The effect of implant‐supported removable partial dentures on oral health quality of life
Identifieur interne : 000727 ( Istex/Corpus ); précédent : 000726; suivant : 000728The effect of implant‐supported removable partial dentures on oral health quality of life
Auteurs : W. Day Gates Iii ; Lyndon F. Cooper ; Anne E. Sanders ; Glenn J. Reside ; Ingeborg J. De KokSource :
- Clinical Oral Implants Research [ 0905-7161 ] ; 2014-02.
Abstract
Removable partial dentures (RPDs) represent standard treatment for partial edentulism despite major shortcomings. To alleviate these shortcomings, endosseous implants provide support and stability as well as contribute to maintenance of alveolar bone. This prospective, within subject, time series study evaluated patient‐based outcomes of RPDs compared to implant‐supported removable partial dentures (ISRPDs). The study hypothesis was that the ISRPD would substantially improve oral health quality of life for patients.
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DOI: 10.1111/clr.12085
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ISTEX:C100CF0E8C481D63884425FBA3310D4E707020FFLe document en format XML
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Sanders</name><affiliation><mods:affiliation>Department of Dental Ecology, University of North Carolina School of Dentistry, NC, Chapel Hill, USA</mods:affiliation></affiliation></author><author><name sortKey="Reside, Glenn J" sort="Reside, Glenn J" uniqKey="Reside G" first="Glenn J." last="Reside">Glenn J. Reside</name><affiliation><mods:affiliation>Department of Oral & Maxillofacial Surgery, University of North Carolina School of Dentistry, NC, Chapel Hill, USA</mods:affiliation></affiliation></author><author><name sortKey="De Kok, Ingeborg J" sort="De Kok, Ingeborg J" uniqKey="De Kok I" first="Ingeborg J." last="De Kok">Ingeborg J. 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Day" last="Gates Iii">W. Day Gates Iii</name><affiliation><mods:affiliation>Private Practice, AL, Mobile, USA</mods:affiliation></affiliation></author><author><name sortKey="Cooper, Lyndon F" sort="Cooper, Lyndon F" uniqKey="Cooper L" first="Lyndon F." last="Cooper">Lyndon F. Cooper</name><affiliation><mods:affiliation>Department of Prosthodontics, University of North Carolina School of Dentistry, NC, Chapel Hill, USA</mods:affiliation></affiliation></author><author><name sortKey="Sanders, Anne E" sort="Sanders, Anne E" uniqKey="Sanders A" first="Anne E." last="Sanders">Anne E. Sanders</name><affiliation><mods:affiliation>Department of Dental Ecology, University of North Carolina School of Dentistry, NC, Chapel Hill, USA</mods:affiliation></affiliation></author><author><name sortKey="Reside, Glenn J" sort="Reside, Glenn J" uniqKey="Reside G" first="Glenn J." last="Reside">Glenn J. Reside</name><affiliation><mods:affiliation>Department of Oral & Maxillofacial Surgery, University of North Carolina School of Dentistry, NC, Chapel Hill, USA</mods:affiliation></affiliation></author><author><name sortKey="De Kok, Ingeborg J" sort="De Kok, Ingeborg J" uniqKey="De Kok I" first="Ingeborg J." last="De Kok">Ingeborg J. De Kok</name><affiliation><mods:affiliation>Department of Prosthodontics, University of North Carolina School of Dentistry, NC, Chapel Hill, USA</mods:affiliation></affiliation><affiliation><mods:affiliation>, DDS, MSAssistant ProfessorDepartment of ProsthodonticsUniversity of North Carolina School of Dentistry330 Brauer Hall, CB 7450Chapel HillNC 27599‐7450, USATel.: +1 919 966 2719Fax: +1 919 966 3821e‐mail:</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: ingeborg_dekok@dentistry.unc.edu</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Clinical Oral Implants Research</title><title level="j" type="alt">CLINICAL ORAL IMPLANTS RESEARCH</title><idno type="ISSN">0905-7161</idno><idno type="eISSN">1600-0501</idno><imprint><biblScope unit="vol">25</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="207">207</biblScope><biblScope unit="page" to="213">213</biblScope><biblScope