Implant-supported mandibular overdentures in very old adults: a randomized controlled trial.
Identifieur interne : 001101 ( Main/Exploration ); précédent : 001100; suivant : 001102Implant-supported mandibular overdentures in very old adults: a randomized controlled trial.
Auteurs : F. Müller [Suisse] ; E. Duvernay ; A. Loup ; L. Vazquez ; F R Herrmann ; M. SchimmelSource :
- Journal of dental research [ 1544-0591 ] ; 2013.
Descripteurs français
- KwdFr :
- Activités de la vie quotidienne, Femelle, Force occlusale, Humains, Implants dentaires, Indice de masse corporelle, Mastication (physiologie), Muscle masséter (anatomie et histologie), Mâle, Overdenture, Prothèse dentaire complète inférieure, Prothèse dentaire implanto-portée, Qualité de vie, Rebasage d'appareil de prothèse dentaire, Résultat thérapeutique, Rétention d'appareil de prothèse dentaire, Salive (sécrétion), Santé buccodentaire, Satisfaction du patient, Sujet âgé, Sujet âgé de 80 ans ou plus, État nutritionnel, Études de suivi, Évaluation de l'état nutritionnel, Évaluation gériatrique.
- MESH :
- anatomie et histologie : Muscle masséter.
- physiologie : Mastication.
- sécrétion : Salive.
- Activités de la vie quotidienne, Femelle, Force occlusale, Humains, Implants dentaires, Indice de masse corporelle, Mâle, Overdenture, Prothèse dentaire complète inférieure, Prothèse dentaire implanto-portée, Qualité de vie, Rebasage d'appareil de prothèse dentaire, Résultat thérapeutique, Rétention d'appareil de prothèse dentaire, Santé buccodentaire, Satisfaction du patient, Sujet âgé, Sujet âgé de 80 ans ou plus, État nutritionnel, Études de suivi, Évaluation de l'état nutritionnel, Évaluation gériatrique.
English descriptors
- KwdEn :
- Activities of Daily Living, Aged, Aged, 80 and over, Bite Force, Body Mass Index, Dental Implants, Dental Prosthesis, Implant-Supported, Denture Rebasing, Denture Retention, Denture, Complete, Lower, Denture, Overlay, Female, Follow-Up Studies, Geriatric Assessment, Humans, Male, Masseter Muscle (anatomy & histology), Mastication (physiology), Nutrition Assessment, Nutritional Status, Oral Health, Patient Satisfaction, Quality of Life, Saliva (secretion), Treatment Outcome.
- MESH :
- chemical : Dental Implants.
- anatomy & histology : Masseter Muscle.
- physiology : Mastication.
- secretion : Saliva.
- Activities of Daily Living, Aged, Aged, 80 and over, Bite Force, Body Mass Index, Dental Prosthesis, Implant-Supported, Denture Rebasing, Denture Retention, Denture, Complete, Lower, Denture, Overlay, Female, Follow-Up Studies, Geriatric Assessment, Humans, Male, Nutrition Assessment, Nutritional Status, Oral Health, Patient Satisfaction, Quality of Life, Treatment Outcome.
Abstract
The purpose of this study was (1) to investigate denture satisfaction following the conversion of existing mandibular complete dentures to implant overdentures (IOD) in very old edentulous patients who depend on help for activities of daily living and (2) to evaluate secondary end points, such as functional, structural, nutritional, and patient-centered aspects. For this randomized clinical trial, 2 interforaminal short implants were placed in the intervention group (n = 16, 85.0 ± 6.19 yrs) to retain mandibular IODs; the control group (n = 18, 84.1 ± 5.55 yrs) received conventional relines. During the first year, no implant was lost; however, 2 patients died. IODs proved more stable, and participants in the intervention group demonstrated significantly higher denture satisfaction as well as an increased oral health-related quality of life compared to the control group. Maximum voluntary bite force improved significantly with IODs, yet the chewing efficiency was not different between groups. Masseter muscle thickness increased with IODs, mainly on the preferred chewing side. Body mass index decreased in both groups, but the decline tended to be smaller in the intervention group; blood markers and the Mini Nutritional Assessment did not confirm this tendency. These results indicate that edentulous patients who depend on help for activities of daily living may benefit from IODs even late in life.
