Implant-retained mandibular overdentures: 6-year results of a multicenter clinical trial on 3 different Implant systems
Identifieur interne : 002227 ( Main/Exploration ); précédent : 002226; suivant : 002228Implant-retained mandibular overdentures: 6-year results of a multicenter clinical trial on 3 different Implant systems
Auteurs : Henny J. A. Meijer [Pays-Bas] ; Mariëlle E. Geertman [Pays-Bas] ; Gerry M. Raghoebar [Pays-Bas] ; Joke M. Kwakman [Pays-Bas]Source :
- Journal of oral and maxillofacial surgery [ 0278-2391 ] ; 2001.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme, Prospective.
English descriptors
- KwdEn :
Abstract
Purpose: The goal of this multicenter prospective clinical trial was to compare clinical outcome and post-treatment care and patient satisfaction with different implant systems used for mandibular overdenture treatment during a 6-year follow-up period. Patients and Methods: A total of 87 edentulous patients with a severely resorbed mandible (bone height, 8 to 15 mm) received treatment involving either 2 Intra Mobiele Zylinder implants (IMZ group, n = 41) (Friedrichsfeld AG, Mannheim, Germany), 2 Branemark implants (Brå group, n = 17) (Nobel Biocare AB, Gothenburg, Sweden) or a Transmandibular Implant (TMI; Krijnen Medical, Beesd, The Netherlands) (TMI group, n = 29). The evaluation involved clinical parameters, radiographs, surgical and prosthetic post-treatment care, clinical implant performance (CIP scale), and patient satisfaction. Results: After 6 years, there was a significant difference in the mean plaque index:the mean plaque index of the TMI group was significantly higher than that of the IMZ and Brå groups. Other clinical parameters showed no significant differences. The implant survival rate of 97.5% was noted in the IMZ group, 97.1% in the Brå group, and 72.0% in the TMI group. The CIP scale were significantly worse for the TMI group. Conclusion: It was concluded that the IMZ and the Branemark implant systems have a better survival rate and clinical implant performance than the TMI system. Based on these data, these systems should be the choice for the edentulous mandible with a height between 8 and 15 mm.
Affiliations:
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Meijer</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Oral-Maxillofacial Surgery and Maxillofacial Prosthodontics, University Hospital Groningen</s1><s3>NLD</s3><sZ>1 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>Department of Oral-Maxillofacial Surgery and Maxillofacial Prosthodontics, University Hospital Groningen</wicri:noRegion></affiliation><affiliation wicri:level="4"><inist:fA14 i1="02"><s1>Department of Oral Function and Prosthetic Dentistry, Dental School, Faculty of Medical Sciences, University of Groningen</s1><s3>NLD</s3><sZ>1 aut.</sZ></inist:fA14><country>Pays-Bas</country><placeName><settlement type="city">Groningue (ville)</settlement><region>Groningue (province)</region></placeName><orgName type="university">Université de Groningue</orgName></affiliation></author><author><name sortKey="Geertman, Marielle E" sort="Geertman, Marielle E" uniqKey="Geertman M" first="Mariëlle E." last="Geertman">Mariëlle E. 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A." last="Meijer">Henny J. A. Meijer</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Oral-Maxillofacial Surgery and Maxillofacial Prosthodontics, University Hospital Groningen</s1><s3>NLD</s3><sZ>1 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>Department of Oral-Maxillofacial Surgery and Maxillofacial Prosthodontics, University Hospital Groningen</wicri:noRegion></affiliation><affiliation wicri:level="4"><inist:fA14 i1="02"><s1>Department of Oral Function and Prosthetic Dentistry, Dental School, Faculty of Medical Sciences, University of Groningen</s1><s3>NLD</s3><sZ>1 aut.</sZ></inist:fA14><country>Pays-Bas</country><placeName><settlement type="city">Groningue (ville)</settlement><region>Groningue (province)</region></placeName><orgName type="university">Université de Groningue</orgName></affiliation></author><author><name sortKey="Geertman, Marielle E" sort="Geertman, Marielle E" uniqKey="Geertman M" first="Mariëlle E." last="Geertman">Mariëlle E. Geertman</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Oral Function and Prosthetic Dentistry, University of Nijmegen</s1><s3>NLD</s3><sZ>2 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>Department of Oral Function and Prosthetic Dentistry, University of Nijmegen</wicri:noRegion></affiliation></author><author><name sortKey="Raghoebar, Gerry M" sort="Raghoebar, Gerry M" uniqKey="Raghoebar G" first="Gerry M." last="Raghoebar">Gerry M. Raghoebar</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Department of Oral and