A Systematic Review of Survival Rates of Osseointegrated Implants in Fully and Partially Edentulous Patients Following Immediate Loading

Journal of Clinical Medicine, Journal Year: 2019, Volume and Issue: 8(12), P. 2142 - 2142

Published: Dec. 4, 2019

Background: The aim of this systematic review was to evaluate the survival rates immediately loaded implants after at least five years. Besides implant failure, amount marginal bone loss around and complication type were assessed. Methods: electronic search undertaken on Medline, Scopus, Cochrane Central Register Controlled Trials using key terms such as: “immediate loading”, function”, restoration”, temporization”, “dental implants”, “fully edentulous patients”, “partially patients”. combined Boolean operators AND, OR. last performed 15 February 2018. Two authors independently screened studies, extracted data, assessed risk-of bias. main outcomes recorded for each study were: prosthesis success survival, level change, incidence complications. Kaplan–Meier analysis used estimate cumulative rates. Results: Thirty-four prospective studies with five-year follow-up, published between 2007 2017 included. A total 5349 in 1738 patients analyzed. mean follow-up 72.4 months (median 60 months, 95% confidence intervals (CI): 64.53, 80.25 range 147 months). weighted 97.4% 98.15%, CI: 96.29%, 98.54%, 83.80% 100%). Cumulative rate placed mandible significantly higher than maxilla (p < 0.01). No significant difference failure found among types employed = 0.27). peri-implant change end ranged from 0.3 1.7 mm. Conclusion: Immediate loading appears have long-term predictability under well-defined circumstances.

Language: Английский

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In the dental implant era, why do we still bother saving teeth?

Dental Traumatology, Journal Year: 2019, Volume and Issue: 35(6), P. 368 - 375

Published: May 27, 2019

Teeth are vital sensory organs that contribute to our daily activities of living. Unfortunately, teeth can be lost for several reasons including trauma, caries, and periodontal disease. Although dental trauma injuries caries more frequently encountered in a younger population, tooth loss because disease occurs the older population. In implant era, trend sometimes seems extract compromised replace them with implants. However, long-term prognosis might not comparable Complications, failures, diseases such as peri-implantitis uncommon, and, despite popular belief, implants 99% successful. Other treatment options aim save or diseased endodontic treatment, intentional replantation, autotransplantation should considered on an individual basis. These treatments have competing success rates but, importantly, retain natural dentition longer period time. important discuss detail during planning patients order clarify any misconceptions about event does extracted, procedures decoronation orthodontic extrusion useful preserve hard soft tissues future placement. Regardless modality, it is critical strict maintenance follow-up protocols implemented ethically responsible evidence based.

Language: Английский

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The Influence of Different Grafting Materials on Alveolar Ridge Preservation: a Systematic Review

Journal of Oral and Maxillofacial Research, Journal Year: 2019, Volume and Issue: 10(3)

Published: Sept. 5, 2019

Objectives: The purpose of the present review was to evaluate effect different bone substitutes used for alveolar ridge preservation on post extraction dimensional changes.

Language: Английский

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Peri‐implant tissue management after immediate implant placement using a customized healing abutment

Journal of Esthetic and Restorative Dentistry, Journal Year: 2019, Volume and Issue: 31(6), P. 533 - 541

Published: July 3, 2019

Abstract Objective The unavoidable extraction of teeth in the esthetic area can be overcome through different treatment modalities. Recently, immediate implants appeared as a minimally invasive approach to resolving these cases; however, implant loading is not always possible or indicated. In cases, an innovative customized healing abutments could used preserve soft tissue contour, eliminating need for reopening surgery and use provisional restorations condition mucosal contour. Clinical Considerations present cases describe simplified chairside placed after tooth anterior posterior areas order maintain contours while reducing clinical steps until delivering final restorations. Conclusions This technique seems effective guide around dental allowing natural emergence profile with implant‐supported restorations, number steps. Significance prepares prosthetic stage preserving its surgery.

Language: Английский

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Effect of different platelet‐rich fibrin matrices for ridge preservation in multiple tooth extractions: A split‐mouth randomized controlled clinical trial

Journal Of Clinical Periodontology, Journal Year: 2021, Volume and Issue: 48(7), P. 984 - 995

Published: April 13, 2021

To evaluate dimensional changes in the alveolar ridge and bone structure after tooth extraction when L-PRF or A-PRF+ was used comparison to unassisted socket healing.Twenty patients need of at least three extractions aesthetic zone were included. L-PRF, control randomly assigned, leaving one empty socket/edentulous site between conditions. CBCT scans obtained immediately 3 months healing. Horizontal vertical fill calculated. Histological micro-CT analysis biopsies post-surgical structural healing.Mean horizontal 1-mm below crest (buccal palatal side) similar for sites (p > 0.05). For fill, (85.2%) (83.8%) showed superior values than (67.9%). The histological radiological reported more newly formed PRF groups, without any significant differences both.PRF matrices failed reduce multiple premaxilla. After 3-month healing, both radiographically a superiority fill. Histologically, they seemed accelerate new formation.

