Ten‐year hard and soft tissue results of a pilot double‐blinded randomized controlled trial on immediately loaded post‐extractive implants using platform‐switching concept

Canullo, Luigi; Caneva, Martina; Tallarico, Marco

doi:10.1111/clr.12940

Cited by 31 publications

(38 citation statements)

References 24 publications

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“…Peri-implant mucositis was defined as a reversible clinical situation in which bleeding on probing and/or suppuration were present, associated with a pocket depth ≥4 mm but with no radiographic bone loss; conversely, peri-implantitis was defined as a nonreversible clinical situation characterized by pocket depth ≥4 mm and bleeding on probing and/or pus secretion associated with evidence of radiographic bone loss (>2.5 mm) [ 27 ]. Among the prosthetic complications, there were mechanical complications such as abutment screw loosening and abutment fracture, but also technical complications such as chipping/fracture of the ceramic restorations [ 2 , 28 ].…”

Section: Methodsmentioning

confidence: 99%

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Immediate Loading of Single Implants in the Anterior Maxilla: A 1-Year Prospective Clinical Study on 34 Patients

Stanley

Braga

Jordao

2017

International Journal of Dentistry

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Purpose To present the outcomes of immediately loaded single implants placed in the anterior maxilla. Methods Over a 2-year period, all patients referred to a private clinic were considered for enrolment in this study. Inclusion criteria were single-tooth placement in postextraction sockets or healed sites of the anterior maxilla. All implants were immediately loaded and followed for a period of 1 year after the placement of definitive crowns. The outcome measures were implant stability, survival, and success. Results 34 patients were selected and 43 tapered implants with a knife-edge thread design and a nanostructured, calcium-incorporated surface (Anyridge®, Megagen, Gyeongsang, Korea) were installed. Two implants were not sufficiently stable at placement (ISQ < 60) and were considered failed for immediate loading; 41 implants had an ISQ ≥ 60 at placement and were immediately loaded. One year after the placement of definitive crowns, no implant failures were reported, for a survival rate of 100%. No biological complications were found, but 2 implants had their prosthetic abutments loosened: the implant success rate was 95.2%. Conclusions In the present study on the immediate loading of single implants in the anterior maxilla, positive outcomes were reported, with high survival (100%) and success (95.2%) rates (the present study has been registered in the ISRCTN registry, a publicly available trial register recognized by WHO and ICMJE, with number ISRCTN12935478).

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Section: Methodsmentioning

confidence: 99%

“…Dental implants are a viable solution for the restoration of single-tooth gaps, with high survival and success rates in the short [ 1 ] and long term [ 2 ]. Nowadays, the placement of an implant-supported single crown allows the rapid and predictable restoration of function (mastication) and aesthetics [ 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

Immediate Loading of Single Implants in the Anterior Maxilla: A 1-Year Prospective Clinical Study on 34 Patients

Stanley

Braga

Jordao

2017

International Journal of Dentistry

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“…There is medium evidence that an adequate platform switching tends to enhance tissue volume and stability in the medium- and long-term follow-up. [ 18 19 ] Nevertheless, all the participants agreed to apply the platform switching concept.…”

Section: Resultsmentioning

confidence: 99%

Patient-centered rehabilitation of single, partial, and complete edentulism with cemented- or screw-retained fixed dental prosthesis: The First Osstem Advanced Dental Implant Research and Education Center Consensus Conference 2017

