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1.
Animals (Basel) ; 13(4)2023 Feb 17.
Artículo en Inglés | MEDLINE | ID: mdl-36830493

RESUMEN

Recent reports of Eucoleus garfiai in wild boars in southern Italy have highlighted the need for collecting epidemiological data on the presence of this parasite and understanding the role of possible interactions between wild boars, E. garfiai, and the environment. This study analyses, using histopathological and biomolecular techniques, the presence of E. garfiai in tongue samples of wild boars hunted in four provinces of the Campania and Latium regions (Italy), in areas located above and below 900 m above sea level (asl). Histopathological examinations revealed the presence of adults and eggs of nematodes, which were subsequently identified as E. garfiai by biomolecular analysis, in the tongue epithelium. The detection of the parasite was more frequent in samples collected from hunting areas located above 900 m asl than in those collected from areas located below 900 m asl (66.67% vs. 38.09%; p < 0.01). Some species of earthworms are intermediate hosts of E. garfiai and it is well known that earthworms are more present in high quality soils. Therefore, we can suggest that the higher prevalence of E. garfiai at higher altitudes is probably linked to a greater presence of earthworms in the soil, due to its higher quality in these areas.

2.
Animals (Basel) ; 12(24)2022 Dec 11.
Artículo en Inglés | MEDLINE | ID: mdl-36552415

RESUMEN

The knowledge of how wolves' movement patterns and habitat selection are affected by habituation to persons after a period of veterinary isolation, treatment and non-agonistic experience with humans is scarce. Unnatural behaviours could be transferred by imitation to members of the pack and to subsequent generations, increasing direct interaction risks. We used GPS data from a rescued radio-collared female wolf after an 11-day rehabilitation to estimate home range, movement patterns, circadian rhythms, and habitat selection, searching for signals of eventual behavioural distortions. In the period 1 August−26 November 2013, 870 valid locations were acquired. The wolf moved within a minimum convex polygon (95%) of 6541.1 ha (79% wooded), avoiding anthropized areas. Nocturnal and diurnal displacements were significantly different (p < 0.01). Nocturnal displacements were 4409.4 ± 617.5 m during summer and 3684.8 ± 468.1 m during autumn, without differences between seasons. Diurnal movements were significantly higher (p < 0.01) in the summer (2239.0 ± 329.0 m) than in the autumn (595.9 ± 110.3 m), when the hunting season was running. As for a wild wolf, clear complementarity concerning human activities was recorded and no habituation signals were detected, but this is only a first case study that aims to be a stimulus for further research and a call for widespread data sharing.

3.
Animals (Basel) ; 12(5)2022 Feb 22.
Artículo en Inglés | MEDLINE | ID: mdl-35268110

RESUMEN

Translocations and releases of farm-reared birds are considered among the major drivers of genetic pollution with consequent loss of genetic diversity in wild populations. In this study, we aimed to assess the extent of hybridization and introgression in the Italian partridges as a consequence of translocation. We surveyed two mitochondrial markers and one nuclear marker of Alectoris and Perdix from collections (museums and private collections), extant wild populations and farms. Consistent with previous studies, we found haplotypes of allochthonous species within the same genus, likely due to introductions for hunting activities. In addition, we found hybrids between Perdix and Alectoris species with genetic markers from both genera in single individuals. Such introgression was bidirectional and in both mitochondrial and nuclear markers. Counterintuitively, most of the hybrid samples came from collections before the 1950s, when large-scale translocations started, from wild populations where Grey Partridge (Perdix perdix) and Rock Partridge (Alectoris graeca) overlap in their distribution, whereas only one hybrid occurred among the farmed birds. Our results suggest that Perdix and Alectoris species can hybridize in nature and that artificial translocations and releases of farm-reared birds for restocking or reintroduction purposes may be only partially responsible for the genomic mismatches of Italian partridges.

