Serveur d'exploration sur le patient édenté (maquette)

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Complications and patient-centered outcomes with an implant-supported monolithic zirconia fixed dental prosthesis: 1 year results.

Identifieur interne : 000790 ( Ncbi/Merge ); précédent : 000789; suivant : 000791

Complications and patient-centered outcomes with an implant-supported monolithic zirconia fixed dental prosthesis: 1 year results.

Auteurs : Bryan Limmer [États-Unis] ; Anne E. Sanders ; Glenn Reside ; Lyndon F. Cooper

Source :

RBID : pubmed:24393461

Descripteurs français

English descriptors

Abstract

To characterize the number and type of complications that occur with a monolithic zirconia fixed dental prosthesis (MZ-FDP) supported by four endosseous implants in the edentulous mandible over time and to quantify the impact of treatment on oral health quality of life (OHQoL).

DOI: 10.1111/jopr.12110
PubMed: 24393461

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pubmed:24393461

Le document en format XML

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<title xml:lang="en">Complications and patient-centered outcomes with an implant-supported monolithic zirconia fixed dental prosthesis: 1 year results.</title>
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<name sortKey="Limmer, Bryan" sort="Limmer, Bryan" uniqKey="Limmer B" first="Bryan" last="Limmer">Bryan Limmer</name>
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<nlm:affiliation>Department of Prosthodontics, University of North Carolina School of Dentistry, Chapel Hill, NC.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
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<name sortKey="Sanders, Anne E" sort="Sanders, Anne E" uniqKey="Sanders A" first="Anne E" last="Sanders">Anne E. Sanders</name>
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<term>Dental Materials (chemistry)</term>
<term>Dental Prosthesis, Implant-Supported (adverse effects)</term>
<term>Dental Prosthesis, Implant-Supported (psychology)</term>
<term>Dental Restoration Failure</term>
<term>Denture Design</term>
<term>Denture Retention</term>
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<term>Denture, Complete (psychology)</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Male</term>
<term>Mandible (surgery)</term>
<term>Middle Aged</term>
<term>Patient Care Planning</term>
<term>Patient-Centered Care</term>
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<term>Quality of Life</term>
<term>Survival Analysis</term>
<term>Treatment Outcome</term>
<term>Zirconium (chemistry)</term>
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<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse de survie</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires (effets indésirables)</term>
<term>Implants dentaires (psychologie)</term>
<term>Mandibule ()</term>
<term>Matériaux dentaires ()</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Planification des soins du patient</term>
<term>Prothèse dentaire complète (effets indésirables)</term>
<term>Prothèse dentaire complète (psychologie)</term>
<term>Prothèse dentaire implanto-portée (effets indésirables)</term>
<term>Prothèse dentaire implanto-portée (psychologie)</term>
<term>Qualité de vie</term>
<term>Résultat thérapeutique</term>
<term>Rétention d'appareil de prothèse dentaire</term>
<term>Soins centrés sur le patient</term>
<term>Sujet âgé</term>
<term>Zirconium ()</term>
<term>Échec de restauration dentaire</term>
<term>Études de suivi</term>
<term>Études prospectives</term>
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<term>Dental Implants</term>
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<keywords scheme="MESH" type="chemical" qualifier="chemistry" xml:lang="en">
<term>Dental Materials</term>
<term>Zirconium</term>
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<keywords scheme="MESH" type="chemical" qualifier="psychology" xml:lang="en">
<term>Dental Implants</term>
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<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture, Complete</term>
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<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr">
<term>Implants dentaires</term>
<term>Prothèse dentaire complète</term>
<term>Prothèse dentaire implanto-portée</term>
</keywords>
<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr">
<term>Implants dentaires</term>
<term>Prothèse dentaire complète</term>
<term>Prothèse dentaire implanto-portée</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en">
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture, Complete</term>
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<term>Jaw, Edentulous</term>
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<term>Mâchoire édentée</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Mandible</term>
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<term>Adult</term>
<term>Aged</term>
<term>Dental Restoration Failure</term>
<term>Denture Design</term>
<term>Denture Retention</term>
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<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
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<term>Patient-Centered Care</term>
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<term>Survival Analysis</term>
<term>Treatment Outcome</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse de survie</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mandibule</term>
<term>Matériaux dentaires</term>
<term>Mâle</term>
<term>Planification des soins du patient</term>
<term>Qualité de vie</term>
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<term>Rétention d'appareil de prothèse dentaire</term>
<term>Soins centrés sur le patient</term>
<term>Sujet âgé</term>
<term>Zirconium</term>
<term>Échec de restauration dentaire</term>
<term>Études de suivi</term>
<term>Études prospectives</term>
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<front>
<div type="abstract" xml:lang="en">To characterize the number and type of complications that occur with a monolithic zirconia fixed dental prosthesis (MZ-FDP) supported by four endosseous implants in the edentulous mandible over time and to quantify the impact of treatment on oral health quality of life (OHQoL).</div>
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<MedlineCitation Status="MEDLINE" Owner="NLM">
<PMID Version="1">24393461</PMID>
<DateCompleted>
<Year>2016</Year>
<Month>08</Month>
<Day>16</Day>
</DateCompleted>
<DateRevised>
<Year>2014</Year>
<Month>06</Month>
