Immediate restoration with ti-unite implants: practice-based evidence compared with animal study outcomes.

Purpose: Clinicians often do not have the benefit of adequate safety or clinical data when evaluating the merit of either newly marketed implant devices or novel clinical procedures. This has been the case for dental implants following the initial documentation of their safety and efficacy and is de...

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Published in:International Journal of Prosthodontics Vol. 24; no. 3; pp. 199 - 204
Main Authors: George KM, Choi YG, Rieck KL, Van Ess J, Ivancakova R, Carr AB
Format: research Journal Article
Published: Quintessence Publishing Company Inc. 2011
Online Access:View this record in EBSCOhost
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      dt: 2011
      vid: 24
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      pub: Quintessence Publishing Company Inc.
      place: Batavia, Illinois
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        atl: Immediate restoration with ti-unite implants: practice-based evidence compared with animal study outcomes.
      aug:
        au:
          George KM
          Choi YG
          Rieck KL
          Van Ess J
          Ivancakova R
          Carr AB
      sug:
        subj:
          Dental Implantation Equipment and Supplies
          Dental Implants
          Dental Prosthesis Equipment and Supplies
          Dental Prosthesis, Implant-Supported Equipment and Supplies
          Denture, Partial
          Adult
          Animals
          Bone Regeneration
          Cox Proportional Hazards Model
          Dental Alloys
          Dental Implantation Methods
          Dental Restoration, Temporary Equipment and Supplies
          Female
          Human
          Kaplan-Meier Estimator
          Male
          Middle Age
          Prosthesis Design
          Prosthesis Failure
          Research, Dental Methods
          Retrospective Design
          Surface Properties
          Titanium
          Treatment Outcomes
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Purpose: Clinicians often do not have the benefit of adequate safety or clinical data when evaluating the merit of either newly marketed implant devices or novel clinical procedures. This has been the case for dental implants following the initial documentation of their safety and efficacy and is demonstrated in the evolution of immediate load application. Following demonstration of safety and successful application of an implant in an animal study prior to its market release, this report provides the clinical outcomes for the first 100 Ti-Unite implants provided to 24 patients in a clinical practice over 9 years. Materials and Methods: An electronic record/clinical database review of consecutive early loaded implants from a multiple surgeon/single prosthodontist practice was conducted for quality assurance. Data extraction of standard exposure and outcome variables was accomplished by a trained individual not affiliated with the clinical practice. Results: The results revealed one failure before and none following definitive restoration with a variety of prostheses. The mean length of time from immediate to definitive restorations was 5.3 ± 1.1 months for crowns, 3.9 ± 1.3 months for fixed partial dentures, and 7.8 ± 4.1 months for mandibular 'hybrid' prostheses. The most common unexpected findings during the initial three postinsertion visits were lost access restoration and cement failure. Conclusions: Pre-market animal data regarding the safety and success of a new implant used with an early loading protocol was replicated in the clinical results of the first 100 implants used in practice. Additionally, the clinical results are favorable when compared to conventional loading protocols from this same practice and provide helpful comparative metrics (delayed vs immediate loading) to use when discussing implant treatment with patients. Int J Prosthodont 2011;24:199-203.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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