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Randomized controlled multicenter study comparing short dental implants (6mm) versus longer dental implants (11-15mm) in combination with sinus floor elevation procedures. Part 2: clinical and radiographic outcomes at 1 year of loading


Schincaglia, Gian Pietro; Thoma, Daniel S; Haas, Robert; Tutak, Marcin; Garcia, Abel; Taylor, Thomas D; Hämmerle, Christoph H F (2015). Randomized controlled multicenter study comparing short dental implants (6mm) versus longer dental implants (11-15mm) in combination with sinus floor elevation procedures. Part 2: clinical and radiographic outcomes at 1 year of loading. Journal of Clinical Periodontology, 42(11):1042-1051.

Abstract

AIM To compare, clinically and radiographically, short dental implants (6mm) to long implants (11-15 mm) placed with sinus grafting. METHODS Participants with 5-7 mm of bone height in the posterior maxilla were randomly allocated to receive short implants (GS) or long implants with sinus grafting (GG). Implants were loaded with single crowns 6 months after placement (PR). Patients were re-evaluated 12 months after loading (FU-1). Outcome variables included: Implant survival rate (CSR), marginal bone level alteration (MBL), periodontal probing depth (PPD), bleeding on probing (BoP), plaque control record (PCR) and crown-to-implant ratios (C/I). Statistical analysis was performed using non-parametric tests. RESULTS In 97 subjects, 132 implants were re-evaluated at FU-1. The CSR was 100%. The MBL from implant placement (IP) to (PR) was -0.22±0.4mm for GG and -0.3±0.45mm for GS (p<0.001). MBL from IP to FU-1 was -0.37±0.59mm for GG and -0.22±0.3mm for GS (p<0.001). Intergroup comparisons showed non significant differences for MBL (p>0.05), PPD (p=1) and PCR (p=0.09). BoP was higher in the GS (p=0.04). The C/I was 0.99 ±0.17 for GG and 1.86 ± 0.23 for GS (p<0.001). No correlation was observed between C/I and MBL, (GG: p=0.13; GS: p=0.38). CONCLUSIONS Both treatment modalities provided similar outcomes. This article is protected by copyright. All rights reserved.

Abstract

AIM To compare, clinically and radiographically, short dental implants (6mm) to long implants (11-15 mm) placed with sinus grafting. METHODS Participants with 5-7 mm of bone height in the posterior maxilla were randomly allocated to receive short implants (GS) or long implants with sinus grafting (GG). Implants were loaded with single crowns 6 months after placement (PR). Patients were re-evaluated 12 months after loading (FU-1). Outcome variables included: Implant survival rate (CSR), marginal bone level alteration (MBL), periodontal probing depth (PPD), bleeding on probing (BoP), plaque control record (PCR) and crown-to-implant ratios (C/I). Statistical analysis was performed using non-parametric tests. RESULTS In 97 subjects, 132 implants were re-evaluated at FU-1. The CSR was 100%. The MBL from implant placement (IP) to (PR) was -0.22±0.4mm for GG and -0.3±0.45mm for GS (p<0.001). MBL from IP to FU-1 was -0.37±0.59mm for GG and -0.22±0.3mm for GS (p<0.001). Intergroup comparisons showed non significant differences for MBL (p>0.05), PPD (p=1) and PCR (p=0.09). BoP was higher in the GS (p=0.04). The C/I was 0.99 ±0.17 for GG and 1.86 ± 0.23 for GS (p<0.001). No correlation was observed between C/I and MBL, (GG: p=0.13; GS: p=0.38). CONCLUSIONS Both treatment modalities provided similar outcomes. This article is protected by copyright. All rights reserved.

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Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Center for Dental Medicine > Clinic for Fixed and Removable Prosthodontics
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:1 October 2015
Deposited On:20 Oct 2015 15:38
Last Modified:14 Feb 2018 09:35
Publisher:Wiley-Blackwell Publishing, Inc.
ISSN:0303-6979
OA Status:Green
Publisher DOI:https://doi.org/10.1111/jcpe.12465
PubMed ID:26425812

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