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Vervack V, Johansson C, Coster PD, Fokkinga W, Papia E, Vandeweghe S. The fracture strength and the failure mode of lithium disilicate or resin nano ceramics as a crown, overlay, or endocrown restoration on endodontically treated teeth. J ESTHET RESTOR DENT 2024; 36:796-803. [PMID: 38152852 DOI: 10.1111/jerd.13187] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2022] [Revised: 12/05/2023] [Accepted: 12/06/2023] [Indexed: 12/29/2023]
Abstract
INTRODUCTION Different materials and restorative concepts have been proposed over the years to restore endodontically treated teeth (ETT). Monolithic ceramic and composite restoration can be lute to the tooh, without the use of a post. However, little is known how the material stiffness and presence of a composite core will affect the survival and failure mode. The objective of this in-vitro study was to evaluate the fracture strength and failure mode of endodontically treated molars, restored with ceramic or hybrid composite monolithic restoration, in the presence of absence of a composite core. MATERIALS AND METHODS Sixty depulped molars were restored with a lithium-disilicate (e.max CAD) or hybrid composite (Cerasmart) restoration. Both materials were used in a monolithic approach, but with 3 different designs: (a) monolithic endocrown, (b) crown with a separate composite core, and (c) overlay without core buildup or pulpal extension. Ten sound teeth were used as control group. All groups were thermocycled (10,000 cycles), subsequently loaded in a chewing simulator (100,000 cycles) and finally loaded until fracture. RESULTS Peak fracture loads and failure modes were registered. No significant differences were seen between the groups in terms of fracture load. Failure modes were statistically significantly different among groups with significant correlation between restoration type and material. (p < 0.001 and p = 0.033, respectively). No group presented significantly higher fracture resistance. Although ceramic crowns and overlays presented the highest repairability, all restored ETT were within the range of the intact tooth' fracture strength. CONCLUSION No restoration presented significant different fracture loads. However, the type of restoration and material choice were correlated to the fracture mode.
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Affiliation(s)
- Valentin Vervack
- Department of Oral Health Sciences, Reconstructive Dentistry, Faculty of medicine and Health Sciences, Ghent University, Ghent, Belgium
| | - Camilla Johansson
- Faculty of Odontology, Material Science and Technology, Dental Technology, Malmö University, Malmö, Sweden
| | - Peter De Coster
- Department of Oral Health Sciences, Reconstructive Dentistry, Faculty of medicine and Health Sciences, Ghent University, Ghent, Belgium
| | - Wietske Fokkinga
- Department of Dentistry, Radboud Institute for Health Sciences, Radboud University Medical Centre, Nijmegen, The Netherlands
| | - Evaggelia Papia
- Faculty of Odontology, Material Science and Technology, Dental Technology, Malmö University, Malmö, Sweden
| | - Stefan Vandeweghe
- Department of Oral Health Sciences, Reconstructive Dentistry, Faculty of medicine and Health Sciences, Ghent University, Ghent, Belgium
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D'haese R, Vervack V, Tytgat M, Vandeweghe S. Fracture resistance of hybrid ceramic abutments with different restoration lengths: A pilot study. Clin Implant Dent Relat Res 2024. [PMID: 38472145 DOI: 10.1111/cid.13322] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2023] [Revised: 02/27/2024] [Accepted: 03/03/2024] [Indexed: 03/14/2024]
Abstract
AIM In this pilot study, the fracture resistance of hybrid abutments with different restoration lengths was investigated. MATERIALS AND METHODS Sixteen monolithic zirconia restorations of an upper right incisor were designed to fit a titanium base abutment. Eight central incisors had a crown length of 8 mm (T1) and the other half a length of 12 mm (T2). All crowns were cemented on the titanium base using a resin cement. After cementation, the samples were placed in a thermocycler for 5000 cycles. Fracture strength was measured using a universal test machine. Deformations and fractures of the samples were investigated. RESULTS The mean fracture resistance of T1 was 515 N (SD 96 N, 339-650) and 305 N (SD 57 N, 234-408) for T2 (p < 0.001). Both groups showed deformation of the titanium base, with no significant difference between both groups (p = 0.200). A difference in fracture type (p = 0.013) was observed, with significantly more screw fractures occurring in group T1 (p = 0.026). CONCLUSION Within the limitations of this study, hybrid restorations with standard titanium base abutments can withstand forces that have been associated with chewing, irrespective of the crown length. However, the shorter crowns demonstrated more fatal fractures.
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Affiliation(s)
- Rani D'haese
- Department of Reconstructive Dentistry, Dental School, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
| | - Valentin Vervack
- Department of Reconstructive Dentistry, Dental School, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
| | - Manon Tytgat
- Department of Periodontology, Dental School, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
| | - Stefan Vandeweghe
- Department of Reconstructive Dentistry, Dental School, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
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Tudts M, D'haese R, Hommez G, Christiaens V, Vandeweghe S. Proof of Concept of a New 3D-Guided System for a Single Implant Overdenture in the Mandible: An In Vitro Study. Int J Oral Maxillofac Implants 2024; 39:127-134. [PMID: 38416006 DOI: 10.11607/jomi.10301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/29/2024] Open
Abstract
PURPOSE To evaluate the precision and efficiency of a novel guide system for single implant placement in the mandibular symphyses and to evaluate whether the outcome is affected by the level of operator experience. MATERIALS AND METHODS A total of 90 implants were placed in three different mandibular cast types (Cawood and Howell class III, IV, and V). For each model, a complete denture was 3D printed. A polyether ether ketone rail with a guide sleeve was embedded in the middle of the denture. To determine the ideal implant position, the sleeve could be moved in a buccolingual direction. Adjustment of implant angulation was possible, and an angle correction of 0, 12, or 24 degrees was available. A total of 30 clinicians were divided into three groups: group 1 (experienced, n = 10), group 2 (beginner, n = 10), and group 3 (inexperienced, n = 10). Each clinician was asked to plan and perform a guided flapless implant placement in the mandibular symphysis. Two preoperative CBCT scans were taken; the first was to verify the planning, and the second was to adjust the planning if needed. Finally, a postoperative CBCT scan was taken to compare the planning to the final implant position. RESULTS Based on the first CBCT, the clinicians adjusted their planning by an average of 1.66 ± 1.65 mm coronally, 2.41 ± 2.44 mm apically, and by a mean angular correction of 6.08 ± 0.77 degrees. After implant placement, the mean deviation from the planned implant position was 0.87 ± 0.58 mm at the coronal aspect and 0.98 ± 0.64 mm at the apical aspect. The mean angular deviation was 6.05 ± 0.71 degrees. Overall, there were no significant differences in coronal and apical deviation (P > .05) based on the level of experience. In terms of angulation, a significant difference was found in both planning (P = .049) and placement (P = .038) between beginners and experienced clinicians. CONCLUSIONS Guided implant placement of a single implant in the mandibular symphysis using a removable denture with guide sleeve had an acceptable level of accuracy. Clinicians with limited experience spent more time on the procedure, resulting in less angular deviation during implant planning and placement compared to experienced clinicians.
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Nuytens P, Vandeweghe S, D'haese R. Accuracy of a chairside reverse scanbody workflow for a complete arch implant-supported prosthesis using four intraoral scanners versus a desktop scanner. J Dent 2023; 138:104717. [PMID: 37739058 DOI: 10.1016/j.jdent.2023.104717] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2023] [Revised: 09/09/2023] [Accepted: 09/19/2023] [Indexed: 09/24/2023] Open
Abstract
OBJECTIVES The aim of this study was to evaluate the accuracy of a chairside reverse scanbody workflow for a complete arch implant-supported prosthesis using four intraoral scanners (IOSs) and a desktop scanner. MATERIAL AND METHODS A complete arch implant-supported interim prosthesis was designed and milled in polymethylmethacrylate. Six reverse scanbodies (ScAnalog) were connected to the implant-prosthetic connections and twenty scans were made extraorally using four IOS devices (TRIOS 3, TRIOS 5, Primescan v.5.2, Medit i700W) and one desktop scanner (E4 RED). A coordinate machine (ATOS Q GOM) was used to assess the milling distortion. The scanbody positions were compared to the reference CAD design using metrology software. Linear and angular measurements per implant-prosthetic connection were considered for trueness and precision. Data were analyzed using one-way ANOVA and Bonferroni test. RESULTS Trueness values were 118.14 ± 25.49 µm for TRIOS 3, 84.62 µm ±19.10 for TRIOS 5, 106.39 ± 27.58 µm for Primescan v.5.2, 120.25 ± 27.44 µm for Medit i700W and 65.36 ± 4.66 µm for E4 RED. Significant differences in mean trueness values were found among IOS and E4 RED. Precision values were 108 ± 55 µm for TRIOS 3, 86 ± 55 µm for TRIOS 5, 104 ± 55 µm for Primescan v.5.2, 90 ± 54 µm for Medit i700W and 18 ± 11 µm for E4 RED. Significant differences in precision were found between IOS and E4 RED. CONCLUSIONS A chairside reverse scanbody workflow with IOS remains less accurate compared to similar workflow with a desktop scanner. CLINICAL SIGNIFICANCE A chairside reverse scanbody workflow is a valuable alternative but the IOS device should be selected with caution because in the present study, only TRIOS5 was capable to achieve an accuracy below the clinical acceptable thresholds. The use of a desktop scanner remains the best choice for this clinical workflow. Additionally, the milling distortion of the interim prosthesis plays a major role in this reverse scanbody workflow and should be kept as low as possible.
