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The European Journal of Orthodontics 1994 16(2):84-95; doi:10.1093/ejo/16.2.84
© 1994 by European Orthodontic Society
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Osseointegrated implants in adolescents. An alternative in replacing missing teeth?

Birgit Thilander*,, Jan Ödman*, Kerstin Gröteborg** and Bertil Friberg***

*Departments of Orthodontics Sweden
**Oral Diagnostic Radiology, Faculty of Odontology, University of GÖteborg Sweden
***The Branemark Clinic, Public Dental Health Service, Göteborg Sweden

Address for correspondence: Professor Birgit Thilander, Department of Orthodontics, Faculty of Odontology, Medicinaregatan 12, S-41390 Göteborg, Sweden

In 15 adolescents (13 years 2 months–19 years 4 months) in the late dental stage, Brånemark implants (n = 27) were chosen to replace missing teeth due to congenital absence or trauma. The patients were followed for at least 3 years, at yearly intervals, biometrically and radiographically. No fixture losses occurred. Only minor loss of bone support at the fixtures was observed, while adjacent tooth surfaces showed some loss in some cases. Infra-occlusion of the implant restorations was noticed in patients with residual craniofacial growth. Trjus, the dental and skeletal maturation, and not the chronological age of the patient, must be taken into consideration to avoid infraocclusion of the fixture crown. Furthermore, it is important to gain enough space for the fixture in the mesio-distal direction, to avoid the risk of marginal bone loss at teeth that are adjacent to it.


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