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Maxillary Implants (maxillary + implant)

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Medical Sciences	100%

Selected Abstracts

Maxillary Implants Loaded at 3 Months after Insertion: Results with Astra Tech Implants after up to 5 Years

CLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH, Issue 3 2001
Helmut Steveling DMD
ABSTRACT Background: To date, clinical studies have mainly focused on early loading of mandibular implants. Recently, there has also been considerable interest in early loading of maxillary implants. Purpose: The purpose of this article is to report the outcome of maxillary implants loaded after a 3-month healing period and followed up to 5 years. Materials and Methods: Seventeen patients (11 males and 6 females) received 44 Astra Tech implants (Molndal, Sweden) for treatment of single-tooth (13 cases) and partial edentulism (9 cases). The patients were followed up to 5 years after implant placement:50% of the implants were followed for 3 years and 16% have been followed throughout the observation period. Preoperatively, bone height and width were assessed on radiographs. Marginal bone loss was recorded on intraoral radiographs annually. Results: No implant was lost during the observation period. The average marginal bone loss was 0.5 ± 0.7 mm after 1 year, 0.6 ± 0.7 mm after 3 years, and 0.9 ± 1.6 mm after 5 years. There were no soft-tissue or prosthetic failures recorded during the observation period. Conclusion: Early loading of Astra Tech implants was highly successful in maxillary partial and single-tooth cases followed up to 5 years in function. [source]

Report of a Case Receiving Full-Arch Rehabilitation in Both Jaws Using Immediate Implant Loading Protocols: A 1-Year Resonance Frequency Analysis Follow-Up

CLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH, Issue 1 2006
Michael Portmann DDS
ABSTRACT Background:, Immediate occlusal implant loading has been documented as a viable treatment option for various indications. However, documentations related to full-arch rehabilitation are usually limited to treatment of one jaw at a time, thereby leaving the opposing dentition unchanged. Furthermore, clinical documentation using traditional, well-accepted measuring techniques may not be adequate when it comes to short-term evaluation of the success or failure of implants subjected to immediate occlusal loading. Purpose:, The purpose of this case report is to (1) present an implant stability follow-up of a patient receiving an immediate, implant-supported full-arch rehabilitation in both jaws and (2) evaluate the patient's acceptance of this rehabilitation. Materials and Methods:, A 68-year-old patient scheduled for implant treatment was selected for an immediate implant loading protocol in both jaws. During two surgical events 3 weeks apart, eight maxillary and four mandibular Brånemark System® Mk IV TiUniteTM fixtures (Nobel Biocare AB, Göteborg, Sweden) were inserted and subsequently used to immediately support a cross-arch fixed prosthesis in the maxilla and a bar-retained overdenture in the mandible. Implant stability was recorded from the day of surgery periodically during a 1-year follow-up using resonance frequency analysis (RFA). Results:, At the 1-year follow-up, based on clinical, RFA, and radiographic evaluations, all implants and the reconstructions were classified as successful. All maxillary implants showed a decrease in the implant stability quotient (ISQ) value from the measurement at the time of surgery to the first follow-up, whereas two of four mandibular implants revealed an initial drop in stability. Irrespective of a specific ISQ level measured at implant surgery (ISQ range 53,74) and despite an initial decrease in stability, measurements recorded at the 12-month follow-up indicated similar stability levels for all maxillary implants (ISQ range 64,68) or the group of mandibular implants (ISQ range 72,75) but with a higher ISQ level for mandibular implants. Furthermore, the patient's acceptance of the immediate full-arch rehabilitation in both jaws was high. Conclusions:, The present case report demonstrates that a slightly staged approach for full-arch rehabilitation in both jaws using immediate implant loading protocols is a realistic treatment option. Furthermore, RFA follow-up indicates that immediately occlusally loaded implants placed in reduced bone quality and quantity are more prone to loose stability in the early healing period compared with implants placed in dense bone quality. [source]

Maxillary Implants Loaded at 3 Months after Insertion: Results with Astra Tech Implants after up to 5 Years

Orthodontic load on short maxillary implants with reduced sink depth: an experimental study

