1
|
Pathak A, Dhamande MM, Gujjelwar S, Sonar PR, Tawade SU, Gupta A. Basal Implant Placement in the Anterior Aesthetic Zone: A Case Report. Cureus 2024; 16:e61782. [PMID: 38975416 PMCID: PMC11227428 DOI: 10.7759/cureus.61782] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2024] [Accepted: 06/06/2024] [Indexed: 07/09/2024] Open
Abstract
Aesthetics are one of the primary goals of restorative care. Teeth that are traumatized in the anterior maxilla usually avulse or require extraction due to fractures. Rehabilitation is challenging in such a therapeutic state since it presents several anatomical and aesthetic issues. There are circumstances in which traditional implant placement is problematic. There must be enough bone for implant placement to be uneventful and successful. Other surgical therapies may be necessary in addition to implant placement for certain operations, such as extensive grafting, direct or indirect sinus lifts, and nerve lateralization. Certain procedures are required for these operations but are not always achievable. Because single-piece basal implants provide immediate temporization and loading while receiving adequate anchoring from the basal cortical bone, they have been extensively used to rehabilitate resorbed ridges. This case report demonstrates the placement of the basal implant in the anterior zone.
Collapse
Affiliation(s)
- Ankita Pathak
- Prosthodontics, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Mithilesh M Dhamande
- Prosthodontics, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Smruti Gujjelwar
- Prosthodontics, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Prasanna R Sonar
- Oral Medicine and Radiology, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Shubham U Tawade
- Prosthodontics, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Aashish Gupta
- Prosthodontics, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| |
Collapse
|
2
|
Datta A, Mahesh Gowda E, Dua P. Use of mini implants for the two-implant retained mandibular overdenture: A prospective study. Med J Armed Forces India 2023; 79:S13-S19. [PMID: 38144641 PMCID: PMC10746741 DOI: 10.1016/j.mjafi.2021.08.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2021] [Accepted: 08/17/2021] [Indexed: 10/19/2022] Open
Abstract
Background The two-implant retained mandibular overdenture utilizing nonsplinted implants is a proven treatment modality for completely edentulous patients. However, a lacuna still exists regarding the suitability of mini dental implants for this purpose. The purpose of the study was to evaluate implant stability and crestal bone loss in single-piece mini dental implants loaded with immediate or conventional loading protocols to retain a mandibular overdenture. Method Twenty-four completely edentulous patients were rehabilitated using conventional maxillary complete denture and a mandibular two-implant retained overdenture utilizing nonsplinted single piece mini implants. The implants were loaded with immediate or conventional loading protocols. Implant stability (with Periotest TM) and crestal bone loss (with radiovisiograph and radiographic grid) were evaluated at the time of loading and at one, two, and six months after loading. Statistical analysis was done with the Independent Samples "t" test and One-Way ANOVA. Results Mean Periotest Values observed were significantly more negative in implants loaded with the conventional loading protocol. Crestal bone loss was significantly lesser in the immediate loading protocol but was still higher than the requisite 1.5 mm postulated by established criteria. Conclusion Two single-piece nonsplinted mini implants may be sufficient to retain a mandibular overdenture utilizing the immediate loading protocol. Further studies with a longer duration of observation and larger sample size are required.