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Affiliation(s)
- Philippe Nuytens
- Department of Reconstructive Dentistry, Faculty of Medicine and Health Sciences, Ghent University, C. Heymanslaan 10, Ghent 9000, Belgium.
| | - Stefan Vandeweghe
- Department of Reconstructive Dentistry, Faculty of Medicine and Health Sciences, Ghent University, C. Heymanslaan 10, Ghent 9000, Belgium
| | - Rani D'haese
- Department of Reconstructive Dentistry, Faculty of Medicine and Health Sciences, Ghent University, C. Heymanslaan 10, Ghent 9000, Belgium
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Van Doorne L, Vandeweghe S, Matthys C, Vermeersch H, Bronkhorst E, Meijer G, De Bruyn H. Five years clinical outcome of maxillary mini dental implant overdenture treatment: A prospective multicenter clinical cohort study. Clin Implant Dent Relat Res 2023; 25:829-839. [PMID: 37309711 DOI: 10.1111/cid.13233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2022] [Revised: 04/27/2023] [Accepted: 05/22/2023] [Indexed: 06/14/2023]
Abstract
BACKGROUND The long-term clinical outcome of mini dental implants (MDIs) to support an overdenture is underreported especially in severely atrophic maxillae and when installed flaplessly. PURPOSE The current report is a 5-years follow-up of the previously published 2- and 3-years clinical outcome of MDIs supporting a maxillary overdenture in narrow alveolar ridges. MDI survival, marginal bone level, peri-implant health, technical complications, and oral health related quality of life (OHIP) and respective changes over time are reported. MATERIALS AND METHODS Subjects aged 50 years or older, in need of improvement of maxillary denture retention, were included. The MDIs were 2.4 mm diameter one-piece tapered implants, Class 4 pure Titanium, and lengths 10 or 11.5 mm. Under local anesthesia, 5-6 MDIs were placed in atrophic maxillae with a free-handed flapless approach. One week postoperative the denture was adapted with a retentive soft reliner. The final prosthetic connection was established after 6 months with a metal-reinforced horse-shoe denture. Clinical outcome after 5 years was assessed with probing pocket depts (PPD), bleeding on probing (BoP), and additional cone beam computed tomography (CBCT) MDI bone level measurements were performed. Oral Health-Related Quality of Life (OHRQoL) investigated with OHIP-14 was assessed preoperative, during provisional loading, and after final prosthetic connection up to 5 years. RESULTS Initially, 31 patients (14 females and 17 males) with mean age 62.30 underwent treatment. In the provisional loading interval, 16 patients encountered 32/185 MDIs failures, resulting in a failure of 17.3%; 170 MDIs were functionally loaded in 29 patients. Additionally, 14 implants were lost in three patients, all of whom had had already previous failures. Reimplantation of 17 MDIs were performed during the provisional loading and 2 MDI after functional loading. After 5 years, the absolute implant failure rate was 46/204 (22.5%), corresponding to a cumulative failure rate of 23.2%. Prosthetic failure was observed in four patients due to implant loss and in two patients related to excessive one-piece implant ball attachment wear, making the 5-years prosthetic success 80.0%. The mean PPD and absence/presence of BoP for 149 implants at 5 years was 4.3 and 0.2 mm, respectively. Average mesial-distal-vestibular-palatal bone loss in the interval 2-5 years was 0.08 mm. No statistically significant difference in marginal MDI bone loss between male or female (p = 0.835), smoking and nonsmoking (p = 0.666) was observed. The five-years total measured CBCT interdental bone level (mesial and distal) correlates with the 5-years PPD (Pearson 0.434; p = 0.01). After 5 years, OHRQoL with the treatment procedure was assessed in 27/31 participants. Decreasing mean total OHIP-14 scores with improved OHRQoL, was observed in 27/31 participants, with values of 21.3 at baseline to 15.6 at the time of provisional loading which significantly (p = 0.006) decrease to 7.3 at the final prosthetic connection. The next 3-5 years further decrease was observed with 6.5 and 4.96, respectively. CONCLUSIONS Maxillary MDIs for overdentures are an accessible and acceptable treatment option. Although after 5 years between one fifth and one fourth of the MDIs were lost, prosthetic success remains 80.0% and high OHRQoL could be achieved.
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Affiliation(s)
- Luc Van Doorne
- Department Oral Health Sciences, Faculty of Medicine and Health Sciences, Ghent University Hospital, Ghent, Belgium
- Department of Plastic, Oral and Maxillo-Facial Surgery, Ghent University Hospital, Ghent, Belgium
| | - Stefan Vandeweghe
- Department Oral Health Sciences, Faculty of Medicine and Health Sciences, Ghent University Hospital, Ghent, Belgium
- Department of Reconstructive Dentistry, Ghent University Hospital, Ghent, Belgium
| | - Carine Matthys
- Department Oral Health Sciences, Faculty of Medicine and Health Sciences, Ghent University Hospital, Ghent, Belgium
- Department of Reconstructive and Prosthetic Dentistry, Ghent University Hospital, Ghent, Belgium
| | - Hubert Vermeersch
- Department Oral Health Sciences, Faculty of Medicine and Health Sciences, Ghent University Hospital, Ghent, Belgium
- Department of Plastic, Oral and Maxillo-Facial Surgery, Ghent University Hospital, Ghent, Belgium
| | - Ewald Bronkhorst
- Department of Dentistry, Research Institute Health Sciences, Radboud UMC, Nijmegen, Netherlands
| | - Gert Meijer
- Department of Dentistry, Research Institute Health Sciences, Radboud UMC, Nijmegen, Netherlands
| | - Hugo De Bruyn
- Department Oral Health Sciences, Faculty of Medicine and Health Sciences, Ghent University Hospital, Ghent, Belgium
- Department of Dentistry, Research Institute Health Sciences, Radboud UMC, Nijmegen, Netherlands
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D'haese R, Vrombaut T, Hommez G, De Bruyn H, Vandeweghe S. Accuracy of Guided Implant Surgery Using an Intraoral Scanner and Desktop 3D-Printed Tooth-Supported Guides. Int J Oral Maxillofac Implants 2022; 37:479-484. [PMID: 35727238 DOI: 10.11607/jomi.9432] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
PURPOSE The increasing popularity of desktop 3D printers makes guided surgery more accessible. The aim of this in vitro study was to evaluate the accuracy of single-tooth guided implant surgery by means of a 3D-printed tooth-supported guide. MATERIALS AND METHODS Fifteen implants were virtually planned to replace a missing first mandibular molar, using planning software for guided implant surgery (Exoplan, Exocad). A tooth-supported guide was designed and manufactured using a desktop 3D printer (Asiga MAX UV). The implants were placed fully guided in resin casts, and a digital impression was taken to register their position. This scan was compared with the virtual implant position in the planning software, and the internal fit of the guides was evaluated using metrology software. One planning was executed six times for measuring precision. RESULTS For trueness, the mean angular deviation was 2.63 degrees (SD: 1.69 degrees; range: 0.38 to 5.99 degrees), the mean coronal deviation was 0.52 mm (SD: 0.25; range: 0.09 mm to 1.07 mm), and the mean apical deviation was 0.90 mm (SD: 0.47; range: 0.14 to 1.74 mm). The absolute apical mean deviation in the buccolingual direction (x-axis) was 0.70 mm (SD: 0.42, 0.12 to 1.65 mm; P < .001); in the mesiodistal direction (y-axis), it was 0.34 mm (SD: 0.26; range: 0.01 to 0.80 mm; P = .650); and in the vertical direction (z-axis), it was 0.32 mm (SD: 0.27; range: 0.02 to 1.00 mm; P = .010). The mean internal fit of the guides was 79.5 μm (SD: 19.6 μm; range: 51 to 118 μm). CONCLUSION Desktop 3D-printed tooth-supported guides demonstrate an acceptable fit and acceptable level of accuracy for single implant placement.
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Vervack V, Keulemans F, Hommez G, De Bruyn H, Vandeweghe S. A Completely Digital Workflow for Nanoceramic Endocrowns: A 5-Year Prospective Study. INT J PROSTHODONT 2022; 35:259-268. [PMID: 35727259 DOI: 10.11607/ijp.7545] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
PURPOSE To evaluate the success of monolithic endocrowns fabricated using a digital workflow. MATERIALS AND METHODS Twenty-three patients requiring restoration of devitalized molars or premolars were included in the study. The preparation was scanned using an intraoral scanner (Cerec Bluecam, Dentsply Sirona), and a monolithic restoration was made from a nanoparticle resin-based hybrid composite (#10 Cerasmart [CS]; #10 Lava Ultimate [LU], 3M Espe) or a polymer-infiltrated ceramic (#10 Vita Enamic [VE]). At the time of placement and after 6 months, 1 year, and 5 years of function, radiographs were taken to evaluate the marginal integrity of the restorations, and clinical pictures were taken to assess the quality of the restoration using the USPHS criteria. RESULTS After 5 years, the restorative success rate was 70.8%, the restorative survival rate was 87.5%, and the tooth survival was 91.6%. Four chippings (two LU, two CS), three fractures (three LU), and two debonding of the restorations (two CS) occurred. Also, two teeth were extracted after 5 years of follow-up (two VE) because of secondary caries and a root fracture. The USPHS ratings were high, except for color match, which was rated the lowest at all time intervals. CONCLUSION Nanoceramic endocrowns made using a completely digital workflow have an acceptable survival rate after 5 years. However, the complication rate was high.
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D’haese R, Vrombaut T, Roeykens H, Vandeweghe S. In Vitro Accuracy of Digital and Conventional Impressions for Full-Arch Implant-Supported Prostheses. J Clin Med 2022; 11:jcm11030594. [PMID: 35160045 PMCID: PMC8836695 DOI: 10.3390/jcm11030594] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2021] [Revised: 01/17/2022] [Accepted: 01/21/2022] [Indexed: 02/06/2023] Open
Abstract
The aim of this study was to evaluate the accuracy of full-arch digital impressions when compared to conventional impressions, when performed on the abutment or implant level. Methods: One resin cast with six implants and another cast with six abutments were scanned with Primescan v5.1 (PS51), Primescan v5.2 (PS52), Trios 3 (T3), and Trios 4 (T4). Additionally, conventional impressions (A) were made, poured in gypsum, and digitized using a lab scanner (IScan D104i). A coordinate machine (Atos, GOM, Braunschweig, Germany) was used to generate the reference scan of both casts. For all scans, the position of the implants was calculated and matched with the reference scan. Angular and coronal measurements per implant were considered for trueness and precision. Results: For the implant-level model, PS52 performed significantly better in terms of trueness and precision compared to all other impressions, except for the angular trueness of A (p = 0.072) and the coronal trueness of PS51 (p = 1.000). For the abutment-level model, PS52 also performed significantly better than all other impressions, except for the coronal trueness and precision of A (p = 1.000). Conclusions: Digital impressions for full-arch implant supported prostheses can be as accurate as conventional impressions, depending on the intra-oral scanner and software. Overall, abutment level impressions were more accurate compared to implant level impressions.
