A prospective multicenter evaluation of immediately functionalized tapered conical connection implants for single restorations in maxillary anterior and premolar sites
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A prospective multicenter evaluation of immediately functionalized tapered conical connection implants for single restorations in maxillary anterior and premolar sites : 3-year results. / Heydecke, Guido; Mirzakhanian, Christine; Behneke, Alexandra; Behneke, Nikolaus; Fügl, Alexander; Zechner, Werner; Baer, Russell A; Nölken, Robert; Gottesman, Edward; Colic, Snjezana; Ottria, Liliana; Pozzi, Alessandro.
in: CLIN ORAL INVEST, Jahrgang 23, Nr. 4, 04.2019, S. 1877-1885.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - A prospective multicenter evaluation of immediately functionalized tapered conical connection implants for single restorations in maxillary anterior and premolar sites
T2 - 3-year results
AU - Heydecke, Guido
AU - Mirzakhanian, Christine
AU - Behneke, Alexandra
AU - Behneke, Nikolaus
AU - Fügl, Alexander
AU - Zechner, Werner
AU - Baer, Russell A
AU - Nölken, Robert
AU - Gottesman, Edward
AU - Colic, Snjezana
AU - Ottria, Liliana
AU - Pozzi, Alessandro
PY - 2019/4
Y1 - 2019/4
N2 - OBJECTIVES: This multicenter prospective clinical trial investigated immediately provisionalized, anodized, conical connection, tapered implants with platform shifting in maxillary anterior and premolar sites.MATERIALS AND METHODS: Patients requiring single-tooth implant-supported restorations in maxillary anterior and premolar sites were enrolled. Implants were immediately provisionalized and evaluated at insertion, 6 months, and annually thereafter. Outcome measures were marginal bone level change (ΔMBL), cumulative survival rate (CSR), and success rate, soft-tissue parameters, and oral health impact profile (OHIP). ΔMBL and Pink Esthetic Score were analyzed using Wilcoxon signed-rank tests. CSR was calculated using life table analysis. Other soft-tissue parameters were analyzed using sign tests.RESULTS: Of 94 enrolled patients (99 implants), 84 (88 implants) attended the 3-year follow-up. After an initial bone loss between implant insertion and 6 months (- 0.92 ± 1.23 mm), bone levels stabilized from 6 months to 3 years (0.13 ± 0.94 mm) with no significant change. The 3-year CSR was 98.9%, and the cumulative success rate was 96.9%. Papilla index scores of 2 or 3 were observed at 88.6% of sites at the 3-year visit compared with 32.8% at implant insertion. Improvements were observed for all other outcomes, including bleeding on probing, esthetics, plaque, and OHIP.CONCLUSIONS: This restorative protocol was associated with high primary stability, patient satisfaction, stable bone levels, and an overall improvement of the soft tissue outcomes over a 3-year period.CLINICAL RELEVANCE: The presented treatment is a viable option for single-tooth restorations of maxillary anterior teeth and premolars with successful short- to mid-long-term clinical outcomes.
AB - OBJECTIVES: This multicenter prospective clinical trial investigated immediately provisionalized, anodized, conical connection, tapered implants with platform shifting in maxillary anterior and premolar sites.MATERIALS AND METHODS: Patients requiring single-tooth implant-supported restorations in maxillary anterior and premolar sites were enrolled. Implants were immediately provisionalized and evaluated at insertion, 6 months, and annually thereafter. Outcome measures were marginal bone level change (ΔMBL), cumulative survival rate (CSR), and success rate, soft-tissue parameters, and oral health impact profile (OHIP). ΔMBL and Pink Esthetic Score were analyzed using Wilcoxon signed-rank tests. CSR was calculated using life table analysis. Other soft-tissue parameters were analyzed using sign tests.RESULTS: Of 94 enrolled patients (99 implants), 84 (88 implants) attended the 3-year follow-up. After an initial bone loss between implant insertion and 6 months (- 0.92 ± 1.23 mm), bone levels stabilized from 6 months to 3 years (0.13 ± 0.94 mm) with no significant change. The 3-year CSR was 98.9%, and the cumulative success rate was 96.9%. Papilla index scores of 2 or 3 were observed at 88.6% of sites at the 3-year visit compared with 32.8% at implant insertion. Improvements were observed for all other outcomes, including bleeding on probing, esthetics, plaque, and OHIP.CONCLUSIONS: This restorative protocol was associated with high primary stability, patient satisfaction, stable bone levels, and an overall improvement of the soft tissue outcomes over a 3-year period.CLINICAL RELEVANCE: The presented treatment is a viable option for single-tooth restorations of maxillary anterior teeth and premolars with successful short- to mid-long-term clinical outcomes.
KW - Adolescent
KW - Adult
KW - Aged
KW - Bicuspid
KW - Dental Implants
KW - Esthetics, Dental
KW - Female
KW - Follow-Up Studies
KW - Humans
KW - Immediate Dental Implant Loading
KW - Male
KW - Maxilla
KW - Middle Aged
KW - Prospective Studies
KW - Treatment Outcome
KW - Young Adult
U2 - 10.1007/s00784-018-2614-8
DO - 10.1007/s00784-018-2614-8
M3 - SCORING: Journal article
C2 - 30225678
VL - 23
SP - 1877
EP - 1885
JO - CLIN ORAL INVEST
JF - CLIN ORAL INVEST
SN - 1432-6981
IS - 4
ER -