Collapse
Affiliation(s)
- Abhishek Datta
- Graded Specialist (Prosthodontics), 200 Military Dental Centre, C/o 56 APO, India
| | - E. Mahesh Gowda
- Commandant & Command Dental Adviser, CMDC (SWC), C/o 56 APO, India
| | - Parag Dua
- Associate Professor & Instructor, (Dental Surgery & Oral Health Sciences), Armed Forces Medical College, Pune, India
| |
Collapse
|
3
|
Kohal RJ, Burkhardt F, Chevalier J, Patzelt SBM, Butz F. One-Piece Zirconia Oral Implants for Single Tooth Replacement: Five-Year Results from a Prospective Cohort Study. J Funct Biomater 2023; 14:jfb14020116. [PMID: 36826915 PMCID: PMC9964460 DOI: 10.3390/jfb14020116] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2022] [Revised: 02/06/2023] [Accepted: 02/15/2023] [Indexed: 02/22/2023] Open
Abstract
The intention of this 5-year prospective cohort investigation was to clinically and radiographically investigate the outcomes of a one-piece zirconia implant system for single tooth replacement. Sixty-five patients received a total of 66 single-tooth implants. All implants immediately received temporary restorations and were finally restored with all-ceramic crowns. Follow-ups were performed at the prosthetic delivery, after 1, 3, and 5 years. Peri-implant and dental soft-tissue parameters were evaluated and patient-reported outcomes recorded. To monitor peri-implant bone remodelling, standardised radiographs were taken at the implant insertion and at the 1-, 3-, and 5-year follow-ups. In the course of 5 years, 14 implants were lost, resulting in a cumulative implant survival rate of 78.2%. The mean marginal bone loss from the implant insertion to the 5-year follow-up amounted to 1.12 mm. Probing depth, clinical attachment level, bleeding, and plaque index increased over time. In 91.5% of the implants, the papilla index showed levels of 1 or 2, respectively. At the end of the study, the patient satisfaction was higher compared to the pre-treatment measurements. Due to the low survival rate after five years and the noticeably high frequency of advanced bone loss observed in this study, the implant has not met the launch criteria, as it would have not been recommended for routine clinical use.
Collapse
Affiliation(s)
- Ralf-Joachim Kohal
- Department of Prosthetic Dentistry, Center for Dental Medicine, Medical Center—University of Freiburg, Faculty of Medicine, University of Freiburg, Hugstetter Str. 55, 79106 Freiburg, Germany
| | - Felix Burkhardt
- Department of Prosthetic Dentistry, Center for Dental Medicine, Medical Center—University of Freiburg, Faculty of Medicine, University of Freiburg, Hugstetter Str. 55, 79106 Freiburg, Germany
| | - Jerome Chevalier
- INSA-Lyon, MATEIS Laboratory, University of Lyon, UMR CNRS 5510, 20 Avenue Albert Einstein, CEDEX, 69621 Villeurbanne, France
| | - Sebastian Berthold Maximilian Patzelt
- Department of Prosthetic Dentistry, Center for Dental Medicine, Medical Center—University of Freiburg, Faculty of Medicine, University of Freiburg, Hugstetter Str. 55, 79106 Freiburg, Germany
- Private Dental Clinic, Am Dorfplatz 3, 78658 Zimmern ob Rottweil, Germany
| | - Frank Butz
- Department of Prosthetic Dentistry, Center for Dental Medicine, Medical Center—University of Freiburg, Faculty of Medicine, University of Freiburg, Hugstetter Str. 55, 79106 Freiburg, Germany
- Private Dental Clinic, Belchenstrasse 6a, 79189 Bad Krozingen, Germany
- Correspondence:
| |
Collapse
|
4
|
Cosyn J, De Lat L, Seyssens L, Doornewaard R, Deschepper E, Vervaeke S. The effectiveness of immediate implant placement for single tooth replacement compared to delayed implant placement: A systematic review and meta-analysis. J Clin Periodontol 2019; 46 Suppl 21:224-241. [PMID: 30624808 DOI: 10.1111/jcpe.13054] [Citation(s) in RCA: 63] [Impact Index Per Article: 12.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2018] [Revised: 10/15/2018] [Accepted: 10/19/2018] [Indexed: 11/28/2022]
Abstract