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Doornewaard R, Sakani S, Matthys C, Glibert M, Bronkhorst E, Vandeweghe S, Vervaeke S, De Bruyn H. Four-implant-supported overdenture treatment in the maxilla. Part I: A randomized controlled split mouth trial assessing the effect of microthreads and abutment connection type on 4 years peri-implant health. Clin Implant Dent Relat Res 2021; 23:671-679. [PMID: 34378860 DOI: 10.1111/cid.13037] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2021] [Revised: 06/18/2021] [Accepted: 07/19/2021] [Indexed: 11/28/2022]
Abstract
BACKGROUND According to literature, peri-implant bone loss is minimized on implants with microthreaded neck design and internal type of abutment connection. However, most clinical studies may be biased due to confounding factors. PURPOSE This nonblinded RCT assessed the effect of implant neck (microthreaded vs non-microthreaded) as well as the type of abutment connection (internal conical vs external flat-to-flat) on peri-implant bone stability and peri-implant health after at least 36 months. MATERIALS AND METHODS Twenty-five patients were treated with a maxillary implant-supported bar-retained overdenture on four different implant types: internal connection with microthreads (I-MT), internal connection without microthreads (I-NMT), external connection with microthreads (E-MT), and external connection without microthreads (E-NMT). To control confounding factors, all other design features were similar. A linear mixed-model analysis or mixed-model logistic regression analysis was used to determine the effect of implant type on bone level, probing pocket depth, bleeding on probing, and plaque. RESULTS Four out of 98 implants (4.1%) placed in 25 patients failed during provisionalization and were replaced. Mean overall bone loss after 6 months was 0.39 mm (SD 0.62, range 0.00-3.48) with limited additional bone loss of 0.04 mm (SD 0.54, range -1.80-1.63) after at least 3 years. Microthreads or connection type had no effect on the bone level, probing pocket depth, bleeding on probing, nor plaque. CONCLUSIONS With 96% of implant survival, the maxillary overdenture supported with a bar on four implants yield a predictable outcome and the implant-abutment connection type (internal vs external) and implant neck design (microthreaded vs non-microthreaded) have no influence on peri-implant bone remodeling after initial bone remodeling nor up to 4 years of function. Peri-implant bone levels are within international success standards and peri-implant health is indicative of absence of peri-implantitis.
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Affiliation(s)
- Ron Doornewaard
- Department of Periodontology & Oral Implantology, Faculty of Medicine and Health Sciences, Dental School, Ghent University, Ghent, Belgium.,Department of Dentistry, Radboud University Medical Center, Radboud Institute for Health Sciences, Nijmegen, The Netherlands
| | - Samir Sakani
- Faculty of Medicine and Health Sciences, Dental School, Ghent University, Ghent, Belgium
| | - Carine Matthys
- Department of Periodontology & Oral Implantology, Faculty of Medicine and Health Sciences, Dental School, Ghent University, Ghent, Belgium
| | - Maarten Glibert
- Department of Periodontology & Oral Implantology, Faculty of Medicine and Health Sciences, Dental School, Ghent University, Ghent, Belgium
| | - Ewald Bronkhorst
- Department of Dentistry, Radboud University Medical Center, Radboud Institute for Health Sciences, Nijmegen, The Netherlands
| | - Stefan Vandeweghe
- Department of Reconstructive Dentistry, Faculty of Medicine and Health Sciences, Dental School, Ghent University, Ghent, Belgium
| | - Stijn Vervaeke
- Department of Periodontology & Oral Implantology, Faculty of Medicine and Health Sciences, Dental School, Ghent University, Ghent, Belgium
| | - Hugo De Bruyn
- Department of Periodontology & Oral Implantology, Faculty of Medicine and Health Sciences, Dental School, Ghent University, Ghent, Belgium.,Department of Dentistry, Radboud University Medical Center, Radboud Institute for Health Sciences, Nijmegen, The Netherlands
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Jokstad A, Pjetursson BE, Mühlemann S, Wismeijer D, Wolfart S, Fehmer V, Frederik Güth J, Paterno Holtzman L, Hämmerle CHF, Makarov N, Meijer HJA, Milinkovic I, Sailer I, Spitznagel FA, Vandeweghe S, Van de Velde T, Zwahlen M, Giertmuehlen PC. Fabrication, workflow and delivery of reconstruction: Summary and consensus statements of group 4. The 6th EAO Consensus Conference 2021. Clin Oral Implants Res 2021; 32 Suppl 21:336-341. [PMID: 34145922 DOI: 10.1111/clr.13797] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2021] [Accepted: 06/07/2021] [Indexed: 11/29/2022]
Abstract
OBJECTIVES To report assessments of four systematic reviews (SRs) on (i) clinical outcomes of all-ceramic implant-supported crowns (iSCs), (ii) production time, effectiveness, and costs of computer-assisted manufacturing (CAM), (iii) computer-assisted implant planning and surgery (CAIPS) time and costs, and (iv) patient-reported outcome measures (PROMS). MATERIAL AND METHODS An author group consisting of experienced clinicians and content experts discussed and evaluated the SRs and formulated consensus on the main findings, statements, clinical recommendations, and need for future research. RESULTS All four SRs were conducted and reported according to PRISMA and detailed comprehensive search strategies in at least three bibliometric databases and hand searching. The search strategies were deemed reproducible. Variation was noted regarding language restrictions and inclusion of grey literature, but the search comprehensiveness appeared persuasive. The SRs included bias risk assessments of the primary studies, and their study methodology impacted the interpretations of the extracted data. CONCLUSIONS (i) There is limited evidence (49 NRCT) showing that veneered and monolithic all-ceramic iSCs have excellent outcomes observed up to 3 years. (ii) There is no evidence evaluating production time and effectiveness comparing subtractive and additive CAM of implant models, abutments and crowns. (iii) There is limited evidence (4 RCT) that CAIPS involves more time and costs when considering the entire workflow and for diagnostics, manufacturing, and insertion of the restoration. Time seems to be the decisive factor for higher costs. (iv) Patients´ comfort increase when optical compared to conventional impressions is used for fabricating iSCs and short-span FPDs (2 RCT, 5 NRCT).
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Affiliation(s)
- Asbjorn Jokstad
- Department of Clinical Dentistry, UiT, The Arctic University of Norway, Tromsø, Norway
| | - Bjarni E Pjetursson
- Division of Fixed Prosthodontics and Biomaterials, University Clinics for Dental Medicine, University of Geneva, Geneva, Switzerland.,Department of Reconstructive Dentistry, Faculty of Odontology, University of Iceland, Reykjavik, Iceland
| | - Sven Mühlemann
- Clinic of Reconstructive Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland
| | - Daniel Wismeijer
- Academic Center for Dentistry Amsterdam (ACTA), Amsterdam, the Netherlands
| | - Stefan Wolfart
- Department of Prosthodontics and Biomaterials, University Hospital RWTH Aachen, Aachen, Germany
| | - Vincent Fehmer
- Division of Fixed Prosthodontics and Biomaterials, University Clinics for Dental Medicine, University of Geneva, Geneva, Switzerland
| | - Jan Frederik Güth
- Department of Prosthodontics, Center for Dentistry and Oral Medicine, Goethe-University Frankfurt am Main, Frankfurt, Germany
| | | | - Christoph H F Hämmerle
- Clinic of Reconstructive Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland
| | - Nikolay Makarov
- Oral Surgery and Implant Prosthetic Unit, "Sapienza" University of Rome, Rome, Italy
| | - Henny J A Meijer
- Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, Groningen, the Netherlands
| | - Iva Milinkovic
- Department of Periodontology and Oral Medicine, University of Belgrade, Belgrade, Serbia
| | - Irena Sailer
- Division of Fixed Prosthodontics and Biomaterials, University Clinics for Dental Medicine, University of Geneva, Geneva, Switzerland
| | - Frank A Spitznagel
- Department of Prosthodontics, Medical Faculty, University Hospital Düsseldorf, Düsseldorf, Germany
| | | | | | - Marcel Zwahlen
- Institute of Social and Preventive Medicine (ISPM), University of Bern, Bern, Switzerland
| | - Petra C Giertmuehlen
- Department of Prosthodontics, Medical Faculty, University Hospital Düsseldorf, Düsseldorf, Germany
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D’haese R, Vrombaut T, Hommez G, De Bruyn H, Vandeweghe S. Accuracy of Guided Implant Surgery in the Edentulous Jaw Using Desktop 3D-Printed Mucosal Supported Guides. J Clin Med 2021; 10:jcm10030391. [PMID: 33498516 PMCID: PMC7864156 DOI: 10.3390/jcm10030391] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2020] [Revised: 12/27/2020] [Accepted: 01/15/2021] [Indexed: 01/23/2023] Open
Abstract
Purpose: The aim of this in vitro study is to evaluate the accuracy of implant position using mucosal supported surgical guides, produced by a desktop 3D printer. Methods: Ninety implants (Bone Level Roxolid, 4.1 mm × 10 mm, Straumann, Villerat, Switzerland) were placed in fifteen mandibular casts (Bonemodels, Castellón de la Plana, Spain). A mucosa-supported guide was designed and printed for each of the fifteen casts. After placement of the implants, the location was assessed by scanning the cast and scan bodies with an intra-oral scanner (Primescan®, Dentsply Sirona, York, PA, USA). Two comparisons were performed: one with the mucosa as a reference, and one where only the implants were aligned. Angular, coronal and apical deviations were measured. Results: The mean implant angular deviation for tissue and implant alignment were 3.25° (SD 1.69°) and 2.39° (SD 1.42°) respectively, the coronal deviation 0.82 mm (SD 0.43 mm) and 0.45 mm (SD 0.31 mm) and the apical deviation 0.99 mm (SD 0.45 mm) and 0.71 mm (SD 0.43 mm). All three variables were significantly different between the tissue and implant alignment (p < 0.001). Conclusion: Based on the results of this study, we conclude that guided implant surgery using desktop 3D printed mucosa-supported guides has a clinically acceptable level of accuracy. The resilience of the mucosa has a negative effect on the guide stability and increases the deviation in implant position.
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Affiliation(s)
- Rani D’haese
- Oral Health Sciences, Faculty of Medicine and Health Sciences, Ghent University, 9000 Ghent, Belgium; (R.D.); (T.V.); (G.H.); (H.D.B.)
| | - Tom Vrombaut
- Oral Health Sciences, Faculty of Medicine and Health Sciences, Ghent University, 9000 Ghent, Belgium; (R.D.); (T.V.); (G.H.); (H.D.B.)
| | - Geert Hommez
- Oral Health Sciences, Faculty of Medicine and Health Sciences, Ghent University, 9000 Ghent, Belgium; (R.D.); (T.V.); (G.H.); (H.D.B.)
| | - Hugo De Bruyn
- Oral Health Sciences, Faculty of Medicine and Health Sciences, Ghent University, 9000 Ghent, Belgium; (R.D.); (T.V.); (G.H.); (H.D.B.)
