Practice-Based Clinical Evaluation of Dental Implants Placed with Immediate or Delayed Loading Protocols: One-Year Follow-Up

Author(s):  
Adolfo Coelho de Oliveira Lopes ◽  
Paulo Guilherme Coelho ◽  
Paulo Sérgio Perri de Carvalho de Carvalho ◽  
Leonardo Rigoldi Bonjardim ◽  
Karin Hermana Neppelenbroek ◽  
...  
2020 ◽  
Vol 46 (Supplement_1) ◽  
pp. S82-S82
Author(s):  
Line Lindhardt ◽  
Morten Lindhardt ◽  
Ulrik Haahr ◽  
Lene Halling Hastrup ◽  
Erik Simonsen ◽  
...  

Abstract Background Psychosis and signs of severe mental disorders such as schizophrenia often emerge in adolescence. Much attention has been devoted to identifying the individuals experiencing psychosis at an early stage. Implementation of early detection services is widely acknowledged as effective in reducing treatment delays. However, little is known about the diagnostic patterns of individuals entering an early detection service regardless of the initial psychopathological evaluation. The aim of the study is to investigate the diagnostic trajectories of individuals evaluated by an early detection of psychosis unit. Methods A real-life cross-sectional study coupling register data with information of diagnoses allocated by clinical evaluation in an early detection unit. All individuals clinically evaluated in the early detection unit from 2012 to 2015 were included. A Central Psychiatric Research Register was searched for lifetime allocated diagnoses. Register search allowed a minimum of one-year follow-up after evaluation. To determine the predictive ability of the early detection unit, diagnoses allocated by the initial clinical evaluation were compared to later diagnoses in psychiatric services. Results In total 450 individuals were clinically evaluated in the early detection unit during a period of 3 years. Previously 174 (39 %) patients had been in contact with mental healthcare services, and 28 (6.2%) had previously been diagnosed with psychosis. During follow-up, a diagnosis of psychosis was allocated in 146 (32.4%) of all evaluated individuals. In the clinical assessment by the early detection unit 107 (73.3 %) were diagnosed with psychosis. In total 39 (14.7%) were assessed false negative for psychosis by the early detection unit, they were later diagnosed with psychosis in mental healthcare services. The majority of psychosis diagnoses was allocated within one year after assessment in the early detection unit and half of individuals who were diagnosed with psychosis was re-diagnosed with schizophrenia (n=73). The hazard ratio of receiving a diagnosis of psychosis subsequently in mental healthcare services in individuals diagnosed with psychosis by the early detection unit was 4.73 (95 % CI: 3.01 – 7.44, p < 0.0001) compared to individuals not found psychotic by the early detection unit. Discussion That more than a third of the clinical evaluated has previously been help-seeking in mental healthcare system demonstrates a source of delay in treatment, suggesting that contact to other parts of mental healthcare services can delay detection of psychosis. Of the individuals not evaluated cases of psychosis 15 % later received a diagnose of psychosis. This suggests that an important subgroup of the help-seeking individuals undergoes transition to psychosis after contact or that detection of psychosis has not been possible by evaluation in the early detection unit. In conclusion, attention should be made to all individuals self-referred to an early detection unit, as diagnoses of psychosis is seen in the majority within the first year after contact. Also in individuals not initially suspected of psychosis.


2004 ◽  
Vol 62 ◽  
pp. 22-29 ◽  
Author(s):  
Jan-Michael Hirsch ◽  
Lars-Olof Öhrnell ◽  
Patrick J. Henry ◽  
Lars Andreasson ◽  
Per-Ingvar Brånemark ◽  
...  
Keyword(s):  

2018 ◽  
Vol 2018 ◽  
pp. 1-12
Author(s):  
Vincenzo Luca Zizzari ◽  
Gianmarco Tacconelli

The aim of this case report is to describe the surgical and prosthetic procedures to achieve maxillary and mandibular implant-supported PMMA monolithic full-arch rehabilitation (PMFR) with surgical computer-planned guide and immediate provisional. In such cases, the correct planning of dental implants’ position, length, and diameter and the prosthetic phases via computer-aided design are very important to achieve good aesthetic and functional long-lasting results.


2019 ◽  
Vol 30 (S19) ◽  
pp. 282-282
Author(s):  
Guilherme Siqueira Ibelli ◽  
Guilherme Josè Pimentel Lopes De Oliveira ◽  
Francisco Assis Mollo Junior ◽  
Rogèrio Margonar ◽  
Thallita Pereira Queiroz

Materials ◽  
2020 ◽  
Vol 13 (20) ◽  
pp. 4511
Author(s):  
Gian Maria Ragucci ◽  
Maria Giralt-Hernando ◽  
Irene Méndez-Manjón ◽  
Oriol Cantó-Navés ◽  
Federico Hernández-Alfaro

Statement of the problem: Most of the clinical documentation of implant success and survival published in the literature have been issued by either experienced teams from university settings involving strict patient selection criteria or from seasoned private practitioners. By contrast, studies focusing on implants placed and rehabilitated by inexperienced post-graduate students are scarce. Purpose: To record failure rates and identify the contributing factors to implant failure and marginal bone loss (MBL) of implants placed and rehabilitated by inexperienced post-graduate students at the one-year follow-up. Material and Methods: A prospective cohort study was conducted on study participants scheduled for implant therapy at the International University of Catalonia. An experienced mentor determined the treatment plan in accordance with the need of each participant who signed an informed consent. All surgeries and prosthetic rehabilitation were performed by the post-graduate students. Implant failure rate, contributors to implant failure, and MBL were investigated among 24 variables related to patient health, local site, and implant and prosthetic characteristics. The risk of implant failure was analyzed with a simple binary logistic regression model with generalized equation equations (GEE) models, obtaining unadjusted odds ratios (OR). The relationship between MBL and the other independent variables was studied by simple linear regression estimated with GEE models and the Wald chi2 test. Results: One hundred and thirty dental implants have been placed and rehabilitated by post-graduate students. Five implants failed before loading and none after restoration delivery; survival and success rates were 96.15% and 94.62%, respectively. None of the investigated variables significantly affected the implant survival rate. At the one-year follow-up, the mean (SD) MBL was 0.53 (0.39) mm. The following independent variables significantly affected the MBL: Diabetes, implant depth placement. The width of keratinized tissue (KT) and probing depth (PD) above 3 mm were found to be good indicators of MBL, with each additional mm of probing depth resulting in 0.11 mm more MBL. Conclusion: The survival and success rates of dental implants placed and rehabilitated by inexperienced post-graduate students at the one-year follow-up were high. No contributing factor was identified regarding implant failure. However, several factors significantly affected MBL: Diabetes, implant depth placement, PD, and width of KT. Clinical Implications: Survival and success rates of dental implants placed and rehabilitated by inexperienced post-graduate students were high at the one-year follow-up, similar to experienced practitioners. No contributing factors were identified regarding implant failure; however, several factors significantly affected MBL: Diabetes, implant depth placement, PD, and KM.


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