Read Books Online and Download eBooks, EPub, PDF, Mobi, Kindle, Text Full Free.
A Randomized Controlled Clinical Trial Of Conventional And Immediately Loaded Tapered Implants With Screw Retained Crowns Immediately Restored Single Tapered Implants In The Anterior Maxilla Prosthodontic And Aesthetic Outcomes After One Year
Download A Randomized Controlled Clinical Trial Of Conventional And Immediately Loaded Tapered Implants With Screw Retained Crowns Immediately Restored Single Tapered Implants In The Anterior Maxilla Prosthodontic And Aesthetic Outcomes After One Year full books in PDF, epub, and Kindle. Read online A Randomized Controlled Clinical Trial Of Conventional And Immediately Loaded Tapered Implants With Screw Retained Crowns Immediately Restored Single Tapered Implants In The Anterior Maxilla Prosthodontic And Aesthetic Outcomes After One Year ebook anywhere anytime directly on your device. Fast Download speed and no annoying ads. We cannot guarantee that every ebooks is available!
Book Synopsis A Randomized, Controlled, Clinical Trial of Conventional and Immediately Loaded, Tapered Implants, with Screw-retained Crowns ; Immediately Restored, Single Tapered Implants in the Anterior Maxilla, Prosthodontic and Aesthetic Outcomes After One Year by : James Alexander Gwyn Hall
Download or read book A Randomized, Controlled, Clinical Trial of Conventional and Immediately Loaded, Tapered Implants, with Screw-retained Crowns ; Immediately Restored, Single Tapered Implants in the Anterior Maxilla, Prosthodontic and Aesthetic Outcomes After One Year written by James Alexander Gwyn Hall and published by . This book was released on 2005 with total page 66 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Bone Level Tapered Implants Used for Immediate Versus Early Implant Placement and Restored with All-ceramic Crowns on Titanium Base Abutments- Preliminary 1-year Results of an Ongoing Randomized Controlled Clinical Trial. Implant Survival and Bone Level Changes by : Irena SAILER
Download or read book Bone Level Tapered Implants Used for Immediate Versus Early Implant Placement and Restored with All-ceramic Crowns on Titanium Base Abutments- Preliminary 1-year Results of an Ongoing Randomized Controlled Clinical Trial. Implant Survival and Bone Level Changes written by Irena SAILER and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract:Background: The aim of this study was to assess the clinical and radiographic outcome of a new, bone level tapered dental implant with a hydrophilic surface when inserted either following an immediate or early placement protocol. Furthermore, the behavior of the implant stability quotient (ISQ) at different time-points and the aesthetic outcome was analyzed.Material and methods: Patients in need of tooth extraction and replacement by a single implant in the anterior to premolar areas of their maxillae or mandibles were recruited. The patients were randomly assigned to either the immediate or the early placement group. 4-6 weeks after implant placement, the impression was performed. 8-10 weeks after surgery, the implants were loaded with the final crown. The clinical and radiological outcomes were assessed. Furthermore, the behavior of the implant stability quotient at different time-points and the aesthetic outcome was analyzed.Results: All 20 implants could be loaded according to the protocol within 8-10 weeks after implant placement. At the 12 months follow-up visit, all 20 implants were osseo-integrated and the survival rate was therefore 100%. The ISQ values of all 20 implants showed a trend towards a gradual increase from 69.6 (buccal) and 72.7 (mesial) directly after implant placement to 73.55 (buccal) and 76.2 (mesial) at impression taking and 75.95 (buccal) and 78.4 (mesial) at loading. During the follow-up visits, the mean distance from implant shoulder to the first bone-to-implant contact was 0.32 mm after 6 months and 0.35 mm after 12 months, respectively. At the 12-months examination, the mean bone loss in the immediate group was 0.55 mm and 0.18 mm in the early placement group.Conclusions: The short-term, preliminary data of this clinical study demonstrate high survival rates and excellent clinical outcomes. Bone level tapered implants placed by means of both immediate and early implant placement protocols exhibit similar survival and success rates, changes in the crestal bone level and esthetic outcomes 12 months after loading.
