Does immediate loading affect clinical and patient-centered outcomes of mandibular 2-unsplinted-implant overdenture? : a 2-year within-case analysis

Objective To provide 2-year clinical- and patient-oriented data with regard to mandibular overdenture assisted by 2 immediately loaded unsplinted implants. Material and methods In this pre-post design, Phase-I clinical trial, 18 edentate individuals (62.4 ± 7.7 years) received a new set of complete denture. Then, following standard procedures, 3 threaded implants (OsseoSpeed TX™, Dentsply Implants, Mölndal, Sweden) were placed in the mandible in each patient, and locator abutments (Zest Anchors LLC, Escondido, U.S.A.) were inserted on the right and left side implants. The midline implant served as a control for within-patient comparison. The immediate loading was conducted within 24 h of surgery. Data were collected at baseline (T0), 12 (T1) and 24 (T2) months after immediate loading. The clinical outcomes included implant survival rate, crestal bone level changes and implant stability. These criteria were assessed through clinical and radiographic examinations as well as resonance frequency analysis. Patient-centered outcomes included patient satisfaction and oral health-related quality of life measured using validated questionnaires. Brunner-Langer approach was used for statistical analysis. Results Implant survival rate for immediate loaded implants was 91.7% at 2-year follow-up. None of the unloaded implants failed. There was no statistically significant difference at baseline and follow-ups with regard to clinical outcomes between loaded and unloaded implants. Patient satisfaction and quality of life improved (p < 0.0001) from baseline to 2-year follow-up. Conclusion Immediate loading protocol did not negatively affect clinical outcomes, satisfaction and quality of life of patients wearing 2-unsplinted-implant mandibular overdenture for 2 years. This conclusion requires confirmation by randomized control trials. Clinical significance statement Mandibular overdenture assisted by two immediately-loaded unsplinted implants is successful treatment based on 2-year clinical and patient-based outcomes.

50 year means of oxygen isotope data from ice core NGRIP

Two deep ice cores from central Greenland, drilled in the 1990s, have played a key role in climate reconstructions of the Northern Hemisphere, but the oldest sections of the cores were disturbed in chronology owing to ice folding near the bedrock. Here we present an undisturbed climate record from a North Greenland ice core, which extends back to 123,000 years before the present, within the last interglacial period. The oxygen isotopes in the ice imply that climate was stable during the last interglacial period, with temperatures 5 °C warmer than today. We find unexpectedly large temperature differences between our new record from northern Greenland and the undisturbed sections of the cores from central Greenland, suggesting that the extent of ice in the Northern Hemisphere modulated the latitudinal temperature gradients in Greenland. This record shows a slow decline in temperatures that marked the initiation of the last glacial period. Our record reveals a hitherto unrecognized warm period initiated by an abrupt climate warming about 115,000 years ago, before glacial conditions were fully developed. This event does not appear to have an immediate Antarctic counterpart, suggesting that the climate see-saw between the hemispheres (which dominated the last glacial period) was not operating at this time.

Latitude 19,̊ a romance of the West Indies in the year of Our Lord eighteen hundred and twenty; being a faithful account and true, of the painful adventures of the skipper, the bo's'n, the smith, the mate, and Cynthia;

Mode of access: Internet.

The Mexican American : a new focus on opportunity /

"A report on the activities of the Inter-agency Committee on Mexican American Affairs for the year ending June 30, 1968"--p. [1].

Beach changes at Long Beach Island, New Jersey, 1962-73 /

Beach profile line data collected from 32 profile sites along Long Beach Island, New Jersey. A total of 2,158 profile line surveys were examined, using empirical eigenfunction analysis and other measures of beach variability. Most profile lines have shown an accretionary trend since 1962 with rates between 2.3 and 0.24 meter per year in spite of erosion estimates due to sea level rise on the order of 0.68 meter per year. A great deal of variability in profile line change takes place along the beach, increasing from north to south, due to the location of profile lines relative to structures and offshore linear shoals. Detailed closely spaced profile lines taken over a year in a groin field near the north end of the island indicate littoral transport directions shift from north to south. Evidence of a littoral transport node near the north end of the groin field has been found. Net transport of the node is toward the south, but the rate could not be established due to lack of adequate wave data. Profile line variability within groin cells shows that single profile lines are not sufficient to determine the net change within a cell. The design of future beach monitoring studies should consider coastal structures, offshore bathymetry, the method of analysis, and the scales of processes under study. A coastal storm in November 1968 moved the MSL back as much as 22 meters; however, the beach recovered without artificial measures. The offshore bathymetry shows a series of shoreface-connected linear shoals at several locations along the island. Limited data show that these have remained stable and that most beach variability takes place in water shallower than 3 meters.

American flower-garden directory : containing practical directions for the culture of plants in the flower-garden, hot-house, green-house, rooms, or parlour windows, for every month of the year .../

Includes index.

American flower-garden directory : containing practical directions for the culture of plants in the flower-garden, hot-house, green-house, rooms, or parlour windows, for every month of the year .../

Includes index.

Annual report - Superintendent of Banks, State of New York.

Some vols. issued with: Detailed statement.

Report of the Public Service Commission of New Hampshire for the period ending ...

Report year for 1911 ends Nov. 30; for 1912 ends Aug. 31.

Annual report of the Inspector of Factories and Workshops of the state of New Jersey.

6th, 7th, and 10th reports also in German.

Brotherhood : a sermon preached at the consecration of the Cardiff New Synagogue, Adar 22nd, 5678-March 6th, 1918 /

With: "Ye are my witnesses" / by Claude G. Montefiore. [S.l. : s.n., 1906?]

Annual report of the Board of Education of the City and County of New York.

Description based on: 1849.

A double anniversary sermon of the thirty year's episcopate of Bishop Samuel David Ferguson, June 24, 1885-1915 : fifty years of his ministry, December 31, 1865-1915, preached in St. Mark's Church, June 27, 1915 /

Cover title.

Ralph 124C 41+; a romance of the year 2660.

"First appeared as a serial in ... Modern electries, in 1911."

Assessment of year-round and holiday ride service programs. Final report.

National Highway Traffic Safety Administration, Washington, D.C.