Maxillofacial Surgery, University Hospital Nijmegen</s1><s3>NLD</s3><sZ>3 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>Department of Oral and Maxillofacial Surgery, University Hospital Nijmegen</wicri:noRegion></affiliation></author><author><name sortKey="Kwakman, Joke M" sort="Kwakman, Joke M" uniqKey="Kwakman J" first="Joke M." last="Kwakman">Joke M. Kwakman</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Oral Function and Prosthetic Dentistry, University of Nijmegen</s1><s3>NLD</s3><sZ>2 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>Department of Oral Function and Prosthetic Dentistry, University of Nijmegen</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Journal of oral and maxillofacial surgery</title><title level="j" type="abbreviated">J. oral maxillofac. surg.</title><idno type="ISSN">0278-2391</idno><imprint><date when="2001">2001</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Journal of oral and maxillofacial surgery</title><title level="j" type="abbreviated">J. oral maxillofac. surg.</title><idno type="ISSN">0278-2391</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Care</term><term>Clinical trial</term><term>Comparative study</term><term>Denture</term><term>Edentulousness</term><term>Human</term><term>Implant</term><term>Mandible</term><term>Multicenter study</term><term>Patient</term><term>Postoperative</term><term>Prognosis</term><term>Prospective</term><term>Resorption</term><term>Result</term><term>Satisfaction</term><term>Severe</term><term>Tooth</term><term>Treatment</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Implant</term><term>Dent</term><term>Mandibule</term><term>Soin</term><term>Postopératoire</term><term>Résultat</term><term>Satisfaction</term><term>Malade</term><term>Edentation</term><term>Dentier</term><term>Résorption</term><term>Grave</term><term>Etude multicentrique</term><term>Traitement</term><term>Pronostic</term><term>Homme</term><term>Essai clinique</term><term>Prospective</term><term>Etude comparative</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term><term>Prospective</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Purpose: The goal of this multicenter prospective clinical trial was to compare clinical outcome and post-treatment care and patient satisfaction with different implant systems used for mandibular overdenture treatment during a 6-year follow-up period. Patients and Methods: A total of 87 edentulous patients with a severely resorbed mandible (bone height, 8 to 15 mm) received treatment involving either 2 Intra Mobiele Zylinder implants (IMZ group, n = 41) (Friedrichsfeld AG, Mannheim, Germany), 2 Branemark implants (Brå group, n = 17) (Nobel Biocare AB, Gothenburg, Sweden) or a Transmandibular Implant (TMI; Krijnen Medical, Beesd, The Netherlands) (TMI group, n = 29). The evaluation involved clinical parameters, radiographs, surgical and prosthetic post-treatment care, clinical implant performance (CIP scale), and patient satisfaction. Results: After 6 years, there was a significant difference in the mean plaque index:the mean plaque index of the TMI group was significantly higher than that of the IMZ and Brå groups. Other clinical parameters showed no significant differences. The implant survival rate of 97.5% was noted in the IMZ group, 97.1% in the Brå group, and 72.0% in the TMI group. The CIP scale were significantly worse for the TMI group. Conclusion: It was concluded that the IMZ and the Branemark implant systems have a better survival rate and clinical implant performance than the TMI system. Based on these data, these systems should be the choice for the edentulous mandible with a height between 8 and 15 mm.</div></front></TEI><affiliations><list><country><li>Pays-Bas</li></country><region><li>Groningue (province)</li></region><settlement><li>Groningue (ville)</li></settlement><orgName><li>Université de Groningue</li></orgName></list><tree><country name="Pays-Bas"><noRegion><name sortKey="Meijer, Henny J A" sort="Meijer, Henny J A" uniqKey="Meijer H" first="Henny J. A." last="Meijer">Henny J. A. Meijer</name></noRegion><name sortKey="Geertman, Marielle E" sort="Geertman, Marielle E" uniqKey="Geertman M" first="Mariëlle E." last="Geertman">Mariëlle E. Geertman</name><name sortKey="Kwakman, Joke M" sort="Kwakman, Joke M" uniqKey="Kwakman J" first="Joke M." last="Kwakman">Joke M. Kwakman</name><name sortKey="Meijer, Henny J A" sort="Meijer, Henny J A" uniqKey="Meijer H" first="Henny J. A." last="Meijer">Henny J. A. Meijer</name><name sortKey="Raghoebar, Gerry M" sort="Raghoebar, Gerry M" uniqKey="Raghoebar G" first="Gerry M." last="Raghoebar">Gerry M. Raghoebar</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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