Book Synopsis The Glossary of Prosthodontic Terms by :
Download or read book The Glossary of Prosthodontic Terms written by and published by . This book was released on 1994 with total page 80 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Esthetic Outcome of Immediately Placed and Non-Functionally Loaded Implants in the Anterior Maxilla- Peri-Implant Gap Management by :
Download or read book Esthetic Outcome of Immediately Placed and Non-Functionally Loaded Implants in the Anterior Maxilla- Peri-Implant Gap Management written by and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Objective: To evaluate the aesthetic outcome of immediate dental implantation and immediate non-functional loading utilizing definitive abutments in the aesthetic zone, with and without bony substitutes filling the peri-implant gap.Methods: in this prospective clinical trial, 12 implants were placed in 11 subjects (6 males, 5 females) utilizing a flapless immediate post extraction approach in the esthetic area of the maxilla (15 to 25). All participants were above 21 years old and medically fit. Atraumatic extraction was performed for teeth that were indicated for extraction keeping an intact facial bone plate. Implants were placed free hand with a gap of at least 2 mm from the inner surface of the facial plate bucco-lingually, and in the range of 3u20134 mm from the future gingival margin in a corono-apical direction (Buser et al. 2004). The gap between the implant and the inner surface of the facial plate was either left without grafting or filled with natural bovine bone mineral granules based on a coin toss method regardless of the size of the gap. Upon achieving a torque of uf0b3 30 Ncm, immediate non-functional loading was performed utilizing a definitive abutment as in a one-abutment-at-one-time protocol (Canullo et.al 2010). Definitive crowns fabrication was performed 12 weeks post implant placement. Pink Esthetic Score (PES) (Furhauser et al. 2005) was assessed preoperatively (PES0), 1 year after delivery of definitive crowns (PES1), and at 2 years follow up (PES2). Dental casts were made at those points of time as well. Those casts were scanned using an imes-icore table-top scanner, and the scans were registered using surface to surface registration and then signed closest point distances were measured. Surface models were cropped to include one tooth mesial and distal to the region of interest (implant site) in an attempt to remove the outliers that may result from differences else were on that cast. All image analysis steps were done using Slicer CMF. Appropriate statistical analyses were performed.Results: The range of the gap left between the implant and the inner surface of the facial plate varied from 2mm to 4mm. All implants remained integrated and restorations were functional at the end of a two year follow up period. The means of PES score were as following: PES0= 9.5uf0b11.68, PES1=9.5uf0b11.98, PES2=9.83uf0b12.89. There were no statistically significant differences in PES scores at different points of time both collectively (P=0.08 for PES0 vs PES1, P=0.14 for PES0 vs PES2, and P=0.61 for PES1 vs PES2), and when compared for the grafting group versus non-grafting group (P=0.24 for PES2 graft vs. PES2 non-grafting). As for casts scans, the surface distances between the 2 time points for all cases were less than 1 mm in all reference planes and there were no statistically significant differences. This reflects a stable surgical outcome of this approach.Conclusions: Immediate placement and immediate non-functional loading utilizing a definitive abutment in a one-abutment-at one-time protocol in the esthetic area of the maxilla appears to result in a favorable and stable result as far as esthetic outcome, and alveolar process sufficiency are concerned. It seems grafting the horizontal gap has no additional benefit in promoting better clinical outcomes given that the provisional restoration is meticulously fabricated and strict selection criteria are applied for such cases. Of notice is the limitation present in this study as the sample number is small as this is a pilot clinical trial.