CLINICAL ORAL IMPLANTS RESEARCH, Issue 10 2008
H. Wehrbein
Abstract Objective: The aim of this study was to investigate experimentally the positional stability and histomorphometric findings of length-reduced temporary anchorage devices (Orthosystem®, length: 4 mm) with reduced sink depth. Material and methods: For this purpose, four maxillary pre-molars (2P2, 3P3) were extracted from each of four foxhounds. After a 16-week alveolar healing period, 16 implants (four per dog) were inserted into the edentulous areas. Four implants (one per dog) were placed simultaneously in the mid-palatal area. The implants were intentionally submerged to about three-quarters of their length. After a 10-week unloaded implant healing period, the implants in the P3 areas and the palate were loaded (test implants) by means of transpalatal bars fixed on the implants in the P3 areas and Sentalloy traction springs (,2 N continuous force) inserted mid-sagittally between palatal implants and bars (force application period: 24 weeks). The implants in the P2 areas served as controls. Results: Clinical measurements and histological evaluation revealed positional stability of the loaded fixtures. Alveolar control implants (ACI) were inserted to a mean depth of 3.2 mm, alveolar test implants (ATI) to 3.3 mm and palatal test implants (PTI) to 2.6 mm. The mean direct bone contact percentage values were 71.3% (ACI), 79.6% (ATI) and 72.2% (PTI). Conclusion: These results suggest that, probably due to the relatively high percentage of bone contact with implant surface, only 3 mm of intrabony implant length is sufficient to retain positional stability during long-term orthodontic loading. [source]

Human ex vivo bone tissue strains around immediately loaded implants supporting maxillary overdentures

