Immediate small-diameter implants as abutments for an overdenture in the edentulous atrophic mandible: report of immersion endoscopic bone in vivo, and histologic bone-implant evaluation after 6 months of function

The aim of this report was to endoscopically evaluate bone quality in vivo in the immediate installation of temporary small-diameter implants, and again after 6 months of function, through an attachments system for overdenture, in the atrophic mandible of a patient. We also histologically evaluated...

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Autores: Beltrán, Víctor, Lillo, Ricardo, Weber, Benjamín, Valdivia Gandur, Ivan, Manzanares Céspedes, María Cristina, Engelke, Wilfried
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2019
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/172805
Acceso en línea:https://hdl.handle.net/2445/172805
Access Level:acceso abierto
Palabra clave:Ossos
Implants dentals
Endoscòpia
Bones
Dental implants
Endoscopy
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spelling Immediate small-diameter implants as abutments for an overdenture in the edentulous atrophic mandible: report of immersion endoscopic bone in vivo, and histologic bone-implant evaluation after 6 months of functionBeltrán, VíctorLillo, RicardoWeber, BenjamínValdivia Gandur, IvanManzanares Céspedes, María CristinaEngelke, WilfriedOssosImplants dentalsEndoscòpiaBonesDental implantsEndoscopyThe aim of this report was to endoscopically evaluate bone quality in vivo in the immediate installation of temporary small-diameter implants, and again after 6 months of function, through an attachments system for overdenture, in the atrophic mandible of a patient. We also histologically evaluated bone-implant interaction in these temporary small-diameter implants, once the success of the osseointegration of the submerged implants was guaranteed. A patient received a total of 6 implants in the atrophic mandible, two of which were immediately loaded with a provisional prosthesis, and four were left to heal in a submerged way. Further, an immersion endoscopic evaluation was performed during bone drilling, and this showed a compact bone structure with limited vascularization and predominantly cortical structure.This immediate loading protocol involving an overdenture retained by two small-diameter implants of 2.9 mm in the atrophic mandible proved to be successful after 6 months of loading. Clinical and histologic osseointegration was consistently achieved for both of the retrieved immediately loaded implants. This modality allows the patient to be restored with a stable, functional, and aesthetic prosthesis during the osseointegration period of submerged implants and soft-tissue healing, before the removal of the provisional implants. The histological evaluation of bone-implant contact found that the space between the implant threads closer to the surface was filled with woven bone and lamellar bone, but the tissue in contact with the cervical portion of the implants was compatible with cortical bone organization. Also, the newly formed bone has a regular cell distribution and characteristics of advanced maturation after 6 months of function in the atrophic mandible. Anchored overdentures in 2 to 4 small-diameter implants (2.9 mm) for edentulous patients with severe atrophy of the mandible with cortical bone would be a minimally invasive alternative.Sociedad Chilena de Anatomía2019info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/172805Articles publicats en revistes (Patologia i Terapèutica Experimental)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: https://scielo.conicyt.cl/scielo.php?script=sci_issuetoc&pid=0717-950220190002&lng=es&nrm=isoInternational Journal of Morphology, 2019, vol. 37, num. 2, p. 452-458cc-by-nc (c) Beltrán, Víctor et al., 2019http://creativecommons.org/licenses/by-nc/3.0/esinfo:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/1728052026-05-27T06:46:51Z
dc.title.none.fl_str_mv Immediate small-diameter implants as abutments for an overdenture in the edentulous atrophic mandible: report of immersion endoscopic bone in vivo, and histologic bone-implant evaluation after 6 months of function
title Immediate small-diameter implants as abutments for an overdenture in the edentulous atrophic mandible: report of immersion endoscopic bone in vivo, and histologic bone-implant evaluation after 6 months of function
spellingShingle Immediate small-diameter implants as abutments for an overdenture in the edentulous atrophic mandible: report of immersion endoscopic bone in vivo, and histologic bone-implant evaluation after 6 months of function
Beltrán, Víctor
Ossos
Implants dentals
Endoscòpia
Bones
Dental implants
