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Direct implant loading in the edentulous maxilla using a bone density-adapted surgical protocol and primary implant stability criteria for inclusion.

Identifieur interne : 002A61 ( PubMed/Curation ); précédent : 002A60; suivant : 002A62

Direct implant loading in the edentulous maxilla using a bone density-adapted surgical protocol and primary implant stability criteria for inclusion.

Auteurs : P R-Olov Ostman [Suède] ; Mats Hellman ; Lars Sennerby

Source :

RBID : pubmed:16137089

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Abstract

Long healing periods and submerged implant placement are commonly used in the maxilla. This extends the time of oral handicap and makes the use of immediate loading protocols an attractive option. The current clinical literature on direct loading of dental implants in the maxilla is limited.

PubMed: 16137089

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pubmed:16137089

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<title xml:lang="en">Direct implant loading in the edentulous maxilla using a bone density-adapted surgical protocol and primary implant stability criteria for inclusion.</title>
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<name sortKey="Ostman, P R Olov" sort="Ostman, P R Olov" uniqKey="Ostman P" first="P R-Olov" last="Ostman">P R-Olov Ostman</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Biomaterials, Institute for Surgical Sciences, Sahlgrenska Academy, Göteborg University, Göteborg, Sweden. po.ostman@telia.com</nlm:affiliation>
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Department of Biomaterials, Institute for Surgical Sciences, Sahlgrenska Academy, Göteborg University, Göteborg</wicri:regionArea>
</affiliation>
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<author>
<name sortKey="Hellman, Mats" sort="Hellman, Mats" uniqKey="Hellman M" first="Mats" last="Hellman">Mats Hellman</name>
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<author>
<name sortKey="Sennerby, Lars" sort="Sennerby, Lars" uniqKey="Sennerby L" first="Lars" last="Sennerby">Lars Sennerby</name>
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<title xml:lang="en">Direct implant loading in the edentulous maxilla using a bone density-adapted surgical protocol and primary implant stability criteria for inclusion.</title>
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<name sortKey="Ostman, P R Olov" sort="Ostman, P R Olov" uniqKey="Ostman P" first="P R-Olov" last="Ostman">P R-Olov Ostman</name>
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<nlm:affiliation>Department of Biomaterials, Institute for Surgical Sciences, Sahlgrenska Academy, Göteborg University, Göteborg, Sweden. po.ostman@telia.com</nlm:affiliation>
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Department of Biomaterials, Institute for Surgical Sciences, Sahlgrenska Academy, Göteborg University, Göteborg</wicri:regionArea>
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<name sortKey="Hellman, Mats" sort="Hellman, Mats" uniqKey="Hellman M" first="Mats" last="Hellman">Mats Hellman</name>
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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Alveolar Bone Loss (rehabilitation)</term>
<term>Bone Density</term>
<term>Coated Materials, Biocompatible</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants</term>
<term>Dental Prosthesis Retention</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration, Temporary</term>
<term>Dental Stress Analysis</term>
<term>Denture, Complete, Immediate</term>
<term>Female</term>
<term>Humans</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Male</term>
<term>Maxilla (surgery)</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
<term>Titanium</term>
<term>Torque</term>
<term>Vibration</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte d'âge moyen</term>
<term>Analyse du stress dentaire</term>
<term>Densité osseuse</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Matériaux revêtus, biocompatibles</term>
<term>Maxillaire ()</term>
<term>Moment de torsion</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Prothèse dentaire complète immédiate</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Restaurations dentaires temporaires</term>
<term>Résorption alvéolaire (rééducation et réadaptation)</term>
<term>Rétention de prothèse dentaire</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Titane</term>
<term>Vibration</term>
<term>Études prospectives</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Coated Materials, Biocompatible</term>
<term>Dental Implants</term>
<term>Titanium</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Dental Implantation, Endosseous</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Alveolar Bone Loss</term>
<term>Jaw, Edentulous</term>
</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr">
<term>Mâchoire édentée</term>
<term>Résorption alvéolaire</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Maxilla</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Bone Density</term>
<term>Dental Prosthesis Retention</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration, Temporary</term>
<term>Dental Stress Analysis</term>
<term>Denture, Complete, Immediate</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
<term>Torque</term>
<term>Vibration</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adulte d'âge moyen</term>
<term>Analyse du stress dentaire</term>
<term>Densité osseuse</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Matériaux revêtus, biocompatibles</term>
<term>Maxillaire</term>
<term>Moment de torsion</term>
<term>Mâle</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire complète immédiate</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Restaurations dentaires temporaires</term>
<term>Rétention de prothèse dentaire</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Titane</term>
<term>Vibration</term>
<term>Études prospectives</term>
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<front>