4.
Animals (Basel) ; 11(7)2021 Jun 25.
Artículo en Inglés | MEDLINE | ID: mdl-34202132

RESUMEN

Winter resources are crucial for wildlife, and, at a local scale, some anthropogenic and environmental factors could affect their availability. In the case of wolves, it is known that vocalisations in response to unfamiliar howls are issued to defend their territory and the important resources within it. Then, we studied the characteristics of winter response sites (WRS) during the cold season, aiming to assess their eventual ability to provide insights into the distribution of valuable resources within their territories. Within this scope, we planned a wolf-howling survey following a standardised approach. The study covered an Apennine (Central Italy) area of 500 km2. A hexagonal mesh was imposed on the area, in order to determine the values of different variables at the local scale. A logistic LASSO regression was performed. WRS were positively related to the presence of thermal refuges (odds = 114.485), to patch richness (odds = 1.153), wild boar drive hunting areas (odds = 1.015), and time elapsed since the last hunt (odds = 1.019). Among negative factors, stray dogs reply considerably affects wolves' responsiveness (odds = 0.207), where odds are the exponentiated coefficients estimated by the logistic lasso regression. These results suggest that WRS are related to anthropogenic and environmental factors favouring the predation process.

5.
Int J Oral Implantol (Berl) ; 12(1): 89-102, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31116190

RESUMEN

PURPOSE: To evaluate the outcome of one (fixed-on-1, Fo1) versus two (fixed-on-2, Fo2) implants placed flapless in fully edentulous mandibles and immediately restored with metal-resin screw-retained cross-arch prostheses. MATERIALS AND METHODS: Twenty patients with edentulous or to be rendered edentulous mandibles were randomised to the Fo1 group (10 patients who received three intraforaminal implants but only the mesial implant was actually loaded) and to the Fo2 group (10 patients who received two intraforaminal implants) according to a parallel-group design. To be immediately loaded implants had to be inserted with a minimum torque of 60 Ncm. Outcome measures were prosthesis and implant failures, complications and patient satisfaction for function and aesthetics evaluated up to 10 months post-loading. RESULTS: Flaps were raised in three patients of the Fo1 group and one of the Fo2 group. Two prostheses in each group were delayed loaded at 2 and 3 months, because implants could not be inserted with a torque superior to 60 Ncm. Patients of the Fo2 group received prostheses with 12 teeth whereas Fo1 patients with 8 or 10 teeth. Ten months after loading no drop-out or implant failure occurred, but one Fo2 prosthesis had to be remade because the patient complained it was too short (risk difference = 0.1; 95% CI: -0.19 to 0.40; Fisher's exact test P = 1.000). Three patients were affected by complications in each group (risk difference = 0.0; 95% CI: -0.359 to 0.359; Fisher's exact test; P = 1.000). There were no statistically significant differences for prosthetic failures and complications between groups. Four months after loading, patients of the Fo1 group were less satisfied for function than those of the Fo2 group (difference between the medians [Hodges-Lehmann estimation] = 1; 95% CI: 0 to 2; P = 0.043). No differences were observed for aesthetics (difference between the medians [Hodges-Lehmann estimation] = 0; 95% CI: -1 to 0; P = 0.481), and two Fo1 patients would not undergo the same procedure again (difference in proportions: 0.2; 95% CI: -0.11 to 0.51; P = 0.474). CONCLUSIONS: Preliminary results suggest that immediately loaded cross-arch screw-retained fixed prostheses with 8 to 10 teeth can be supported by only one dental implant at least up to 10 months post-loading; however, the clinical application and usefulness of such a procedure remains questionable.


