry, Columbus, OH 43210, USA. drago.14@osu.edu</nlm:affiliation>
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<name sortKey="Del Castillo, Robert" sort="Del Castillo, Robert" uniqKey="Del Castillo R" first="Robert" last="Del Castillo">Robert Del Castillo</name>
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<term>Dental Implantation, Endosseous (instrumentation)</term>
<term>Dental Occlusion, Centric</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture Design</term>
<term>Denture, Complete, Upper</term>
<term>Humans</term>
<term>Immediate Dental Implant Loading (methods)</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Male</term>
<term>Maxilla (surgery)</term>
<term>Middle Aged</term>
<term>Patient Care Planning</term>
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<term>Surgery, Computer-Assisted</term>
<term>Tomography, X-Ray Computed</term>
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<term>Adulte d'âge moyen</term>
<term>Arcade dentaire ()</term>
<term>Chirurgie assistée par ordinateur</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Humains</term>
<term>Maxillaire ()</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Occlusion dentaire centrée</term>
<term>Planification des soins du patient</term>
<term>Pose d'implant dentaire endo-osseux (instrumentation)</term>
<term>Pose immédiate d'implant dentaire ()</term>
<term>Prothèse dentaire complète supérieure</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Radiographie panoramique</term>
<term>Tomodensitométrie</term>
<term>Tomodensitométrie à faisceau conique</term>
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<term>Dental Implantation, Endosseous</term>
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<term>Immediate Dental Implant Loading</term>
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<term>Jaw, Edentulous</term>
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<term>Mâchoire édentée</term>
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<term>Dental Arch</term>
<term>Jaw, Edentulous</term>
<term>Maxilla</term>
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<term>Cone-Beam Computed Tomography</term>
<term>Dental Occlusion, Centric</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture Design</term>
<term>Denture, Complete, Upper</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Patient Care Planning</term>
<term>Radiography, Panoramic</term>
<term>Surgery, Computer-Assisted</term>
<term>Tomography, X-Ray Computed</term>
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<term>Arcade dentaire</term>
<term>Chirurgie assistée par ordinateur</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Humains</term>
<term>Maxillaire</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Occlusion dentaire centrée</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 complète supérieure</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Radiographie panoramique</term>
<term>Tomodensitométrie</term>
<term>Tomodensitométrie à faisceau conique</term>
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<div type="abstract" xml:lang="en">Immediate occlusal loading (IOL) in edentulous jaws has been reported in numerous publications with implant cumulative survival rates consistent with conventional, unloaded healing protocols. Computed Tomography (CT)-guided surgery has more recently been developed and accepted as an additional treatment modality for maxillary and mandibular implant placement, with or without IOL. Reports as to the accuracy of planned versus actual implant placement in CT-guided surgeries have indicated that CT-guided surgery is not 100% accurate; standard deviations have been reported with values between 1 and 2 mm in terms of actual versus planned placement. The purpose of this article is to review the clinical parameters associated with IOL, and CT-guided surgery in edentulous jaws; and to present a clinical case illustrating the clinical and laboratory phases of treatment. The illustrated treatment was accomplished with an IOL protocol and includes fabrication and placement of a laboratory-processed provisional maxillary prosthesis. This particular protocol had slightly increased costs relative to conventional implant placement; however, the clinicians and patient benefited from improved accuracy of the provisional prostheses and decreased chairtime for the clinical procedures. The benefits and limitations of this treatment protocol are also discussed.</div>
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