Immediate versus delayed functional loading of implants in the posterior mandible: a 2-year prospective clinical study of 12 consecutive cases.
Identifieur interne : 002652 ( PubMed/Curation ); précédent : 002651; suivant : 002653Immediate versus delayed functional loading of implants in the posterior mandible: a 2-year prospective clinical study of 12 consecutive cases.
Auteurs : George E. Romanos [États-Unis] ; Georg-Hubertus NentwigSource :
- The International journal of periodontics & restorative dentistry [ 0198-7569 ] ; 2006.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Analyse du stress dentaire, Conception de prothèse dentaire, Couronnes, Endoprothèses, Femelle, Humains, Implants dentaires, Mandibule, Molaire, Mâchoire partiellement édentée (imagerie diagnostique), Mâchoire partiellement édentée (rééducation et réadaptation), Mâle, Pose d'implant dentaire endo-osseux (), Pose d'implant dentaire endo-osseux (instrumentation), Prothèse dentaire implanto-portée, Prothèse dentaire partielle immédiate, Prémolaire, Radiographie, Résultat thérapeutique, Rétention de prothèse dentaire, Études prospectives.
- MESH :
- imagerie diagnostique : Mâchoire partiellement édentée.
- rééducation et réadaptation : Mâchoire partiellement édentée.
- Adulte d'âge moyen, Analyse du stress dentaire, Conception de prothèse dentaire, Couronnes, Endoprothèses, Femelle, Humains, Implants dentaires, Mandibule, Molaire, Mâle, Pose d'implant dentaire endo-osseux, Prothèse dentaire implanto-portée, Prothèse dentaire partielle immédiate, Prémolaire, Radiographie, Résultat thérapeutique, Rétention de prothèse dentaire, Études prospectives.
English descriptors
- KwdEn :
- Bicuspid, Crowns, Dental Implantation, Endosseous (instrumentation), Dental Implantation, Endosseous (methods), Dental Implants, Dental Prosthesis Design, Dental Prosthesis Retention, Dental Prosthesis, Implant-Supported, Dental Stress Analysis, Denture, Partial, Immediate, Female, Humans, Jaw, Edentulous, Partially (diagnostic imaging), Jaw, Edentulous, Partially (rehabilitation), Male, Mandible, Middle Aged, Molar, Prospective Studies, Radiography, Stents, Treatment Outcome.
- MESH :
- chemical : Dental Implants.
- diagnostic imaging : Jaw, Edentulous, Partially.
- instrumentation : Dental Implantation, Endosseous.
- methods : Dental Implantation, Endosseous.
- rehabilitation : Jaw, Edentulous, Partially.
- Bicuspid, Crowns, Dental Prosthesis Design, Dental Prosthesis Retention, Dental Prosthesis, Implant-Supported, Dental Stress Analysis, Denture, Partial, Immediate, Female, Humans, Male, Mandible, Middle Aged, Molar, Prospective Studies, Radiography, Stents, Treatment Outcome.
Abstract
The aim of this investigation was to evaluate the clinical success of immediately loaded implants versus implants loaded in a delayed fashion in the posterior mandible. Three implants were placed distal to the canines bilaterally in the edentulous distal mandibular ridges of 12 patients. One side was randomly selected for placement of three implants (delayed loading; control sites) with a progressive thread design for submerged healing, and after 3 months the implants were exposed and loaded with provisional splinted crowns, which were replaced 6 weeks later by the definitive restorations. Three additional implants (immediately loaded; test sites), of the same size were placed in the contralateral side of the mandible. The test implants had abutments placed and were loaded immediately using the same protocol as the control implants. After a mean loading period of 25.3 months, the patients showed normal mean clinical values without significant differences (P < 0.05) for test and control implants, respectively, as follows: Plaque Index: 0.4 versus 0.8; Sulcus Bleeding Index: 0.5 versus 0.3; probing pocket depth: 1.9 mm versus 2.1 mm; width of keratinized mucosa: 2.5 mm versus 3.3 mm; Periotest value: -3.7 versus -3.2. Twenty-nine of the examined sites showed no bone loss. After 2 years of loading in the posterior mandible, test and control implants had the same prognosis.