Asunto(s)
Pérdida de Hueso Alveolar , Carga Inmediata del Implante Dental , Tornillos Óseos , Prótesis Dental de Soporte Implantado , Fracaso de la Restauración Dental , Humanos
7.
Eur J Oral Implantol ; 9 Suppl 1(2): 143-53, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-27314120

RESUMEN

PURPOSE: To evaluate the outcome of two (fixed-on-2 = FO2) versus three (fixed-on-3 = FO3) implants placed flapless in fully edentulous jaws and immediately restored with metal-resin screw-retained crossarch prostheses. MATERIALS AND METHODS: Forty edentulous or to be rendered edentulous patients (20 in the maxilla and 20 in the mandible) were randomised to the FO2 group (20 patients: 10 in the maxilla and 10 in the mandible) and to the FO3 group (20 patients: 10 in the maxilla and 10 in the mandible) according to a parallel group design. To be immediately loaded, implants had to be inserted with a minimum torque of 60 Ncm. Outcome measures were prosthesis and implant failures, complications and periimplant marginal bone level changes evaluated up to 1-year post-loading. RESULTS: Flaps were raised in four patients and two prostheses were loaded early at 8 weeks in the FO2 group. One year after loading no dropout or implant failure occurred, however one FO2 maxillary prosthesis had to be remade because of repeated screw-loosening (risk difference = 0.05; 95% CI: -0.05 to 0.15; Fisher's exact test P = 1.000). Three FO2 patients were affected by complications versus five FO3 patients (risk difference = -0.1; 95% CI: -0.35 to 0.15; Fisher's exact test; P = 0.695). There were no statistically significant differences for prosthetic failures and complications between groups. There were no statistically significant differences for marginal peri-implant bone levels between the two groups (estimate of the difference = 0.031 mm; 95% Cl: -0.22 to 0.28; P (ancova) = 0.803), with both groups losing marginal bone in a statistically significant way (0.27 mm for FO2 patients and 0.24 mm for FO3 patients). CONCLUSIONS: These preliminary results suggest that immediately loaded cross-arch prostheses can be supported by only two or three dental implants at least up to 1-year post-loading. Longer follow-ups are needed to properly evaluate both these therapeutic options.


Asunto(s)
Implantes Dentales , Prótesis Dental de Soporte Implantado , Dentadura Completa , Carga Inmediata del Implante Dental/métodos , Adulto , Anciano , Pérdida de Hueso Alveolar/diagnóstico por imagen , Proceso Alveolar/diagnóstico por imagen , Densidad Ósea/fisiología , Diseño de Implante Dental-Pilar , Materiales Dentales/química , Fracaso de la Restauración Dental , Diseño de Dentadura , Femenino , Estudios de Seguimiento , Humanos , Arcada Edéntula/rehabilitación , Arcada Edéntula/cirugía , Masculino , Persona de Mediana Edad , Complicaciones Posoperatorias , Radiografía de Mordida Lateral , Colgajos Quirúrgicos/cirugía , Titanio/química , Resultado del Tratamiento
8.
Eur J Oral Implantol ; 9 Suppl 1(2): 155-63, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-27314121

RESUMEN

PURPOSE: To compare the outcome of immediately loaded single implants with a machined or a roughened surface. MATERIALS AND METHODS: Fifty patients had two implant sites randomly allocated to receive flaplessplaced single Syra implants (Sweden & Martina), one with a machined and one with a roughened surface (sand-blasted with zirconia powder and acid etched), according to a split-mouth design. To be loaded immediately, implants had to be inserted with a torque superior to 50 Ncm. Implants were restored with definitive crowns in direct occlusal contact within 48 h. Patients were followed for 6 months after loading. Outcome measures were prosthetic and implant failures and complications. RESULTS: Two machined implants and four roughened implants were not loaded immediately. Six months after loading no dropout occurred. One implant loaded late, which had a rough implant surface, failed 20 days after loading (P (McNemar test) = 0.625; difference in proportions = -0.04; 95% CI: -0.15 to 0.07). Three crowns had to be remade on machined implants and four on roughened implants (P (McNemar test) = 1.000; difference in proportions = -0.02; 95% CI: -0.12 to 0.08). Three machined and five roughened implants experienced complications (P (McNemar test) = 0.625; difference in proportions = -0.04; 95% CI: -0.15 to 0.07). There were no statistically significant differences between groups for crown and implant losses as well as complications. CONCLUSIONS: Up to 6 months after loading both machined and roughened flapless-placed and immediately loaded single implants provided good and similar results, however, longer follow-ups are needed to evaluate the long-term prognosis of implants with different surfaces.