Book Synopsis Implant Restorations by : Carl Drago
Download or read book Implant Restorations written by Carl Drago and published by John Wiley & Sons. This book was released on 2014-04-14 with total page 389 pages. Available in PDF, EPUB and Kindle. Book excerpt: Implant Restorations: A Step-by-Step Guide, Third Edition offers clinicians a practical, step-by-step approach to treatment planning and restoring dental implants. This highly illustrated, case-based book demonstrates how to treat the most commonly encountered treatment scenarios, describing the procedures, techniques, and sequences required in clear, concise language and in an easy-to-use format. The book takes the theory of implant restoration, using as its basis 3i’s implant systems, and places it directly in the operatory, concentrating in detail on each stage of the actual clinical procedures involved in treating different patients. It integrates implant treatment with the realities of running a successful restorative practice. Building on the work of the 2nd edition, the 3rd edition of this successful text reflects the advances of implant prosthetics over the intervening years, providing all new cases, exploring new techniques and technology, and demonstrating updated system components and armamentarium. Implant Restorations: A Step-by-Step Guide follows a logical structure of three sections. The first section introduces implant restorative dentistry, how to develop an implant restorative practice, the issues involved, the technical components of the 3i systems, diagnosis, and treatment planning. The central section of the book devotes separate chapters to in-depth descriptions of each of several types of patients that the restorative dentist may encounter, ranging from basic to more challenging cases. Every step of each procedure is described and illustrated with clinical photographs. Laboratory work orders are presented for use with commercial dental laboratories. The final section discusses record-keeping, patient compliance, hygiene regimes and follow-up, and provides the reader with an outline of best-practice procedural protocols. An excellent and accessible guide on the most burgeoning subject in modern dental practice by one of its most experienced clinicians, Implant Restorations: A Step-by-Step Guide, Third Edition will appeal to prosthodontists, general dentists, implant surgeons, dental students, dental laboratory technicians and dental assistants.
Book Synopsis Implants in the Aesthetic Zone by : Todd R. Schoenbaum
Download or read book Implants in the Aesthetic Zone written by Todd R. Schoenbaum and published by Springer. This book was released on 2018-11-19 with total page 335 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book concisely elucidates the science underlying implant treatment in the aesthetic zone in partially edentulous patients and clearly describes the techniques and protocols used by world-leading experts in the field. The book is divided into four parts that address treatment planning; site preparation (hard and soft tissue augmentation); immediate implant placement and provisional restoration; and the design, fabrication, and delivery of the definitive implant prosthesis. Complex cases of this nature present a significant challenge to even the most well informed and experienced of doctors. Implants in the Aesthetic Zone has been specifically crafted to meet all the needs of the clinician involved in their management, providing a reliable road map for interdisciplinary implant treatment in clinical practice. The authors have been carefully selected from a wide range of fields for their expertise in particular areas of implant science or treatment.
Book Synopsis Tilted Implants by : Enrico Agliardi
Download or read book Tilted Implants written by Enrico Agliardi and published by Quintessence Publishing (IL). This book was released on 2020 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Methods for placing different types of tilted implants in different configurations (eg, All-on-4, V-II-V, transsinus, zygomatic) including step-by-step protocols from patient evaluation to surgery to provisional and definitive prosthesis fabrication, featuring dozens of detailed clinical cases"--
Book Synopsis Immediate Implant Placement and Loading – Single or Multiple Teeth Requiring Replacement by : France Lambert
Download or read book Immediate Implant Placement and Loading – Single or Multiple Teeth Requiring Replacement written by France Lambert and published by Quintessenz Verlag. This book was released on 2023-10-10 with total page 504 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dental implants are used routinely throughout the world to replace missing teeth. With the broadening of treatment options and an increasing number of clinicians that provide implant therapy, it is important to ensure that the treatment methods used meet the highest clinical standards. The ITI Treatment Guide series is a compendium of evidence-based implant-therapy techniques in daily practice. Written by renowned clinicians and supported by contributors from expert practitioners, the ITI Treatment Guides provide a comprehensive overview of the various indicated treatment options. The management of different clinical situations is discussed with an emphasis on sound diagnostics, evidencebased treatment concepts, and predictable treatment outcomes with minimal risk to the patient. Volume 14 of the ITI Treatment Guide series aims to provide a comprehensive overview on immediate implant placement and immediate loading protocols for replacement of single or multiple teeth requiring extraction. This volume outlines the current literature on immediate implant placement and immediate loading and elaborates on our understanding of the biology surrounding tooth extraction and osseointegration that underpin these treatment concepts. The importance of patient and site selection in conjunction with comprehensive treatment planning is highlighted and a risk assessment tool to aid decision making is provided. All key aspects of both the surgical and loading procedures are described in order to provide protocols that optimize the final treatment outcome. This volume also presents 9 step-by-step clinical cases performed by experts in the field, and typical complications of immediate implants are discussed, along with recommendations on how these can be prevented.
