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Titanium and polyether ether ketone (PEEK) patient-specific sub-periosteal implants: two novel approaches for rehabilitation of the severely atrophic anterior maxillary ridge.
Int J Oral Maxillofac Surg 2018; 47(5):658-664IJ

Abstract

The aim of this study was to assess two new protocols for single-stage rehabilitation of the severely atrophic maxillary ridge using customized porous titanium or polyether ether ketone (PEEK) sub-periosteal implants. Ten patients with a severely atrophic anterior maxillary alveolar ridge were divided randomly into two groups (five patients in each) to receive customized sub-periosteal implants fabricated via CAD/CAM technology: group 1, porous titanium implants; group 2, PEEK implants. Prosthetic loading with fixed acrylic bridges was performed 1 month postoperative. The implants were followed-up for 12 months and evaluated for the presence of any sign of radiographic bone resorption, mobility, infection, prosthetic fracture, or implant exposure. The immediate postoperative period was uneventful except for one case complicated by wound dehiscence in group 1. At 12 months, all implants were functionally stable and the patients were comfortable with the prostheses. No signs of radiographic bone resorption, mobility, infection, or prosthetic fracture were observed. Within the limitations of this study, the application of customized porous titanium and PEEK sub-periosteal implants produced through CAD/CAM technology appears to be an acceptable method for single-stage prosthetic rehabilitation of the severely atrophic edentulous anterior maxilla. This study was awarded the best case study at the academy of osseintegration annual meeting 2017, Orlando, Florida.

Authors+Show Affiliations

Oral and Maxillofacial Surgery department, Faculty of Dentistry, Cairo University, Cairo, Egypt. Electronic address: mouniroma@hotmail.com.Oral and Maxillofacial Surgery department, Faculty of Dentistry, Cairo University, Cairo, Egypt.Oral and Maxillofacial Surgery department, Faculty of Dentistry, Cairo University, Cairo, Egypt.Oral and Maxillofacial Surgery department, Faculty of Dentistry, Cairo University, Cairo, Egypt.

Pub Type(s)

Journal Article
Observational Study

Language

eng

PubMed ID

29183698

Citation

Mounir, M, et al. "Titanium and Polyether Ether Ketone (PEEK) Patient-specific Sub-periosteal Implants: Two Novel Approaches for Rehabilitation of the Severely Atrophic Anterior Maxillary Ridge." International Journal of Oral and Maxillofacial Surgery, vol. 47, no. 5, 2018, pp. 658-664.
Mounir M, Atef M, Abou-Elfetouh A, et al. Titanium and polyether ether ketone (PEEK) patient-specific sub-periosteal implants: two novel approaches for rehabilitation of the severely atrophic anterior maxillary ridge. Int J Oral Maxillofac Surg. 2018;47(5):658-664.
Mounir, M., Atef, M., Abou-Elfetouh, A., & Hakam, M. M. (2018). Titanium and polyether ether ketone (PEEK) patient-specific sub-periosteal implants: two novel approaches for rehabilitation of the severely atrophic anterior maxillary ridge. International Journal of Oral and Maxillofacial Surgery, 47(5), pp. 658-664. doi:10.1016/j.ijom.2017.11.008.
Mounir M, et al. Titanium and Polyether Ether Ketone (PEEK) Patient-specific Sub-periosteal Implants: Two Novel Approaches for Rehabilitation of the Severely Atrophic Anterior Maxillary Ridge. Int J Oral Maxillofac Surg. 2018;47(5):658-664. PubMed PMID: 29183698.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Titanium and polyether ether ketone (PEEK) patient-specific sub-periosteal implants: two novel approaches for rehabilitation of the severely atrophic anterior maxillary ridge. AU - Mounir,M, AU - Atef,M, AU - Abou-Elfetouh,A, AU - Hakam,M M, Y1 - 2017/12/01/ PY - 2017/06/07/received PY - 2017/11/15/revised PY - 2017/11/17/accepted PY - 2017/12/1/pubmed PY - 2018/11/6/medline PY - 2017/11/30/entrez KW - anterior maxilla KW - polyether ether ketone KW - sub-periosteal implant KW - titanium SP - 658 EP - 664 JF - International journal of oral and maxillofacial surgery JO - Int J Oral Maxillofac Surg VL - 47 IS - 5 N2 - The aim of this study was to assess two new protocols for single-stage rehabilitation of the severely atrophic maxillary ridge using customized porous titanium or polyether ether ketone (PEEK) sub-periosteal implants. Ten patients with a severely atrophic anterior maxillary alveolar ridge were divided randomly into two groups (five patients in each) to receive customized sub-periosteal implants fabricated via CAD/CAM technology: group 1, porous titanium implants; group 2, PEEK implants. Prosthetic loading with fixed acrylic bridges was performed 1 month postoperative. The implants were followed-up for 12 months and evaluated for the presence of any sign of radiographic bone resorption, mobility, infection, prosthetic fracture, or implant exposure. The immediate postoperative period was uneventful except for one case complicated by wound dehiscence in group 1. At 12 months, all implants were functionally stable and the patients were comfortable with the prostheses. No signs of radiographic bone resorption, mobility, infection, or prosthetic fracture were observed. Within the limitations of this study, the application of customized porous titanium and PEEK sub-periosteal implants produced through CAD/CAM technology appears to be an acceptable method for single-stage prosthetic rehabilitation of the severely atrophic edentulous anterior maxilla. This study was awarded the best case study at the academy of osseintegration annual meeting 2017, Orlando, Florida. SN - 1399-0020 UR - https://www.unboundmedicine.com/medline/citation/29183698/Titanium_and_polyether_ether_ketone__PEEK__patient_specific_sub_periosteal_implants:_two_novel_approaches_for_rehabilitation_of_the_severely_atrophic_anterior_maxillary_ridge_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0901-5027(17)31682-X DB - PRIME DP - Unbound Medicine ER -