unit="page-count">7</biblScope><date type="published" when="2014-02">2014-02</date></imprint><idno type="ISSN">0905-7161</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0905-7161</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract">Removable partial dentures (RPDs) represent standard treatment for partial edentulism despite major shortcomings. To alleviate these shortcomings, endosseous implants provide support and stability as well as contribute to maintenance of alveolar bone. This prospective, within subject, time series study evaluated patient‐based outcomes of RPDs compared to implant‐supported removable partial dentures (ISRPDs). The study hypothesis was that the ISRPD would substantially improve oral health quality of life for patients.</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>W. Day Gates III</name><affiliations><json:string>Private Practice, AL, Mobile, USA</json:string></affiliations></json:item><json:item><name>Lyndon F. Cooper</name><affiliations><json:string>Department of Prosthodontics, University of North Carolina School of Dentistry, NC, Chapel Hill, USA</json:string></affiliations></json:item><json:item><name>Anne E. Sanders</name><affiliations><json:string>Department of Dental Ecology, University of North Carolina School of Dentistry, NC, Chapel Hill, USA</json:string></affiliations></json:item><json:item><name>Glenn J. Reside</name><affiliations><json:string>Department of Oral & Maxillofacial Surgery, University of North Carolina School of Dentistry, NC, Chapel Hill, USA</json:string></affiliations></json:item><json:item><name>Ingeborg J. De Kok</name><affiliations><json:string>Department of Prosthodontics, University of North Carolina School of Dentistry, NC, Chapel Hill, USA</json:string><json:string>, DDS, MSAssistant ProfessorDepartment of ProsthodonticsUniversity of North Carolina School of Dentistry330 Brauer Hall, CB 7450Chapel HillNC 27599‐7450, USATel.: +1 919 966 2719Fax: +1 919 966 3821e‐mail:</json:string><json:string>E-mail: ingeborg_dekok@dentistry.unc.edu</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>implant‐supported removable partial denture</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>oral health quality of life</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>removable partial denture</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>short implants</value></json:item></subject><articleId><json:string>CLR12085</json:string></articleId><arkIstex>ark:/67375/WNG-2JSVZ5SW-Z</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>Removable partial dentures (RPDs) represent standard treatment for partial edentulism despite major shortcomings. To alleviate these shortcomings, endosseous implants provide support and stability as well as contribute to maintenance of alveolar bone. This prospective, within subject, time series study evaluated patient‐based outcomes of RPDs compared to implant‐supported removable partial dentures (ISRPDs). 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Day</forename><surname>Gates</surname></persName><affiliation><orgName>Private Practice</orgName><address><settlement type="city">Mobile</settlement><region>AL</region><country key="US">USA</country></address></affiliation></author><author xml:id="author-0001"><persName><forename type="first">Lyndon F.</forename><surname>Cooper</surname></persName><affiliation><orgName>Department of Prosthodontics</orgName><orgName>University of North Carolina School of Dentistry</orgName><address><settlement type="city">Chapel Hill</settlement><region>NC</region><country key="US">USA</country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">Anne E.</forename><surname>Sanders</surname></persName><affiliation><orgName>Department of Dental Ecology</orgName><orgName>University of North Carolina School of Dentistry</orgName><address><settlement type="city">Chapel Hill</settlement><region>NC</region><country key="US">USA</country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">Glenn J.