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Simplified methods of implant treatment in the edentulous lower jaw. Part II: Early loading.

Identifieur interne : 002D31 ( PubMed/Curation ); précédent : 002D30; suivant : 002D32

Simplified methods of implant treatment in the edentulous lower jaw. Part II: Early loading.

Auteurs : Bo Engquist [Suède] ; Per Astrand ; Bengt Anzén ; Simon Dahlgren ; Eva Engquist ; Hartmut Feldmann ; Ulf Karlsson ; Per Gu Nar Nord ; Sten Sahlholm ; Pia Sv Rdström

Source :

RBID : pubmed:15669709

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English descriptors

Abstract

Most implant treatment is performed with a two-stage surgical procedure. A disadvantage of these implant treatments is that they are time-consuming.

PubMed: 15669709

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pubmed:15669709

Le document en format XML

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<term>Dental Implantation, Endosseous (methods)</term>
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<term>Adulte d'âge moyen</term>
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<term>Conception assistée par ordinateur</term>
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<term>Humains</term>
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<term>Résorption alvéolaire (étiologie)</term>
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<term>Titane</term>
<term>Échec de restauration dentaire</term>
<term>Études prospectives</term>
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<term>Dental Implants</term>
<term>Dental Porcelain</term>
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<term>Titanium</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Alliages métal céramique</term>
<term>Analyse du stress dentaire</term>
<term>Conception assistée par ordinateur</term>
<term>Conception de prothèse dentaire</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Mandibule</term>
<term>Mise en charge</term>
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<term>Statistique non paramétrique</term>
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<front>
<div type="abstract" xml:lang="en">Most implant treatment is performed with a two-stage surgical procedure. A disadvantage of these implant treatments is that they are time-consuming.</div>
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<Month>02</Month>
<Day>07</Day>
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<Month>11</Month>
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<Issue>2</Issue>
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<Year>2004</Year>
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<Title>Clinical implant dentistry and related research</Title>
<ISOAbbreviation>Clin Implant Dent Relat Res</ISOAbbreviation>
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<ArticleTitle>Simplified methods of implant treatment in the edentulous lower jaw. Part II: Early loading.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Most implant treatment is performed with a two-stage surgical procedure. A disadvantage of these implant treatments is that they are time-consuming.</AbstractText>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">The aim of the present study was to evaluate the results of early loading in the edentulous mandible and to compare those results with treatment results of one-stage surgery followed by a healing period and with two-stage surgery.</AbstractText>
<AbstractText Label="MATERIAL AND METHODS" NlmCategory="METHODS">The material comprises four treatment groups with a total of 108 patients with edentulous lower jaws and 432 implants. All patients were treated with Brånemark implants (Nobel Biocare AB, Gothenburg, Sweden) with a turned surface and fixed prostheses in the lower jaw, supported by four implants. The patients in group A were treated with a one-stage procedure, a two-piece implant, and a 3-month healing period before loading. Group B (control group) had a two-stage procedure, a two-piece implant, and a 3-month healing period. Group C had a one-stage procedure, a one-piece implant, and a 3-month healing period. Group D was treated with a one-stage surgical procedure, a two-piece implant, and early loading (within 3 weeks). All patients were provided with a Procera Implant Bridge (Nobel Biocare) with a framework made by computer-assisted milling of one piece of pure titanium. All patients have been followed up for 1 year.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The survival rates were 93.2 to 93.3% in the experimental groups and 97.5% in the control group. The difference was not statistically significant. The measurements of the marginal bone level demonstrated a mean bone loss of 0.8 mm between fixture insertion and the 1-year examination in patients with early loading (group D) whereas the bone loss in patients who underwent a healing period before loading was 1.3 to 1.6 mm. The difference between the control group and the group with early loading was significant.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Survival rates for patients treated with a one-stage procedure were lower than survival rates for patients treated according to a "classical concept," but the differences were not statistically significant. There was no difference between treatment results with one-piece and two-piece implants. The implant loss in patients with early loading was probably caused by overloading, and careful supervision of occlusal loading is recommended. Early loading gave significantly less marginal bone loss when compared with two-stage surgery.</AbstractText>
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