Biomedical subjects

H Nilson

Publications and source records attributed to H Nilson.

21 records · Page 2Linked to original sources

PubMedDate not supplied

Tooth-implant supported fixed prostheses: a retrospective multicenter study.

PURPOSE: The purpose of this retrospective multicenter study on implants combined with natural teeth was to investigate the implant survival rate and loss of marginal bone, as well as indications and complications pertinent to this form of implant therapy. MATERIALS AND METHODS: The study comprised 185 implants in 111 patients from six different clinics in Sweden. Gathering of data, which were taken from patient records, followed a strict protocol. The registrations included indications for treatment, failure of implants, radiographs from baseline and follow-up, and information on complications. RESULTS: The cumulative implant survival was found to be 95.4% (standard error 4.5%) up to 3 years of follow-up. The marginal bone level at baseline was lower in the maxilla compared with the mandible (P = .015), but any further loss did not differ between the jaws. The most severe complication other than loss of osseointegration (6/185) or periimplant infections (4/183) was intrusion of the abutment teeth, which occurred in 5% of the cases. In all instances, the intrusion was seen in constructions with nonrigid forms of connection between the implants and teeth. CONCLUSION: The tooth-implant supported prosthesis using the Brånemark system is in the short term an equally predictable treatment as the completely implant-supported prosthesis concerning implant survival and loss of marginal bone. When combining implants and teeth, a rigid form of connection should be used to prevent tooth intrusion.

Aged↗

PubMedDate not supplied

MkII--a modified self-tapping Brånemark implant: 3-year results of a controlled prospective pilot study.

A modified self-tapping implant (MkII) with improved cutting characteristics has been designed for use in both maxillae and mandibles. Four sequential studies were conducted to evaluate the outcome of the MkII implant compared to the standard implant. The results presented here are from the extended pilot study that has been conducted as an intra-individual study of 103 patients; ie, each patient received both test (MkII) and control (standard Brånemark System) implants. Seventy patients were treated in the mandible and 33 in the maxilla. The cumulative survival rates and marginal bone resorption showed equivalent results for both test and control implants. Three-year cumulative survival rates were 87.9% and 86.8% for test and control implants in maxilla, respectively, and 99.5% and 100% in mandibles, respectively. The mean marginal bone resorption was approximately 0.5 (control) to (MK II) 0.6 mm after 3 years of function. A total of 288 test implants and 275 control implants were placed. All implants, both test and control, could be placed in an appropriate implant position, but 21.2% of the implants were not fully seated by machine power only; the use of a manual cylinder wrench for the final turns was necessary. During the last phase of the study, however, with an increase in twist-drill diameter from 3.0 to 3.15 mm and an increased motor torque, the prerequisites of successful implant placement into final position were met.

Adult↗

PubMedDate not supplied

Titanium copings veneered with Procera ceramics: a longitudinal clinical study.

In 1989, 47 titanium copings veneered with a low-fusing ceramic were fabricated for 24 patients. Forty-four crowns could be examined after a period varying between 26 and 30 months. It was found that the bulk ceramic of two crowns had fractured. California Dental Association ratings for "Surface and Color" had changed markedly from the "Excellent" to the "Acceptable" level, and for "Anatomic Form" there was a small shift from the "Excellent" to the "Acceptable" level. The factor of "Margin Integrity" was recorded as "satisfactory" for all crowns and a large majority were rated "Excellent."

Adult↗