- Dental Faculty, Radboud University Medical Hospital, 6525 GA Nijmegen, The Netherlands
| | - Stefan Vandeweghe
- Oral Health Sciences, Faculty of Medicine and Health Sciences, Ghent University, 9000 Ghent, Belgium; (R.D.); (T.V.); (G.H.); (H.D.B.)
- Correspondence: ; Tel.: +32-9332-5922
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Hattingh A, De Bruyn H, Van Weehaeghe M, Hommez G, Vandeweghe S. Contour Changes Following Immediate Placement of Ultra-Wide Implants in Molar Extraction Sockets without Bone Grafting. J Clin Med 2020; 9:jcm9082504. [PMID: 32759638 PMCID: PMC7464762 DOI: 10.3390/jcm9082504] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2020] [Revised: 07/24/2020] [Accepted: 07/31/2020] [Indexed: 01/18/2023] Open
Abstract
The aim was to evaluate ridge reduction and mucosal recession following immediate placement of ultra-wide implants in molar sockets, without bone grafting. Impressions were taken prior to tooth extraction, 4 months and 1 year after implant placement. The casts were digitized and compared. Mucosal recessions and horizontal ridge reduction were measured. A total of 16 implants were in the maxilla and 11 in the mandible. At the buccal aspect, there was a mean reduction of 0.94 mm after 4 months and 0.89 mm after one year (p = 0.933). At the palatal/lingual aspect, this was 1.09 mm after 4 months and 0.69 mm after 1 year (p = 0.001). After 1 year, a recession of 0.59 mm was measured at the zenith, 1.04 mm at the mesial and 0.98 mm at the distal papilla. The mean midfacial horizontal ridge reduction was 1.23 mm after 4 months and 1.45 mm after 1 year. At the midpalatal/midlingual aspect, the mean horizontal reduction was 1.43 mm after 4 months and 1.16 mm after 1 year. Immediate implant placement without bone grafting in the posterior jaw yields a significant horizontal ridge reduction and minor mucosal recession. Clinicians should anticipate the amount of ridge reduction and consider augmentation at the time of implant placement.
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Affiliation(s)
- André Hattingh
- Private Practice for Periodontology and Oral Implantology, Sevenoaks, Kent TN15 8BQ, UK;
- Oral Health Sciences, Faculty of Medicine and Health Sciences, Ghent University, 9000 Ghent, Belgium; (H.D.B.); (M.V.W.); (G.H.)
| | - Hugo De Bruyn
- Oral Health Sciences, Faculty of Medicine and Health Sciences, Ghent University, 9000 Ghent, Belgium; (H.D.B.); (M.V.W.); (G.H.)
- Dental Faculty, Radboud University Medical Hospital, 6525EX Nijmegen, The Netherlands
| | - Manù Van Weehaeghe
- Oral Health Sciences, Faculty of Medicine and Health Sciences, Ghent University, 9000 Ghent, Belgium; (H.D.B.); (M.V.W.); (G.H.)
| | - Geert Hommez
- Oral Health Sciences, Faculty of Medicine and Health Sciences, Ghent University, 9000 Ghent, Belgium; (H.D.B.); (M.V.W.); (G.H.)
| | - Stefan Vandeweghe
- Oral Health Sciences, Faculty of Medicine and Health Sciences, Ghent University, 9000 Ghent, Belgium; (H.D.B.); (M.V.W.); (G.H.)
- Correspondence: ; Tel.: +32-9-332-59-22
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13
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Hattingh A, De Bruyn H, Vandeweghe S. A retrospective study on ultra‐wide diameter dental implants for immediate molar replacement. Clin Implant Dent Relat Res 2019; 21:879-887. [DOI: 10.1111/cid.12759] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2019] [Revised: 03/06/2019] [Accepted: 03/07/2019] [Indexed: 12/26/2022]
Affiliation(s)
- André Hattingh
- Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health SciencesGhent University Gent Belgium
- Private Practice for Periodontology and Oral Implantology Sevenoaks United Kingdom
| | - Hugo De Bruyn
- Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health SciencesGhent University Gent Belgium
- Section Implantology and Periodontology, Department of DentistryRadboud University Medical Centre Nijmegen The Netherlands
| | - Stefan Vandeweghe
- Reconstructive DentistryDental School, Faculty of Medicine and Health Sciences, Ghent University Gent Belgium
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Hattingh AC, De Bruyn H, Ackermann A, Vandeweghe S. Immediate Placement of Ultrawide-Diameter Implants in Molar Sockets: Description of a Recommended Technique. INT J PERIODONT REST 2018; 38:17-23. [PMID: 29240200 DOI: 10.11607/prd.3433] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Immediate implant placement is performed less frequently in molar extraction sockets than in single root sockets. This is mainly due to the tripodal anatomical configuration of molar roots, which is perceived as complex and therefore unsuitable. The mechanical burden of molar sites, combined with much larger socket dimensions, make it amenable to the use of ultrawide-diameter dental implants. This article describes a practical, sequenced technique that can be used predictably for immediate implant placement in maxillary and mandibular first molar sockets, using a dry skull model for clarification. This detailed description is based on the experience of more than 580 clinical cases over a 10-year period.
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Hattingh A, Hommez G, De Bruyn H, Huyghe M, Vandeweghe S. A prospective study on ultra-wide diameter dental implants for immediate molar replacement. Clin Implant Dent Relat Res 2018; 20:1009-1015. [PMID: 30255544 DOI: 10.1111/cid.12666] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2018] [Revised: 04/13/2018] [Accepted: 06/09/2018] [Indexed: 11/30/2022]
Abstract
BACKGROUND Although wide diameter implants are well documented, little is known about ultra-wide diameter implants (>6 mm). This study evaluates the clinical outcome of ultra-wide diameter implants, placed in molar extraction sockets. MATERIALS AND METHODS Ultra-wide diameter implants (7-9 mm) were placed immediately after molar extraction in a 1-stage protocol, without raising a flap or using any bone grafts. After 4 months, the implant was loaded with a single screw-retained crown. Bone loss was evaluated using peri-apical radiographs. Plaque and bleeding were recorded. Crown and papilla dimensions were measured and compared with the contra-lateral tooth. RESULTS Fifty-one patients (36 male and 15 female), mean ages 61 years old, were treated with 26 implants in the maxilla and 25 implants in the mandible. The majority had a thick (#19) or medium (#31) biotype. After a mean-follow-up period of 23 months, the mean bone level was located 1.16 mm apical of the implant-abutment junction (SD 0.42, range 0.00-2.45) while the actual bone remodeling associated with socket healing resulted in a mean coronal movement of the bone level of 0.15 mm. The mean insertion torque was 116 Ncm (SD 53, range 10-250). There were no differences in papilla height (P = .55), crown length (P = .32), zenith (P = .84), and bucco-palatal dimensions (P = .38). There was a significant difference in the mesio-distal dimension (P = .01). Mean probing depth was 2.59 mm at the implant and 2.23 mm at the contra-lateral tooth (P = .001). There was significantly more plaque at the tooth compared to the implant (P = .01), but there was no significant difference in terms of bleeding on probing (P = .08). Patient satisfaction was high with 72.5% of the patients experiencing no problems at all. CONCLUSIONS Ultra-wide diameter implants have a predictable outcome, demonstrating very little bone loss. Papilla and crown dimensions were comparable to the contra-lateral natural tooth.
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Affiliation(s)
- André Hattingh
- Research Cluster Periodontology, Oral Implantology, Removable and Implant Prosthodontics, Dental School, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.,Private Practice for Periodontology and Oral Implantology, United Kingdom
| | - Geert Hommez
- Research Cluster Periodontology, Oral Implantology, Removable and Implant Prosthodontics, Dental School, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
| | - Hugo De Bruyn
- Research Cluster Periodontology, Oral Implantology, Removable and Implant Prosthodontics, Dental School, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
| | - Marie Huyghe
- Dental School, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
| | - Stefan Vandeweghe
- Research Cluster Periodontology, Oral Implantology, Removable and Implant Prosthodontics, Dental School, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
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16
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Vandeweghe S, De Bruyn H. Oral Implantology: Myths Exposed in Recent Research. Compend Contin Educ Dent 2018; 39:6-11. [PMID: 30188143] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Today, a variety of surgical and prosthetic protocols, implant designs, and prosthetic devices are used for implant dentistry, employing many different dental technologies. With a plethora of options available, choosing an implant system has become highly challenging for practitioners. Having an understanding of the role of different implant design properties may help clinicians make informed decisions. This article provides an overview of factors affecting osseointegration and preservation of bone and discusses the importance of surgical and prosthetic treatments that respect the biologic width and avoid interventions, such as cementation, that may disturb the surrounding soft and hard tissues.
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Affiliation(s)
- Stefan Vandeweghe
- Faculty of Medicine and Health Sciences, Dental School, Ghent University, Gent, Belgium
| | - Hugo De Bruyn
- Faculty of Medicine and Health Sciences, Dental School, Ghent University, Gent, Belgium; Department of Dentistry, Radboud University Medical Center, Nijmegen, The Netherlands
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17
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Theye CEG, Hattingh A, Cracknell TJ, Oettlé AC, Steyn M, Vandeweghe S. Dento-alveolar measurements and histomorphometric parameters of maxillary and mandibular first molars, using micro-CT. Clin Implant Dent Relat Res 2018; 20:550-561. [PMID: 29732712 DOI: 10.1111/cid.12616] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2017] [Revised: 02/21/2018] [Accepted: 03/19/2018] [Indexed: 11/30/2022]
Abstract
BACKGROUND Micro-CT is a high-resolution, non-invasive, and non-destructive imaging technique, currently acknowledged as a gold standard modality for assessing quantitatively and objectively dental morphology and bone microarchitecture parameters. PURPOSE The aim of this study was to analyze critical dental and periodontal measurements characterizing the mandibular (MandFM) and maxillary (MaxFM) first molar architecture, as well as the corresponding bony socket, using micro-CT. MATERIALS AND METHODS Thirty-eight human dried skulls (22-76 years) were scanned to enable the virtual analysis of 61 first molars. Depending on the type of measurement, the parameters were recorded on two-dimensional sections or directly on three-dimensional models. Tooth morphology was described by four aspects (e.g., tooth width, trunk length, root length, and root span), while the socket architecture was assessed by buccal plate thicknesses and bone density measurements. RESULTS Minimum, maximum, and mean distances as well as cortical and trabecular bone densities were recorded in MandFM and MaxFM. It is noteworthy that the buccal plate thickness was found to be less than 1 mm in more than 55% of cases in MaxFM, whereas only in 20.8% of cases in MandFM (and even 0% at two sites). A wide range of bone densities was observed and the comparison between MandFM and MaxFM did not show a significant difference. Furthermore, cortical densities were negatively correlated with aging, while trabecular densities were not influenced. CONCLUSIONS Using micro-CT, three-dimensional aspects of the human first molar morphology and microstructural parameters of the surrounding bone were evaluated in the mandible and in the maxilla. These comprehensive measurements and their correlation with aging may be of great importance for the use of immediate implant placement in molar extraction sockets and thus the potential long-term success of this treatment modality.
