5+Mm Implants vs Bone Augmentation Poster Sio 2010

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    5 mm Short Implants Versus Bone Augmentation.

    Four-month Post-loading Results From A Randomized

    Controlled Clinical Trial.L. Piana *, R. Pistilli**, P. Felice* , L. Checchi*, A. Scarano***, M. Esposito****

    [email protected][email protected]@[email protected] [email protected]@hotmail.com

    *School of Dentistry, Unit of Periodontology&Implantology, University of Bologna, Italy

    ** Department of Maxillofacial Surgery, A.C.O. San Filippo Neri, Roma, Italy

    **** School of Dentistry, Department of Oral & Maxillofacial Surgery, University of Manchester, UK

    onclusions: With residual bone height of 5-7 mm over the mandibular canal, 5 mm short implants might be preferable since the treatment is faster,heaper and associated with less morbidity. In the presence of 4-6 mm of bone height below the maxillary sinus it is still unclear which procedure could

    e preferable.

    ferences:- Felice P, Marchetti C, Iezzi G, Piattelli A, Pellegrino G, Esposito M. Vertical augmentation of the posterior mandible with inlay grafts: bone from the iliac crest versus bovine bone. Results up to 1 year after loading from a

    randomized controlledclinicaltrial.ClinicalOral ImplantsResearch2009;In press

    elice P, Cannizzaro G, Checchi V, Marchetti C, Pellegrino G, Censi P, Esposito M. Vertical bone augmentation versus 7-mm-long implants in posterior atrophic mandibles. Results of a randomised controlled clinical trial of up to 4 month

    safterloading. Eur.J OralImplantol. 2009;2(1):7-20.

    - Pietro Felice, Vittorio Checchi, Roberto Pistilli,Antonio Scarano, Gerardo Pellegrino, MarcoEspositoBone augmentation versus 5-mmdentalimplants in posterioratrophicjaws. One-Year post-loading results froma randomised

    controlled clinicaltrial. European Journal of OralImplantology2009;2(4)267281

    - Felice P, MarchettiC, Piattelli A, Pellegrino G, ChecchiV, WorthingtonH, Esposito M. Vertical ridge augmentation of the atrophic posteriormandible with interpositional block grafts: bone from theiliac crest versus bovine an organic

    bone.Results up to delivery of the finalprostheses from a split-mouth, randomised, controlledtrial. Eur.J. OralImplantol.2008;1(3):193-1198.

    Objectives: to evaluate whether 5 mm short implants could be a suitable alternative to augmentation and placement of longer implants in posterior

    atrophic jaws

    Materials and Methods: Thirty patients with bilateral posterior edentulism

    were included: 15 patients having 5-7 mm of residual crestal height above the

    mandibular canal and 15 patients having 4-6 mm of residual crestal height

    below the maxillary sinus were randomized either to receive 5 mm or 10 mm

    ong Rescue implants (Megagen) placed in augmented bone according to a

    plit-mouth design.Outcome measures were: prosthesis and implant failures, complications, time

    needed to fully recover mental nerve function and patient treatment

    preference.

    Results

    In 5 patients of the augmented group there was not enough bone(height) to place 10 mm implants and therefore 7 and 8.5 mm were used.

    In each group one prosthesis could not be placed because an implant was found mobile at abutment connection.

    Five complications occurred: 2 in the augmented group versus 3 in the 5 mm implant group. No patient suffered from permanent disruption

    of alveolar inferior nerve function; however sensitivity was recovered significantly faster in the short implant side. There was no statistically

    significant difference in patient preference for treatment.

    *** Dental School, University of Chieti-Pescara,Chieti, Italy

    Test side in posterior maxillaryControl side in posterior maxillary

    Test side in posterior mandible

    Control side in posterior mandible

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