<div type="abstract" xml:lang="en">Long healing periods and submerged implant placement are commonly used in the maxilla. This extends the time of oral handicap and makes the use of immediate loading protocols an attractive option. The current clinical literature on direct loading of dental implants in the maxilla is limited.</div>
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<DateCompleted>
<Year>2005</Year>
<Month>09</Month>
<Day>20</Day>
</DateCompleted>
<DateRevised>
<Year>2013</Year>
<Month>11</Month>
<Day>21</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">1523-0899</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>7 Suppl 1</Volume>
<PubDate>
<Year>2005</Year>
</PubDate>
</JournalIssue>
<Title>Clinical implant dentistry and related research</Title>
<ISOAbbreviation>Clin Implant Dent Relat Res</ISOAbbreviation>
</Journal>
<ArticleTitle>Direct implant loading in the edentulous maxilla using a bone density-adapted surgical protocol and primary implant stability criteria for inclusion.</ArticleTitle>
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<MedlinePgn>S60-9</MedlinePgn>
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<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Long healing periods and submerged implant placement are commonly used in the maxilla. This extends the time of oral handicap and makes the use of immediate loading protocols an attractive option. The current clinical literature on direct loading of dental implants in the maxilla is limited.</AbstractText>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">The purpose of this prospective clinical study was to evaluate the clinical outcome and stability of directly loaded Brånemark System or Replace Select Tapered implants (Nobel Biocare AB, Göteborg, Sweden) after using a modified surgical protocol and inclusion by primary implant stability. In addition, a reference group treated according to a two-stage protocol was used for comparison.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Twenty patients planned for prosthetic rehabilitation with implant-supported bridges in the edentulous maxilla participated in the study group. The final decision on immediate loading was made after implant placement using insertion torque and resonance frequency analysis (RFA) as acceptance criteria. All patients were included, and 123 oxidized implants (TiUnite, Nobel Biocare AB) were placed using a surgical protocol for enhanced primary stability. A screw-retained temporary bridge was delivered within 12 hours and a final bridge within 3 months of implant placement. The patients were monitored through clinical and radiographic follow-up examinations from implant placement to at least 12 months. Marginal bone level was measured at bridge delivery and after 12 months of loading. Additional RFA measurements were made after 6 months of loading. A reference group comprising 20 patients with 120 implants treated according to a two-stage protocol was used for comparison.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">One (0.8%) of the 123 implants in the study group failed, and no implant was lost in the reference group. The cumulative survival rates after 12 months of loading were thus 99.2% and 100% for immediate and delayed loading protocols, respectively. The marginal bone resorption was 0.78 (SD 0.9) in the study group and 0.91 (SD 1.04) in the reference group. RFA showed a mean value of 62.9 (SD 4.9) implant stability quotient (ISQ) at placement and 64.5 (SD 4.8) ISQ after 6 months for immediately loaded implants (not significant). The corresponding figures for the reference groups were 61.3 (SD 8.8) ISQ and 62.6 (SD 7.0) ISQ (not significant). There were no statistically significant differences between the groups at any time point.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The use of six to seven implants for immediate loading of a fixed provisional bridge is a viable option for implant treatment of the edentulous maxilla, at least when good primary implant stability can be ensured.</AbstractText>
</Abstract>
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<LastName>Ostman</LastName>
<ForeName>Pär-Olov</ForeName>
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<Affiliation>Department of Biomaterials, Institute for Surgical Sciences, Sahlgrenska Academy, Göteborg University, Göteborg, Sweden. po.ostman@telia.com</Affiliation>
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<LastName>Hellman</LastName>
<ForeName>Mats</ForeName>
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<LastName>Sennerby</LastName>
<ForeName>Lars</ForeName>
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<Language>eng</Language>
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<DescriptorName UI="D003758" MajorTopicYN="N">Dental Implantation, Endosseous</DescriptorName>
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<DescriptorName UI="D015921" MajorTopicYN="Y">Dental Implants</DescriptorName>
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<DescriptorName UI="D017268" MajorTopicYN="N">Dental Prosthesis Retention</DescriptorName>
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<DescriptorName UI="D019094" MajorTopicYN="Y">Dental Prosthesis, Implant-Supported</DescriptorName>
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<DescriptorName UI="D003794" MajorTopicYN="N">Dental Restoration, Temporary</DescriptorName>
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<DescriptorName UI="D003799" MajorTopicYN="N">Dental Stress Analysis</DescriptorName>
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<DescriptorName UI="D008437" MajorTopicYN="N">Maxilla</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
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<MeshHeading>
<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName>
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<DescriptorName UI="D014025" MajorTopicYN="N">Titanium</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D019415" MajorTopicYN="N">Torque</DescriptorName>
</MeshHeading>
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<DescriptorName UI="D014732" MajorTopicYN="N">Vibration</DescriptorName>
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