AIM To compare immediate implant placement (IIP) to delayed single implant placement (DIP, ≥3 months post-extraction) in terms of implant survival (primary outcome), surgical, clinical, aesthetic, radiographic and patient-reported outcomes (secondary outcomes). MATERIALS AND METHODS Two reviewers independently performed an electronic search in PubMed, Web of Science, EMBASE and Cochrane and a hand search to identify eligible studies up to May 2018. Only randomized controlled trials (RCTs) and non-randomized controlled studies (NRSs) comparing IIP to DIP with at least 1 year of follow-up were selected for a qualitative analysis and meta-analysis. RESULTS The search identified 3 RCTs and 5 NRSs out of 2,589 titles providing data on 473 single implants (IIP: 233, DIP: 240) that had been in function between 12 and 96 months. One RCT showed unclear risk of bias, whereas all other studies demonstrated high risk. Meta-analysis showed significantly lower implant survival for IIP (94.9%) as compared to DIP (98.9%) (RR 0.96, 95% CI [0.93; 0.99], p = 0.02). All were early implant failures. A subgroup meta-analysis demonstrated a trend towards lower implant survival for IIP when postoperative antibiotics had not been administered (RR: 0.93, 95% CI [0.86; 1.00], p = 0.07). This was not observed among studies including the administration of postoperative antibiotics (RR: 0.98, 95% CI [0.94; 1.02], p = 0.35). Meta-analyses showed similar probing depth (WMD 0.43 mm, 95% CI [-0.47; 1.33], p = 0.35) and aesthetic outcomes as assessed by the pink aesthetic score (standardized WMD -0.03, 95% CI [-0.46; 0.39], p = 0.88) for IIP and DIP. Data on marginal bone loss were conflicting and highly biased. Soft tissue recession was underreported and available data were highly biased. Patient-reported outcomes were underreported, yet both IIP and DIP seemed well tolerated. CONCLUSION Immediate implant placement demonstrated higher risk for early implant loss than DIP. There is a need for RCTs comparing IIP to DIP with CBCT analyses at different time points and data on midfacial recession with the preoperative status as baseline. In these studies, the need for hard and soft tissue grafting should also be evaluated.
Collapse
Affiliation(s)
- Jan Cosyn
- Faculty of Medicine and Health Sciences, Dental School, Department of Periodontology and Oral Implantology, Ghent University, Ghent, Belgium.,Oral Health Research Group (ORHE), Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel (VUB), Brussels, Belgium
| | - Liesa De Lat
- Faculty of Medicine and Health Sciences, Dental School, Department of Periodontology and Oral Implantology, Ghent University, Ghent, Belgium
| | - Lorenz Seyssens
- Faculty of Medicine and Health Sciences, Dental School, Department of Periodontology and Oral Implantology, Ghent University, Ghent, Belgium
| | - Ron Doornewaard
- Faculty of Medicine and Health Sciences, Dental School, Department of Periodontology and Oral Implantology, Ghent University, Ghent, Belgium
| | - Ellen Deschepper
- Faculty of Medicine and Health Sciences, Department of Biomedical statistics, Ghent University, Ghent, Belgium
| | - Stijn Vervaeke
- Faculty of Medicine and Health Sciences, Dental School, Department of Periodontology and Oral Implantology, Ghent University, Ghent, Belgium
| |
Collapse
|
5
|
Vishnu VA, Sanyal PK, Tewary S, Nilesh K, Suresh Prasad RM, Pawashe K. A split-mouth clinico-radiographic comparative study for evaluation of crestal bone and peri-implant soft tissues in immediately loaded implants with and without platelet-rich plasma bioactivation. J Dent Res Dent Clin Dent Prospects 2019; 13:117-122. [PMID: 31592104 PMCID: PMC6773920 DOI: 10.15171/joddd.2019.018] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2019] [Accepted: 07/22/2019] [Indexed: 11/09/2022] Open
Abstract
Background. This study evaluated the viability of platelet-rich plasma for enhancement of osseous and associated soft tissue healing around single-piece implants, subjected to immediate loading and to compare it with a control site not treated with PRP. Methods. Twenty completely edentulous patients were selected and 2 one-piece implants with O-ball head were placed for mandibular overdenture. The implant on the right side was treated with PRP whereas the left side implant served as a control. All the cases were immediately loaded and marginal bone loss, probing depth, percussion, implant mobility and peri-implantitis were assessed and compared at 3, 6, 9 and 12 months. Results. Overall analysis of the results showed less marginal bone loss, probing depth, percussion, implant mobility and periimplantitis around implants treated with PRP; however, the results were insignificant statistically. Conclusion. PRP can be used as a viable treatment adjunct in immediately loaded one-piece implants.
