Abstract:
BACKGROUND:Full-arch immediate function protocols such as the All-on-4 concept need long-term validation. PURPOSE:To report the 5-13 year outcomes of the All-on-4 treatment concept for the rehabilitation of the edentulous maxilla. MATERIALS AND METHODS:This retrospective case series study involved 1072 patients (4288 maxillary implants) rehabilitated through the All-on-4 treatment concept. Primary outcome measures were cumulative prosthetic and implant success (life table analysis). Secondary outcome measures consisted in marginal bone loss (MBL) at 5 and 10 years, biological and mechanical complications. The estimation of risk indicators was performed through multivariable analysis for the outcome variables implant failure (Cox regression to estimate hazard ratios and 95% confidence intervals [95% CI]), MBL > 2.8 mm at 5 years, MBL > 3.0 mm at 10 years, biological and mechanical complications (binary logistic regression to estimate odds ratios [OR] with 95% CI). RESULTS:Eighteen patients deceased unrelated to the implant treatment (1.7%) and 219 patients (20.4%) were lost to follow-up. The prosthetic success rate was 99.2%; Implant cumulative survival and success rate was 94.7% and 93.9%, respectively, with up to 13 years of follow-up. Male gender (HR = 1.73), smoking (HR = 1.94), and mechanical complications (HR = 0.59) were significantly associated with implant failure. Average MBL at 5 and 10 years was 1.18 mm (95% CI: 1.16, 1.21) and 1.67 mm (95% CI: 1.58, 1.77) with age (OR = 0.97), male gender (OR = 0.58), smoking (OR = 1.73), and biological complications (OR = 2.1) associated with MBL > 2.8 mm at 5 years. The incidence of biological complications was 7.8% at implant level, with age (OR = 0.98) and smoking (OR = 1.53) significantly associated. The incidence of mechanical complications was 58.8% for the provisional prostheses and 7.3% for the definitive prostheses. CONCLUSIONS:The high success rates registered for both implants and prostheses together with the low MBL confirm the All-on-4 treatment concept is predictable and safe in the long term outcome.
journal_name
Clin Implant Dent Relat Resjournal_title
Clinical implant dentistry and related researchauthors
Maló P,de Araújo Nobre M,Lopes A,Ferro A,Nunes Mdoi
10.1111/cid.12771subject
Has Abstractpub_date
2019-08-01 00:00:00pages
538-549issue
4eissn
1523-0899issn
1708-8208journal_volume
21pub_type
杂志文章abstract:BACKGROUND:Different attachment systems for mandibular two-implant overdentures could influence levels of patient satisfaction. Positive consensus of the majority of patients being satisfied does not preclude the possibility of dissatisfaction for some. PURPOSE:To evaluate patient satisfaction and dissatisfaction befo...
journal_title:Clinical implant dentistry and related research
pub_type: 杂志文章,随机对照试验
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abstract:BACKGROUND:The increase in implant patients is expected to give rise to a new problem: the changing general health status of those who have had implants placed. PURPOSE:The aim of this present study was to find out the needs of and proper measures for elderly implant patients in long-term care facilities. MATERIALS A...
journal_title:Clinical implant dentistry and related research
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journal_title:Clinical implant dentistry and related research
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journal_title:Clinical implant dentistry and related research
pub_type: 杂志文章
doi:10.1111/j.1708-8208.2010.00281.x
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abstract:BACKGROUND:Implant restorations first started with total edentulism. Later, the scientific community gave its approval for restorations in partial edentulism, and only recently some studies confirmed the validity of the treatment for single-tooth replacement. PURPOSE:The purpose of the study was to evaluate implant su...
journal_title:Clinical implant dentistry and related research
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1708-8208.2000.tb00006.x
更新日期:2000-01-01 00:00:00
abstract:BACKGROUND:Bone morphogenetic protein-2 (BMP2) has been successfully utilized in dentistry to promote new bone formation because of its osteoinductive ability to recruit mesenchymal progenitor cells and induce their differentiation to bone-forming osteoblasts. Recently, novel biphasic calcium phosphate scaffolds have b...
journal_title:Clinical implant dentistry and related research
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abstract:BACKGROUND:There is limited knowledge on the relationship between implant failures and patient age at implant surgery. PURPOSE:To further analyze and report long-term data on previously presented significant associations between implant failures and age at surgery in patients receiving treatment in the edentulous jaw....
journal_title:Clinical implant dentistry and related research
pub_type: 杂志文章
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更新日期:2019-08-01 00:00:00
abstract:BACKGROUND:Migration of a dental implant into the paranasal sinuses may be the result of sinus membrane perforation, loss of osseointegration, and lack of initial stability. The majority of displaced implants migrate into the maxillary sinus, which may cause sinusitis. PURPOSE:The purpose of this study is to report an...
journal_title:Clinical implant dentistry and related research
pub_type: 杂志文章
doi:10.1111/cid.12099
更新日期:2015-04-01 00:00:00
abstract:PURPOSE:The purpose of this study was to document the long-term outcome of Brånemark implants installed in augmented maxillary bone and to identify parameters that are associated with peri-implant bone level. MATERIAL AND METHODS:Patients of a periodontal practice who had been referred to a maxillofacial surgeon for i...
journal_title:Clinical implant dentistry and related research
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journal_title:Clinical implant dentistry and related research
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journal_title:Clinical implant dentistry and related research
pub_type: 杂志文章
doi:10.1111/j.1708-8208.2011.00380.x
更新日期:2013-08-01 00:00:00
abstract:BACKGROUND:Extraction of impacted mandibular third molar (M3) has been cited as causing osseous defect at the distal aspect of the adjacent second molar (M2). PURPOSE:This randomized controlled trial was aimed to evaluate the effect of autogenous bone grafting in situ for regeneration of periodontal osseous defect dis...
