Tilted Implants for the Rehabilitation of Edentulous Jaws: A Systematic Review

Clinical Implant Dentistry and Related Research - Tập 14 Số 4 - Trang 612-621 - 2012
Massimo Del Fabbro1, Chiara Bellini2, Davide Romeo3, Luca Francetti4
1Researcher, Head of Section of Oral Physiology, Department of Health Technologies, Center of Research in Oral Implantology, University of Milano, Milan, Italy.
2IRCCS Istituto Ortopedico Galeazzi, Milan, Italy
3dental clinician, Department of Health Technologies, Center of Research in Oral Implantology, University of Milano, Milan, Italy, and IRCCS Istituto Ortopedico Galeazzi, Milan, Italy;
4professor, head of the Center of Research in Oral Implantology, Department of Health Technologies, Center of Research in Oral Implantology, University of Milano, Milan, Italy, and IRCCS Istituto Ortopedico Galeazzi, Milan, Italy

Tóm tắt

ABSTRACTPurpose: The aim of this review was to evaluate the survival rate of upright and tilted implants supporting fixed prosthetic reconstructions for the immediate rehabilitation of partially and fully edentulous jaws, after at least 1 year of function.Materials and Methods: An electronic search of databases plus a hand search on the most relevant journals up to December 2009 was performed. The articles were selected using specific inclusion criteria, independent of the study design.Results: The literature search yielded 347 articles. A first screening based on the title and abstract identified 25 eligible studies. After full‐text review of these studies, 10 articles were selected for analysis. Seven were prospective single‐cohort studies and three had a retrospective design. A total of 462 patients have been rehabilitated with 470 immediately loaded prostheses (257 in the maxilla, 213 in the mandible), supported by a total of 1,992 implants (1,026 upright and 966 tilted). Twenty‐five implants (1.25%) failed in 20 patients within the first year. All failures except one occurred in the maxilla. No significant difference in failure rate was found between tilted and upright implants, nor between maxillary and mandibular implants. No prosthesis failure was reported. Limited peri‐implant bone loss was reported with no difference between upright and tilted implants. Full patients' satisfaction for function, phonetics, and esthetics was reported in three studies, based on questionnaires.Conclusions: The use of tilted implants to support immediately loaded fixed prostheses for the rehabilitation of edentulous jaws can be considered a predictable technique, with an excellent prognosis in the short‐medium term. However, randomized long‐term trials are needed to determine the efficacy of this surgical approach.

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Tài liệu tham khảo

10.1016/0022-3913(89)90378-8

Block MS, 1992, Method for insuring parallelism of implants placed simultaneously with maxillary sinus bone graft, Clin Oral Implants Res, 3, 17

Krekmanov L, 2000, Tilting of posterior mandibular and maxillary implants for improved prosthesis support, Int J Oral Maxillofac Implants, 15, 405

Rangert B, 1989, Forces and moments on Brånemark implants, Int J Oral Maxillofac Implants, 8, 241

10.1016/j.prosdent.2004.10.001

10.1902/jop.1991.62.1.2

10.3109/02844317809012997

Brånemark PI, 1979, An experimental and clinical study of osseointegrated implants penetrating the nasal cavity and maxillary sinus, J Oral Rehabil, 43, 497

Tatum HJ, 1986, Maxillary and sinus implants reconstructions, Dent Clin North Am, 30, 207, 10.1016/S0011-8532(22)02107-3

10.1902/annals.2003.8.1.328

Del Fabbro M, 2004, Systematic review of survival rates for implants placed in grafted maxillary sinus, Int J Periodontics Restorative Dent, 24, 565

10.1111/j.1600-0722.2008.00571.x

10.1111/j.1600-051X.2008.01272.x

Das Neves FD, 2006, Short implants – an analysis of longitudinal studies, Int J Oral Maxillofac Implants, 21, 86

10.1111/j.1600-0501.2006.01349.x

10.1111/j.1708-8208.2001.tb00127.x

10.1016/S0022-3913(07)60006-7

Bellini CM, 2009, Comparison of tilted versus nontilted implant‐supported prosthetic designs for the restoration of the edentuous mandible: a biomechanical study, Int J Oral Maxillofac Implants, 24, 511

Bellini CM, 2009, A finite element analysis of tilted versus nontilted implant configurations in the edentulous maxilla, Int J Prosthodont, 22, 155

10.1902/jop.2005.76.8.1252

Del Fabbro M, 2006, Systematic review of survival rates for immediately loaded dental implants, Int J Periodontics Restorative Dent, 26, 249

10.1002/14651858.CD003878.pub4

10.1016/S0278-2391(99)90673-0

Krekmanov L, 2000, Placement of posterior mandibular and maxillary implants in patients with severe bone deficiency: a clinical report of procedure, Int J Oral Maxillofac Implants, 15, 722

Aparicio C, 2002, A retrospective clinical and radiographic evaluation of tilted implants used in the treatment of the severely resorbed edentulous maxilla, Appl Osseoint Res, 1, 17

10.1111/j.1708-8208.2002.tb00155.x

10.1111/j.1708-8208.2003.tb00010.x

10.1111/j.1600-0501.2007.01386.x

10.1016/S0022-3913(07)60012-2

10.1016/j.joms.2006.11.023

10.1016/j.joms.2007.06.687

10.1563/1548-1336(2008)34[47:AAMTTA]2.0.CO;2

10.1111/j.1532-849X.2007.00246.x

10.1111/j.1600-0501.2007.01472.x

Agliardi EL, 2009, Immediate rehabilitation of the edentulous maxilla: preliminary results of a single‐cohort prospective study, Int J Oral Maxillofac Implants, 24, 887

Pomares C, 2009, A retrospective clinical study of edentulous patients rehabilitated according to the “all on four” or the “all on six” immediate function concept, Eur J Oral Implantol, 2, 55

10.1111/j.1708-8208.2005.tb00069.x

10.1111/j.1708-8208.2005.tb00080.x

10.1111/j.1708-8208.2006.00024.x

Capelli M, 2007, Immediate rehabilitation of the completely edentulous jaw with fixed prostheses supported by either upright or tilted implants: a multicenter clinical study, Int J Oral Maxillofac Implants, 22, 639

10.1016/S0022-3913(07)60005-5

Agliardi EL, 2008, Immediate loading in the fully edentulous maxilla without bone grafting: the V‐II‐V technique, Minerva Stomatol, 57, 251

10.1111/j.1708-8208.2008.00090.x

10.1016/S0022-3913(08)60082-7

10.1111/j.1600-0501.2009.01852.x

10.1111/j.1708-8208.2009.00265.x

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Clinical Implant Dentistry and Related Research

Tập 14 Số 4

612-621

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