</forename><surname>Reside</surname></persName><affiliation><orgName>Department of Oral & Maxillofacial Surgery</orgName><orgName>University of North Carolina School of Dentistry</orgName><address><settlement type="city">Chapel Hill</settlement><region>NC</region><country key="US">USA</country></address></affiliation></author><author xml:id="author-0004" role="corresp"><persName><forename type="first">Ingeborg J.</forename><surname>Kok</surname></persName><affiliation><orgName>Department of Prosthodontics</orgName><orgName>University of North Carolina School of Dentistry</orgName><address><settlement type="city">Chapel Hill</settlement><region>NC</region><country key="US">USA</country></address></affiliation><affiliation>Corresponding author: Ingeborg J. De Kok, DDS, MS Assistant Professor Department of Prosthodontics University of North Carolina School of Dentistry 330 Brauer Hall, CB 7450 Chapel Hill NC 27599‐7450, USA Tel.: +1 919 966 2719 Fax: +1 919 966 3821 e‐mail: ingeborg_dekok@dentistry.unc.edu</affiliation></author><idno type="istex">C100CF0E8C481D63884425FBA3310D4E707020FF</idno><idno type="ark">ark:/67375/WNG-2JSVZ5SW-Z</idno><idno type="DOI">10.1111/clr.12085</idno><idno type="unit">CLR12085</idno><idno type="toTypesetVersion">file:CLR.CLR12085.pdf</idno></analytic><monogr><title level="j" type="main">Clinical Oral Implants Research</title><title level="j" type="alt">CLINICAL ORAL IMPLANTS RESEARCH</title><idno type="pISSN">0905-7161</idno><idno type="eISSN">1600-0501</idno><idno type="book-DOI">10.1111/(ISSN)1600-0501</idno><idno type="book-part-DOI">10.1111/clr.2014.25.issue-2</idno><idno type="product">CLR</idno><imprint><biblScope unit="vol">25</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="207">207</biblScope><biblScope unit="page" to="213">213</biblScope><biblScope unit="page-count">7</biblScope><date type="published" when="2014-02"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract style="main" xml:id="clr12085-abs-0001"><head>Abstract</head>
Purpose
<p>Removable partial dentures (<hi rend="fc">RPD</hi>s) represent standard treatment for partial edentulism despite major shortcomings. To alleviate these shortcomings, endosseous implants provide support and stability as well as contribute to maintenance of alveolar bone. This prospective, within subject, time series study evaluated patient‐based outcomes of <hi rend="fc">RPD</hi>s compared to implant‐supported removable partial dentures (<hi rend="fc">ISRPD</hi>s). The study hypothesis was that the <hi rend="fc">ISRPD</hi> would substantially improve oral health quality of life for patients.</p>
Materials and methods
<p>Seventeen patients requesting new mandibular <hi rend="fc">K</hi>ennedy <hi rend="fc">I</hi> or <hi rend="fc">II RPD</hi>s received one 6‐mm dental implant in one or both of the posterior edentulous areas. After healing, conventional <hi rend="fc">RPD</hi>s were fabricated and delivered. Twelve weeks later, second‐stage surgery was performed, and ball abutments with <hi rend="fc">C</hi>lix attachments were inserted, thereby converting the prostheses to <hi rend="fc">ISRPD</hi>s. Oral health quality of life was evaluated using the 49‐item <hi rend="fc">O</hi>ral <hi rend="fc">H</hi>ealth <hi rend="fc">I</hi>mpact <hi rend="fc">P</hi>rofile (<hi rend="fc">OHIP</hi>‐49) questionnaire. The <hi rend="fc">OHIP</hi>‐49 was administered prior to treatment (baseline), at 6 and 12 weeks following <hi rend="fc">RPD</hi> delivery and at 6 and 12 weeks following <hi rend="fc">ISRPD</hi> conversion. Radiographic evaluation was performed at 6 and 12 weeks following <hi rend="fc">ISRPD</hi> conversion. In statistical analysis, a fixed‐slope random intercept variance components model took account of the multiple observations per person over time.</p>
Results
