Evaluation of hybrid implant in posterior edentulous maxilla with inadequate bone

  • Authors

    • Dr. Aabu Varghese MAR BASELIOS DENTAL COLLEGETHANGALAMKOTHAMANGALAMERNAKULAMPIN 686691INDIA http://orcid.org/0000-0002-1192-0756
    • Dr. Varghese Mani MAR BASELIOS DENTAL COLLEGE
    • Dr. Sankar Vinod V MAR BASELIOS DENTAL COLLEGE
    • Dr. Arun George MAR BASELIOS DENTAL COLLEGE
    2021-01-13
    https://doi.org/10.14419/ijdr.v8i1.10209
  • Hybrid Implant, Sinus Lift, Posterior Maxillary Edentulous Areas.

  • Abstract

    Aim of this study is to investigate.

    Hybrid implant has got satisfactory results in our previous study in various edentulous areas with inadequate bone for endosseous implant placement .The credibility of the implant in the areas of posterior maxilla needed to be evaluated.

    Objectives

    •      To evaluate the hybrid implant postoperatively 18 months for gingival status, pain, peri-implantitis and mobility, so that it can be applied in posterior maxillary edentulous spaces with inadequate bone as an alternative to conventional implant.

    Materials and methods

    15 patients were rehabilitated in the posterior edentulous areas with hybrid implant. we intended to study the rehabilitation of posterior maxillary edentulous space i.e. Maxillary- premolar, 1st molar and 2nd molar area with hybrid implant and evaluate the hybrid implant post operatively for 18months (1stmonth, 3rd month, 6th month ,12 th month,18thmonth).

    Results

    •      During the study period the implant system presented with no gingivitis, peri-implantitis, and pain.

    •      The periotest test values show the implant system to be very much stable.

    •      Also proves to be safe, economical and clinician and patient friendly compared to other implant systems.

    Conclusion

    •      Hybrid implant system proves to be very effective in rehabilitating the posterior maxillary regions with inadequate bone.

    •      Also proves to be safe, economical and clinician and patient friendly compared to other implant systems.

     

     

     

  • References

    1. [1] Varghese Mani, K. K. Sivaprasad, Arun George, V. Sankar Vinod, Miriam Mathew & Susan Paul.Hybrid Implant: A Novel Implant System.J. Maxillofac. Oral Surg 14:720-777, 2015. https://doi.org/10.1007/s12663-014-0722-9.

      [2] Misch CE contemporary implant dentistry .2nded.St.Louis, Mo: Mosby; 1999. https://doi.org/10.1097/00008505-199901000-00013.

      [3] Sullivan RM. Implant dentistry and the concept of osseointegration: a historical perspective. J Calif Dent Assoc 2001; 29:737-45.

      [4] History [Internet]. Chicago (IL): American Academy of Implant Dentistry [cited 2014 Apr 22]. Available from: http://www.aaid. com/about/History.html.

      [5] Mish CE, Dietsh F. The unilateral mandibular superiosteal implant – indications and technique .J Oral Implantol .1991; 8:21-27.

      [6] Harold P. Truit, Robert James, Alan Altman and Phillip Boyne. Use of computer tomography in subperiosteal implant therapy .J Prosthet Dentistry 59:474-477, 1988. https://doi.org/10.1016/0022-3913(88)90045-5.

      [7] Mish CE, Dietsh F. The unilateral mandibular superiosteal implant – indications and technique .J Oral Implantol .1991; 8:21-27.

      [8] Randall W. Kreutz and Seymour J. Carr. Bilateral oronasal fistulas secondary to an infected maxillary subperiosteal implant.oral surg. Oral med. oral pathol., 61:230-232,1986. https://doi.org/10.1016/0030-4220(86)90366-X.

      [9] Bailey J.H.,Yanase, R.T.& Bodine ,R.L (1988) The mandibular subperiosteal implant denture : A fourteen –year study .Journal of prosthetic Dentistry. https://doi.org/10.1016/0022-3913(88)90285-5.

      [10] James, R.A., Lozada J.L., Truit, PH.,Foust, B. E.& Jovanovic, SA. (1988) Subperiosteal Implants. Journal of the California Dental Association16:10-14.

      [11] Golec, T.S. (1989) The mandibular full subperiosteal implant-Aten –year review of 202 cases. Journal of Oral Implantology 15;179-185.

      [12] Benjamin L. Long – term retrospective studies on the CT Scan CAT/CAD one stage surgery hydroxyapatite coated subperiosteal implants, including human functional retrievals. Dent Clin North Am .1992; 36:77-93.

      [13] Yanase, R. T., Bodine,R.L.,Tom, J.F.M.D. & White ,S.N.(1994) Themandibular subperiosteal implant denture :A prospective survival study. Journal of Prosthetic dentistry 71:369-374. https://doi.org/10.1016/0022-3913(94)90096-5.