Collapse
Affiliation(s)
- Vande Aaditee Vishnu
- Department of Prosthodontics and Crown & Bridge, School of Dental Sciences, KIMSDU, Karad, India
| | - Pronob Kumar Sanyal
- Department of Prosthodontics and Crown & Bridge, School of Dental Sciences, KIMSDU, Karad, India
| | - Shivsagar Tewary
- Department of Prosthodontics and Crown & Bridge, School of Dental Sciences, KIMSDU, Karad, India
| | - Kumar Nilesh
- Department of Oral and Maxillofacial Surgery, School of Dental Sciences, KIMSDU, Karad, India
| | | | - Karuna Pawashe
- Department of Prosthodontics and Crown & Bridge, School of Dental Sciences, KIMSDU, Karad, India
| |
Collapse
|
6
|
Marginal Bone Loss Around One-Piece Implants: A 10-Year Radiological and Clinical Follow-up Evaluation. IMPLANT DENT 2019; 28:237-243. [PMID: 31124820 DOI: 10.1097/id.0000000000000861] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
PURPOSE This study was conducted to investigate one-piece narrow-diameter implants installed in maxillary lateral and mandibular incisor sites using immediate nonfunctional loading. MATERIALS AND METHODS In this 10-year clinical trial study, 42 narrow-diameter (3.0-mm) one-piece implants for 35 patients were inserted. Clinical and radiographic measurements were recorded in 10 years and analyzed statistically using t test. RESULTS A total of 26 patients (20 females and 6 males) with 30 implants were available for the 10-year follow-up. The 10-year implant survival rate was 100%. A statistically significant mean marginal bone loss was observed between 12 months and 10 years (0.18 ± 0.29 mm). The mean pocket depth increase was statistically significant (0.68 ± 0.83 mm). No bleeding on probing was observed around 90% of the implants. Full-mouth plaque index was registered at 20% of the implants. CONCLUSION The results obtained in this analysis suggest that modest marginal bone loss was observed around the implants. One-piece narrow-diameter implants (Maximus 3.0; BioHorizons) can predictably restore missing maxillary lateral incisors and mandibular incisors in cases of careful patient selection.
Collapse
|
7
|
ArRejaie AS, Al-Hamdan RS, Basunbul GI, Abduljabbar T, Al-Aali KA, Labban N. Clinical performance of one-piece zirconia dental implants: A systematic review. JOURNAL OF INVESTIGATIVE AND CLINICAL DENTISTRY 2018; 10:e12384. [PMID: 30588750 DOI: 10.1111/jicd.12384] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/14/2018] [Accepted: 09/28/2018] [Indexed: 01/11/2023]
Abstract
The aim of the present review was to evaluate the clinical and radiographic performance of one-piece zirconia implants (O-PZI). This review followed the PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analysis) guidelines that addressed the following focused question: What is the overall clinical and radiographic performance of O-PZI? The MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, and Cochrane Oral Health Group Trials Register databases were searched. Six clinical studies were included. For studies evaluating O-PZI compared with one-piece titanium implants, zirconia implants showed higher crestal bone loss (CBL) in both the studies. However, one study demonstrated a high failure rate compared to titanium dental implants, while one study demonstrated comparable survival rates between zirconia and titanium dental implants. For studies evaluating O-PZI for the restoration of single crown and fixed dental prostheses, O-PZI showed comparable bone loss and survival rates for single crowns and fixed dental prostheses. Two studies were included that compared O-PZI with two-piece zirconia (T-PZI). One study showed a higher CBL and low survival rate for O-PZI compared to T-PZI, whereas the other study demonstrated comparable CBL and survival rates between O-PZI and T-PZI. It is still debatable whether O-PZI demonstrate better clinical performance when compared with titanium implants or two-piece design.