<p>In 17 subjects, 29 of 30 implants survived. The failed implant was replaced without complications. Abutment complications were limited to one abutment loosening and one attachment replacement. Minor prosthodontic complications were recorded. The <hi rend="fc">OHIP</hi>‐49 score reduced by 11.8 points, on average, at 12 weeks following <hi rend="fc">ISRPD</hi> conversion (<hi rend="italic">P</hi> = 0.011).</p>
Conclusions
<p>Patients reported improved oral health following conversion to an <hi rend="fc">ISRPD</hi> from <hi rend="fc">RPD</hi>. The <hi rend="fc">ISRPD</hi> involving short implants is one treatment option that should be considered when treatment planning <hi rend="fc">K</hi>ennedy <hi rend="fc">C</hi>lass <hi rend="fc">I</hi> and <hi rend="fc">II</hi> patients.</p></abstract><textClass><keywords><term xml:id="clr12085-kwd-0001">implant‐supported removable partial denture</term><term xml:id="clr12085-kwd-0002">oral health quality of life</term><term xml:id="clr12085-kwd-0003">removable partial denture</term><term xml:id="clr12085-kwd-0004">short implants</term></keywords><keywords rend="articleCategory"><term>Original Article</term></keywords><keywords rend="tocHeading1"><term>Original Articles</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component type="serialArticle" version="2.0" xml:id="clr12085" xml:lang="en"><header><publicationMeta level="product"><doi origin="wiley" registered="yes">10.1111/(ISSN)1600-0501</doi><issn type="print">0905-7161</issn><issn type="electronic">1600-0501</issn><idGroup><id type="product" value="CLR"></id></idGroup><titleGroup><title sort="CLINICAL ORAL IMPLANTS RESEARCH" type="main">Clinical Oral Implants Research</title><title type="short">Clin. Oral Impl. Res.</title></titleGroup></publicationMeta><publicationMeta level="part" position="20"><doi origin="wiley">10.1111/clr.2014.25.issue-2</doi><copyright ownership="publisher">Copyright © 2014 John Wiley & Sons Ltd</copyright><numberingGroup><numbering type="journalVolume" number="25">25</numbering><numbering type="journalIssue">2</numbering></numberingGroup><coverDate startDate="2014-02">February 2014</coverDate></publicationMeta><publicationMeta level="unit" position="90" status="forIssue" type="article"><doi>10.1111/clr.12085</doi><idGroup><id type="unit" value="CLR12085"></id></idGroup><countGroup><count number="7" type="pageTotal"></count></countGroup><titleGroup><title type="articleCategory">Original Article</title><title type="tocHeading1">Original Articles</title></titleGroup><copyright ownership="publisher">© 2012 John Wiley & Sons A/S</copyright><eventGroup><event date="2012-10-29" type="manuscriptAccepted"></event><event agent="SPS" date="2012-11-22" type="xmlCreated"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.2.9 mode:FullText" date="2014-01-09"></event><event type="publishedOnlineEarlyUnpaginated" date="2012-12-21"></event><event type="firstOnline" date="2012-12-21"></event><event type="publishedOnlineFinalForm" date="2014-01-09"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.6.4 mode:FullText" date="2015-10-06"></event></eventGroup><numberingGroup><numbering type="pageFirst">207</numbering><numbering type="pageLast">213</numbering></numberingGroup><correspondenceTo><lineatedText><line><b>Corresponding author:</b></line><line><i>Ingeborg J. De Kok</i>, DDS, MS</line><line>Assistant Professor</line><line>Department of Prosthodontics</line><line>University of North Carolina School of Dentistry</line><line>330 Brauer Hall, CB 7450</line><line>Chapel Hill</line><line>NC 27599‐7450, USA</line><line>Tel.: +1 919 966 2719</line><line>Fax: +1 919 966 3821</line><line>e‐mail: <email>ingeborg_dekok@dentistry.unc.edu</email></line></lineatedText></correspondenceTo><selfCitationGroup><citation type="self" xml:id="clr12085-cit-1001"><author><familyName>Gates</familyName> <givenNames>WD</givenNames></author>, <author><familyName>Cooper</familyName> <givenNames>LF</givenNames></author>, <author><familyName>Sanders</familyName> <givenNames>AE</givenNames></author>, <author><familyName>Reside</familyName> <givenNames>GJ</givenNames></author>, <author><familyNamePrefix>De</familyNamePrefix> <familyName>Kok</familyName> <givenNames>IJ</givenNames></author>. <articleTitle>The effect of implant‐supported removable partial dentures on oral health quality of life</articleTitle>. <journalTitle>Clin. Oral Impl. Res.