      [14] O“Roark Survival rate of dental implants :an individual practitioners anecdotal review of 25 years of experience.J Oral implantol.1994;20:43-47.

      [15] Find out who was responsible for starting dental implant history [Internet]. [place unknown]: Dental-Health-Advice [cited 2014 Apr 22]. Available from: http://www.dental-health-advice.com/dental- implant-history.html.

      [16] Branemark, P.-I., Hansson, B.O. Adell ,R., Breine,U., Lindstrom, J., Hallen, O.& Ohman,A.: Osseointegrated implants in thetreatment of the edentulous jaw Experience from a 10-year period. Scand, J. Plast .Reconstr.SURG. 1977: 11: Suppl 16; and as a monograph from Almqvist & Wiksell International, Stockholm 1977.

      [17] Albrektsson, T., Branemark , P-I ., Hansson, H-A., and Lindstrom ,J.: Osseointegrated titanium implants ensuring a long lasting bone – to- implant anchorage in man .Acta Orthop Scand 52:155,1981. https://doi.org/10.3109/17453678108991776.

      [18] Adell, R., Lekholm, U., Rockier, B., and Branemark, P-I.: A15-year study of osseointegrated implants in the treatment ofthe edentulous jaw. Int J Oral Surg l&387, 1981. https://doi.org/10.1016/S0300-9785(81)80077-4.

      [19] H.A. Hansson, T. Albrektsson, and P-I. Branemark.Structural aspects of the interface between tissue and titanium implants .J Prosthet Dentistry 50:108- 113.1983. https://doi.org/10.1016/0022-3913(83)90175-0.

      [20] Cawood JI,Howell RA .A classification of the edentulous jaw .Int J Oral Maxillofac Surg 1988:17:232-6. https://doi.org/10.1016/S0901-5027(88)80047-X.

      [21] Albrektsson T, Branemark P-I,Eriksson A,et al:The preformed autologous bone graft.Scand J Plast Reconstr Surg 12:215,1978. https://doi.org/10.3109/02844317809012997.

      [22] Boyne PJ. James RA. Grafting of the maxillary sinus floor with autogenous marrow and bone.J Oral Surg 1980; 38(8):613-6.

      [23] Breine U, Branemark PI: Reconstruction of alveolar jaw bone.Scand J Plast Reconstr Surg 14:23, 1980. https://doi.org/10.3109/02844318009105733.

      [24] Sailer Hf.A new method of inserting endosseous implants in totally atrophic maxillae.J Cranio-Max-Fac Surg 1989:30:299-305. https://doi.org/10.1016/S1010-5182(89)80057-5.

      [25] J. I. Cawood, P.J.W.Stoelinga,J.J.A.Brouns:Reconstruction of the severely resorbed (Class VI) maxilla.A two-step procedure. Int .J. Oral Maxillofacial. Surg 1994; 23:219-225. https://doi.org/10.1016/S0901-5027(05)80374-1.

      [26] Summers RB: A new concept in maxillary implant surgery: The osteotome technique. Compend Contin Educ Dent 15:152, 1994.

      [27] Davarpanah M, Martinez H, Tecucianu J, et al: The modified osteotome technique. Int J Period Rest Dent 21:599, 2001.

      [28] Torella F,Pitarch J,Cabanes G,et al:Ultrasonic ostectomy for the surgical approach of the maxillary sinus : A technical note .Int J Oral Maxillofac Implants 13:697,1998.

      [29] Darle C: Branemark system zygoma fixture, A unique solution for rehabilitation of the severely resorbed maxilla;The zygoma option (ed2). Gothenburg, Sweden, Nobel Biocare AB, 2000.

      [30] Krekmanow L.Placement of posterior mandibular and maxillary implants in patients with severe bone deficiency: a clinical report of procedure .Int J Oral Maxillofac Implants 15:405, 2000

      [31] Parel SM,Branemark PI,Ohrnell LO,et al :Remote implant anchorage for the rehabilitation of maxillary defects.J Prosthet Dent 86:377,2001. https://doi.org/10.1067/mpr.2001.118874.

      [32] Sotirakis EG, Gonshor A: Elevation of the maxillary sinus floor with hydraulic pressure. J Oral Implantol 31:197, 2005. https://doi.org/10.1563/1548-1336(2005)31[197:EOTMSF]2.0.CO;2.

      [33] Summers RB: A new concept in maxillary implant surgery: The osteotome technique. Compend Contin Educ Dent 15:152, 1994.

      [34] Joseph Choukroun, Antoine Diss, Alain Simonpieri,Marie –Odile Girard,Christian Schoeffler,Steve L.Dohan, Anthony J.J.Dohan,Jaafar Mouhyi,and David M.Dohan : Platelet –rich Fibrin (PRF) : A second – generation platelet concentrate.Part V: Histologic evaluations of PRF effects on bone allografts maturation in sinus lift..Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006: 101:299-303. https://doi.org/10.1016/j.tripleo.2005.07.012.