Collapse
Affiliation(s)
- Aws S ArRejaie
- Department of Prosthetic Dental Science, King Saud University, Riyadh, Saudi Arabia
| | - Rana S Al-Hamdan
- Department of Restorative Dental Science, King Saud University, Riyadh, Saudi Arabia
| | - Ghadeer I Basunbul
- Department of Oral and Maxillofacial Rehabilitation, Faculty of Dentistry, King Abdul Aziz University, Jeddah, Saudi Arabia
| | - Tariq Abduljabbar
- Department of Prosthetic Dental Science, King Saud University, Riyadh, Saudi Arabia
| | - Khulud A Al-Aali
- Department of Prosthodontics, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia
| | - Nawaf Labban
- Department of Prosthetic Dental Science, King Saud University, Riyadh, Saudi Arabia
| |
Collapse
|
8
|
Minichetti JC, D'Amore JC, Hong AYJ. Retrospective Study of Tapered One-Piece Implants Placed Over a Ten-Year Period in a Single Private Practice. J ORAL IMPLANTOL 2018; 44:115-121. [DOI: 10.1563/aaid-joi-d-17-00087] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Today, clinicians have a variety of treatment modalities available to address the increasing number of implant procedures performed each year. Single-stage implant surgery is now commonly used in implant dentistry. With patients' demands for immediate restoration, the utilization of 1-piece implants is gaining acceptance. This article reports the results of tapered 1-piece implants (Zimmer Biomet) placed in a single practice over a 10-year period. A total of 33 1-piece dental implants were placed in 24 patients and provisionally restored out of occlusion at the time of surgery. All 33 implants were definitively restored with ceramometal crowns after 3 months of provisionalization. Implant survival and success rates were 100% after 2.6–10 years of follow-up. Only 1 minor complication of crestal bone remodeling occurred among the 33 implants placed. Adequately stabilized tapered 1-piece implants can be successfully restored out of occlusion at the time of implant placement and definitively loaded in occlusion 3 months without adversely affecting function or esthetics. Additional long-term controlled studies are recommended to further understand these findings.
Collapse
|
9
|
Jackson BJ. Small-Diameter Implant Treatment Plan Revision: Management of Complications. J ORAL IMPLANTOL 2015; 42:295-8. [PMID: 26390370 DOI: 10.1563/aaid-joi-d-15-00083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
|
10
|
Nandal S, Ghalaut P, Shekhawat H. A radiological evaluation of marginal bone around dental implants: An in-vivo study. Natl J Maxillofac Surg 2015; 5:126-37. [PMID: 25937721 PMCID: PMC4405952 DOI: 10.4103/0975-5950.154813] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Context: This article presents an original research conducted at Government Dental College, PGIDS, Rohtak. Aims: (1) To evaluate the marginal bone level changes around dental implants based on the radiological examination. (2) To evaluate the relationship of various parameters, i.e., gender, implant length, implant diameter and location of implants on the amount of bone loss around dental implants. Materials and Methods: An in-vivo study was undertaken to evaluate the crestal bone loss on mesial and distal aspect of implants, using standardized intra-oral periapical at the end of 6 months after placing the implants, but before prosthetically loading it. Statistical Analysis Used: Student's unpaired t-test. Results: Bone loss was measured and values were recorded immediately after implant placement and after 6 months. Conclusions: (1) Bone loss on mesial and distal aspects of implants was found to be same after period of 6 months. (2) Bone loss was found to be same in both 13 mm and 10 mm implants on mesial aspect, whereas on distal aspect, it was more in 10 mm implants. (3) Bone loss was found to be same in both 3.5 mm and 4.3 mm diameter implants on both mesial and distal aspects of implants. (4) Bone loss was found to be same in both maxilla and mandible on both mesial and distal aspects of implants. (5) Bone loss was found to be more in females on both mesial as well as distal aspects of implants.
Collapse
Affiliation(s)
- Shikha Nandal
- Department of Prosthodontics, PGIDS, Rohtak, Haryana, India
| | - Pankaj Ghalaut
- Department of Prosthodontics, PGIDS, Rohtak, Haryana, India
| | | |
Collapse
|
11
|
Lauritano D, Grassi R, di Stasio D, Lucchese A, Petruzzi M. Successful mandible rehabilitation of lower incisors with one-piece implants. J Med Case Rep 2014; 8:406. [PMID: 25476770 PMCID: PMC4289385 DOI: 10.1186/1752-1947-8-406] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2014] [Accepted: 09/30/2014] [Indexed: 11/02/2023] Open
Abstract
INTRODUCTION The popularity of one-piece implants has increased considerably among patients and dentists. The advantages of one-piece immediate loading are to reduce the number of interventions. These parameters can be better controlled with a one-piece implant. METHODS We considered 21 patients with one-piece implants inserted in mandible for this retrospective study. Inclusion criteria were: good oral hygiene, absence of lesions of the oral mucosa, no smoking or smoking less than 20 cigarettes a day, drinking less than two glasses of wine a day, good general health and no pregnancy. RESULTS We enrolled 21 (12 women and 9 men) patients in this retrospective study. The mean follow-up was 1 year. A total of 84 one-piece implants were inserted in mandible to replace 42 lower first and 42 second incisors. The diameter of the implants was 3.0mm in all fixtures. The length of the implants was equal to or longer than 12 mm in 44 and 40 fixtures respectively. Of these, 48 were inserted in women and 36 in men (age range 33 to 67; mean age 58.3 years). CONCLUSIONS There is no difference between the survival rates of one-piece immediate loading implants and two-piece implants and delayed loading. In conclusion, a one-piece immediate loading implant is a reliable device for mandible rehabilitation.