</journalTitle> <vol>25</vol>, <pubYear year="2014">2014</pubYear>, <pageFirst>207</pageFirst>–<pageLast>213</pageLast>.</citation></selfCitationGroup><objectNameGroup><objectName elementName="appendix">Appendix</objectName></objectNameGroup><linkGroup><link type="toTypesetVersion" href="file:CLR.CLR12085.pdf"></link></linkGroup></publicationMeta><contentMeta><titleGroup><title type="main">The effect of implant‐supported removable partial dentures on oral health quality of life</title><title type="shortAuthors">Gates et al</title></titleGroup><creators><creator affiliationRef="#clr12085-aff-0001" creatorRole="author" xml:id="clr12085-cr-0001"><personName><givenNames>W. Day</givenNames> <familyName>Gates</familyName> <nameSuffix>III</nameSuffix></personName></creator><creator affiliationRef="#clr12085-aff-0002" creatorRole="author" xml:id="clr12085-cr-0002"><personName><givenNames>Lyndon F.</givenNames> <familyName>Cooper</familyName></personName></creator><creator affiliationRef="#clr12085-aff-0003" creatorRole="author" xml:id="clr12085-cr-0003"><personName><givenNames>Anne E.</givenNames> <familyName>Sanders</familyName></personName></creator><creator affiliationRef="#clr12085-aff-0004" creatorRole="author" xml:id="clr12085-cr-0004"><personName><givenNames>Glenn J.</givenNames> <familyName>Reside</familyName></personName></creator><creator affiliationRef="#clr12085-aff-0002" corresponding="yes" creatorRole="author" xml:id="clr12085-cr-0005"><personName><givenNames>Ingeborg J.</givenNames> <familyNamePrefix>De</familyNamePrefix> <familyName>Kok</familyName></personName></creator></creators><affiliationGroup><affiliation countryCode="US" type="organization" xml:id="clr12085-aff-0001"> <orgName>Private Practice</orgName> <address><city>Mobile</city> <countryPart>AL</countryPart> <country>USA</country></address></affiliation><affiliation countryCode="US" type="organization" xml:id="clr12085-aff-0002"><orgDiv>Department of Prosthodontics</orgDiv> <orgName>University of North Carolina School of Dentistry</orgName> <address><city>Chapel Hill</city> <countryPart>NC</countryPart> <country>USA</country></address></affiliation><affiliation countryCode="US" type="organization" xml:id="clr12085-aff-0003"><orgDiv>Department of Dental Ecology</orgDiv> <orgName>University of North Carolina School of Dentistry</orgName> <address><city>Chapel Hill</city> <countryPart>NC</countryPart> <country>USA</country></address></affiliation><affiliation countryCode="US" type="organization" xml:id="clr12085-aff-0004"><orgDiv>Department of Oral & Maxillofacial Surgery</orgDiv> <orgName>University of North Carolina School of Dentistry</orgName> <address><city>Chapel Hill</city> <countryPart>NC</countryPart> <country>USA</country></address></affiliation></affiliationGroup><keywordGroup type="author"><keyword xml:id="clr12085-kwd-0001">implant‐supported removable partial denture</keyword><keyword xml:id="clr12085-kwd-0002">oral health quality of life</keyword><keyword xml:id="clr12085-kwd-0003">removable partial denture</keyword><keyword xml:id="clr12085-kwd-0004">short implants</keyword></keywordGroup><fundingInfo><fundingAgency>Astra Tech</fundingAgency><fundingNumber>IIS‐D‐2008‐32</fundingNumber></fundingInfo><fundingInfo><fundingAgency>Southeastern Academy of Prosthodontics</fundingAgency></fundingInfo><abstractGroup><abstract type="main" xml:id="clr12085-abs-0001"><title type="main">Abstract</title><section xml:id="clr12085-sec-0001"><title type="main">Purpose</title><p>Removable partial dentures (<fc>RPD</fc>s) represent standard treatment for partial edentulism despite major shortcomings. To alleviate these shortcomings, endosseous implants provide support and stability as well as contribute to maintenance of alveolar bone. This prospective, within subject, time series study evaluated patient‐based outcomes of <fc>RPD</fc>s compared to implant‐supported removable partial dentures (<fc>ISRPD</fc>s). The study hypothesis was that the <fc>ISRPD</fc> would substantially improve oral health quality of life for patients.