PubMed: 17073356
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pubmed:17073356Le document en format XML
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<wicri:regionArea>Department of Periodontology and Implant Dentistry, College of Dentistry, New York University, New York, NY 10010</wicri:regionArea>
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<term>Crowns</term>
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<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 Stress Analysis</term>
<term>Denture, Partial, Immediate</term>
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<term>Jaw, Edentulous, Partially (rehabilitation)</term>
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<term>Middle Aged</term>
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<term>Radiography</term>
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<term>Treatment Outcome</term>
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<term>Analyse du stress dentaire</term>
<term>Conception de prothèse dentaire</term>
<term>Couronnes</term>
<term>Endoprothèses</term>
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<term>Humains</term>
<term>Implants dentaires</term>
<term>Mandibule</term>
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<term>Pose d'implant dentaire endo-osseux ()</term>
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<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse dentaire partielle immédiate</term>
<term>Prémolaire</term>
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<term>Résultat thérapeutique</term>
<term>Rétention de prothèse dentaire</term>
<term>Études prospectives</term>
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<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Mâchoire partiellement édentée</term>
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<term>Dental Prosthesis Retention</term>
<term>Dental Prosthesis, Implant-Supported</term>
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<term>Denture, Partial, Immediate</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Mandible</term>
<term>Middle Aged</term>
<term>Molar</term>
<term>Prospective Studies</term>
<term>Radiography</term>
<term>Stents</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Analyse du stress dentaire</term>
<term>Conception de prothèse dentaire</term>
<term>Couronnes</term>
<term>Endoprothèses</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Mandibule</term>
<term>Molaire</term>
<term>Mâle</term>
<term>Pose d'implant dentaire endo-osseux</term>
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<term>Prothèse dentaire partielle immédiate</term>
<term>Prémolaire</term>
<term>Radiographie</term>
<term>Résultat thérapeutique</term>
<term>Rétention de prothèse dentaire</term>
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<front><div type="abstract" xml:lang="en">The aim of this investigation was to evaluate the clinical success of immediately loaded implants versus implants loaded in a delayed fashion in the posterior mandible. Three implants were placed distal to the canines bilaterally in the edentulous distal mandibular ridges of 12 patients. One side was randomly selected for placement of three implants (delayed loading; control sites) with a progressive thread design for submerged healing, and after 3 months the implants were exposed and loaded with provisional splinted crowns, which were replaced 6 weeks later by the definitive restorations. Three additional implants (immediately loaded; test sites), of the same size were placed in the contralateral side of the mandible. The test implants had abutments placed and were loaded immediately using the same protocol as the control implants. After a mean loading period of 25.3 months, the patients showed normal mean clinical values without significant differences (P < 0.05) for test and control implants, respectively, as follows: Plaque Index: 0.4 versus 0.8; Sulcus Bleeding Index: 0.5 versus 0.3; probing pocket depth: 1.9 mm versus 2.1 mm; width of keratinized mucosa: 2.5 mm versus 3.3 mm; Periotest value: -3.7 versus -3.2. Twenty-nine of the examined sites showed no bone loss. After 2 years of loading in the posterior mandible, test and control implants had the same prognosis.</div>
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<Abstract><AbstractText>The aim of this investigation was to evaluate the clinical success of immediately loaded implants versus implants loaded in a delayed fashion in the posterior mandible. Three implants were placed distal to the canines bilaterally in the edentulous distal mandibular ridges of 12 patients. One side was randomly selected for placement of three implants (delayed loading; control sites) with a progressive thread design for submerged healing, and after 3 months the implants were exposed and loaded with provisional splinted crowns, which were replaced 6 weeks later by the definitive restorations. Three additional implants (immediately loaded; test sites), of the same size were placed in the contralateral side of the mandible. The test implants had abutments placed and were loaded immediately using the same protocol as the control implants. After a mean loading period of 25.3 months, the patients showed normal mean clinical values without significant differences (P < 0.05) for test and control implants, respectively, as follows: Plaque Index: 0.4 versus 0.8; Sulcus Bleeding Index: 0.5 versus 0.3; probing pocket depth: 1.9 mm versus 2.1 mm; width of keratinized mucosa: 2.5 mm versus 3.3 mm; Periotest value: -3.7 versus -3.2. Twenty-nine of the examined sites showed no bone loss. After 2 years of loading in the posterior mandible, test and control implants had the same prognosis.</AbstractText>
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