Asunto(s)
Implantes Dentales de Diente Único , Diseño de Prótesis Dental , Prótesis Dental de Soporte Implantado , Carga Inmediata del Implante Dental/métodos , Grabado Ácido Dental/métodos , Adulto , Coronas , Grabado Dental/métodos , Diseño de Implante Dental-Pilar , Materiales Dentales/química , Fracaso de la Restauración Dental , Femenino , Estudios de Seguimiento , Humanos , Masculino , Persona de Mediana Edad , Complicaciones Posoperatorias , Propiedades de Superficie , Resultado del Tratamiento , Adulto Joven , Circonio/química
9.
Eur J Oral Implantol ; 9(1): 67-74, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-27022638

RESUMEN

PURPOSE: To evaluate the clinical outcome of fully edentulous patients rehabilitated with immediately loaded bimaxillary screw-retained metal-resin prostheses supported by five implants placed flapless: two in the mandible and three in the maxillae. MATERIALS AND METHODS: Twenty-five consecutively treated patients were recruited. To be immediately loaded, implants had to be inserted with a minimum torque of 80 Ncm. Outcome measures were prosthesis and implant failures, and complications. RESULTS: Six months after loading no patients dropped out and no prosthesis or implant failed. Two maxillary prostheses were loaded early at 8 weeks because implants were inserted with a torque inferior to 45 Ncm. Three complications occurred in two patients but they were all successfully treated. CONCLUSIONS: Six months after loading, immediately loaded bimaxillary cross-arch prostheses can be supported by only two mandibular and three maxillary flapless-placed dental implants. Longer follow-ups of approximately 10 years are needed to understand the prognosis of this treatment modality.


Asunto(s)
Implantes Dentales , Prótesis Dental de Soporte Implantado , Dentadura Completa Inmediata , Carga Inmediata del Implante Dental , Adulto , Anciano , Densidad Ósea/fisiología , Estudios de Cohortes , Implantación Dental Endoósea/métodos , Diseño de Prótesis Dental , Fracaso de la Restauración Dental , Diseño de Dentadura , Retención de Dentadura , Femenino , Estudios de Seguimiento , Humanos , Complicaciones Intraoperatorias , Masculino , Persona de Mediana Edad , Boca Edéntula/rehabilitación , Boca Edéntula/cirugía , Complicaciones Posoperatorias , Estudios Prospectivos , Propiedades de Superficie , Torque , Resultado del Tratamiento
11.
Eur J Oral Implantol ; 6(1): 13-25, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-23513199