Book Synopsis Clinical Cases in Prosthodontics by : Leila Jahangiri
Download or read book Clinical Cases in Prosthodontics written by Leila Jahangiri and published by John Wiley & Sons. This book was released on 2011-06-09 with total page 272 pages. Available in PDF, EPUB and Kindle. Book excerpt: Wiley-Blackwell's "Clinical Cases" series is designed to recognize the centrality of clinical cases to the profession by providing actual cases with an academic backbone. Clinical Cases in Prosthodontics grounds itself in core principles of this rehabilitative specialty and demonstrates their practical, every-day application through range of case presentations building from simple to complex and from common to rare. This unique approach supports the new trend in case-based and problem-based learning, thoroughly covering topics ranging from conventional complete denture prostheses to full mouth rehabilitation using both implant and tooth-supported prostheses. Each case begins with a short description of the initial patient presentation and the learning objectives and goals the subsequent case discussion will demonstrate. This is accompanied by relevant medical and dental histories, notes on extra-oral and soft tissue examination and a thorough list of clinical findings, all presented in bulleted from to facilitate ease of learning. Clinical decision making factors are then discussed in detail, well illustrated with multiple clinical photos showing progressive stages of treatment. Cases conclude with review questions and relevant literature citations supporting each answer. Ideal for practitioners and students alike, Clinical Cases in Prosthodontics is the ultimate resource linking evidence-based research to every-day application.
Book Synopsis Loading Protocols in Implant Dentistry by : Daniel Wismeijer
Download or read book Loading Protocols in Implant Dentistry written by Daniel Wismeijer and published by Quintessenz Verlag. This book was released on 2019-09-03 with total page 345 pages. Available in PDF, EPUB and Kindle. Book excerpt: Implant dentistry has become a standard option for the rehabilitation of fully and partially edentulous patients. With the ever-increasing number of dentists involved in implant dentistry, it is essential to ensure that their treatment methods follow the highest standard. The ITI Treatment Guide series, a compendium of evidence-based implant-therapy techniques in daily practice, is written by renowned clinicians and provides a comprehensive overview of various therapeutic options. Using an illustrated step-by-step approach, the ITI Treatment Guide shows practitioners how to manage different clinical situations, with the emphasis on sound diagnostics, evidence-based treatment concepts, and predictable treatment outcomes. The second volume of the ITI Treatment Guide is devoted to the restoration of partially dentate patients. Central to this volume of the ITI Treatment Guide are loading protocols available to the clinician and the patient and how they relate to various treatment indications, including both single and multiple missing teeth in the posterior and anterior regions of the mouth. Among potential topics for upcoming volumes are implant placement in extraction sockets, loading protocols in edentulous patients, implant therapy in the esthetic zone in extended edentulous spaces, and many more.
