Curado, Thalita Fernandes Fleury; Silva, Jésio Rodrigues; Nascimento, Lays Noleto; Leles, José Luiz Rodrigues; McKenna, Gerald; Schimmel, Martin; Leles, Cláudio Rodrigues (2023). Implant survival/success and peri-implant outcomes of titanium-zirconium mini implants for mandibular overdentures: Results from a 1-year randomized clinical trial. Clinical oral implants research, 34(8), pp. 769-782. Wiley 10.1111/clr.14102
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Clinical_Oral_Implants_Res_-_2023_-_Curado_-_Implant_survival_success_and_peri_implant_outcomes_of_titanium_zirconium_mini.pdf - Published Version Available under License Creative Commons: Attribution-Noncommercial (CC-BY-NC). Download (2MB) | Preview |
OBJECTIVE
To report the 1-year implant survival/success and peri-implant outcomes of mandibular overdentures retained by four titanium-zirconium mini implants (Straumann® Mini Implant System), and to assess how surgery and loading protocols influence these outcomes.
MATERIALS AND METHODS
A 2 × 2 factorial randomized clinical trial (RCT) tested the combined effects of two loading protocols (immediate or delayed) and two surgical approaches (flapless or flapped) on the success/survival of the mini implants, and peri-implant parameters (plaque, bleeding, sulcus depth, gingival position, and marginal bone loss). Outcomes were assessed up to 1-year after loading, and generalized estimating equations (GEEs) were used to analyze longitudinal and within-patient clustered data.
RESULTS
Two hundred and ninety-six implants were placed in 74 patients. The implant survival/success rates after 1 year were 100%, and no major biological complications were observed. After 1-year, descriptive data suggest no noticeable changes in plaque scores, whilst a reduction in bleeding scores at the 6-month and 1-year follow-ups compared to baseline. Good longitudinal stability was observed for the probing depth and gingival margin height measures. Overall mean marginal bone loss was 0.68 (±0.68) mm after 3 months and 0.89 (±0.75) mm after 1-year. The flapless protocol showed better results on soft tissue stability and health but a slightly higher risk for marginal bone loss.
CONCLUSION
The results of this RCT suggest that mandibular overdentures retained by this novel mini implant system represent a safe and predictable treatment option as confirmed by implant survival/success and peri-implant outcomes, even when flapless surgery and immediate loading protocols are adopted.
Item Type: |
Journal Article (Original Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > School of Dental Medicine > Department of Reconstructive Dentistry and Gerodontology |
UniBE Contributor: |
Schimmel, Martin |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
1600-0501 |
Publisher: |
Wiley |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
31 May 2023 15:46 |
Last Modified: |
09 Aug 2023 00:14 |
Publisher DOI: |
10.1111/clr.14102 |
PubMed ID: |
37254798 |
Uncontrolled Keywords: |
clinical assessment clinical research clinical trials dental implant diagnosis edentulous patient |
BORIS DOI: |
10.48350/183071 |
URI: |
https://boris.unibe.ch/id/eprint/183071 |
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