Language: Английский

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Alveolar ridge preservation with guided bone regeneration or socket seal technique. A randomised, single‐blind controlled clinical trial

Clinical Oral Implants Research, Journal Year: 2022, Volume and Issue: 33(7), P. 681 - 699

Published: April 30, 2022

To compare radiographic bone changes, following alveolar ridge preservation (ARP) using Guided Bone Regeneration (GBR), a Socket Seal (SS) technique or unassisted socket healing (Control).Patients requiring single rooted tooth extraction in the anterior maxilla, were randomly allocated into: GBR, SS and Control groups (n= 14/). Cone Beam Computed Tomography (CBCT) images recorded post-extraction at 4 months, mid-buccal mid-palatal heights (BARH/PARH) measured. The width, cross-sectional alveolar-process area implant placement feasibility, requirement for augmentation post-surgical complications also recorded.BARH PARH was found to increase with (0.65 mm ± 1.1/0.65 1.42) techniques, stabilise GBR (0.07 0.83/0.86 ±1.37) decrease (-0.52 0.8/-0.43 0.83). Statistically significance when comparing BARH (p = .04/.005) .02) against Control. smallest reduction width (-2.17 0.84), compared (-2.3 1.11) .89). A mid-socket of 4% (-2.27 mm2 11.89), 1% (-0.88 15.48) 13% (-6.93 8.22) (GBR vs. p .01). equivalent process 8% (-7.36 10.45), 6% (-7 18.97) 11% (-11.32 10.92). All supported placement, dehiscence noted 57% (n 4), 64%(n 7) 85%(n 12) cases .03). had higher risk swelling mucosal colour change, associated graft sequestration matrix breakdown.GBR ARP be more effective reducing dimensional changes extraction.

Language: Английский

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Immediate implant placement vs. early implant treatment in the esthetic area. A 1‐year randomized clinical trial

Clinical Oral Implants Research, Journal Year: 2022, Volume and Issue: 33(6), P. 634 - 655

Published: March 23, 2022

Abstract Objectives To assess the impact of implant placement and temporization timing on esthetic outcomes single maxillary anterior implants with intact bone walls interproximal bone. Materials methods Test group patients received an immediate provisional restoration socket preservation, while in control early guided regeneration delayed loading. Patients were followed for 1 year after final prosthetic pink score (PES), mid‐buccal mucosal level (MBML), crestal changes (CBC), peri‐implant soft tissue parameters, patient chair time was recorded. Results Fifty intended treatment (25 test 25 control). No failed. PES 12.8 ± 1.19 12.5 1.36 ( p = .362). MBML difference between baseline (after crown delivery) 1‐year follow‐up gain 0.2 1.02 mm .047) no change group. CBC 0.1 0.21 (mesial) 0.22 (distal) 0.25 0.3 0.19 group, .540 .462 (distal). required half (127 13 min) when compared to (259 15 min, < .001). Conclusions Within limits this trial, both protocols resulted excellent >12 follow‐up.

Language: Английский

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Platelet-rich plasma and platelet-rich fibrin in oral surgery: A narrative review

Dental and Medical Problems, Journal Year: 2023, Volume and Issue: 60(1), P. 177 - 186

Published: March 31, 2023

Platelet-rich plasma (PRP) and platelet-rich fibrin (PRF) are biological products derived from the fraction of autologous blood that have a platelet concentration above original blood. Cytokines growth factors present in platelet-based preparations, their application has gained great attention dentistry. The aim this review was to comprehensively examine latest scientific evidence on use PRF PRP oral surgery, describe current operational protocols. is used after third molar extractions, treatment alveolar osteitis trismus, implant surgery. utilized sinus lift procedures, tooth patients undergoing bisphosphonate-related osteonecrosis jaw. Based review, plenty data indicates PRF-PRP usage surgery shows promising results. However, no consistent protocols been presented analyzed articles. Further research needed provide clinicians with evidence-based clinical recommendations develop these preparations dental

Language: Английский

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Critical review on bone grafting during immediate implant placement

Periodontology 2000, Journal Year: 2023, Volume and Issue: 93(1), P. 309 - 326

Published: Sept. 1, 2023

Abstract In the last 20 years, immediate implant placement has been proposed as a predictable protocol to replace failing teeth. The research conducted in preclinical and clinical studies have focused on soft hard tissue changes following tooth extraction placement. Different approaches for grafting together with provisional restorations compensate alterations. This review analyzed some relevant literature focusing impact of bone procedures terms changes, aesthetic results, patient‐related outcomes.

Language: Английский

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The Root Membrane Technique: Human Histologic Evidence after Five Years of Function

BioMed Research International, Journal Year: 2017, Volume and Issue: 2017, P. 1 - 8

Published: Jan. 1, 2017

Background. The “root membrane” (RM) is a technique that has become popular among implantologists for placement of immediate implants in the anterior maxilla. Purpose. To present histologic evidence an implant placed human maxilla, according to RM technique, and retrieved after five years. Methods. A fixture, along with surrounding tissues, was from maxilla 68-year-old patient, who had been treated years earlier technique. specimen processed histologic/histomorphometric evaluation. Results. buccal bone plate maintained without any resorption; healthy periodontal ligament evidenced. showed osseointegration, high percentage bone-to-implant contact (BIC = 76.2%). With regard space between implant, apical medial thirds were filled compact, mature bone; coronal third colonized by noninfiltrated connective tissue. Conclusions. appears be effective preventing resorption implant.

Language: Английский

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