Endoscopy
title_short Immediate small-diameter implants as abutments for an overdenture in the edentulous atrophic mandible: report of immersion endoscopic bone in vivo, and histologic bone-implant evaluation after 6 months of function
title_full Immediate small-diameter implants as abutments for an overdenture in the edentulous atrophic mandible: report of immersion endoscopic bone in vivo, and histologic bone-implant evaluation after 6 months of function
title_fullStr Immediate small-diameter implants as abutments for an overdenture in the edentulous atrophic mandible: report of immersion endoscopic bone in vivo, and histologic bone-implant evaluation after 6 months of function
title_full_unstemmed Immediate small-diameter implants as abutments for an overdenture in the edentulous atrophic mandible: report of immersion endoscopic bone in vivo, and histologic bone-implant evaluation after 6 months of function
title_sort Immediate small-diameter implants as abutments for an overdenture in the edentulous atrophic mandible: report of immersion endoscopic bone in vivo, and histologic bone-implant evaluation after 6 months of function
dc.creator.none.fl_str_mv Beltrán, Víctor
Lillo, Ricardo
Weber, Benjamín
Valdivia Gandur, Ivan
Manzanares Céspedes, María Cristina
Engelke, Wilfried
author Beltrán, Víctor
author_facet Beltrán, Víctor
Lillo, Ricardo
Weber, Benjamín
Valdivia Gandur, Ivan
Manzanares Céspedes, María Cristina
Engelke, Wilfried
author_role author
author2 Lillo, Ricardo
Weber, Benjamín
Valdivia Gandur, Ivan
Manzanares Céspedes, María Cristina
Engelke, Wilfried
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv Ossos
Implants dentals
Endoscòpia
Bones
Dental implants
Endoscopy
topic Ossos
Implants dentals
Endoscòpia
Bones
Dental implants
Endoscopy
description The aim of this report was to endoscopically evaluate bone quality in vivo in the immediate installation of temporary small-diameter implants, and again after 6 months of function, through an attachments system for overdenture, in the atrophic mandible of a patient. We also histologically evaluated bone-implant interaction in these temporary small-diameter implants, once the success of the osseointegration of the submerged implants was guaranteed. A patient received a total of 6 implants in the atrophic mandible, two of which were immediately loaded with a provisional prosthesis, and four were left to heal in a submerged way. Further, an immersion endoscopic evaluation was performed during bone drilling, and this showed a compact bone structure with limited vascularization and predominantly cortical structure.This immediate loading protocol involving an overdenture retained by two small-diameter implants of 2.9 mm in the atrophic mandible proved to be successful after 6 months of loading. Clinical and histologic osseointegration was consistently achieved for both of the retrieved immediately loaded implants. This modality allows the patient to be restored with a stable, functional, and aesthetic prosthesis during the osseointegration period of submerged implants and soft-tissue healing, before the removal of the provisional implants. The histological evaluation of bone-implant contact found that the space between the implant threads closer to the surface was filled with woven bone and lamellar bone, but the tissue in contact with the cervical portion of the implants was compatible with cortical bone organization. Also, the newly formed bone has a regular cell distribution and characteristics of advanced maturation after 6 months of function in the atrophic mandible. Anchored overdentures in 2 to 4 small-diameter implants (2.9 mm) for edentulous patients with severe atrophy of the mandible with cortical bone would be a minimally invasive alternative.
publishDate 2019
dc.date.none.fl_str_mv 2019
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/172805
url https://hdl.handle.net/2445/172805
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://scielo.conicyt.cl/scielo.php?script=sci_issuetoc&pid=0717-950220190002&lng=es&nrm=iso
International Journal of Morphology, 2019, vol. 37, num. 2, p. 452-458
dc.rights.none.fl_str_mv cc-by-nc (c) Beltrán, Víctor et al., 2019
http://creativecommons.org/licenses/by-nc/3.0/es
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by-nc (c) Beltrán, Víctor et al., 2019
http://creativecommons.org/licenses/by-nc/3.0/es
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Sociedad Chilena de Anatomía
publisher.none.fl_str_mv Sociedad Chilena de Anatomía
dc.source.none.fl_str_mv Articles publicats en revistes (Patologia i Terapèutica Experimental)
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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