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Surgical Protocol and Short-Term Clinical Outcome of Immediate Placement in Molar Extraction Sockets Using a Wide Body Implant
OBJECTIVES: Implant placement in molar extraction sockets can be difficult due to complex multi-root anatomy and the lack of predictable primary stability. The aim of this study was to evaluate the outcome of an 8 - 9 mm diameter tapered implant, designed to be placed in molar extraction sockets. MA...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Stilus Optimus
2011
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3886073/ https://www.ncbi.nlm.nih.gov/pubmed/24421993 http://dx.doi.org/10.5037/jomr.2011.2301 |
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author | Vandeweghe, Stefan Hattingh, André Wennerberg, Ann Bruyn, Hugo De |
author_facet | Vandeweghe, Stefan Hattingh, André Wennerberg, Ann Bruyn, Hugo De |
author_sort | Vandeweghe, Stefan |
collection | PubMed |
description | OBJECTIVES: Implant placement in molar extraction sockets can be difficult due to complex multi-root anatomy and the lack of predictable primary stability. The aim of this study was to evaluate the outcome of an 8 - 9 mm diameter tapered implant, designed to be placed in molar extraction sockets. MATERIAL AND METHODS: Patients treated at least 1 year before with a Max(®) implant (Southern Implants, Irene, South Africa) were invited for a clinical examination. Variables collected were surgical and prosthetic protocol, implant dimension and smoking habits. Peri-implant bone level was determined on peri-apical radiographs and compared to baseline, being implant insertion. RESULTS: 98 implants had been placed in 89 patients. One implant had failed. Thirty eight patients representing 47 implants (maxilla 26, mandible 21) were available for clinical examination. Mean bone loss was 0.38 mm (SD 0.48; range - 0.50 – 1.95) after a mean follow-up of 20 months (range 12 - 35). Implant success was 97.9%. Around 30 implants, a bone substitute was used to fill the residual space, but this did not affect the bone loss outcome. Bone loss was only significantly different between maxilla and mandible (0.48 mm vs. 0.27 mm) and between the 8 and 9 mm diameter implants (0.23 mm vs. 0.55 mm). A full papilla was present at 71% of the interproximal sites and irrespective of bone loss. CONCLUSIONS: The Max(®) implant demonstrated good primary stability, when placed in molar extraction sockets, with limited bone loss over time. |
format | Online Article Text |
id | pubmed-3886073 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | Stilus Optimus |
record_format | MEDLINE/PubMed |
spelling | pubmed-38860732014-01-13 Surgical Protocol and Short-Term Clinical Outcome of Immediate Placement in Molar Extraction Sockets Using a Wide Body Implant Vandeweghe, Stefan Hattingh, André Wennerberg, Ann Bruyn, Hugo De J Oral Maxillofac Res Original Paper OBJECTIVES: Implant placement in molar extraction sockets can be difficult due to complex multi-root anatomy and the lack of predictable primary stability. The aim of this study was to evaluate the outcome of an 8 - 9 mm diameter tapered implant, designed to be placed in molar extraction sockets. MATERIAL AND METHODS: Patients treated at least 1 year before with a Max(®) implant (Southern Implants, Irene, South Africa) were invited for a clinical examination. Variables collected were surgical and prosthetic protocol, implant dimension and smoking habits. Peri-implant bone level was determined on peri-apical radiographs and compared to baseline, being implant insertion. RESULTS: 98 implants had been placed in 89 patients. One implant had failed. Thirty eight patients representing 47 implants (maxilla 26, mandible 21) were available for clinical examination. Mean bone loss was 0.38 mm (SD 0.48; range - 0.50 – 1.95) after a mean follow-up of 20 months (range 12 - 35). Implant success was 97.9%. Around 30 implants, a bone substitute was used to fill the residual space, but this did not affect the bone loss outcome. Bone loss was only significantly different between maxilla and mandible (0.48 mm vs. 0.27 mm) and between the 8 and 9 mm diameter implants (0.23 mm vs. 0.55 mm). A full papilla was present at 71% of the interproximal sites and irrespective of bone loss. CONCLUSIONS: The Max(®) implant demonstrated good primary stability, when placed in molar extraction sockets, with limited bone loss over time. Stilus Optimus 2011-10-01 /pmc/articles/PMC3886073/ /pubmed/24421993 http://dx.doi.org/10.5037/jomr.2011.2301 Text en Copyright © Vandeweghe S, Hattingh A, Wennerberg A, De Bruyn H. Published in the JOURNAL OF ORAL & MAXILLOFACIAL RESEARCH (http://www.ejomr.org), 1 October 2011. http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an open-access article, first published in the JOURNAL OF ORAL & MAXILLOFACIAL RESEARCH, distributed under the terms of the Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 Unported License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work and is properly cited. The copyright, license information and link to the original publication on http://www.ejomr.org must be included. |
spellingShingle | Original Paper Vandeweghe, Stefan Hattingh, André Wennerberg, Ann Bruyn, Hugo De Surgical Protocol and Short-Term Clinical Outcome of Immediate Placement in Molar Extraction Sockets Using a Wide Body Implant |
title | Surgical Protocol and Short-Term Clinical Outcome of Immediate Placement in Molar Extraction Sockets Using a Wide Body Implant |
title_full | Surgical Protocol and Short-Term Clinical Outcome of Immediate Placement in Molar Extraction Sockets Using a Wide Body Implant |
title_fullStr | Surgical Protocol and Short-Term Clinical Outcome of Immediate Placement in Molar Extraction Sockets Using a Wide Body Implant |
title_full_unstemmed | Surgical Protocol and Short-Term Clinical Outcome of Immediate Placement in Molar Extraction Sockets Using a Wide Body Implant |
title_short | Surgical Protocol and Short-Term Clinical Outcome of Immediate Placement in Molar Extraction Sockets Using a Wide Body Implant |
title_sort | surgical protocol and short-term clinical outcome of immediate placement in molar extraction sockets using a wide body implant |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3886073/ https://www.ncbi.nlm.nih.gov/pubmed/24421993 http://dx.doi.org/10.5037/jomr.2011.2301 |
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