RESUMEN

PURPOSE: To evaluate the efficacy of long implants (10-16 mm) inserted in maxillary sinuses augmented according to a lateral approach versus short (8 mm) implants placed in crestally augmented sinuses, early loaded after 45 days. MATERIALS AND METHODS: Forty partially or fully edentulous patients having 3 to 6 mm of residual crestal height and at least 4 mm in thickness below the maxillary sinuses were randomised according to a parallel group design to receive either one to three 10 to 16 mm-long hydroxyapatite-coated implants (20 patients) after lateral sinus lifting with 50% an organic bovine (Bio-Oss) and 50% autogenous bone, or 8 mm implants (20 patients) after crestal sinus lifting with autogenous bone. Implants were submerged and left healing for 45 days before loading the implants. Within 1 week after abutment connection, implants were loaded with screw-retained full acrylic provisional prostheses. Definitive metal-ceramic prostheses were provisionally cemented 45 days after abutment connection. Outcome measures were prosthesis and implant failures, any complications, and radiographic periimplant marginal bone level changes. In addition, the stability of individual implants was assessed with Osstell and Periotest at abutment connection (baseline), and at 1 and 5 years after loading by blinded outcome assessors. All patients were followed up to 5 years after loading. RESULTS: One patient dropped out (death) from the longer implant group. One implant failed in the short implant group versus 5 implants in 3 patients of the longer implant group. The difference was not statistically significant. Four complications occurred in 4 patients of the short implant group versus 8 complications in 7 patients of the long implant group, the difference being not statistically significantly different. However, the 2 major postoperative complications occurred in the longer implant group: 1 abscess, and 1 sinusitis that led to the complete failure of the treatment in 2 patients (4 implants lost). A total of 0.72 mm of peri-implant marginal bone was lost after 5 years at long implants and 0.41 mm at short implants, the difference between the two groups was statistically significant (P = 0.028). Osstell values increased and Periotest decreased over time and there were no differences between groups at any time points. CONCLUSIONS: In atrophic maxillary sinuses with a residual bone height of 3 to 6 mm, 8 mm short implants placed in a simultaneously crestally lifted sinus might be a preferable choice than a 1-stage lateral sinus lift for placing longer implants since they appear to be associated with less morbidity. If these implants are placed with an insertion torque >35 Ncm and are joined together under the same prosthesis, they can be early loaded at 6 weeks.


Asunto(s)
Materiales Biocompatibles Revestidos , Implantes Dentales , Diseño de Prótesis Dental , Durapatita , Carga Inmediata del Implante Dental , Elevación del Piso del Seno Maxilar/métodos , Adulto , Anciano , Proceso Alveolar/diagnóstico por imagen , Sustitutos de Huesos , Implantes Dentales/efectos adversos , Fracaso de la Restauración Dental , Femenino , Humanos , Masculino , Maxilar/cirugía , Sinusitis Maxilar/etiología , Persona de Mediana Edad , Minerales , Oseointegración , Absceso Periodontal/etiología , Radiografía , Adulto Joven
12.
Eur J Oral Implantol ; 5(2): 111-21, 2012.
Artículo en Inglés | MEDLINE | ID: mdl-22866288

RESUMEN

PURPOSE: To evaluate the medium-term effectiveness of 6.5 mm-long flapless-placed single implants immediately or early loaded at 6 weeks. MATERIALS AND METHODS: Thirty patients received two single NanoTite external hex Biomet 3i implants each, which were then randomly allocated to be immediately or early loaded according to a splitmouth design. Implants had to be inserted with a minimum torque of >40 Ncm. Provisional crowns were put in slight occlusal contact and replaced by definitive crowns 3 months after loading. Patients were followed for 4 years after loading. Outcome measures were implant failures, biological and biomechanical complications, peri-implant marginal bone level changes, and patient preference. RESULTS: Twenty-nine implants were immediately loaded and 31 early loaded. Four years after loading, no drop-outs occurred. One implant failed in each group within 2 months after loading. Seven patients experienced complications at immediately loaded implants and 6 at early loaded implants. There were no statistically significant differences between groups for implant losses, complications, mean marginal bone level changes and patient preference. CONCLUSIONS: Flapless-placed 6.5 mm-long single implants can be immediately loaded and remain successful up to 4 years after loading. Even longer follow-ups are still needed to evaluate the longterm prognosis of short implants.


Asunto(s)
Implantación Dental Endoósea/métodos , Implantes Dentales de Diente Único , Prótesis Dental de Soporte Implantado , Fracaso de la Restauración Dental , Carga Inmediata del Implante Dental , Adolescente , Adulto , Pérdida de Hueso Alveolar/etiología , Coronas , Implantación Dental Endoósea/efectos adversos , Implantes Dentales de Diente Único/efectos adversos , Diseño de Prótesis Dental , Restauración Dental Provisional , Femenino , Estudios de Seguimiento , Humanos , Carga Inmediata del Implante Dental/efectos adversos , Masculino , Persona de Mediana Edad , Prioridad del Paciente , Proyectos Piloto , Adulto Joven
13.
Eur J Oral Implantol ; 5(4): 333-42, 2012.
Artículo en Inglés | MEDLINE | ID: mdl-23304687