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Affiliation(s)
- Charlotte E G Theye
- Department of Anatomy, Faculty of Health Sciences, University of Pretoria, Pretoria, Gauteng, South Africa
| | - André Hattingh
- Department of Periodontology, Oral Implantology, Removable and Implant Prosthetics, Dental School, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
| | | | - Anna C Oettlé
- Department of Anatomy, Faculty of Health Sciences, University of Pretoria, Pretoria, Gauteng, South Africa.,Department of Anatomy and Histology, School of Medicine, Sefako Makgatho Health Sciences University, Pretoria, Gauteng, South Africa
| | - Maryna Steyn
- Human Variation and Identification Research Unit, School of Anatomical Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, Gauteng, South Africa
| | - Stefan Vandeweghe
- Department of Periodontology, Oral Implantology, Removable and Implant Prosthetics, Dental School, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
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18
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Van Weehaeghe M, De Bruyn H, Vandeweghe S. A prospective, split-mouth study comparing tilted implants with angulated connection versus conventional implants with angulated abutment. Clin Implant Dent Relat Res 2017; 19:989-996. [DOI: 10.1111/cid.12544] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2017] [Revised: 07/06/2017] [Accepted: 08/21/2017] [Indexed: 12/01/2022]
Affiliation(s)
- Manú Van Weehaeghe
- Department of Periodontology, Oral Implantology, Removable and Implant Prosthetics, Faculty of Medicine and Health Sciences; Ghent University; Gent Belgium
| | - Hugo De Bruyn
- Department of Periodontology, Oral Implantology, Removable and Implant Prosthetics, Faculty of Medicine and Health Sciences; Ghent University; Gent Belgium
| | - Stefan Vandeweghe
- Department of Periodontology, Oral Implantology, Removable and Implant Prosthetics, Faculty of Medicine and Health Sciences; Ghent University; Gent Belgium
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19
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Takeshita K, Vandeweghe S, Vervack V, Sumi T, De Bruyn H, Jimbo R. Immediate Implant Placement and Loading of Single Implants in the Esthetic Zone: Clinical Outcome and Esthetic Evaluation in a Japanese Population. INT J PERIODONT REST 2017; 35:715-23. [DOI: 10.11607/prd.2494] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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20
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Moens P, Banerjee A, Constant A, Coppens P, Caesar M, Li Z, Vandeweghe S, Declercq F, Padmanabhan B, Jeon W, Guo J, Salih A, Tack M, Meneghini M, Dalcanale S, Tajilli A, Meneghesso G, Zanoni E, Uren M, Chatterjee I, Karboyan S, Kuball M. (Invited) Intrinsic Reliability Assessment of 650V Rated AlGaN/GaN Based Power Devices: An Industry Perspective. ACTA ACUST UNITED AC 2016. [DOI: 10.1149/07204.0065ecst] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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21
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Vandeweghe S, Vervack V, Dierens M, De Bruyn H. Accuracy of digital impressions of multiple dental implants: anin vitrostudy. Clin Oral Implants Res 2016; 28:648-653. [DOI: 10.1111/clr.12853] [Citation(s) in RCA: 96] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/20/2016] [Indexed: 10/21/2022]
Affiliation(s)
- Stefan Vandeweghe
- Department of Periodontology, Oral Implantology, Removable and Implant Prosthetics; Dental School; Faculty of Medicine and Health Sciences; Ghent University; Ghent Belgium
| | - Valentin Vervack
- Department of Periodontology, Oral Implantology, Removable and Implant Prosthetics; Dental School; Faculty of Medicine and Health Sciences; Ghent University; Ghent Belgium
| | - Melissa Dierens
- Oral and Maxillofacial Imaging Unit; Dental School; University Hospital Ghent; Ghent Belgium
| | - Hugo De Bruyn
- Department of Periodontology, Oral Implantology, Removable and Implant Prosthetics; Dental School; Faculty of Medicine and Health Sciences; Ghent University; Ghent Belgium
- Department of Prosthodontics; Malmö University; Malmö Sweden
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22
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Vandeweghe S, Hawker P, De Bruyn H. An Up to 12-Year Retrospective Follow-Up on Immediately Loaded, Surface-Modified Implants in the Edentulous Mandible. Clin Implant Dent Relat Res 2015; 18:323-31. [DOI: 10.1111/cid.12322] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Stefan Vandeweghe
- Department of Periodontology and Oral Implantology; Dental School; Faculty of Medicine and Health Sciences; University of Ghent; Belgium
| | - Peter Hawker
- Victoria Specialist Centre; Adelaide South Australia Australia
| | - Hugo De Bruyn
- Department of Periodontology and Oral Implantology; Dental School; Faculty of Medicine and Health Sciences; University of Ghent; Belgium
- Periodontology, Oral Implantology, Removable and Implant Prosthetics; Ghent University; Belgium
- Department of Prosthodontics; Faculty of Odontology; Malmö University; Malmö Sweden
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23
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Vandeweghe S, Ferreira D, Vermeersch L, Mariën M, De Bruyn H. Long-term retrospective follow-up of turned and moderately rough implants in the edentulous jaw. Clin Oral Implants Res 2015; 27:421-6. [DOI: 10.1111/clr.12602] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/12/2015] [Indexed: 11/28/2022]
Affiliation(s)
- Stefan Vandeweghe
- Department of Periodontology, Oral Implantology, Implant and Removable Prosthodontics; Faculty of Medicine and Health Sciences; Ghent University; Ghent Belgium
| | - Deon Ferreira
- Private Practice for Prosthodontics; Unitas Hospital; Lyttelton South Africa
| | - Louis Vermeersch
- Dental School; Faculty of Medicine and Health Sciences; Ghent University; Ghent Belgium
| | - Margot Mariën
- Dental School; Faculty of Medicine and Health Sciences; Ghent University; Ghent Belgium
| | - Hugo De Bruyn
- Department of Periodontology, Oral Implantology, Implant and Removable Prosthodontics; Faculty of Medicine and Health Sciences; Ghent University; Ghent Belgium
- Department of Prosthodontics; Malmö Högskola; Malmö Sweden
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Vandeweghe S, Vervack V, Vanhove C, Dierens M, Jimbo R, De Bruyn H. Accuracy of Optical Dental Digitizers: An In Vitro Study. INT J PERIODONT REST 2015; 35:115-21. [DOI: 10.11607/prd.2185] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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25
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Naito Y, Jimbo R, Bryington MS, Vandeweghe S, Chrcanovic BR, Tovar N, Ichikawa T, Paulo G C, Wennerberg A. The influence of 1α.25-dihydroxyvitamin d3 coating on implant osseointegration in the rabbit tibia. J Oral Maxillofac Res 2014; 5:e3. [PMID: 25386230 PMCID: PMC4219862 DOI: 10.5037/jomr.2014.5303] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/13/2014] [Accepted: 08/19/2014] [Indexed: 11/16/2022]
Abstract
Objectives This study aims to evaluate bone response to an implant surface modified by 1α,25-dihydroxyvitamin D3 [1.25-(OH)2D3] in vivo and the potential link between 1.25-(OH) 2D3 surface concentration and bone response. Material and Methods Twenty-eight implants were divided into 4 groups (1 uncoated control, 3 groups coated with 1.25-(OH)2D3 in concentrations of 10-8, 10-7 and 10-6 M respectively), placed in the rabbit tibia for 6 weeks. Topographical analyses were carried out on coated and uncoated discs using interferometer and atomic-force-microscope (AFM). Twenty-eight implants were histologically observed (bone-to-implant-contact [BIC] and new-bone-area [NBA]). Results The results showed that the 1.25-(OH)2D3 coated implants presented a tendency to osseointegrate better than the non-coated surfaces, the differences were not significant (P > 0.05). Conclusions The effect of 1.25-(OH)2D3 coating to implants suggested possible dose dependent effects, however no statistical differences could be found. It is thought that the base substrate topography (turned) could not sustain sufficient amount of 1.25-(OH)2D3 enough to present significant biologic responses. Thus, development a base substrate that can sustain 1.25-(OH)2D3 for a long period is necessary in future studies.
