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Two-year outcome with Nobel Direct implants: a retrospective radiographic and microbiologic study in 10 patients.

Identifieur interne : 001C21 ( PubMed/Curation ); précédent : 001C20; suivant : 001C22

Two-year outcome with Nobel Direct implants: a retrospective radiographic and microbiologic study in 10 patients.

Auteurs : Tommie Van De Velde [Belgique] ; Eric Thevissen ; G Rutger Persson ; Carina Johansson ; Hugo De Bruyn

Source :

RBID : pubmed:18783421

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Abstract

The Nobel Direct implant (Nobel Biocare AB, Göteborg, Sweden) was developed to minimize marginal bone resorption and to result in "soft tissue integration" for an optimized aesthetic outcome. However, conflicting results have been presented in the literature. The aim of this present study was to evaluate the clinical and microbiologic outcomes of Nobel Direct implants.

DOI: 10.1111/j.1708-8208.2008.00112.x
PubMed: 18783421

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<title xml:lang="en">Two-year outcome with Nobel Direct implants: a retrospective radiographic and microbiologic study in 10 patients.</title>
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<name sortKey="Van De Velde, Tommie" sort="Van De Velde, Tommie" uniqKey="Van De Velde T" first="Tommie" last="Van De Velde">Tommie Van De Velde</name>
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<nlm:affiliation>Department of Periodontology and Oral Implantology, Faculty of Medicine and Health Sciences, Dental School, University of Ghent, Ghent B-9000, Belgium.</nlm:affiliation>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Department of Periodontology and Oral Implantology, Faculty of Medicine and Health Sciences, Dental School, University of Ghent, Ghent B-9000</wicri:regionArea>
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<name sortKey="Thevissen, Eric" sort="Thevissen, Eric" uniqKey="Thevissen E" first="Eric" last="Thevissen">Eric Thevissen</name>
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<name sortKey="Persson, G Rutger" sort="Persson, G Rutger" uniqKey="Persson G" first="G Rutger" last="Persson">G Rutger Persson</name>
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<name sortKey="Johansson, Carina" sort="Johansson, Carina" uniqKey="Johansson C" first="Carina" last="Johansson">Carina Johansson</name>
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<term>Bacteria, Anaerobic (isolation & purification)</term>
<term>Crowns</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants (adverse effects)</term>
<term>Dental Implants (microbiology)</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Female</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Radiography</term>
<term>Retrospective Studies</term>
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<term>Adulte d'âge moyen</term>
<term>Bactéries anaérobies (isolement et purification)</term>
<term>Conception de prothèse dentaire</term>
<term>Couronnes</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires (effets indésirables)</term>
<term>Implants dentaires (microbiologie)</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Radiographie</term>
<term>Résorption alvéolaire (imagerie diagnostique)</term>
<term>Résorption alvéolaire (étiologie)</term>
<term>Échec de restauration dentaire</term>
<term>Études rétrospectives</term>
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<term>Dental Implants</term>
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<term>Alveolar Bone Loss</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr">
<term>Implants dentaires</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Alveolar Bone Loss</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr">
<term>Résorption alvéolaire</term>
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<keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en">
<term>Bacteria, Anaerobic</term>
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<keywords scheme="MESH" qualifier="isolement et purification" xml:lang="fr">
<term>Bactéries anaérobies</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Dental Implantation, Endosseous</term>
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<keywords scheme="MESH" qualifier="microbiologie" xml:lang="fr">
<term>Implants dentaires</term>
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<keywords scheme="MESH" type="chemical" qualifier="microbiology" xml:lang="en">
<term>Dental Implants</term>
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<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Jaw, Edentulous, Partially</term>
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<term>Mâchoire partiellement édentée</term>
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<term>Résorption alvéolaire</term>
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<term>Crowns</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Radiography</term>
<term>Retrospective Studies</term>
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<term>Adulte d'âge moyen</term>
<term>Conception de prothèse dentaire</term>
<term>Couronnes</term>
<term>Femelle</term>
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<term>Mâle</term>
<term>Pose d'implant dentaire endo-osseux</term>
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<front>
<div type="abstract" xml:lang="en">The Nobel Direct implant (Nobel Biocare AB, Göteborg, Sweden) was developed to minimize marginal bone resorption and to result in "soft tissue integration" for an optimized aesthetic outcome. However, conflicting results have been presented in the literature. The aim of this present study was to evaluate the clinical and microbiologic outcomes of Nobel Direct implants.</div>
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<Month>11</Month>
<Day>16</Day>
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<DateRevised>
<Year>2016</Year>
<Month>11</Month>
<Day>25</Day>
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<ISSN IssnType="Electronic">1708-8208</ISSN>
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<Volume>11</Volume>
<Issue>3</Issue>
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<Year>2009</Year>
<Month>Sep</Month>
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<Title>Clinical implant dentistry and related research</Title>
<ISOAbbreviation>Clin Implant Dent Relat Res</ISOAbbreviation>
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<ArticleTitle>Two-year outcome with Nobel Direct implants: a retrospective radiographic and microbiologic study in 10 patients.</ArticleTitle>
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<AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">The Nobel Direct implant (Nobel Biocare AB, Göteborg, Sweden) was developed to minimize marginal bone resorption and to result in "soft tissue integration" for an optimized aesthetic outcome. However, conflicting results have been presented in the literature. The aim of this present study was to evaluate the clinical and microbiologic outcomes of Nobel Direct implants.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Ten partially edentulous subjects without evidence of active periodontitis (mean age 55 years) received 12 Nobel Direct implants. Implants were loaded with single crowns after a healing period of 3 to 6 months. Treatment outcomes were assessed at month 24. Routine clinical assessments, intraoral radiographs, and microbiologic samplings were made. Histologic analysis of one failing implant and chemical spectroscopy around three unused implants was performed. Paired Wilcoxon signed-rank test was used for the evaluation of bone loss; otherwise, descriptive analysis was performed.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Implants were functionally loaded after 3 to 6 months. At 2 years, the mean bone loss of remaining implants was 2.0 mm (SD +/- 1.1 mm; range: 0.0-3.4 mm). Three out of 12 implants with an early mean bone loss >3 mm were lost. The surviving implants showed increasing bone loss between 6 and 24 months (p = .028). Only 3 out of the 12 implants were considered successful and showed bone loss of <1.7 mm after 2 years. High rates of pathogens, including Aggregatibacter actinomycetemcomitans, Fusobacterium spp., Porphyromonas gingivalis, Pseudomonas aeruginosa, and Tanerella forsythia, were found. Chemical spectroscopy revealed, despite the normal signals from Ti, O, and C, also peaks of P, F, S, N, and Ca. A normal histologic image of osseointegration was observed in the apical part of the retrieved implant.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Radiographic evidence and 25% implant failures are indications of a low success rate. High counts and prevalence of significant pathogens were found at surviving implants. Although extensive bone loss had occurred in the coronal part, the apical portion of the implant showed some bone to implant integration.</AbstractText>
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