Book Synopsis 5-year Randomized Multicenter Clinical Trial on Single Dental Implants Placed in the Midline of the Edentulous Mandible by : Matthias Kern
Download or read book 5-year Randomized Multicenter Clinical Trial on Single Dental Implants Placed in the Midline of the Edentulous Mandible written by Matthias Kern and published by . This book was released on 2021 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract: Objectives This multicenter randomized controlled clinical trial was conducted to investigate whether the loading protocol of single dental implants placed in the midline of edentulous mandibles will influence the implant survival or prosthetic maintenance. Materials and Methods In total, 158 patients were randomly assigned either to the immediate loading group (n = 81) or to the delayed loading group (n = 77). All implants were loaded with an overdenture retained by a ball attachment. Results After 5 years, 102 patients attended the follow-up investigation. Immediately loaded single implants in the midline of the edentulous mandible revealed a statistically significant lower survival rate than implants loaded conventionally over an observation period of 5 years. In the immediate loading group, 9 implants failed within the first three months of implant loading. No further implant loss was recorded for this group. Two implants failed in the delayed loading group, whereas one implant had to be removed during second-stage surgery and the second five years after implant loading. Non-inferiority of the survival rate of the midline implant of the immediate loading group, compared with the delayed loading group, could not be shown (p = .79, CI immediate loading: 74.9%; 100.0%, CI delayed loading: 73.0%; 100.0%). The observed difference in implant survival between the two treatment groups over time was statistically significant. Conclusions The results of the present study indicate that immediate loading of a single mandibular implant in the edentulous mandible should be considered only in exceptional cases
Book Synopsis Comparative Study of Immediate Loading on Short Dental Implants and Conventional Dental Implants in the Posterior Mandible - A Randomized Clinical Trial Four Months Post-loading by : Khongkhunthian Pathawee
Download or read book Comparative Study of Immediate Loading on Short Dental Implants and Conventional Dental Implants in the Posterior Mandible - A Randomized Clinical Trial Four Months Post-loading written by Khongkhunthian Pathawee and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Immediate dental implant placement and loading treatment protocol has been investigated with the promising clinical results. However, the use of short implant in this treatment option has not been performed. The purpose of the study was to compare the clinical outcomes and survival rates of immediately-loaded short implants and conventional length dental implants (Pw Plus dental implant system, Thailand) in replacing mandibular molar teeth.Materials and methodsThe clinical study was approved by the Human Experimentation Committee. Fifty implants in 46 patients were included in the study. Twenty five short dental implants (6 mm.) and 25 conventional dental implants (10 mm.) were randomly placed as single tooth replacements in the edentulous molar areas of the mandibles. Provisional, CAD-CAM, ceramic block (Shofu HC) crowns were cemented to the abutments of the implants, and immediately loaded. The clinical parameters, such as insertion torque (IT), resonance frequency analysis (RFA), marginal bone level changes, and complications, were recorded and statistically analysed.ResultsTwo short implants and two conventional implants were excluded from the study due to insufficient insertion torque (less than 35 Ncm). Two short implants disintegrated, and one conventional implant failed. The accumulate survival rate of short implants was 91.30%, compared to 95.65% for conventional implants. However, there was no significant difference between the two implant types (P (Fisheru2019s exact) = 1.00). Only minor complications were found (three provisional crown fractures with short implants and two with conventional implants).The differences in IT among the two implant types were not significant (P =.264). There was no significant difference in ISQ value for short or conventional implants between baseline (short: 73.86 u00b1 2.38 mm, conventional: 75.05 u00b1 3.26mm, P=.088) and four months after loading (short: 72.37 u00b1 1.35 mm, conventional: 72.89 u00b1 1.87 mm, P=.165). The mean change in marginal bone level four months post-loading was 0.24 u00b1 0.29 mm for short implants and 0.26 u00b1 0.29 mm for conventional implants ; there was no statistical difference between the two implant types.ConclusionsWithin the limitations of this study, the findings seem to confirm that the immediate loading of short implants is a viable option, comparable to conventional length implants in terms of implant survival, marginal bone loss and ISQ value.
Book Synopsis Immediate Implants Supporting Single Crown Restoration- a 5-year Clinical Study by : Espau00d1a Lopez Jose
Download or read book Immediate Implants Supporting Single Crown Restoration- a 5-year Clinical Study written by Espau00d1a Lopez Jose and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction. Post extraction implants are an implantologic alternative to reduce treatment time and reduce atrophic changes after tooth extraction. The aim of this study was to show the results of treatment with dental implants inserted after extraction and immediately loaded.Methods. 45 patients with unitary tooth loss were treated with 45 IPX (Galimplant u00ae) internal connection, sandblasted and etched surface.implants. All implants were inserted after the corresponding extraction and were loaded immediately. At 3 months the definitive prosthesis were placed. No biomaterials or membranes were used.Results. Clinical results indicate a survival and success rate of implants of 100%. 60% of implants were inserted in the maxilla while 40% in themandible. 45 resin provisional single crowns were placed immediately and ceramic restorations after 3 months. After a mean functioning period of 70.6 months, there were no complications.Conclusions.This study indicates that dental implants inserted in post-extraction and immediately loaded can be a predictable and successful implantologic alternative.