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Affiliation(s)
- Yoshihito Naito
- epartment of Prosthodontics, Faculty of Odontology, Malmö University, Malmö Sweden. ; Department of Oral and Maxillofacial Prosthodontics and Oral Implantology, Institute of Health Biosciences, The University of Tokushima Graduate School, Tokushima Japan
| | - Ryo Jimbo
- epartment of Prosthodontics, Faculty of Odontology, Malmö University, Malmö Sweden. ; Department of Applied Prosthodontics, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki Japan
| | - Matthew S Bryington
- Department of Restorative Dentistry, West Virginia University School of Dentistry, Morgantown, West Virginia USA
| | - Stefan Vandeweghe
- Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health sciences, University of Ghent Belgium
| | - Bruno R Chrcanovic
- epartment of Prosthodontics, Faculty of Odontology, Malmö University, Malmö Sweden
| | - Nick Tovar
- Department of Biomaterials and Biomimetics, New York University, New York USA
| | - Tetsuo Ichikawa
- epartment of Prosthodontics, Faculty of Odontology, Malmö University, Malmö Sweden
| | - Coelho Paulo G
- Department of Biomaterials and Biomimetics, New York University, New York USA
| | - Ann Wennerberg
- epartment of Prosthodontics, Faculty of Odontology, Malmö University, Malmö Sweden
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Dierens M, De Bruyn H, Kisch J, Nilner K, Cosyn J, Vandeweghe S. Prosthetic Survival and Complication Rate of Single Implant Treatment in the Periodontally Healthy Patient after 16 to 22 Years of Follow-Up. Clin Implant Dent Relat Res 2014; 18:117-28. [DOI: 10.1111/cid.12266] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Melissa Dierens
- Department of Periodontology and Oral Implantology; Faculty of Medicine and Health Sciences; Dental School; University of Ghent; Ghent Belgium
- Oral and Maxillofacial Imaging Unit; Faculty of Medicine and Health Sciences; Dental School; University Hospital Ghent; Ghent Belgium
| | - Hugo De Bruyn
- Department of Periodontology and Oral Implantology; Faculty of Medicine and Health Sciences; Dental School; University of Ghent; Ghent Belgium
- Department of Prosthetic Dentistry; Malmö University; Malmö Sweden
| | - Jenö Kisch
- Clinic for Prosthodontics; Centre of Dental Specialist Care; Malmö Sweden
| | - Krister Nilner
- Department of Prosthetic Dentistry; Malmö University; Malmö Sweden
| | - Jan Cosyn
- Department of Periodontology and Oral Implantology; Faculty of Medicine and Health Sciences; Dental School; University of Ghent; Ghent Belgium
- Dental Medicine; Faculty of Medicine and Pharmacy; Free University of Brussels (VUB); Brussels Belgium
| | - Stefan Vandeweghe
- Department of Periodontology and Oral Implantology; Faculty of Medicine and Health Sciences; Dental School; University of Ghent; Ghent Belgium
- Department of Prosthetic Dentistry; Malmö University; Malmö Sweden
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Dierens M, Vandeweghe S, Kisch J, Nilner K, Cosyn J, De Bruyn H. Cost estimation of single-implant treatment in the periodontally healthy patient after 16-22 years of follow-up. Clin Oral Implants Res 2014; 26:1288-96. [DOI: 10.1111/clr.12453] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/24/2014] [Indexed: 11/27/2022]
Affiliation(s)
- M. Dierens
- Department of Periodontology and Oral Implantology; Dental School; Faculty of Medicine and Health Sciences; University of Ghent; Ghent Belgium
| | - S. Vandeweghe
- Department of Periodontology and Oral Implantology; Dental School; Faculty of Medicine and Health Sciences; University of Ghent; Ghent Belgium
- Department of Prosthetic Dentistry; Malmö University; Malmö Sweden
| | - J. Kisch
- Clinic for Prosthodontics; Centre of Dental Specialist Care; Malmö Sweden
| | - K. Nilner
- Clinic for Prosthodontics; Centre of Dental Specialist Care; Malmö Sweden
| | - J. Cosyn
- Department of Periodontology and Oral Implantology; Dental School; Faculty of Medicine and Health Sciences; University of Ghent; Ghent Belgium
- Free University of Brussels (VUB); Faculty of Medicine and Pharmacy; Dental Medicine; Brussels Belgium
| | - H. De Bruyn
- Department of Periodontology and Oral Implantology; Dental School; Faculty of Medicine and Health Sciences; University of Ghent; Ghent Belgium
- Department of Prosthetic Dentistry; Malmö University; Malmö Sweden
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Vandeweghe S, Koole S, Younes F, De Coster P, De Bruyn H. Dental implants placed by undergraduate students: clinical outcomes and patients'/students' perceptions. Eur J Dent Educ 2014; 18 Suppl 1:60-69. [PMID: 24484521 DOI: 10.1111/eje.12077] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 11/07/2013] [Indexed: 06/03/2023]
Abstract
INTRODUCTION Implant dentistry in undergraduate education is predominantly theoretical or prosthetics oriented. Clinical experience with implant surgery could provide students a better understanding of alternatives for tooth replacements. This study describes an implant dentistry programme for undergraduate students, which included surgical placement of implants. The study presents the clinical outcomes of the programme, patients' satisfaction and students' attitudes/perceptions. It reflects on barriers and problems encountered during implementation and provides suggestions for other institutions. MATERIALS AND METHODS Thirty-six students placed one implant each for a single tooth replacement after careful radiographic assessment and pre-surgical planning. One-stage surgery was performed under one-to-one supervision. Crowns were cemented on individual abutments 3-6 months later. Crestal bone loss was assessed radiographically immediately after surgery, at crown placement and after 1 year of loading. Questionnaires were used to investigate patients' perspectives and students' opinions towards the programme, as well as their perceived level of competence. RESULTS Thirty-six implants were placed in 27 patients; two (5.6%) failed prior to loading; mean bone loss from time of surgery to crown placement was 1.41 mm and remained unchanged thereafter, reflecting implant success. Overall, patients were satisfied and the majority would repeat the treatment by a student. The students thought it was a valuable experience, although they realised that additional education is necessary to perform implant surgery without supervision. CONCLUSION Implant placement by undergraduate students resulted in acceptable clinical outcome parameters, patient satisfaction and positive student perceptions. These findings support the further development of clinical implant education in undergraduate dental curricula.
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Affiliation(s)
- S Vandeweghe
- Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium; Department of Prosthodontics, School of Dentistry, Faculty of Odontology, Malmö University, Malmö, Sweden
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Koole S, Vandeweghe S, Mattheos N, De Bruyn H. Implant dentistry education in Europe: 5 years after the Association for Dental Education in Europe consensus report. Eur J Dent Educ 2014; 18 Suppl 1:43-51. [PMID: 24484519 DOI: 10.1111/eje.12084] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 11/22/2013] [Indexed: 06/03/2023]
Abstract
INTRODUCTION To promote consensus on implant dentistry university education in Europe, a workshop amongst university teachers and opinion leaders was organised in 2008. As a result, guidelines on both under- and postgraduate education were issued. This study aims to investigate the current status of university teaching of implant dentistry and the impact of the recommendations for teaching and assessment, 5 years after the first consensus. Finally, this report attempts to identify future directions in education within the discipline. MATERIALS AND METHODS An online survey was distributed amongst 105 academic leaders in implant education in Europe, and 52 questionnaires were returned (response rate 50%). RESULTS The average amount of implant dentistry in undergraduate curricula has increased to 74 h, compared to 36 h in 2008, and the inclusion of pre-clinical and clinical education has increased. No change occurred with regard to the aimed competence levels. It was suggested that certain implant procedures including surgery should be provided by dentists after attending additional courses, whilst complex treatments will still require specialist training. The 2008 workshop guidelines have been implemented to a varying extent (25-100%) in under- and postgraduate education. Main reported implementation barriers included limited time availability in the curriculum and limited financial/material resources. Future discussions about implant dentistry in Europe should be focused towards integration in current dental curricula, approaches to overcome barriers and the relations with and role of industrial partners. CONCLUSION Implant dentistry is increasingly integrating in undergraduate dental education. Development of the consensus guidelines in 2008 may have facilitated this process. Nevertheless, further progress is needed on all educational levels to align training of professionals to the growing treatment needs of the population.
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Affiliation(s)
- S Koole
- Faculty of Medicine and Health Sciences, Department of Periodontology and Oral Implantology, Dental School, Ghent University, Ghent, Belgium
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Browaeys H, Dierens M, Ruyffelaert C, Matthijs C, De Bruyn H, Vandeweghe S. Ongoing Crestal Bone Loss around Implants Subjected to Computer-Guided Flapless Surgery and Immediate Loading Using the All-on-4® Concept. Clin Implant Dent Relat Res 2014; 17:831-43. [PMID: 24397413 DOI: 10.1111/cid.12197] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
BACKGROUND The All-on-4(®) concept is widely applied for full-arch rehabilitations, using two tilted and two axially loaded implants in order to overcome anatomical constraints. PURPOSE The aim of this study was to assess the survival and individual success of implants immediately loaded with an All-on-4 full-arch screw-retained prosthetic bridge in fully edentulous mandibles or maxillae over up to 3 years. MATERIALS AND METHODS In total, 20 patients with atrophic jaws (9 maxillae, 11 mandibles) were treated with computer-guided flapless surgery and immediately provided with a provisional bridge. The final prosthesis was delivered after 6 months. In total, 80 TiUnite(™) Brånemark implants were placed. Radiographs were taken after surgery and 1 and 3 years later. RESULTS A 3-year survival rate of 100% was seen for all implants, both in lower and in upper jaw. None of the temporary or definite prostheses were lost over the follow-up period of 3 years. After 1 year, the mean bone loss was 1.13 mm (SD 0.94; range -0.1 to 3.8), and after 3 years, it was 1.61 mm (SD 1.40; range 0 to 5). The mean bone loss between the 1-year and 3-year follow-ups was 0.48 mm (SD 0.66; range -1.2 to 3.6). This difference was statistically significant (p < .001), indicative of ongoing bone loss. Twenty-six percent of the implants had bone loss above 1.5 mm after 1 year, but after 3 years, 30% of the implants had already lost more than 1.9 mm. CONCLUSION The implant and prosthetic survival was 100%, and patients benefited from the All-on-4 treatment. However, unacceptable ongoing bone loss was seen in 49.2% of the patients; this may be a warning sign for future problems and needs clinical attention. Overloading and surgery-related aspects need to be investigated as potential explanations.