journal_title:Clinical implant dentistry and related research
pub_type: 杂志文章,随机对照试验
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更新日期:2017-06-01 00:00:00
abstract:BACKGROUND:Autogenous bone grafts are the most favorable and predictable types of bone graft due to their osteogenic, osteoinductive, and osteoconductive properties. The advantages of harvesting from mandibular bone are that it requires only local anesthesia, is less invasive, has less morbidity, and avoids harvesting ...
journal_title:Clinical implant dentistry and related research
pub_type: 杂志文章
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更新日期:2019-08-01 00:00:00
abstract:BACKGROUND:Bone allografts have shown satisfactory clinical results in alveolar ridge reconstructions. However, the process of incorporation and the resorption rates of these grafts are not yet fully understood. PURPOSE:The aim of this study was to use computed tomography (CT), histology, and histomorphometry to asses...
journal_title:Clinical implant dentistry and related research
pub_type: 杂志文章,随机对照试验
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更新日期:2015-04-01 00:00:00
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journal_title:Clinical implant dentistry and related research
pub_type: 杂志文章
doi:10.1111/cid.12556
更新日期:2018-04-01 00:00:00
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journal_title:Clinical implant dentistry and related research
pub_type: 杂志文章
doi:10.1111/cid.12378
更新日期:2016-10-01 00:00:00
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journal_title:Clinical implant dentistry and related research
pub_type: 杂志文章,多中心研究
doi:10.1111/cid.12568
更新日期:2018-02-01 00:00:00
abstract:BACKGROUND:The existing approaches to the treatment of the atrophic maxilla are difficult and involve an element of risk. PURPOSE:The aim of the present study was to establish a new surgical/prosthetic protocol for the treatment of extremely atrophic maxillae using four zygomatic implants (ZIs) in an immediate loading...
journal_title:Clinical implant dentistry and related research
pub_type: 杂志文章
doi:10.1111/j.1708-8208.2007.00046.x
更新日期:2007-12-01 00:00:00
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journal_title:Clinical implant dentistry and related research
pub_type: 杂志文章
doi:10.1111/cid.12212
更新日期:2015-12-01 00:00:00
abstract:BACKGROUND:Immediate occlusal implant loading has been documented as a viable treatment option for various indications. However, documentations related to full-arch rehabilitation are usually limited to treatment of one jaw at a time, thereby leaving the opposing dentition unchanged. Furthermore, clinical documentation...
journal_title:Clinical implant dentistry and related research
pub_type: 杂志文章
doi:10.2310/j.6480.2005.00027.x
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abstract:BACKGROUND:Discrimination between ongoing and solved research questions may help to distinguish established dogmas from evidence-based implant dentistry. PURPOSE:The purpose of this study was to investigate topics of interest in the field of oral implant science and evolving thematic trends in clinical studies during ...
journal_title:Clinical implant dentistry and related research
pub_type: 杂志文章,评审
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更新日期:2016-08-01 00:00:00
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journal_title:Clinical implant dentistry and related research
pub_type: 杂志文章
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更新日期:2019-08-01 00:00:00
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journal_title:Clinical implant dentistry and related research
pub_type: 杂志文章
doi:10.1111/cid.12819
更新日期:2019-10-01 00:00:00
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journal_title:Clinical implant dentistry and related research
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2004-01-01 00:00:00
abstract:BACKGROUND:The use of computer numeric controlled (CNC)-milled titanium frameworks is a new technique for framework fabrication, and few clinical reports have been made on this treatment modality. PURPOSE:The goal of this study was to report the clinical performance of implant-supported prostheses with CNC-milled tita...
journal_title:Clinical implant dentistry and related research
pub_type: 杂志文章
doi:10.1111/j.1708-8208.2002.tb00159.x
更新日期:2002-01-01 00:00:00
abstract:BACKGROUND:Studies on the biological processes in different bone types and the reaction of different bone types to biomaterials are often hindered because of the difficulties in sampling procedures and lack of sensitive techniques. PURPOSE:The purpose was to assess the suitability of quantitative polymerase chain reac...
journal_title:Clinical implant dentistry and related research
pub_type: 杂志文章
doi:10.1111/j.1708-8208.2009.00195.x
更新日期:2011-06-01 00:00:00
abstract:BACKGROUND:Immediately-loaded, narrow-diameter implants can be a less invasive alternative for the implant-supported fixed rehabilitation of narrow, posterior crests. PURPOSE:To determine the stability and marginal bone level (MBL) changes of narrow-diameter, titanium-zirconium (TiZr) implants placed with flapless sur...
journal_title:Clinical implant dentistry and related research
pub_type: 杂志文章
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更新日期:2016-12-01 00:00:00
abstract:BACKGROUND:Long-term data (>10 years) concerning the survival and success rates of implants and implant-supported prostheses are scarce. PURPOSE:The present investigation represents one of the first studies on dental implants covering an observational period of 25 years. MATERIALS AND METHODS:This study presents the ...
journal_title:Clinical implant dentistry and related research
pub_type: 杂志文章
doi:10.1111/cid.12944
更新日期:2020-12-01 00:00:00
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journal_title:Clinical implant dentistry and related research
pub_type: 杂志文章
doi:10.1111/j.1708-8208.2008.00125.x
更新日期:2009-12-01 00:00:00
abstract:BACKGROUND:Implant surface topography influences the bone response after implantation. However, the importance of surface orientation is not known. PURPOSE:The aim of this study was to investigate the bone tissue response and the stability of titanium implants prepared with isotropic and anisotropic surfaces of simila...
journal_title:Clinical implant dentistry and related research
pub_type: 杂志文章
doi:10.1111/j.1708-8208.2005.tb00042.x
更新日期:2005-01-01 00:00:00