RESUMEN

PURPOSE: To compare the outcome of immediately loaded single implants inserted with medium (from 25 to 35 Ncm) or high insertion torques (>80 Ncm). MATERIALS AND METHODS: Fifty patients received two single non-adjacent implants, each randomly inserted flapless with a torque between 25 to 35 Ncm or >80 Ncm according to a split-mouth design. Non-occluding temporary crowns were immediately placed on provisional abutments and definitive crowns were delivered after 6 weeks. Patients were followed for 6 months after initial loading. Outcome measures were crown/implant failures, complications, peri-implant marginal bone level changes, postoperative pain and presence of peri-implant apical radiolucency. RESULTS: No drop-out occurred. Seven implants inserted with a torque between 25 to 35 Ncm failed versus none of the implants inserted with a torque >35 Ncm. With the exception of crown/implant failures (exact McNemar significance P = 0.0156, difference in proportions: -0.12; 95% CI -0.21 to -0.02) there were no statistically significant differences between groups for the other outcome measures. CONCLUSIONS: It is preferable to insert single implants with a high insertion torque (>80 Ncm), to minimise early implant failures, when loading them immediately.


Asunto(s)
Implantación Dental Endoósea/métodos , Implantes Dentales de Diente Único , Carga Inmediata del Implante Dental , Adolescente , Adulto , Anciano , Aleaciones , Pérdida de Hueso Alveolar , Coronas , Aleaciones Dentales , Diseño de Prótesis Dental , Prótesis Dental de Soporte Implantado , Fracaso de la Restauración Dental , Femenino , Humanos , Masculino , Persona de Mediana Edad , Fumar , Colgajos Quirúrgicos , Titanio , Torque , Adulto Joven
14.
Eur J Oral Implantol ; 2(1): 25-38, 2009.
Artículo en Inglés | MEDLINE | ID: mdl-20467616

RESUMEN

PURPOSE: To evaluate the efficacy of 10- to 16-mm-long implants inserted in maxillary sinuses augmented according to a lateral approach technique with 50% particulated autogenous bone harvested from the oral cavity and 50% Bio-Oss, versus 8-mm-long hydroxyapatite-coated implants placed in crestally augmented sinuses with autogenous bone according to the Cosci technique. All implants were early loaded at 45 days after placement. MATERIALS AND METHODS: Forty partially or fully edentulous patients having 3 to 6 mm of residual crestal height and at least 4 mm thickness below the maxillary sinuses (measured on a CT scan) were randomised to receive one to three, 10- to 16-mm-long implants (20 patients) after lateral sinus lifting with 50% anorganic bovine (Bio-Oss) and 50% autogenous bone, or 8-mm-long implants (20 patients) after crestal sinus lifting with autogenous bone. Implants were submerged and left to heal for 45 days. Within 1 week of abutment connection, implants were loaded with screw-retained full acrylic provisional prostheses. Definitive metal-ceramic prostheses were provisionally cemented 45 days after abutment connection. Outcome measures were the number of prosthesis and implant failures, and any complications. In addition, the stability of individual implants was assessed with Osstell and Periotest at abutment connection (baseline) and after 1 year of loading by a blinded outcome assessor. All patients were followed up for 1 year after loading. RESULTS: No patient dropped out. In three patients of the 8-mm implant group, primary stability could not be initially obtained. However, after immediately replacing the unstable implants with implants with a larger diameter, sufficient primary stability was obtained. One implant failed in the short implant group and five implants failed in three patients of the longer implant group. The difference was not statistically significant. There were no differences in complications between groups. However, two major post-operative complications occurred in the longer implant group: one abscess and one sinusitis, which determined the complete failure of the treatment in two patients (4 implants lost). Osstell values increased, whereas Periotest valves decreased over time, and there were no differences between groups at any time point. CONCLUSIONS: This study suggests that in atrophic maxillary sinuses with a residual height of 3 to 6 mm, it may not be necessary to perform lateral sinus lifting to place longer implants (10 to 16 mm); 8-mm short implants might be a preferable choice as the treatment appears to be associated with less morbidity. This study also suggests that it is possible to load early (at about 7 weeks) implants placed in lifted sinuses that achieved a sufficient primary stability at placement. These preliminary results must be confirmed by larger trials with follow-ups of 5 years or more to monitor the performance of short implants over time.


