Early loading of titanium dental implants with an intra-operatively conditioned hydrophilic implant surface after 21 days of healing.

Hicklin, Stefan; Schneebeli, Esther; Chappuis, Vivianne; Janner, Simone; Buser, Daniel; Brägger, Urs (2016). Early loading of titanium dental implants with an intra-operatively conditioned hydrophilic implant surface after 21 days of healing. Clinical oral implants research, 27(7), pp. 875-883. Wiley-Blackwell 10.1111/clr.12706

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OBJECTIVES The aim of the present observational medical device performance study was to test whether implants with an intra-operatively conditioned hydrophilic surface can be safely reconstructed when applying an early loading protocol after 21 days in partially edentulous posterior mandibles. MATERIAL AND METHODS Partially edentulous patients with missing teeth in the posterior mandible were recruited. Immediately after implant placement, the implant position was indexed using a pickup impression technique. ISQ values were measured after 21 days of healing. When ISQ values were ≥70, the implants were directly restored with provisional reconstructions in occlusal contact allowing an early loading protocol. ISQ values were repeated again at 1, 3, and 6 months postloading. Clinical parameters (mPLI, mSBI, PPD, DIM, and CAL) were assessed. Standardized periapical radiographs were obtained after surgery, at implant loading and 3 and 6 months later. Changes over time were analyzed for statistical significance using the nonparametric method by Brunner & Langer (SAS Proc Mixed). RESULTS Fifteen partially edentulous patients with healed sites in the posterior mandible received 20 implants. All implants healed uneventfully. At 21 days, all implants achieved an ISQ value of ≥70 (mean of 3 measurements) and were reconstructed at this time point with provisionals. ISQ values showed a gradual increase from baseline to 3 and 6 months postloading. The assessment of clinical parameters revealed stable tissue integration. The evaluation of the radiographs showed that 3 and 6 months after loading the median mesial and distal marginal bone levels had stabilized at the border between the rough surface and the 1-mm machined implant collar. CONCLUSION Functional occlusal loading of implants with a hydrophilic, moderately rough endosseal surface 3 weeks after placement appears to be a safe and predictable treatment option in healed sites in the posterior mandible without need of bone augmentation procedures.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > School of Dental Medicine > Department of Periodontology
04 Faculty of Medicine > School of Dental Medicine > Department of Oral Surgery and Stomatology
04 Faculty of Medicine > School of Dental Medicine > Clinic of Reconstructive Dentistry and Gerodontology

UniBE Contributor:

Hicklin, Stefan; Chappuis, Vivianne; Janner, Simone; Buser, Daniel and Brägger, Urs

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0905-7161

Publisher:

Wiley-Blackwell

Language:

English

Submitter:

Eveline Carmen Schuler

Date Deposited:

12 Aug 2016 09:59

Last Modified:

30 Jul 2019 12:56

Publisher DOI:

10.1111/clr.12706

PubMed ID:

26694729

Uncontrolled Keywords:

dental implants, early loading, hydrophilic implant surface, late implant placement

BORIS DOI:

10.7892/boris.85836

URI:

https://boris.unibe.ch/id/eprint/85836

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