Table 1 Patient recruitment : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results
Table 1 Patient recruitment : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results
author: Waldemar Reich, Ramona Schweyen, Christian Heinzelmann, Jeremias Hey, Bilal Al-Nawas, Alexander Walter Eckert | publisher: drg. Andreas Tjandra, Sp. Perio, FISID
Inclusion criteria
Exclusion criteria
1. Adult patients, male and female
1. Comorbidity ASA category ≥ III
2. Partially/totally edentulous patients
2. Pregnancy, bruxism
3. Alveolar process atrophy Cawood et Howell category ≥ IV
3. Smoking ≥ 10 cigarettes/day
4. Minimum vertical bone height of 7–9 mm for placement of short implants (5–7-mm length)
4. Radiotherapy ≥ 50 Gy [72] or
5. Intravenous bisphosphonate therapy [73] with a significant risk of developing osteo(radio)necrosis of the jaw
5. Patients without willingness to accept vertical bone augmentation
6. Psychiatric comorbidity that could influence course of treatment
7. Untreated or poorly controlled diabetes mellitus
8. Highly atrophic jaws that require vertical augmentation
Table 1 Patient recruitment
Serial posts:
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Abstract : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results
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Introduction : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results [1]
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Introduction : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results [2]
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Material and methods : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results [1]
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Material and methods : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results [2]
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Material and methods : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results [3]
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Results : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results [1]
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Results : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results [2]
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Discussion : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results [1]
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Discussion : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results [2]
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Discussion : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results [3]
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Discussion : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results [4]
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Discussion : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results [5]
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Conclusion : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results
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Abbreviations : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results
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References : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results [1]
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References : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results [2]
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References : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results [3]
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References : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results [4]
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References : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results [5]
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References : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results [6]
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References : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results [7]
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Acknowledgements : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results
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Author information : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results [1]
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Author information : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results [2]
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Additional files : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results
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Rights and permissions : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results
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About this article : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results
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Table 1 Patient recruitment : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results
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Table 2 Surgical treatment protocol : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results
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Table 3 Prosthetic treatment protocol : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results
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Table 4 Clinical characteristics of the study cohort : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results
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Fig. 1. a Closed short expandable dental implant (4.1 × 7 mm). The implant-abutment connection is characterised by an internal hexagon for rotation stability, combining the advantages of conical and parallel surfaces to reduce microgaps and micromovement [68]. The microthread concept and platform switching concept are implemented in the implant shoulder to reduce periimplant bone strain [53]. b Manual fixation of the expansion tool. Take note of the distance between both yellow rings. c Completion of the expansion process using the ratchet. Take note of the contact between both yellow rings. d Opened short expandable dental implant (4.1 × 7 mm). The expanded implant provides an increased bone-to-implant interface (pyramid shape) in the apical portion [54]. e Cross-section view of the implant apex. The apical expansion process is characterised by the unfolding of four wings, which are connected by four foils. D1: diameter of the closed implant. D2: diameter of the opened implant. fTop v
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Fig. 2. Cumulative implant survival over the follow-up period. The Kaplan-Meyer diagram visualises the analysis of implant survival in the maxilla and in the mandible (log rank test, p = 0.173) over the follow-up period up to 37 months (Table 4) : Novel expandable short dental implant