</p></section><section xml:id="clr12085-sec-0002"><title type="main">Materials and methods</title><p>Seventeen patients requesting new mandibular <fc>K</fc>ennedy <fc>I</fc> or <fc>II RPD</fc>s received one 6‐mm dental implant in one or both of the posterior edentulous areas. After healing, conventional <fc>RPD</fc>s were fabricated and delivered. Twelve weeks later, second‐stage surgery was performed, and ball abutments with <fc>C</fc>lix attachments were inserted, thereby converting the prostheses to <fc>ISRPD</fc>s. Oral health quality of life was evaluated using the 49‐item <fc>O</fc>ral <fc>H</fc>ealth <fc>I</fc>mpact <fc>P</fc>rofile (<fc>OHIP</fc>‐49) questionnaire. The <fc>OHIP</fc>‐49 was administered prior to treatment (baseline), at 6 and 12 weeks following <fc>RPD</fc> delivery and at 6 and 12 weeks following <fc>ISRPD</fc> conversion. Radiographic evaluation was performed at 6 and 12 weeks following <fc>ISRPD</fc> conversion. In statistical analysis, a fixed‐slope random intercept variance components model took account of the multiple observations per person over time.</p></section><section xml:id="clr12085-sec-0003"><title type="main">Results</title><p>In 17 subjects, 29 of 30 implants survived. The failed implant was replaced without complications. Abutment complications were limited to one abutment loosening and one attachment replacement. Minor prosthodontic complications were recorded. The <fc>OHIP</fc>‐49 score reduced by 11.8 points, on average, at 12 weeks following <fc>ISRPD</fc> conversion (<i>P</i> = 0.011).</p></section><section xml:id="clr12085-sec-0004"><title type="main">Conclusions</title><p>Patients reported improved oral health following conversion to an <fc>ISRPD</fc> from <fc>RPD</fc>. The <fc>ISRPD</fc> involving short implants is one treatment option that should be considered when treatment planning <fc>K</fc>ennedy <fc>C</fc>lass <fc>I</fc> and <fc>II</fc> patients.</p></section></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>The effect of implant‐supported removable partial dentures on oral health quality of life</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>The effect of implant‐supported removable partial dentures on oral health quality of life</title></titleInfo><name type="personal"><namePart type="given">W. Day</namePart><namePart type="family">Gates III</namePart><affiliation>Private Practice, AL, Mobile, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Lyndon F.</namePart><namePart type="family">Cooper</namePart><affiliation>Department of Prosthodontics, University of North Carolina School of Dentistry, NC, Chapel Hill, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Anne E.</namePart><namePart type="family">Sanders</namePart><affiliation>Department of Dental Ecology, University of North Carolina School of Dentistry, NC, Chapel Hill, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Glenn J.</namePart><namePart type="family">Reside</namePart><affiliation>Department of Oral & Maxillofacial Surgery, University of North Carolina School of Dentistry, NC, Chapel Hill, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Ingeborg J.</namePart><namePart type="family">De Kok</namePart><affiliation>Department of Prosthodontics, University of North Carolina School of Dentistry, NC, Chapel Hill, USA</affiliation><affiliation>, DDS, MSAssistant ProfessorDepartment of ProsthodonticsUniversity of North Carolina School of Dentistry330 Brauer Hall, CB 7450Chapel HillNC 27599‐7450, USATel.: +1 919 966 2719Fax: +1 919 966 3821e‐mail:</affiliation><affiliation>E-mail: ingeborg_dekok@dentistry.unc.edu</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><dateIssued encoding="w3cdtf">2014-02</dateIssued><dateCreated encoding="w3cdtf">2012-11-22</dateCreated><dateValid encoding="w3cdtf">2012-10-29</dateValid><edition>Gates WD, Cooper LF, Sanders AE, Reside GJ, De Kok IJ. The effect of implant‐supported removable partial dentures on oral health quality of life. Clin. Oral Impl. Res. 25, 2014, 207–213.