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Affiliation(s)
- Hilde Browaeys
- Department of Oral and Maxillofacial Surgery, Dental School, Faculty of Medicine and Health Sciences, University of Ghent, University Hospital Ghent, Ghent, Belgium
| | - Melissa Dierens
- Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University of Ghent, University Hospital Ghent, Ghent, Belgium
| | - Christian Ruyffelaert
- Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University of Ghent, University Hospital Ghent, Ghent, Belgium
| | - Carine Matthijs
- Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University of Ghent, University Hospital Ghent, Ghent, Belgium
| | - Hugo De Bruyn
- Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University of Ghent, University Hospital Ghent, Ghent, Belgium.,Department of Prosthodontics, School of Dentistry, Malmö University, Malmö, Sweden
| | - Stefan Vandeweghe
- Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University of Ghent, University Hospital Ghent, Ghent, Belgium
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Martens F, Vandeweghe S, Browaeys H, De Bruyn H. Peri-implant Outcome of Immediately Loaded Implants with a Full-Arch Implant Fixed Denture: A 5-Year Prospective Case Series. INT J PERIODONT REST 2014; 34:189-97. [DOI: 10.11607/prd.1938] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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Naito Y, Terukina T, Galli S, Kozai Y, Vandeweghe S, Tagami T, Ozeki T, Ichikawa T, Coelho PG, Jimbo R. The effect of simvastatin-loaded polymeric microspheres in a critical size bone defect in the rabbit calvaria. Int J Pharm 2014; 461:157-62. [DOI: 10.1016/j.ijpharm.2013.11.046] [Citation(s) in RCA: 43] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2013] [Revised: 11/19/2013] [Accepted: 11/23/2013] [Indexed: 11/30/2022]
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Vandeweghe S, Nicolopoulos C, Thevissen E, Jimbo R, Wennerberg A, De Bruyn H. Immediate Loading of Screw-Retained All-Ceramic Crowns in Immediate Versus Delayed Single Implant Placement. INT J PROSTHODONT 2013; 26:458-64. [DOI: 10.11607/ijp.3075] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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De Wilde EA, Jimbo R, Wennerberg A, Naito Y, Coucke P, Bryington MS, Vandeweghe S, De Bruyn H. The Soft Tissue Immunologic Response to Hydroxyapatite-Coated Transmucosal Implant Surfaces: A Study in Humans. Clin Implant Dent Relat Res 2013; 17 Suppl 1:e65-74. [DOI: 10.1111/cid.12128] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Affiliation(s)
- Elisabeth A.W.J. De Wilde
- Department of Periodontology & Oral Implantology; Dental School; Faculty of Medicine and Health Sciences; University of Ghent; Ghent Belgium
| | - Ryo Jimbo
- Department of Prosthodontics; Faculty of Odontology; Malmö University; Malmö Sweden
| | - Ann Wennerberg
- Department of Prosthodontics; Faculty of Odontology; Malmö University; Malmö Sweden
| | - Yoshihito Naito
- Department of Oral and Maxillofacial Prosthodontics and Oral Implantology; Institute of Health Biosciences; The University of Tokushima Graduate School; Tokushima Japan
- Department of Prosthodontics; Faculty of Odontology; Malmö University; Malmö Sweden
| | - Paul Coucke
- Center for Medical Genetics; Faculty of Medicine and Health Sciences; Ghent University Hospital; Ghent Belgium
| | - Matthew S. Bryington
- Department of Restorative and Prosthetic Dentistry; The Ohio State University College of Dentistry; Columbus OH USA
| | - Stefan Vandeweghe
- Department of Periodontology & Oral Implantology; Dental School; Faculty of Medicine and Health Sciences; University of Ghent; Ghent Belgium
| | - Hugo De Bruyn
- Department of Periodontology & Oral Implantology; Dental School; Faculty of Medicine and Health Sciences; University of Ghent; Ghent Belgium
- Department of Prosthodontics; Faculty of Odontology; Malmö University; Malmö Sweden
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Dierens M, Vandeweghe S, Kisch J, Persson GR, Cosyn J, De Bruyn H. Long-Term Follow-Up of Turned Single Implants Placed in Periodontally Healthy Patients After 16 to 22 Years: Microbiologic Outcome. J Periodontol 2013; 84:880-94. [DOI: 10.1902/jop.2012.120187] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Vandeweghe S, Coelho PG, Vanhove C, Wennerberg A, Jimbo R. Utilizing micro-computed tomography to evaluate bone structure surrounding dental implants: A comparison with histomorphometry. J Biomed Mater Res B Appl Biomater 2013; 101:1259-66. [DOI: 10.1002/jbm.b.32938] [Citation(s) in RCA: 54] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2012] [Revised: 02/06/2013] [Accepted: 02/25/2013] [Indexed: 11/11/2022]
Affiliation(s)
- Stefan Vandeweghe
- Department of Prosthodontics; Faculty of Odontology, Malmö University; Malmö Sweden
- Department of Periodontology and Oral Implantology; Dental School, Faculty of Medicine and Health sciences, University of Ghent; Belgium
| | - Paulo G. Coelho
- Department of Biomaterials and Biomimetics; New York University; New York New York
| | - Christian Vanhove
- Medical Imaging and Signal Processing; Faculty of Engineering and Architecture, University of Ghent; Belgium
| | - Ann Wennerberg
- Department of Prosthodontics; Faculty of Odontology, Malmö University; Malmö Sweden
| | - Ryo Jimbo
- Department of Prosthodontics; Faculty of Odontology, Malmö University; Malmö Sweden
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Bougas K, Jimbo R, Vandeweghe S, Hayashi M, Bryington M, Kozai Y, Schwartz-Filho H, Tovar N, Adolfsson E, Ono D, Coelho P, Wennerberg A. Bone apposition to laminin-1 coated implants: histologic and 3D evaluation. Int J Oral Maxillofac Surg 2013; 42:677-82. [DOI: 10.1016/j.ijom.2012.11.008] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2012] [Revised: 11/04/2012] [Accepted: 11/08/2012] [Indexed: 01/30/2023]
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Bryington MS, Hayashi M, Kozai Y, Vandeweghe S, Andersson M, Wennerberg A, Jimbo R. The influence of nano hydroxyapatite coating on osseointegration after extended healing periods. Dent Mater 2013; 29:514-20. [DOI: 10.1016/j.dental.2013.02.004] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2012] [Revised: 12/14/2012] [Accepted: 02/12/2013] [Indexed: 11/24/2022]
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De Bruyn H, Vandeweghe S, Ruyffelaert C, Cosyn J, Sennerby L. Radiographic evaluation of modern oral implants with emphasis on crestal bone level and relevance to peri-implant health. Periodontol 2000 2013; 62:256-70. [DOI: 10.1111/prd.12004] [Citation(s) in RCA: 64] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
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Bougas K, Jimbo R, Vandeweghe S, Tovar N, Baldassarri M, Alenezi A, Janal M, Coelho PG, Wennerberg A. In vivo evaluation of a novel implant coating agent: laminin-1. Clin Implant Dent Relat Res 2013; 16:728-35. [PMID: 23311639 DOI: 10.1111/cid.12037] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
PURPOSE The aim of this study was to assess the effect of implant coating with laminin-1 on the early stages of osseointegration in vivo. MATERIALS AND METHODS Turned titanium implants were coated with the osteoprogenitor-stimulating protein, laminin-1 (TL). Their osteogenic performance was assessed with removal torque, histomorphometry, and nanoindentation in a rabbit model after 2 and 4 weeks. The performance of the test implants was compared with turned control implants (T), alkali- and heat-treated implants (AH), and AH implants coated with laminin-1. RESULTS After 2 weeks, TL demonstrated significantly higher removal torque as compared with T and equivalent to AH. Bone area was significantly higher for the test surface after 4 weeks, while no significant changes were detected on the micromechanical properties of the surrounding bone. CONCLUSIONS Within the limitations of this study, our results suggest a great potential for laminin-1 as a coating agent. A turned implant surface coated with laminin-1 could enhance osseointegration comparable with a bioactive implant surface while keeping the surface smooth.
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Affiliation(s)
- Kostas Bougas
- Department of Prosthodontics, Faculty of Odontology, Malmö University, Malmö, Sweden
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Dierens M, de Bruecker E, Vandeweghe S, Kisch J, de Bruyn H, Cosyn J. Alterations in soft tissue levels and aesthetics over a 16-22year period following single implant treatment in periodontally-healthy patients: a retrospective case series. J Clin Periodontol 2013; 40:311-8. [DOI: 10.1111/jcpe.12049] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2012] [Revised: 10/22/2012] [Accepted: 11/13/2012] [Indexed: 01/28/2023]
Affiliation(s)
- Melissa Dierens
- Department of Periodontology and Oral Implantology; Faculty of Medicine and Health Sciences; Dental School; University of Ghent; Ghent Belgium
| | - Evelyn de Bruecker
- Department of Periodontology and Oral Implantology; Faculty of Medicine and Health Sciences; Dental School; University of Ghent; Ghent Belgium
| | - Stefan Vandeweghe
- Department of Periodontology and Oral Implantology; Faculty of Medicine and Health Sciences; Dental School; University of Ghent; Ghent Belgium
- Department of Prosthetic Dentistry; Malmö University; Malmö Sweden
| | - Jëno Kisch
- Clinic for Prosthodontics; Centre of Dental Specialist Care; Malmö Sweden
| | - Hugo de Bruyn
- Department of Periodontology and Oral Implantology; Faculty of Medicine and Health Sciences; Dental School; University of Ghent; Ghent Belgium
- Department of Prosthetic Dentistry; Malmö University; Malmö Sweden
| | - Jan Cosyn
- Department of Periodontology and Oral Implantology; Faculty of Medicine and Health Sciences; Dental School; University of Ghent; Ghent Belgium
- Faculty of Medicine and Pharmacy; Dental Medicine; Free University of Brussels (VUB); Brussels Belgium
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Jimbo R, Halldin A, Janda M, Wennerberg A, Vandeweghe S. Vertical Fracture and Marginal Bone Loss of Internal-Connection Implants: A Finite Element Analysis. Int J Oral Maxillofac Implants 2013; 28:e171-6. [DOI: 10.11607/jomi.3052] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Jimbo R, Coelho P, Bryington M, Baldassarri M, Tovar N, Currie F, Hayashi M, Janal M, Andersson M, Ono D, Vandeweghe S, Wennerberg A. Nano Hydroxyapatite-coated Implants Improve Bone Nanomechanical Properties. J Dent Res 2012; 91:1172-7. [DOI: 10.1177/0022034512463240] [Citation(s) in RCA: 68] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Nanostructure modification of dental implants has long been sought as a means to improve osseointegration through enhanced biomimicry of host structures. Several methods have been proposed and demonstrated for creating nanotopographic features; here we describe a nanoscale hydroxyapatite (HA)-coated implant surface and hypothesize that it will hasten osseointegration and improve its quality relative to that of non-coated implants. Twenty threaded titanium alloy implants, half prepared with a stable HA nanoparticle surface and half grit-blasted, acid-etched, and heat-treated (HT), were inserted into rabbit femurs. Pre-operatively, the implants were morphologically and topographically characterized. After 3 weeks of healing, the samples were retrieved for histomorphometry. The nanomechanical properties of the surrounding bone were evaluated by nanoindentation. While both implants revealed similar bone-to-implant contact, the nanoindentation demonstrated that the tissue quality was significantly enhanced around the HA-coated implants, validating the postulated hypothesis.
