Edentulous Patients
E-Book, Englisch, Band 4, 248 Seiten
Reihe: ITI Treatment Guide Series
ISBN: 978-1-85097-347-8
Verlag: Quintessence Publishing
Format: EPUB
Kopierschutz: Adobe DRM (»Systemvoraussetzungen)
Beginning with a chapter on preoperative assessment and prosthetic planning, different treatment options for the edentulous arch are presented. They are complemented by a separate chapter on the selection of the appropriate loading protocol considering risk evaluation and the complexity of the possible treatment options. Various procedures are illustrated with patient case studies. Detailed illustrations serve to clarify potential ambiguities, and complications are addressed to avert the most common problems in clinical practice.
The ITI Treatment Guide series, a unique compendium of evidence-based treatment methods in implant dentistry in daily practice, written by renowned clinicians, provides a comprehensive overview of various therapeutic options. Using an illustrated step-by-step approach, the ITI Treatment Guide shows practitioners how to manage different clinical situations, with the emphasis on sound diagnostics, evidence-based treatment concepts, and predictable treatment outcomes. Implant dentistry has become a standard option for the rehabilitation of fully and partially edentulous patients.
Autoren/Hrsg.
Weitere Infos & Material
Chapter 1. Introduction
Chapter 2. Proceedings of the 4th ITI Consensus Conference: Loading Protocols in Implant Dentistry
Chapter 3. Pre-Operative Assessment and Prosthetic Treatment Planning: The Edentulous Patient
Chapter 4. Treatment Options for the Edentulous Arch
Chapter 5. Guidelines for Selecting the Appropriate Loading Protocol
Chapter 6. Clinical Case Presentations
Chapter 7. Complications Following Implant-Prosthetic Rehabilitations in Edentulous Patients
Chapter 8. Conclusions
Chapter 9. Literature/References
2 Proceedings of the 4th ITI Consensus Conference: Loading Protocols in Implant Dentistry
G.O. Gallucci, D. Morton, H.R Weber, D. Wismeijer
Group 3 of the 4th ITI Consensus Conference held in Stuttgart reviewed the current scientific evidence for loading protocols in implant dentistry. The group was composed of three teams: Partially edentulous patients, anterior region Partially edentulous patients, posterior region Edentulous patients The participants were: Group leader: Hans-Peter Weber Reviewers: German 0. Gallucci
Linda Grütter
Mario Roccuzzo Secretary: Dean Morton Co-Reviewers: Urs Belser
Luca Cordaro Participants: Gil Alcoforado
Juan Blanco
Roberto Cornellini
Tony Dawson
Andreas Feloutzis
Siegfried M. Heckmann
Frank L. Higginbottom
Haldun Iplikçioglu
Bob Jaffin
Hong-chang Lai
Niklaus P. Lang
Richard Leesungbok
Robert A. Levine
Torsten E. Reichert
George K. B. Sándor
Makoto Shiota
Alejandro Trevino Santos The group addressing edentulous patients was to present well-structured scientific and clinical evidence related to maxillary and mandibular implant-supported rehabilitations. The specific aim was to assess the survival outcome of various loading protocols according to treatment sequence and selected prosthodontic design. The electronic search yielded 2,371 publications, of which 61 articles met the inclusion criteria. Only studies reporting on implants with “rough surfaces” were selected for this review. The reported data covered 2,278 patients and 9,701 implants. Studies were grouped according to treatment protocols and prosthodontic designs, and results on conventional, early, and immediate loading were assessed separately for fixed and removable dental prostheses (Table 1). Although several randomized controlled trials (RCT) and reviews have demonstrated clinical efficiency in shortening the time to loading for edentulous patients, the related scientific evidence is mostly presented from the perspective of implant survival or success, with only limited information about the prosthodontic treatment outcome. To assess the impact of modified loading protocols in edentulous patients accurately, data was analyzed separately for: (1) maxillary and mandibular protocols; (2) fixed and removable rehabilitations; (3) rough-surfaced implants; and (4) implant placement into healed sites or extraction sockets not yet healed. These factors have often been presented as having a direct influence on the implant and prosthodontic survival rate. Table 1 Number of selected publications by loading protocol and prosthodontic treatment modality. Removable Fixed Maxilla Mandible Maxilla Mandible (Conventional) loading 3 studies
0 (RCTs)
2 (prospective)
1 (retrospective)
110 pats/530 imps
94.8%-97.7%
OH+ 10 studies
4 (RCTs)
4 (prospective)
2 (retrospective)
671 pats/1396 imps
97.1%-100%
OH+ 4 studies
1 (RCTs)
3 (prospective)
0 (retrospective)
104 pats/719 imps
95.5%-97.9%
OH+ 4 studies
1 (RCTs)
2 (prospective)
1 (retrospective)
207 pats/1254 imps
97.2%-98.7%
OH+ Early loading 2 studies
0 (RCTs)
2 (prospective)
0 (retrospective)
49 pats/185 imps
87.2%-95%
OH- 4 studies
1 (RCTs)
3 (prospective)
0 (retrospective)
68 pats/136 imps
97.1%-100%
OH+ 4 studies
1 (RCTs)
1 (prospective)
2 (retrospective)
54 pats/344 imps
93.4%-99%
OH+ 3 studies
0 (RCTs)
2 (prospective)
1 (retrospective)
176 pats/802 imps
98.6%-100%
OH+ Immediate loading 1 study
0 (RCTs)
1 (prospective)
0 (retrospective)
12 pats/48 imps
95.6%
OH N/A 7 studies
0 (RCTs)
6 (prospective)
1 (retrospective)
329 pats/1161 imps
96%-100%
OH+ 6 studies
0 (RCTs)
5 (prospective)
1 (retrospective)
153 pats/893 imps
95.4%-100%
OH+ 7 studies
0 (RCTs)
5 (prospective)
2 (retrospective)
181 pats/942 imps
98%-100%
OH+ ...