DOI: 10.1177/0022034513509630
PubMed: 24158342
Affiliations:
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Le document en format XML
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Vazquez</name></author><author><name sortKey="Herrmann, F R" sort="Herrmann, F R" uniqKey="Herrmann F" first="F R" last="Herrmann">F R Herrmann</name></author><author><name sortKey="Schimmel, M" sort="Schimmel, M" uniqKey="Schimmel M" first="M" last="Schimmel">M. Schimmel</name></author></analytic><series><title level="j">Journal of dental research</title><idno type="eISSN">1544-0591</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Activities of Daily Living</term><term>Aged</term><term>Aged, 80 and over</term><term>Bite Force</term><term>Body Mass Index</term><term>Dental Implants</term><term>Dental Prosthesis, Implant-Supported</term><term>Denture Rebasing</term><term>Denture Retention</term><term>Denture, Complete, Lower</term><term>Denture, Overlay</term><term>Female</term><term>Follow-Up Studies</term><term>Geriatric Assessment</term><term>Humans</term><term>Male</term><term>Masseter Muscle (anatomy & histology)</term><term>Mastication (physiology)</term><term>Nutrition Assessment</term><term>Nutritional Status</term><term>Oral Health</term><term>Patient Satisfaction</term><term>Quality of Life</term><term>Saliva (secretion)</term><term>Treatment Outcome</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Activités de la vie quotidienne</term><term>Femelle</term><term>Force occlusale</term><term>Humains</term><term>Implants dentaires</term><term>Indice de masse corporelle</term><term>Mastication (physiologie)</term><term>Muscle masséter (anatomie et histologie)</term><term>Mâle</term><term>Overdenture</term><term>Prothèse dentaire complète inférieure</term><term>Prothèse dentaire implanto-portée</term><term>Qualité de vie</term><term>Rebasage d'appareil de prothèse dentaire</term><term>Résultat thérapeutique</term><term>Rétention d'appareil de prothèse dentaire</term><term>Salive (sécrétion)</term><term>Santé buccodentaire</term><term>Satisfaction du patient</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>État nutritionnel</term><term>Études de suivi</term><term>Évaluation de l'état nutritionnel</term><term>Évaluation gériatrique</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term></keywords><keywords scheme="MESH" qualifier="anatomie et histologie" xml:lang="fr"><term>Muscle masséter</term></keywords><keywords scheme="MESH" qualifier="anatomy & histology" xml:lang="en"><term>Masseter Muscle</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Mastication</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Mastication</term></keywords><keywords scheme="MESH" qualifier="secretion" xml:lang="en"><term>Saliva</term></keywords><keywords scheme="MESH" qualifier="sécrétion" xml:lang="fr"><term>Salive</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Activities of Daily Living</term><term>Aged</term><term>Aged, 80 and over</term><term>Bite Force</term><term>Body Mass Index</term><term>Dental Prosthesis, Implant-Supported</term><term>Denture Rebasing</term><term>Denture Retention</term><term>Denture, Complete, Lower</term><term>Denture, Overlay</term><term>Female</term><term>Follow-Up Studies</term><term>Geriatric Assessment</term><term>Humans</term><term>Male</term><term>Nutrition Assessment</term><term>Nutritional Status</term><term>Oral Health</term><term>Patient Satisfaction</term><term>Quality of Life</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Activités de la vie quotidienne</term><term>Femelle</term><term>Force occlusale</term><term>Humains</term><term>Implants dentaires</term><term>Indice de masse corporelle</term><term>Mâle</term><term>Overdenture</term><term>Prothèse dentaire complète inférieure</term><term>Prothèse dentaire implanto-portée</term><term>Qualité de vie</term><term>Rebasage d'appareil de prothèse dentaire</term><term>Résultat thérapeutique</term><term>Rétention d'appareil de prothèse dentaire</term><term>Santé buccodentaire</term><term>Satisfaction du patient</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>État nutritionnel</term><term>Études de suivi</term><term>Évaluation de l'état nutritionnel</term><term>Évaluation gériatrique</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The purpose of this study was (1) to investigate denture satisfaction following the conversion of existing mandibular complete dentures to implant overdentures (IOD) in very old edentulous patients who depend on help for activities of daily living and (2) to evaluate secondary end points, such as functional, structural, nutritional, and patient-centered aspects. For this randomized clinical trial, 2 interforaminal short implants were placed in the intervention group (n = 16, 85.0 ± 6.19 yrs) to retain mandibular IODs; the control group (n = 18, 84.1 ± 5.55 yrs) received conventional relines. During the first year, no implant was lost; however, 2 patients died. IODs proved more stable, and participants in the intervention group demonstrated significantly higher denture satisfaction as well as an increased oral health-related quality of life compared to the control group. Maximum voluntary bite force improved significantly with IODs, yet the chewing efficiency was not different between groups. Masseter muscle thickness increased with IODs, mainly on the preferred chewing side. Body mass index decreased in both groups, but the decline tended to be smaller in the intervention group; blood markers and the Mini Nutritional Assessment did not confirm this tendency. These results indicate that edentulous patients who depend on help for activities of daily living may benefit from IODs even late in life.</div></front></TEI><affiliations><list><country><li>Suisse</li></country><region><li>Canton de Genève</li></region><settlement><li>Genève</li></settlement><orgName><li>Université de Genève</li></orgName></list><tree><noCountry><name sortKey="Duvernay, E" sort="Duvernay, E" uniqKey="Duvernay E" first="E" last="Duvernay">E. Duvernay</name><name sortKey="Herrmann, F R" sort="Herrmann, F R" uniqKey="Herrmann F" first="F R" last="Herrmann">F R Herrmann</name><name sortKey="Loup, A" sort="Loup, A" uniqKey="Loup A" first="A" last="Loup">A. Loup</name><name sortKey="Schimmel, M" sort="Schimmel, M" uniqKey="Schimmel M" first="M" last="Schimmel">M. Schimmel</name><name sortKey="Vazquez, L" sort="Vazquez, L" uniqKey="Vazquez L" first="L" last="Vazquez">L. Vazquez</name></noCountry><country name="Suisse"><region name="Canton de Genève"><name sortKey="Muller, F" sort="Muller, F" uniqKey="Muller F" first="F" last="Müller">F. Müller</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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