Book Synopsis Current Concepts in Dental Implantology by : Ilser Turkyilmaz
Download or read book Current Concepts in Dental Implantology written by Ilser Turkyilmaz and published by BoD – Books on Demand. This book was released on 2015-02-25 with total page 278 pages. Available in PDF, EPUB and Kindle. Book excerpt: Implant dentistry has changed and enhanced significantly since the introduction of osseointegration concept with dental implants. Because the benefits of therapy became apparent, implant treatment earned a widespread acceptance. Therefore, the need for dental implants has caused a rapid expansion of the market worldwide. Dental implantology continues to excel with the developments of new surgical and prosthodontic techniques, and armamentarium. The purpose of this book named Current Concepts in Dental Implantology is to present a novel resource for dentists who want to replace missing teeth with dental implants. It is a carefully organized book, which blends basic science, clinical experience, and current and future concepts. This book includes ten chapters and our aim is to provide a valuable source for dental students, post-graduate residents and clinicians who want to know more about dental implants.
Book Synopsis Manual of Minor Oral Surgery for the General Dentist by : Pushkar Mehra
Download or read book Manual of Minor Oral Surgery for the General Dentist written by Pushkar Mehra and published by John Wiley & Sons. This book was released on 2015-08-03 with total page 317 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Manual of Minor Oral Surgery for the General Dentist, Second Edition continues the aim of providing clear and practical guidance to common surgical procedures encountered in general practice. Fully revised and updated with three additional chapters, the book approaches each procedure through detailed, step-by-step description and illustration. Ideal for general dental practitioners and students, the book is an indispensible tool for planning, performing, and evaluating a range of surgical procedures in day-to-day practice. The Manual of Minor Oral Surgery for the General Dentist begins with an expanded chapter on patient evaluation and history taking and a new chapter on managing the patient with medical comorbidities. It also address infections and sedation besides procedural chapters on such topics as third molar extractions, preprosthetic surgery, surgical implantology, crown-lengthening, and biopsy of oral lesions.
Book Synopsis Ten-year Results of Tapered Implants Supporting Single-tooth Or Fixed Partial Dentures by : Stefano Corbella
Download or read book Ten-year Results of Tapered Implants Supporting Single-tooth Or Fixed Partial Dentures written by Stefano Corbella and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: BackgroundDespite dental implants being widely used in clinical practice, there is a relative lack of information about medium- and long-term outcomes of implant-supported rehabilitations, particularly with respect to tapered implants and trends in bone resorption rates.AimThe aim of this extension study, recalling patients from a prospective single-center investigation, was to evaluate the ten-year clinical outcomes of single-tooth and partial rehabilitations supported by tapered implants.Materials and methodsIn this single-center study, the patient inclusion criteria were classification as healthy or having mild systemic disease (ASA-1 or ASA-2), one or more teeth missing, adequate oral hygiene level, healthy periodontium, and smoking less than ten cigarettes a day. All patients fulfilling the criteria were treated between June 2005 and March 2006 with tapered implants (Replace Select Tapered, Nobel Biocare), using either a one- or two-stage protocol. Bone quality (Lekholm and Zarb) was assessed at implant insertion on implant level. Patients were recalled every six months for the first 3 years and then annually. Mean marginal bone resorption (MBR; mean of mesial/distal measures from paired periapical radiograph, being the time of prosthetic placement the baseline), and occurrence of complications were recorded. Cumulative success and survival rates on implant level were determined by life table analysis. Unpaired student t-test was used to assess the significance of differences in MBRs.ResultsA total of 19 patients (6 male, 13 female; mean age 64.60u00b18.59 years) received 53 tapered implants supporting 30 prosthetic rehabilitations comprising 13 single crown restorations and 17 fixed partial dentures (FPDs). Prosthetic rehabilitation was done at 4.2u00b10.6 months (range 3.0-4.8 months) after surgery, and all patients were followed for 10 years from loading. Three implants failed due to peri-implantitis (one each after 2, 6 and 8 years from loading) and were removed, giving a cumulative survival rate of 95.4% and a cumulative success rate of 88.9% at 10 years after prosthetic loading. The mean MBRs were 0.44u00b10.19 mm, 0.71u00b10.35 mm, and 1.05u00b11.06 mm after 1, 5 and 10 years of loading, respectively. The mean MBR was statistically higher (P=0.02) for implants placed in type 3 bone (n=26) than for those placed in type 2 bone (n=27). Furthermore, the mean MBR for implants supporting FPDs was statistically higher than for single crowns (P=0.03).Conclusions and clinical indicationsTapered dental implants were characterized by a high cumulative survival and success rate, up to 10 years after loading. Low MBR was observed, particularly at implant sites in type 2 bone or supporting single crowns. Within the limitations of this study, this supports the clinical use of tapered implants for long-term single crown and FPD restorations.