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Affiliation(s)
- R. Jimbo
- Department of Prosthodontics, Faculty of Odontology, Malmö University, Sweden
| | - P.G. Coelho
- Department of Biomaterials and Biomimetics, New York University, New York, USA
| | - M. Bryington
- Division of Restorative and Prosthetic Dentistry, The Ohio State University College of Dentistry, Columbus, Ohio, USA
| | - M. Baldassarri
- Department of Biomaterials and Biomimetics, New York University, New York, USA
| | - N. Tovar
- Department of Biomaterials and Biomimetics, New York University, New York, USA
| | | | - M. Hayashi
- Department of Prosthodontics, Faculty of Odontology, Malmö University, Sweden
| | - M.N. Janal
- Department of Epidemiology and Health Promotion, New York University College of Dentistry, New York, USA
| | - M. Andersson
- Department of Chemical and Biological Engineering, Applied Surface Chemistry, Chalmers University of Technology, Gothenburg, Sweden
| | - D. Ono
- Division of Applied Prosthodontics, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - S. Vandeweghe
- Department of Prosthodontics, Faculty of Odontology, Malmö University, Sweden
- Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University of Ghent, Belgium
| | - A. Wennerberg
- Department of Prosthodontics, Faculty of Odontology, Malmö University, Sweden
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Browaeys H, Vandeweghe S, Johansson CB, Jimbo R, Deschepper E, De Bruyn H. The histological evaluation of osseointegration of surface enhanced microimplants immediately loaded in conjunction with sinuslifting in humans. Clin Oral Implants Res 2012; 24:36-44. [DOI: 10.1111/j.1600-0501.2011.02398.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/19/2011] [Indexed: 11/30/2022]
Affiliation(s)
- Hilde Browaeys
- Department of Oral and Maxillofacial Surgery; Dental School; Faculty of Medicine and Health Sciences; University of Ghent; University Hospital Ghent; Ghent; Belgium
| | | | - Carina B. Johansson
- Department of Prosthodontics/Dental Materials Science; Institute of Odontology; University of Gothenburg; The Sahlgrenska Academy; Göteborg; Sweden
| | - Ryo Jimbo
- Department of Prosthodontics; Faculty of Odontology; Malmö University; Malmö; Sweden
| | - Ellen Deschepper
- Biostatistics Unit; Faculty of Medicine and Health Sciences; University of Ghent; University Hospital Ghent; Ghent; Belgium
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Vandeweghe S, De Bruyn H. A within-implant comparison to evaluate the concept of platform switching: a randomised controlled trial. Eur J Oral Implantol 2012; 5:253-262. [PMID: 23000709] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
PURPOSE To evaluate whether platform switching could preserve marginal bone around implants up to 6 months after loading. MATERIALS AND METHODS 15 patients were selected for a randomised controlled trial. Each patient received one customised wide body implant, with the external hex connection located eccentrically, allowing an extra 1 mm switch on one side. The hex was positioned at random at the mesial or distal side and the implant was loaded after 6 months of non-submerged healing. Patients were examined at 3, 6 and 12 months after surgery, during which a radiograph was taken to evaluate bone levels. At 12 months, the mucosal thickness was measured using a perio-probe. RESULTS All implants survived and the mean overall bone loss, calculated from both the switched and non-switched side, was 0.39 mm (SD 0.33, range 0.00-1.45), 0.85 mm (SD 0.59, range 0.10-2.50) and 0.80 mm (SD 0.46, 0.26-1.89) after 3, 6 and 12 months, respectively. The bone loss continued up to 6 months but stabilised thereafter (P = 0.615). Significantly more bone loss was observed at the non-switched side compared to the switched side at 3 months (0.51 mm versus 0.28 mm, P = 0.019), 6 months (1.05 mm versus 0.64 mm, P = 0.002) and 12 months (0.94 mm versus 0.66 mm, P = 0.002). The mean mucosal thickness was 4.22 mm (SD 1.45; range 1.50-7.00), and was not significantly different between the switched and non-switched sides (P = 0.882). However, using a post-hoc analysis with the mean thickness as a threshold, the mean bone loss was only significantly different between switched and non-switched sides when the mucosa was thicker than 4.22 mm (P = 0.036). CONCLUSIONS The outcome of this randomised trial is in accordance with earlier studies suggesting that that platform switching decreases bone loss by 30%. Although the sample size was limited, it seems that the creation of a biologic width affects peri-implant bone loss to a significant extent and that platform switching is only effective when the mucosal thickness allows the establishment of a biologic width.
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Affiliation(s)
- Stefan Vandeweghe
- Department of Periodontology & Oral Implantology, University of Ghent, Ghent, Belgium
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Jimbo R, Coelho PG, Vandeweghe S, Schwartz-Filho HO, Hayashi M, Ono D, Andersson M, Wennerberg A. Histological and three-dimensional evaluation of osseointegration to nanostructured calcium phosphate-coated implants. Acta Biomater 2011; 7:4229-34. [PMID: 21816237 DOI: 10.1016/j.actbio.2011.07.017] [Citation(s) in RCA: 63] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2011] [Revised: 07/08/2011] [Accepted: 07/13/2011] [Indexed: 11/18/2022]
Abstract
Nanostructures on implant surfaces have been shown to enhance osseointegration; however, commonly used evaluation techniques are probably not sufficiently sensitive to fully determine the effects of this process. This study aimed to observe the osseointegration properties of nanostructured calcium phosphate (CaP)-coated implants, by using a combination of three-dimensional imaging and conventional histology. Titanium implants were coated with stable CaP nanoparticles using an immersion technique followed by heat treatment. Uncoated implants were used as the control. After topographical and chemical characterizations, implants were inserted into the rabbit femur. After 2 and 4weeks, the samples were retrieved for micro-computed tomography and histomorphometric evaluation. Scanning electron microscopy evaluation indicated that the implant surface was modified at the nanoscale by CaP to obtain surface textured with rod-shaped structures. Relative to the control, the bone-to-implant contact for the CaP-coated implant was significantly higher at 4weeks after the implant surgery. Further, corresponding 3-D images showed active bone formation surrounding the implant. 3-D quantification and 2-D histology demonstrated statistical correlation; moreover, 3-D quantification indicated a statistical decrease in bone density in the non-coated control implant group between 2 and 4weeks after the surgery. The application of 3-D evaluation further clarified the temporal characteristics and biological reaction of implants in bone.
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Affiliation(s)
- Ryo Jimbo
- Surface Biology Group, Department of Prosthodontics, Faculty of Odontology, Malmö University, Sweden.
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Vandeweghe S, Cosyn J, Thevissen E, Van den Berghe L, De Bruyn H. A 1-Year Prospective Study on Co-Axis® Implants Immediately Loaded with a Full Ceramic Crown. Clin Implant Dent Relat Res 2011; 14 Suppl 1:e126-38. [DOI: 10.1111/j.1708-8208.2011.00391.x] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Vandeweghe S, Hattingh A, Wennerberg A, Bruyn HD. Surgical protocol and short-term clinical outcome of immediate placement in molar extraction sockets using a wide body implant. J Oral Maxillofac Res 2011; 2:e1. [PMID: 24421993 PMCID: PMC3886073 DOI: 10.5037/jomr.2011.2301] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/04/2011] [Accepted: 08/04/2011] [Indexed: 11/16/2022]
Abstract
OBJECTIVES Implant placement in molar extraction sockets can be difficult due to complex multi-root anatomy and the lack of predictable primary stability. The aim of this study was to evaluate the outcome of an 8 - 9 mm diameter tapered implant, designed to be placed in molar extraction sockets. MATERIAL AND METHODS Patients treated at least 1 year before with a Max(®) implant (Southern Implants, Irene, South Africa) were invited for a clinical examination. Variables collected were surgical and prosthetic protocol, implant dimension and smoking habits. Peri-implant bone level was determined on peri-apical radiographs and compared to baseline, being implant insertion. RESULTS 98 implants had been placed in 89 patients. One implant had failed. Thirty eight patients representing 47 implants (maxilla 26, mandible 21) were available for clinical examination. Mean bone loss was 0.38 mm (SD 0.48; range - 0.50 - 1.95) after a mean follow-up of 20 months (range 12 - 35). Implant success was 97.9%. Around 30 implants, a bone substitute was used to fill the residual space, but this did not affect the bone loss outcome. Bone loss was only significantly different between maxilla and mandible (0.48 mm vs. 0.27 mm) and between the 8 and 9 mm diameter implants (0.23 mm vs. 0.55 mm). A full papilla was present at 71% of the interproximal sites and irrespective of bone loss. CONCLUSIONS The Max(®) implant demonstrated good primary stability, when placed in molar extraction sockets, with limited bone loss over time.
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Affiliation(s)
- Stefan Vandeweghe
- Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University of Ghent Ghent Belgium. ; Department of Prosthetic Dentistry, Malmö University Malmö Sweden
| | - André Hattingh
- Private Practice for Periodontology and Oral Implantology Sevenoaks United Kingdom
| | - Ann Wennerberg
- Department of Prosthetic Dentistry, Malmö University Malmö Sweden
| | - Hugo De Bruyn
- Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University of Ghent Ghent Belgium. ; Department of Prosthetic Dentistry, Malmö University Malmö Sweden
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Browaeys H, Defrancq J, Dierens MCA, Miremadi R, Vandeweghe S, Van de Velde T, De Bruyn H. A Retrospective Analysis of Early and Immediately Loaded Osseotite Implants in Cross-Arch Rehabilitations in Edentulous Maxillas and Mandibles Up to 7 Years. Clin Implant Dent Relat Res 2011; 15:380-9. [PMID: 21745328 DOI: 10.1111/j.1708-8208.2011.00367.x] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Hilde Browaeys
- Department of Oral and Maxillofacial Surgery, Dental School, Faculty of Medicine and Health Sciences, University of Ghent, University Hospital Ghent, Ghent, Belgium
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Dierens M, Vandeweghe S, Kisch J, Nilner K, De Bruyn H. Long-term follow-up of turned single implants placed in periodontally healthy patients after 16-22 years: radiographic and peri-implant outcome. Clin Oral Implants Res 2011; 23:197-204. [DOI: 10.1111/j.1600-0501.2011.02212.x] [Citation(s) in RCA: 82] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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