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Fig. 3. a Primary implant stability. The histogram visualises the distribution of the implant stability quotients (ISQ) for both jaws measured by resonance frequency analysis (Osstell AB, Göteborg, Sweden). b Secondary implant stability. The histogram shows the distribution of the implant stability quotients (ISQ) of osseointegrated implants. According to the measurement implant stability was classified as low with ISQ values < 60, medium with ISQ values 60–70, and high with values ISQ > 70 [34] : Novel expandable short dental implant
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Fig. 4. a–h Prosthetic restauration—follow-up examination. Intraoral and perioral views of a rehabilitated female patient. (She asked explicitly only for implantological treatment in the mandible.) : Novel expandable short dental implant
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Fig. 5. a Postoperative orthopantomogram. b Follow-up orthopantomogram. c Follow-up standard periapical radiogram (implants i42 and i44). d Follow-up standard periapical radiogram (implants i32 and i34) : Novel expandable short dental implant
| Inclusion criteria | Exclusion criteria |
|---|---|
| 1. Adult patients, male and female | 1. Comorbidity ASA category ≥ III |
| 2. Partially/totally edentulous patients | 2. Pregnancy, bruxism |
| 3. Alveolar process atrophy Cawood et Howell category ≥ IV | 3. Smoking ≥ 10 cigarettes/day |
| 4. Minimum vertical bone height of 7–9 mm for placement of short implants (5–7-mm length) |
4. Radiotherapy ≥ 50 Gy [72] or 5. Intravenous bisphosphonate therapy [73] with a significant risk of developing osteo(radio)necrosis of the jaw |
| 5. Patients without willingness to accept vertical bone augmentation | 6. Psychiatric comorbidity that could influence course of treatment |
| 7. Untreated or poorly controlled diabetes mellitus | |
| 8. Highly atrophic jaws that require vertical augmentation |
Table 1 Patient recruitment
- Abstract : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results
- Introduction : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results [1]
- Introduction : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results [2]
- Material and methods : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results [1]
- Material and methods : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results [2]
- Material and methods : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results [3]
- Results : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results [1]
- Results : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results [2]
- Discussion : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results [1]
- Discussion : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results [2]
- Discussion : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results [3]
- Discussion : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results [4]
- Discussion : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results [5]
- Conclusion : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results
- Abbreviations : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results
- References : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results [1]
- References : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results [2]
- References : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results [3]
- References : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results [4]
- References : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results [5]
- References : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results [6]
- References : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results [7]
- Acknowledgements : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results
- Author information : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results [1]
- Author information : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results [2]
- Additional files : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results
- Rights and permissions : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results
- About this article : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results
- Table 1 Patient recruitment : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results
- Table 2 Surgical treatment protocol : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results
- Table 3 Prosthetic treatment protocol : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results
- Table 4 Clinical characteristics of the study cohort : Novel expandable short dental implants in situations with reduced vertical bone height—technical note and first results
- Fig. 1. a Closed short expandable dental implant (4.1 × 7 mm). The implant-abutment connection is characterised by an internal hexagon for rotation stability, combining the advantages of conical and parallel surfaces to reduce microgaps and micromovement [68]. The microthread concept and platform switching concept are implemented in the implant shoulder to reduce periimplant bone strain [53]. b Manual fixation of the expansion tool. Take note of the distance between both yellow rings. c Completion of the expansion process using the ratchet. Take note of the contact between both yellow rings. d Opened short expandable dental implant (4.1 × 7 mm). The expanded implant provides an increased bone-to-implant interface (pyramid shape) in the apical portion [54]. e Cross-section view of the implant apex. The apical expansion process is characterised by the unfolding of four wings, which are connected by four foils. D1: diameter of the closed implant. D2: diameter of the opened implant. fTop v
- Fig. 2. Cumulative implant survival over the follow-up period. The Kaplan-Meyer diagram visualises the analysis of implant survival in the maxilla and in the mandible (log rank test, p = 0.173) over the follow-up period up to 37 months (Table 4) : Novel expandable short dental implant
- Fig. 3. a Primary implant stability. The histogram visualises the distribution of the implant stability quotients (ISQ) for both jaws measured by resonance frequency analysis (Osstell AB, Göteborg, Sweden). b Secondary implant stability. The histogram shows the distribution of the implant stability quotients (ISQ) of osseointegrated implants. According to the measurement implant stability was classified as low with ISQ values < 60, medium with ISQ values 60–70, and high with values ISQ > 70 [34] : Novel expandable short dental implant
- Fig. 4. a–h Prosthetic restauration—follow-up examination. Intraoral and perioral views of a rehabilitated female patient. (She asked explicitly only for implantological treatment in the mandible.) : Novel expandable short dental implant
- Fig. 5. a Postoperative orthopantomogram. b Follow-up orthopantomogram. c Follow-up standard periapical radiogram (implants i42 and i44). d Follow-up standard periapical radiogram (implants i32 and i34) : Novel expandable short dental implant