Tallarico

Caneva²,

Baldini

et al. 2018

Eur J Dent

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The aim of this consensus conference was to provide clinical guidelines, based on the available evidence and on the author's daily practice and experience, for general dentistry and dental practitioners to allow them to delivery long-term successful restorations. Three groups of expert clinicians and dental technicians were invited to evaluate all of the scientific literature from 1967 up to March 2017 to identify relevant studies on assigned topics and to prepare in advance narrative/systematic review, written according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, to fulfill the consensus statement criteria. The three topics assigned to the three groups were abutment/framework materials and customization (metal vs. metal-free restorations), abutment/framework protocols and designs, and abutment/framework retentions (cemented- vs. screw-retained implant-supported prostheses). All the expert clinicians presented their results, and the lectures were followed by discussions. No significant differences in clinical parameters (marginal bone loss, bleeding on probing, and pocket probing depth) between screw- or cemented-retained were found for single and multiple implant-supported restorations. There is moderate evidence that nonoriginal abutments provide worse mechanical behavior than originals and high evidence that different implant neck designs do not offer any clinical or radiographic advantage. All the participants agreed that it is desirable to connect and remove abutments as few times as possible. There is medium evidence that an adequate platform switching tends to enhance tissue volume and stability in the medium- and long-term follow-up. No statistically significant differences exist between metal and zirconia as a framework material. The authors discussed and all agreed that retrievability and patient's expectation (function and esthetics) should guide the choice of the most adequate technique, component, and material.

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“…Haistreter and Jiang affirmed that dental implants can provide various clinical and quality of life advantages compared to FDPs and RPDs [ 17 ]. Dental implants are a viable solution for the restoration of single tooth gaps, with high survival and success rates in the short and long term [ 18 , 19 ]. Branemark in 1977 [ 20 ] introduced the osseointegration theory, which states that the healing period of an implant should be at least 3–4 months without loading to achieve osseointegration of the dental implant [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

A Prosthodontic Treatment Plan for a Saxophone Player: A Conceptual Approach

et al. 2018

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Introduction: A wind instrumentalist was diagnosed with a periapical lesion on tooth 21. The prosthetic rehabilitation options were considered with respect to the embouchure mechanism of the saxophonist. The underlying mechanism associated with the embouchure of the saxophone player was observed in this particular case in order to understand if asymmetrical forces were transmitted to the upper central incisors. Periapical lesions can be harmful to the oral health of musicians. The treatment options thus have to be taken into consideration with special focus on the need for oral rehabilitation on the anterior maxilla. Material and Methods: The patient underwent a radiographic examination with a panoramic X-ray. Subsequently, two piezoresistive sensors (FlexiForce™) were placed on the upper surface of the mouthpiece in order to quantify the pressure applied to the central incisors during the embouchure. In order to understand the values involved during this procedure, the saxophone player was required to play three different notes at different pitches: high, medium, and low. This procedure was repeated three times for each pitch in order to obtain a medium value for each note. Signal acquisition was obtained within software developed for this purpose, with the voltage output observed in LabView 2011®. Results: The panoramic X-ray showed a periapical lesion with the characteristics of a radicular cyst on tooth 21. The FlexiForce™ piezoresistive sensors allowed us to find that greater force (kg) was being applied to tooth 11 in comparison to tooth 21 during the embouchure mechanism. Conclusions: The sensors used in this research are acceptable for identifying the tooth where the greatest pressure is applied during the mouthpiece stabilization. In the case of executing an oral rehabilitation procedure for wind instrumentalists, a clinical examination can be complemented with the aid of bioengineering and the inherent development of sensor technology in order to better understand the embouchure mechanism. Likewise, the prosthetic rehabilitation should be taken into consideration in order to provide minimal changes to the musician’s performance.

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Ten‐year hard and soft tissue results of a pilot double‐blinded randomized controlled trial on immediately loaded post‐extractive implants using platform‐switching concept

Cited by 31 publications

References 24 publications

Immediate Loading of Single Implants in the Anterior Maxilla: A 1-Year Prospective Clinical Study on 34 Patients

Immediate Loading of Single Implants in the Anterior Maxilla: A 1-Year Prospective Clinical Study on 34 Patients

Patient-centered rehabilitation of single, partial, and complete edentulism with cemented- or screw-retained fixed dental prosthesis: The First Osstem Advanced Dental Implant Research and Education Center Consensus Conference 2017

A Prosthodontic Treatment Plan for a Saxophone Player: A Conceptual Approach

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