      [35] P. I Branemark, R.Adell ,T.Albrektsson ,U.Lekholm, J.Lindstrom,B.Rockler. An experimental and clinical study of osseointegrated implants penetrating the nasal cavity and maxillary sinus.J Oral Maxillofac Surg42:497-505. https://doi.org/10.1016/0278-2391(84)90008-9.

      [36] Tolman DE: Reconstructive procedures with endosseous implants in grafted bone : A review of the literature .Int J Oral Maxillofac Surg 17 :33,1988.

      [37] Joseph Choukroun, Antoine Diss, Alain Simonpieri,Marie –Odile Girard,Christian Schoeffler,Steve L.Dohan, Anthony J.J.Dohan,Jaafar Mouhyi,and David M.Dohan : Platelet –rich Fibrin (PRF) : A second – generation platelet concentrate.Part V: Histologic evaluations of PRF effects on bone allografts maturation in sinus lift..Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006: 101:299-303. https://doi.org/10.1016/j.tripleo.2005.07.012.

      [38] Nyström E, Nilson H, Gunne J, Lundgren S. A 9–14 year follow-up of onlay bone grafting in the atrophic maxilla. Int J Oral Maxillofac Surg2009; 38:111–6. https://doi.org/10.1016/j.ijom.2008.10.008.

      [39] Jee-Won Moon,Dong-Seok-Sohn, Jeong-Uk-Heo,Hong-In Shin, and Jae-Kyun Jung.New Bone Formation in the maxillarysinus Using Peripheral Venous BloodAlone.J Oral Maxillofac Surg 69:2357-2367, 2011 https://doi.org/10.1016/j.joms.2011.02.092.

      [40] Nuray Yilmaz Altintas,Figen Cizmeci Senel, Saadettin Kayıpmaz, Fatih Taskesen,and A. Alper Pampu.Comparative Radiologic Analyses Of NewlyFormed Bone After Maxillary SinusAugmentation With And WithoutBone Grafting.J Oral Maxillofac Surg 71:1520-1530, 2013. https://doi.org/10.1016/j.joms.2013.04.036.

      [41] A. P. F. assi, . Pioto, . P. Faverani, . Canestraro, F. . K. Fonta o Maxillary sinus lift without grafting, and simultaneous implant placement: a prospective clinical study with a 51-month follow-up. Int. J. Oral Maxillofac. Surg. 2015; 44: 902–907. https://doi.org/10.1016/j.ijom.2015.03.016.

      [42] Leonard I.Linkow. Endosseous blade-vent implants: A two –year report. J Prosthet Dentistry: 441-448. https://doi.org/10.1016/0022-3913(70)90011-9.

      [43] Joseph R. Natiella, Jack E. Armitage, Michael A . Meenaghan , Charles S. Lipani and George W. Greene, Buffalo, N.Y. Oral Surg.36:336-342.,1973. https://doi.org/10.1016/0030-4220(73)90211-9.

      [44] C. W. Svare, W. E. LaVelle, P. E. Delong, J.Kent and D. Weber. Coated versus non- proplast –coated endosseous blade-vent dental implants. Oral Surg 40:2- 7.1975. https://doi.org/10.1016/0030-4220(75)90336-9.

      [45] Mitsuru Motoyoshi, Rina Sanuki-Suzuki, Yasuki Uchida, Akari Saiki, and Noriyoshi Shimizu.Maxillary sinus perforation by orthodontic anchor screws.Journal of Oral Science, Vol. 57, No. 2, 95-100, 2015. https://doi.org/10.2334/josnusd.57.95.

      [46] Olive, J., Aparicio, C., 1990. Periotest method as a measure of osseointegrated oral implant stability. Int. J. Oral Maxillofac. Implants 5, 390–400.

      [47] Teerlinck, J., Quirynen, M., Darius, P., van Steenberghe, D., 1991. Periotest: an objective clinical diagnosis of bone apposition toward implants. Int. J. Oral Maxillofac. Implants 6, 55–61.

      [48] Drago, C.J., 2000. A prospective study to assess osseointegration of dental endosseous implants with the Periotest instrument. Int. J. Oral Maxillofac. Implants 15, 389–395.

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    Aabu Varghese, D., Varghese Mani, D., Sankar Vinod V, D., & Arun George, D. (2021). Evaluation of hybrid implant in posterior edentulous maxilla with inadequate bone. International Journal of Dental Research, 8(1), 1-8. https://doi.org/10.14419/ijdr.v8i1.10209

    Received date: 2018-03-16

    Accepted date: 2018-04-16

    Published date: 2021-01-13