CLINICAL ORAL IMPLANTS RESEARCH, Issue 6 2005
vanç Akça
Abstract Purpose: To evaluate ex vivo bone tissue strains around maxillary implants supporting immediately loaded bar-retained overdentures. Material and methods: Ninety degree two-element rosette strain gauges were bonded on the labial bone of four ITI® dental implants placed in the maxillary anterior region of four completely edentulous maxilla of fresh human cadavers. The installation torque value (ITV) of each implant was measured by a custom-made torque wrench and resonance frequency analyses (RFAs) were undertaken. A bar-retained overdenture was fabricated for each cadaver, and two miniature load cells were integrated in the first molar region of the overdentures for controlled loading experiments. Strain measurements were performed at a sample rate of 10 kHz and under a maximum load of 100 N, simultaneously monitored from a computer connected to a data acquisition system. Finally, removal torque values (RTVs) of the implants were measured. Results: RFA values did not mirror ITVs, while RTVs of implants were slightly lower than the ITVs. Any correlation could not be obtained between RFA values and ITVs or RTVs. Maximum strains around loaded implants ranged between ,100 and ,550 ,, under 25,100 N. The axial and lateral strain values of posterior implants of both sides were higher than those of anterior implants under all loads (P<0.05). Conclusion: Because occlusal forces in humans tend to decrease because of age-related factors, maximum strains around immediately loaded implants supporting maxillary overdentures fall within physiologic levels. Résumé Le but de cette étude a été d'évaluer les tensions du tissu osseux ex vivo autour d'implants maxillaires portant des prothèses amovibles retenues sur une barre placée immédiatement après l'insertion des implants. Deux jauges de force en rosette à 90° ont été attachées au côté lingual de l'os de quatre implants dentaires ITI® placés dans la région antérieure du maxillaire de quatre cadavres humains frais aux maxillaires édentées. La valeur du couple de torsion lors de l'installation (ITV) de chaque implant a été mesurée par un couple fabriqué et des analyses de fréquence de résonnance (RFA) ont été faites. Une prothèse retenue par une barre a été fabriquée pour chaque cadavre et deux cellules de charge miniatures ont été intégrées dans la région de la première molaire de ces prothèses pour les expériences de charge contrôlées. Les mesures de force ont été effectuées à un taux d'échantillonnage de 10 kHz et sous une charge maximale de 100 N, suivies simultanément par un ordinateur connectéà un système d'acquisition de données. Finalement les valeurs des couples de torsion à l'enlèvement (RTV) des implants ont été mesurées. Les valeurs RFA n'étaient pas en ligne avec les ITV tandis que les RTV des implants étaient légèrement inférieurs aux ITV. Aucune corrélation n'a pûêtre établie entre les valeurs RFA et ITV ou RTV. Les forces maximales autour des implants chargés s'étalaient de ,100 ,e à,550 ,e sous 25 N à 100 N. Les valeurs des forces axiales et latérales des implants postérieurs des deux côtés étaient supérieures à celles des implants antérieurs sous toutes les charges (P<0.05). Zusammenfassung Ziel: Es war das Ziel dieser Arbeit, an bis vor kurzem vitalen Knochengewebe Spannungen um Oberkieferimplantate zu untersuchen, welche sofortbelastete und stegverankerte Hybridprothesen tragen. Material und Methoden: Auf den labialen Knochen von vier ITI-Implantaten in der vorderen Region des zahnlosen Oberkiefers von vier frisch verstorbenen Menschen klebte man Dehnmessinstrumente an. Man mass den Wert der Eindrehkraft (ITV) jedes einzelnen Implantates mit einem handelsblichen Drehmomentschlssel und fhrte eine Resonanzfrequenzanalyse (RFA) durch. Man stellte fr jede Leiche eine stegverankerte Hybridprothese her und man baute in der Region der ersten Molaren zwei kleine Messgerte ein, die kontrollierte Belastungsexperimente erlaubten. Dehnmessungen fhrte man mit einer Frequenz von 10 kHz und einer maximalen Belastung von 100 N durch, simultan aufgezeichnet von einem mit dem Messsystem verbundenen Komputer. Schliesslich mass man auch die Krfte, die es brauchte um die Implantate wieder auszudrehen (RTV). Resultate: Die RFA wiederspiegelte die ITV-Werte nicht, whrenddem die RTV-Werte der Implantate geringfgig tiefer waren als die ITV-Werte. Man konnte weder zwischen der RFA, den ITV-Werten oder den RTV-Werten eine Korrelation herstellen. Die maximalen Dehnungen um die Implantate erreichte Werte zwischen ,100 E und ,550 E bei einer Belastung zwischen 25 N und 100 N. Die axialen und lateralen Dehnkrfte bei posterioren Implantaten waren unter smtlichen getesteten Belastungen beidseits grsser als diejenigen der anterioren Implantate (P<0.05). Resumen Propósito: Evaluar las tensiones del tejido óseo ex vivo alrededor de implantes maxilares soportando sobredentaduras retenidas por barras con carga inmediata. Material y Métodos: Se pegaron dos indicadores de tensión de roseta de dos elementos de 90° en el hueso labial de cuatro implantes dentales ITI® colocados en la región maxilar anterior de cuatro maxilares completamente edéntulos de cadáveres humanos frescos. Se midió el valor del torque de instalación (ITV) de cada implante por medio de una chicharra de torque hecha a medida y se llevó a cabo análisis de frecuencia de resonancia (RFA). Se fabricó una sobredentadura retenida por barras para cada cadáver y se integraron dos células miniatura de carga en la región del primer molar de las sobredentaduras para los experimentos de carga controlada. Se llevaron a cabo mediciones de la tensión a un índice de muestra de 10 kHz y bajo una carga máxima de 100 N, simultáneamente monitorizada desde un ordenador conectado a sistema de adquisición de datos. Finalmente, se midieron los valores del torque de remoción (RTV) de los implantes. Resultados: Los valores de RFA no se reflejaron en los ITVs, mientras que los RTVs de los implantes fueron ligeramente más bajos que los ITVs. No se pudieron obtener correlaciones entre los valores de RFA y los ITVs o RTVE. Las tensiones máximas alrededor de los implantes cargados variaron entre ,100 ,, y ,550 ,, bajo 25 N a 100 N. Los valores de las tensiones axiales y laterales de los implantes posteriores de ambos lados fueron mayores que aquellos implantes anteriores bajo todas las cargas (P<0.05). [source]

Clinical outcome of 103 consecutive zygomatic implants: a 6,48 months follow-up study