Collapse
Affiliation(s)
- Dorina Lauritano
- />Department of Neuroscience and Biomedical Technologies, University of Milan Bicocca Monza, Via Cadore n° 48, 20052 Monza, MB Italy
| | - Roberto Grassi
- />Dental School, Section of Oral Pathology and Medicine, University of Bari, Bari, Italy
| | - Dario di Stasio
- />Multidisciplinary Department of Medical and Dental Specialties, Second University of Naples, Naples, Italy
| | - Alberta Lucchese
- />Multidisciplinary Department of Medical and Dental Specialties, Second University of Naples, Naples, Italy
| | - Massimo Petruzzi
- />Dental School, Section of Oral Pathology and Medicine, University of Bari, Bari, Italy
| |
Collapse
|
12
|
Sato J, Watanabe G, Ando M, Shimoo Y, Shizukuda K, Kimura T, Kobayashi M. A prospective multicenter study of immediate function of 1-piece implants: A 3-year follow-up report. J Prosthet Dent 2014; 112:784-91. [DOI: 10.1016/j.prosdent.2014.03.001] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Junichi Sato
- Associate Professor, Unit of Oral and Maxillofacial Implantology, Tsurumi University School of Dental Medicine, Japan.
| | - Goro Watanabe
- Assistant Professor, Unit of Oral and Maxillofacial Implantology, Tsurumi University School of Dental Medicine, Japan
| | - Masami Ando
- Chair of the Board of Directors, Ando Dental Clinic, Japan
| | - Yoshiaki Shimoo
- Center Director, Kishi Hospital Highly Advanced Implant Center, Japan
| | | | - Tomonori Kimura
- Center Assistant Director, Kishi Hospital Highly Advanced Implant Center, Japan
| | - Mariko Kobayashi
- Clinical Assistant, Unit of Oral and Maxillofacial Implantology, Tsurumi University School of Dental Medicine, Japan
| |
Collapse
|
13
|
|
14
|
Christopher SD, Savitha AN. One-piece implant in reduced edentulous space closure: A report of two cases. Contemp Clin Dent 2014; 4:563-5. [PMID: 24403812 PMCID: PMC3883347 DOI: 10.4103/0976-237x.123093] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Dental Implants have gained popularity over the years and are increasingly becoming the choice of treatment. Different clinical situations are often encountered where modifications have to be considered in order to achieve successful rehabilitation. One of the challenges faced includes non-availability of sufficient space for conventional implants. Here, we present 2 case reports of patients with over two year follow up using one piece implant.