</edition><copyrightDate encoding="w3cdtf">2014</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><abstract>Removable partial dentures (RPDs) represent standard treatment for partial edentulism despite major shortcomings. To alleviate these shortcomings, endosseous implants provide support and stability as well as contribute to maintenance of alveolar bone. This prospective, within subject, time series study evaluated patient‐based outcomes of RPDs compared to implant‐supported removable partial dentures (ISRPDs). The study hypothesis was that the ISRPD would substantially improve oral health quality of life for patients.</abstract><abstract>Seventeen patients requesting new mandibular Kennedy I or II RPDs received one 6‐mm dental implant in one or both of the posterior edentulous areas. After healing, conventional RPDs were fabricated and delivered. Twelve weeks later, second‐stage surgery was performed, and ball abutments with Clix attachments were inserted, thereby converting the prostheses to ISRPDs. Oral health quality of life was evaluated using the 49‐item Oral Health Impact Profile (OHIP‐49) questionnaire. The OHIP‐49 was administered prior to treatment (baseline), at 6 and 12 weeks following RPD delivery and at 6 and 12 weeks following ISRPD conversion. Radiographic evaluation was performed at 6 and 12 weeks following ISRPD conversion. In statistical analysis, a fixed‐slope random intercept variance components model took account of the multiple observations per person over time.</abstract><abstract>In 17 subjects, 29 of 30 implants survived. The failed implant was replaced without complications. Abutment complications were limited to one abutment loosening and one attachment replacement. Minor prosthodontic complications were recorded. The OHIP‐49 score reduced by 11.8 points, on average, at 12 weeks following ISRPD conversion (P = 0.011).</abstract><abstract>Patients reported improved oral health following conversion to an ISRPD from RPD. The ISRPD involving short implants is one treatment option that should be considered when treatment planning Kennedy Class I and II patients.</abstract><note type="funding">Astra Tech - No. IIS‐D‐2008‐32; </note><note type="funding">Southeastern Academy of Prosthodontics</note><subject><genre>keywords</genre><topic>implant‐supported removable partial denture</topic><topic>oral health quality of life</topic><topic>removable partial denture</topic><topic>short implants</topic></subject><relatedItem type="host"><titleInfo><title>Clinical Oral Implants Research</title></titleInfo><titleInfo type="abbreviated"><title>Clin. Oral Impl. Res.</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><subject><genre>article-category</genre><topic>Original Article</topic></subject><identifier type="ISSN">0905-7161</identifier><identifier type="eISSN">1600-0501</identifier><identifier type="DOI">10.1111/(ISSN)1600-0501</identifier><identifier type="PublisherID">CLR</identifier><part><date>2014</date><detail type="volume"><caption>vol.</caption><number>25</number></detail><detail type="issue"><caption>no.</caption><number>2</number></detail><extent unit="pages"><start>207</start><end>213</end><total>7</total></extent></part></relatedItem><identifier type="istex">C100CF0E8C481D63884425FBA3310D4E707020FF</identifier><identifier type="ark">ark:/67375/WNG-2JSVZ5SW-Z</identifier><identifier type="DOI">10.1111/clr.12085</identifier><identifier type="ArticleID">CLR12085</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2014 John Wiley & Sons Ltd© 2012 John Wiley & Sons A/S</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/C100CF0E8C481D63884425FBA3310D4E707020FF/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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