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Single implant treatment in healing versus healed sites of the anterior maxilla: a clinical and radiographic evaluation

ARYAN EGHBALI UGent, Hugo De Bruyn UGent, Tim De Rouck UGent and Jan Cosyn UGent (2012) CLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH. 14(3). p.336-346
abstract
Purpose: The aim was to document the Nobelreplace tapered TiUnite® (Nobel Biocare, Göteborg, Sweden) implant system used by experienced clinicians in daily practice for replacing single maxillary anterior teeth and to compare the clinical and radiographical outcome between implants installed in healing sites (early implant placement) and fully-healed sites (conventional implant placement) after on average two and a half years of function. Material and methods: A cross-sectional study in patients who had been treated by two periodontists and two prosthodontists in 2006 and 2007 was conducted. Surgical treatment involved standard flap elevation without releasing incisions and restorative procedures included cemented crowns in all patients. Only straightforward single implant treatments in healing sites (6 – 8 weeks following tooth extraction) and fully-healed sites (≥ 6 months following tooth extraction) were considered with both neighbouring teeth present and without the need for hard and/or soft tissue grafting. Clinical and radiographical analyses of all implants were performed by a blinded clinician who had not been involved in the treatment. Results: 49/53 eligible single implants (22 early and 27 conventionally placed implants) in 44/48 patients were available for scrutiny. There was no statistically significant difference in implant survival between early (95 %) and conventionally (93 %) installed implants (p = 1.000). Mean bone level to the implant-abutment interface was 1.25 mm and 1.02 mm for early, respectively conventional implant placement (p = 0.220). In spite of fairly low plaque levels (26 %), overall peri-implant bleeding was quite prevalent (36 %). Mean peri-implant probing depth was 3.3 mm. 5 restorations had experienced technical complications. Conclusions: Single Nobelreplace tapered TiUnite® implants installed in healing as well as in healed sites of the anterior maxilla are predictable. Both strategies seem equally successful in terms of implant survival, bone remodelling, clinical response and risk for complications.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
dental implant, conventional, early, single tooth, SOFT-TISSUE DIMENSIONS, TOOTH IMPLANTS, IMMEDIATE, RESTORATIONS, PLACEMENT, REPLACEMENTS, AESTHETICS, SURVIVAL, CROWNS, TEETH
journal title
CLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH
Clin. Implant Dent. Relat. Res.
volume
14
issue
3
pages
336 - 346
Web of Science type
Article
Web of Science id
000304759300003
JCR category
DENTISTRY, ORAL SURGERY & MEDICINE
JCR impact factor
3.821 (2012)
JCR rank
2/81 (2012)
JCR quartile
1 (2012)
ISSN
1523-0899
DOI
10.1111/j.1708-8208.2010.00283.x
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
1976249
handle
http://hdl.handle.net/1854/LU-1976249
date created
2011-12-30 13:16:55
date last changed
2012-09-20 14:46:14
@article{1976249,
  abstract     = {Purpose: The aim was to document the Nobelreplace tapered TiUnite{\textregistered} (Nobel Biocare, G{\"o}teborg, Sweden) implant system used by experienced clinicians in daily practice for replacing single maxillary anterior teeth and to compare the clinical and radiographical outcome between implants installed in healing sites (early implant placement) and fully-healed sites (conventional implant placement) after on average two and a half years of function.
Material and methods: A cross-sectional study in patients who had been treated by two periodontists and two prosthodontists in 2006 and 2007 was conducted. Surgical treatment involved standard flap elevation without releasing incisions and restorative procedures included cemented crowns in all patients. Only straightforward single implant treatments in healing sites (6 -- 8 weeks following tooth extraction) and fully-healed sites (\ensuremath{\geq} 6 months following tooth extraction) were considered with both neighbouring teeth present and without the need for hard and/or soft tissue grafting. Clinical and radiographical analyses of all implants were performed by a blinded clinician who had not been involved in the treatment.
Results: 49/53 eligible single implants (22 early and 27 conventionally placed implants) in 44/48 patients were available for scrutiny. There was no statistically significant difference in implant survival between early (95 \%) and conventionally (93 \%) installed implants (p = 1.000). Mean bone level to the implant-abutment interface was 1.25 mm and 1.02 mm for early, respectively conventional implant placement (p = 0.220). In spite of fairly low plaque levels (26 \%), overall peri-implant bleeding was quite prevalent (36 \%). Mean peri-implant probing depth was 3.3 mm. 5 restorations had experienced technical complications.
Conclusions: Single Nobelreplace tapered TiUnite{\textregistered} implants installed in healing as well as in healed sites of the anterior maxilla are predictable. Both strategies seem equally successful in terms of implant survival, bone remodelling, clinical response and risk for complications.},
  author       = {EGHBALI, ARYAN and De Bruyn, Hugo and De Rouck, Tim and Cosyn, Jan},
  issn         = {1523-0899},
  journal      = {CLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH},
  keyword      = {dental implant,conventional,early,single tooth,SOFT-TISSUE DIMENSIONS,TOOTH IMPLANTS,IMMEDIATE,RESTORATIONS,PLACEMENT,REPLACEMENTS,AESTHETICS,SURVIVAL,CROWNS,TEETH},
  language     = {eng},
  number       = {3},
  pages        = {336--346},
  title        = {Single implant treatment in healing versus healed sites of the anterior maxilla: a clinical and radiographic evaluation},
  url          = {http://dx.doi.org/10.1111/j.1708-8208.2010.00283.x},
  volume       = {14},
  year         = {2012},
}

Chicago
EGHBALI, ARYAN, Hugo De Bruyn, Tim De Rouck, and Jan Cosyn. 2012. “Single Implant Treatment in Healing Versus Healed Sites of the Anterior Maxilla: a Clinical and Radiographic Evaluation.” Clinical Implant Dentistry and Related Research 14 (3): 336–346.
APA
EGHBALI, A., De Bruyn, H., De Rouck, T., & Cosyn, J. (2012). Single implant treatment in healing versus healed sites of the anterior maxilla: a clinical and radiographic evaluation. CLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH, 14(3), 336–346.
Vancouver
1.
EGHBALI A, De Bruyn H, De Rouck T, Cosyn J. Single implant treatment in healing versus healed sites of the anterior maxilla: a clinical and radiographic evaluation. CLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH. 2012;14(3):336–46.
MLA
EGHBALI, ARYAN, Hugo De Bruyn, Tim De Rouck, et al. “Single Implant Treatment in Healing Versus Healed Sites of the Anterior Maxilla: a Clinical and Radiographic Evaluation.” CLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH 14.3 (2012): 336–346. Print.