Collapse
Affiliation(s)
| | - A N Savitha
- Department of Peroidontics, The Oxford Dental College, Bengaluru, Karnataka, India
| |
Collapse
|
15
|
Osman RB, Swain MV, Atieh M, Ma S, Duncan W. Ceramic implants (Y-TZP): are they a viable alternative to titanium implants for the support of overdentures? A randomized clinical trial. Clin Oral Implants Res 2013; 25:1366-77. [DOI: 10.1111/clr.12272] [Citation(s) in RCA: 55] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/28/2013] [Indexed: 11/29/2022]
Affiliation(s)
| | - Michael V. Swain
- Oral Implantology Research Group; Sir John Walsh Research Institute; School of Dentistry; University of Otago; Dunedin New Zealand
| | - Momen Atieh
- Oral Implantology Research Group; Sir John Walsh Research Institute; School of Dentistry; University of Otago; Dunedin New Zealand
| | - Sunyoung Ma
- Oral Implantology Research Group; Sir John Walsh Research Institute; School of Dentistry; University of Otago; Dunedin New Zealand
| | - Warwick Duncan
- Oral Implantology Research Group; Sir John Walsh Research Institute; School of Dentistry; University of Otago; Dunedin New Zealand
| |
Collapse
|
16
|
A 3-Year Multicenter Study of Marginal Bone Level and Soft Tissue Health of a 1-Piece Implant. IMPLANT DENT 2013; 22:366-73. [DOI: 10.1097/id.0b013e31829a16ec] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
17
|
Kohal RJ, Patzelt SBM, Butz F, Sahlin H. One-piece zirconia oral implants: one-year results from a prospective case series. 2. Three-unit fixed dental prosthesis (FDP) reconstruction. J Clin Periodontol 2013; 40:553-62. [DOI: 10.1111/jcpe.12093] [Citation(s) in RCA: 53] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/03/2013] [Indexed: 11/26/2022]
Affiliation(s)
- Ralf-Joachim Kohal
- Department of Prosthodontics; School of Dentistry; Albert-Ludwigs University; Freiburg Germany
| | - Sebastian B. M. Patzelt
- Department of Periodontics; School of Dentistry; University of Maryland; Baltimore USA
- Department of Prosthodontics; School of Dentistry; Albert-Ludwigs University; Freiburg Germany
| | - Frank Butz
- Department of Prosthodontics; School of Dentistry; Albert-Ludwigs University; Freiburg Germany
| | | |
Collapse
|
18
|
Prithviraj DR, Gupta V, Muley N, Sandhu P. One-piece implants: placement timing, surgical technique, loading protocol, and marginal bone loss. J Prosthodont 2012; 22:237-44. [PMID: 22984963 DOI: 10.1111/j.1532-849x.2012.00928.x] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
PURPOSE Osseointegration being an accepted and well-documented concept, attention is now directed towards simplification of the mechanical design of implants and towards achieving biomechanical success. The aim of this literature review is to provide an overview of the one-piece implant, with its advantages and disadvantages over a conventional two-piece implant. METHODS The PubMed database was searched in the English language using the keywords one-piece implant, single-piece implant, single-stage implant surgery, and two-piece implant. Articles were selected on the basis of whether they had sufficient information related to placement timing, surgical procedure used, loading protocol, follow-up periods, marginal bone loss, and implant success rates of one-piece implants. For inclusion, a study group must have had a minimum of 30 one-piece implants followed for at least 1 year. DISCUSSION Nineteen articles were subjected to the selection criteria. Out of 19 clinical trials only 11 met the selection criteria. Five parameters were taken into consideration for studying one-piece implants: placement timing, surgical technique, loading protocol, marginal bone loss, and implant survival rate. The data from the identified studies were tabulated according to these parameters and discussed. CONCLUSION Delayed placement of one-piece implants is more commonly practiced than extraction and immediate placement. Most surgeons prefer surgeries using flaps as compared to flapless surgeries, and in most cases, one-piece implants were loaded immediately. Limited literature reveals both positive and negative results regarding the effect of a one-piece implant system on surrounding hard and soft tissues.
Collapse
Affiliation(s)
- D R Prithviraj
- Department of Prosthodontics, Govt. Dental College and Research Institute, Bangalore, India.
| | | | | | | |
Collapse
|
19
|
Zembić A, Johannesen LH, Schou S, Malo P, Reichert T, Farella M, Hämmerle CHF. Immediately restored one-piece single-tooth implants with reduced diameter: one-year results of a multi-center study. Clin Oral Implants Res 2011; 23:49-54. [DOI: 10.1111/j.1600-0501.2011.02174.x] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|
20
|
Hahn JA. Four-Year Treatment and Radiographic Outcomes of 1-Piece Implants Used in Immediate Function: A Prospective Study in a Single Private Practice. J ORAL IMPLANTOL 2011; 37:259-65. [DOI: 10.1563/aaid-joi-d-10-00049.1] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Abstract
The aim of this study was to prospectively evaluate treatment outcomes of 1-piece implants (NobelDirect and NobelPerfect, Nobel Biocare AB, Gothenberg, Sweden) in routine private clinical practice. Forty-seven implants placed in 30 subjects demonstrated a cumulative survival rate of 97.9% with stable marginal bone levels after 4 years of loading.