Asunto(s)
Pérdida de Hueso Alveolar/rehabilitación , Implantes Dentales , Diseño de Prótesis Dental , Seno Maxilar/cirugía , Procedimientos Quirúrgicos Preprotésicos Orales/métodos , Adulto , Anciano , Pérdida de Hueso Alveolar/cirugía , Sustitutos de Huesos , Trasplante Óseo , Materiales Biocompatibles Revestidos , Implantación Dental Endoósea/efectos adversos , Implantación Dental Endoósea/métodos , Prótesis Dental de Soporte Implantado , Fracaso de la Restauración Dental , Restauración Dental Provisional , Análisis del Estrés Dental , Durapatita , Femenino , Humanos , Masculino , Enfermedades Maxilares/rehabilitación , Enfermedades Maxilares/cirugía , Persona de Mediana Edad , Minerales , Procedimientos Quirúrgicos Preprotésicos Orales/efectos adversos , Método Simple Ciego , Factores de Tiempo , Resultado del Tratamiento , Adulto Joven
15.
Eur J Oral Implantol ; 1(4): 277-92, 2008.
Artículo en Inglés | MEDLINE | ID: mdl-20467635

RESUMEN

PURPOSE: To evaluate the efficacy of 7-mm-long flapless placed single implants immediately or early loaded at 6 weeks. MATERIALS AND METHODS: Thirty patients received two single Nanotite External Hex Biomet 3i implants that were then randomised for immediate or early loading. All implants had to be inserted with a minimum torque >40Ncm. Provisional crowns were put in slight occlusal contact and replaced by definitive crowns 3 months after loading. Outcome measures were implant failures, biological and biomechanical complications, peri-implant marginal bone level changes and patient preference. RESULTS: Twenty-nine implants were immediately loaded and 31 early loaded. Thirteen flaps had to be elevated in 12 patients. Eleven implants in ten patients did not reach the planned insertion torque. Eight implants in seven patients were immediately replaced by implants with a larger diameter, two were loaded anyway, and one implant that was randomised to immediate loading was early loaded instead. Nine months after loading, no drop-out occurred. One implant failed in each group. There were no statistically significant differences between groups for implant losses, complications, mean marginal bone level changes, and patient preferences. CONCLUSIONS: Flapless placed 7-mm-long single implants can be successfully loaded the day of insertion. Longer follow-ups are needed to monitor the long-term prognosis of short implants.


Asunto(s)
Implantación Dental Endoósea/métodos , Implantes Dentales de Diente Único , Diseño de Prótesis Dental , Adolescente , Adulto , Pérdida de Hueso Alveolar/etiología , Fenómenos Biomecánicos , Densidad Ósea/fisiología , Coronas , Pilares Dentales , Prótesis Dental de Soporte Implantado , Fracaso de la Restauración Dental , Estética Dental , Femenino , Estudios de Seguimiento , Humanos , Arcada Parcialmente Edéntula/rehabilitación , Arcada Parcialmente Edéntula/cirugía , Masculino , Persona de Mediana Edad , Prioridad del Paciente , Periodontitis/etiología , Complicaciones Posoperatorias , Colgajos Quirúrgicos , Alveolo Dental/cirugía , Torque , Resultado del Tratamiento , Adulto Joven
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