CLINICAL ORAL IMPLANTS RESEARCH, Issue 1 2004
Chantal Malevez
Abstract: The purpose of this study was to evaluate retrospectively, after a period of 6,48 months follow-up of prosthetic loading, the survival rate of 103 zygomatic implants inserted in 55 totally edentulous severely resorbed upper jaws. Fifty-five consecutive patients, 41 females and 14 males, with severe maxillary bone resorption were rehabilitated by means of a fixed prosthesis supported by either 1 or 2 zygomatic implants, and 2,6 maxillary implants. This retrospective study calculated success and survival rates at both the prosthetic and implant levels. Out of 55 prostheses, 52 were screwed on top of the implants, while 3 were modified due to the loss of standard additional implants and transformed in semimovable prosthesis. Although osseointegration in the zygomatic region is difficult to evaluate, no zygomatic implant was considered fibrously encapsulated and they are all still in function. This study confirms that the zygoma bone can offer a predictable anchorage and support function for a fixed prosthesis in severely resorbed maxillae. Résumé Le but de cette étude a été d'évaluer rétrospectivement, après une période de six à 48 mois après la mise en charge prothétique, le taux de survie de 103 implants zygomatiques insérés chez 55 édentés complets avec mâchoires supérieures extrêmement résorbées. Cinquante-cinq patients (41 femmes et quatorze hommes) avec une résorption osseuse maxillaire très sévère ont été soignés à l'aide d'une prothèse fixée supportée par un ou deux implants zygomatique et deux à six implants maxillaires. Cette étude rétrospective a calculé le taux de survie et le taux de succès tant au niveau prothétique et qu'implantaire. Des 55 prothèses, 52 ont été vissées sur les implants tandis que trois ont été modifiées vu la perte d'implants standards supplémentaires et transformées en prothèses semi-amovibles. Bien que l'ostéoïntégration dans la région zygomatique soit difficile àévaluer, aucun implant zygomatique n'a été considéré comme encapsulé fibreusement et ils sont encore tous en fonction. Cette étude confirme que l'os zygomatique peut offrir un ancrage prévisible et unun support de support pour une prothèse fixée dans les cas de maxillaires fortement résorbés. Zusammenfassung Die klinischen Ergebnisse von 103 Implantaten im Jochbein. Eine Langzeitstudie über 6,48 Monate. Das Ziel dieser Studie war es, bei 55 vollständig zahnlosen und massiv resorbierten Oberkiefern die Überlebensrate von 103 Implantaten im Jochbein retrospektiv zu untersuchen. Die Beobachtungszeit betrug 6,48 Monate nach prothetischer Versorgung. 55 Patienten, 41 Frauen und 14 Männer, die eine ausgedehnte Knochenresorption des Oberkiefers zeigten, wurden mit einer festsitzenden Brücke versorgt, die von 1,2 Implantaten im Jochbein und 2,6 weiteren Oberkieferimplantaten getragen wurde. Diese retrospektive Studie errechnete Erfolgsrate und Überlebensrate sowohl der prothetischen Rekonstruktion, wie auch der Implantate. Von den 55 Brücken waren 52 auf den Implantaten verschraubt, und 3 infolge Verlust von Standardimplantaten zu bedingt abnehmbaren Brücken umgebaut. Obwohl die Osseointegration in der Region des Jochbeins schwierig zu beurteilen ist, musste keines dieser Implantate als bindegewebig eingeheilt bezeichnet werden und alle sind immer noch in Funktion. Diese Arbeit belegt, dass der Knochen des Jochbeins ein voraussagbare Verankerung und Haltefunktion für eine festsitzende Brücke bei massiv resorbierten Oberkiefern liefern kann. Resumen La intención de este estudio fue evaluar retrospectivamente, tras un periodo de 6,48 meses de seguimiento de carga prostética, el índice se supervivencia de 103 implantes zigomáticos insertados en 55 maxilares superiores edéntulos severamente reabsorbidos. Se rehabilitaron 55 pacientes consecutivos, 41 mujeres y 14 hombres, con reabsorción ósea severa del maxilar, por medio de una prótesis fija soportada por 1 o 2 implantes zigomáticos, y de 2 a 6 implantes maxilares. Este estudio retrospectivo calculó los índices de éxito y supervivencia tanto a nivel de la prótesis como del implante. De las 55 prótesis, 52 se atornillaron sobre los implantes mientras que 3 se modificaron debido a la perdida de implantes estándar adicionales y se transformaron en prótesis semimóviles. Aunque la osteointegración en la región zigomática es difícil de evaluar, no se consideró a ningún implante zigomático como fibrosamente encapsulado y están aún en función. Este estudio confirma que el hueso zigomático pude ofrecer un anclaje predecible y función de soporte para una prótesis fija en el maxilar severamente reabsorbido. [source]