Collapse
Affiliation(s)
- Jack A. Hahn
- Cosmetic and Implant Dental Center of Cincinnati, Cincinnati, Ohio
| |
Collapse
|
21
|
Ribeiro-Rotta RF, Lindh C, Pereira AC, Rohlin M. Ambiguity in bone tissue characteristics as presented in studies on dental implant planning and placement: a systematic review. Clin Oral Implants Res 2010; 22:789-801. [PMID: 21121957 DOI: 10.1111/j.1600-0501.2010.02041.x] [Citation(s) in RCA: 40] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
OBJECTIVES To survey definitions of bone tissue characteristics and methods of assessing them in studies of dental implant planning and placement. MATERIAL AND METHODOLOGY Three databases were searched using specified indexing terms. Three reviewers selected from the titles and retrieved abstracts in accordance with inclusion and exclusion criteria. Descriptions of bone tissue characteristics (bone quality, density and quantity) used before or during dental implant placement were searched for and categorized. RESULTS The search yielded 488 titles. One hundred and fort-nine publications were selected and read in full text. One hundred and eight were considered relevant. There were many different definitions and classification systems for bone tissue characteristics and examination protocols. Approximately two-third of the included publications reported the Lekholm & Zarb classification system for bone quality and quantity. However, only four studies implemented the Lekholm & Zarb system as originally proposed. A few publications described bone quality in accordance with the Misch or Trisi and Rao classifications systems. Assessment methods were often described only briefly (or not at all in one-fifth of the publications). Only one study presented the diagnostic accuracy of the assessment method, while only two presented observer performance. CONCLUSION The differing definitions and classification systems applied to dental implant planning and placement make it impossible to compare the results of various studies, particularly with respect to whether bone quality or quantity affect treatment outcomes. A consistent classification system for bone tissue characteristics is needed, as well as an appropriate description of bone tissue assessment methods, their diagnostic accuracy and observer performance.
Collapse
|
22
|
HEBERER S, HILDEBRAND D, NELSON K. Survival rate and potential influential factors for two transitional implant systems in edentulous patients: a prospective clinical study. J Oral Rehabil 2010; 38:447-53. [DOI: 10.1111/j.1365-2842.2010.02166.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
23
|
Van de Velde T, Thevissen E, Persson GR, Johansson C, De Bruyn H. Two-Year Outcome with Nobel Direct® Implants: A Retrospective Radiographic and Microbiologic Study in 10 Patients. Clin Implant Dent Relat Res 2009; 11:183-93. [DOI: 10.1111/j.1708-8208.2008.00112.x] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
24
|
Rao W, Benzi R. Single mandibular first molar implants with flapless guided surgery and immediate function: Preliminary clinical and radiographic results of a prospective study. J Prosthet Dent 2007; 97:S3-S14. [PMID: 17618931 DOI: 10.1016/s0022-3913(07)60003-1] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
STATEMENT OF PROBLEM Implant therapy is widely accepted and increasingly used by clinicians as part of fixed prosthodontics, and there is a need to develop standardized protocols for its use. The first mandibular molars are the most frequently lost teeth and, even if not indispensable, have an important role for the comfort of patients. PURPOSE The purpose of this study was to develop and document a standardized method for mandibular single molar replacement performed with flapless surgery and premanufactured individualized abutments and crowns for immediate function. MATERIAL AND METHODS Forty-six patients received 51 implants in the first mandibular molar region. All implants were placed with guided flapless surgery and were immediately loaded with premanufactured definitive abutments and acrylic resin provisional restorations. Definitive restorations were inserted after 3 months. Clinical and radiographic analyses were used to evaluate the treatment outcomes. Data were reported using descriptive statistics. RESULTS All implants inserted were stable and successful in function after 1 year, providing a 100% survival rate. Three implants reached clinical stability after an initial adverse event requiring delayed loading, thus, the survival rate for immediate function was 94%. CONCLUSIONS The 100% survival rate suggests that safe replacement of single mandibular first molars with an immediate prosthesis is possible with flapless surgery and premanufactured individualized abutments and crowns.
Collapse
|