Book Synopsis 1-Year Clinical Study Evaluating The Fast Loading Protocol by : Jakob Zwaan
Download or read book 1-Year Clinical Study Evaluating The Fast Loading Protocol written by Jakob Zwaan and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: 1-year clinical study evaluating the fast loading protocol u2013 immediate provisionalization and delivery of definitive prosthesis within 8 weeksBackground: One requirement for the predictability of implant treatment with immediate loading protocols is high primary stability. Resonance frequency analysis (RFA) and insertion torque (IT) has been proposed to assess this stability with a quantitative method.Aim of the Study: To investigate the clinical outcome, marginal bone maintenance and implant survival for implant treatment using the fast loading protocol which include immediate provisionalization and early delivery of the definitive prosthesis. Materials and Methods: 25 patients were treated with 48 Neoss ProActive Tapered implants placed in both maxilla and mandible in healed bone as well as in fresh extraction sockets. Minimum primary stability, (IT >35 ncm and RFA >60), for all single implants was established before subjected to immediate (within 48 h), non-functional, load using screw-retained temporary restorations (single or maximum 2 splinted implants with 2-3 teeth units). Definitive prostheses were delivered within 6-8 weeks from implant placement, based on RFA measurements during early healing phase. IT, RFA, intraoral radiographs, and impressions of implant positions were registered at implant placement. During clinical follow-up RFA was measured at 2, 4, 6 weeks and 6 months from implant placement. Marginal bone level measurements were performed from intraoral radiographs taken at implant placement, 6-, and 12-month follow-up visits.Results: 48 implants were subjected to the fast loading protocol. IT was over 40 Ncm for 46 implants. Two implants with IT35 Ncm were both splinted to another implant with IT50 Ncm, tightening the retention screw with low forces. No implants were lost during the observation period, giving an implant survival rate of 100%. Mean RFA measurements remained stable without any decrease during the initial healing phase, 78.3u00b14.0 in the mesiodistal direction and 77.6u00b14.4 in the buccolingual direction at placement and 81.3u00b13.7 and 80.8u00b13.6 respectively at 6 months. Radiographic readings showed that at placement the implant platform was at bone level (+0.13 mm). Mean marginal bone remodeling was -0.47u00b10.38 mm from implant placement to 1 year, -0.49u00b10.38 mm from implant placement to 6 months, and only 0.01u00b10.28 mm between 6 to 12 months follow-up. No significant differences could be found for marginal bone remodeling between implants placed in healed bone and those placed in fresh extraction sockets.Conclusions: Achieving good primary stability (IT of 40 Ncm) with maintained implant stability during initial healing phase can guarantee predictable clinical outcome for patients subjected to a fast loading protocol. Fast loading showed no significant differences in marginal bone loss in the first year of follow-up as compared to other studies investigating the same implant type but followed different surgical and prosthetic protocols.