<Day>19</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1532-849X</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>23</Volume>
<Issue>4</Issue>
<PubDate>
<Year>2014</Year>
<Month>Jun</Month>
</PubDate>
</JournalIssue>
<Title>Journal of prosthodontics : official journal of the American College of Prosthodontists</Title>
<ISOAbbreviation>J Prosthodont</ISOAbbreviation>
</Journal>
<ArticleTitle>Complications and patient-centered outcomes with an implant-supported monolithic zirconia fixed dental prosthesis: 1 year results.</ArticleTitle>
<Pagination>
<MedlinePgn>267-75</MedlinePgn>
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<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To characterize the number and type of complications that occur with a monolithic zirconia fixed dental prosthesis (MZ-FDP) supported by four endosseous implants in the edentulous mandible over time and to quantify the impact of treatment on oral health quality of life (OHQoL).</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Seventeen edentulous participants were enrolled. New conventional dentures were fabricated for each participant. Four Astra Tech Osseospeed TX implants (Dentsply) were then placed in the parasymphyseal mandible, and after a period of healing, a full-arch monolithic zirconia prosthesis (Zirkonzahn) was inserted. Complication data were recorded and OHQoL was evaluated using the Oral Health Impact Profile (OHIP-49), administered on four occasions: enrollment; implant surgery; and 6- and 12-month recalls.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Sixty-eight implants were placed in 17 edentulous individuals aged 30 to 78 (mean 57.9 years). Implant survival was 94% from the subject perspective and 99% from the implant perspective. Prosthesis survival was 88%. Twelve complications occurred in ten participants, whereas seven participants remained complication free. Both OHIP-49 severity and extent scores decreased significantly between enrollment and 12-month recall (p < 0.001). The mean OHIP-49 severity score at baseline was 94.8 (95% confidence interval [CI]: 73.9, 115.8) and declined an average of 76.8 (95% CI: -91.3, -62.3) units per participant. The mean OHIP-49 extent score at baseline was 17.2 (95% CI: 10.8, 23.6) and declined 16.3 (95% CI: -20.2, -12.4) units per participant on average.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Implant survival was high, and few complications related to the MZ-FDP were observed. The most common prosthetic complication was tooth chipping in the opposing maxillary denture, which accounted for 50% of all complication events. Substantial and clinically important improvements in OHQoL were achieved with both conventional dentures and the implant-supported MZ-FDP. The data of this short-term study indicate that the implant-supported MZ-FDP is a therapeutic option with particular advantages in the edentulous mandible that warrants further long-term study.</AbstractText>
<CopyrightInformation>© 2014 by the American College of Prosthodontists.</CopyrightInformation>
</Abstract>
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<LastName>Limmer</LastName>
<ForeName>Bryan</ForeName>
<Initials>B</Initials>
<AffiliationInfo>
<Affiliation>Department of Prosthodontics, University of North Carolina School of Dentistry, Chapel Hill, NC.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Sanders</LastName>
<ForeName>Anne E</ForeName>
<Initials>AE</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Reside</LastName>
<ForeName>Glenn</ForeName>
<Initials>G</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Cooper</LastName>
<ForeName>Lyndon F</ForeName>
<Initials>LF</Initials>
</Author>
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<Language>eng</Language>
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<ArticleDate DateType="Electronic">
<Year>2014</Year>
<Month>01</Month>
<Day>06</Day>
</ArticleDate>
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<Country>United States</Country>
<MedlineTA>J Prosthodont</MedlineTA>
<NlmUniqueID>9301275</NlmUniqueID>
<ISSNLinking>1059-941X</ISSNLinking>
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<Chemical>
<RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D015921">Dental Implants</NameOfSubstance>
</Chemical>
<Chemical>
<RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D003764">Dental Materials</NameOfSubstance>
</Chemical>
<Chemical>
<RegistryNumber>C6V6S92N3C</RegistryNumber>
<NameOfSubstance UI="D015040">Zirconium</NameOfSubstance>
</Chemical>
<Chemical>
<RegistryNumber>S38N85C5G0</RegistryNumber>
<NameOfSubstance UI="C028541">zirconium oxide</NameOfSubstance>
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<CitationSubset>D</CitationSubset>
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<DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
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<DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
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<DescriptorName UI="D015921" MajorTopicYN="N">Dental Implants</DescriptorName>
<QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName>
<QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName>
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<MeshHeading>
<DescriptorName UI="D003764" MajorTopicYN="N">Dental Materials</DescriptorName>
<QualifierName UI="Q000737" MajorTopicYN="Y">chemistry</QualifierName>
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<MeshHeading>
<DescriptorName UI="D019094" MajorTopicYN="N">Dental Prosthesis, Implant-Supported</DescriptorName>
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<QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName>
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<QualifierName UI="Q000534" MajorTopicYN="N">rehabilitation</QualifierName>
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<DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName>
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<DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName>
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<DescriptorName UI="D015040" MajorTopicYN="N">Zirconium</DescriptorName>
<QualifierName UI="Q000737" MajorTopicYN="Y">chemistry</QualifierName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="N">Dental implant</Keyword>
<Keyword MajorTopicYN="N">OHIP-49</Keyword>
<Keyword MajorTopicYN="N">dental prosthesis</Keyword>
<Keyword MajorTopicYN="N">edentulism</Keyword>
<Keyword MajorTopicYN="N">mandible</Keyword>
<Keyword MajorTopicYN="N">zirconia</Keyword>
</KeywordList>
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<PubMedPubDate PubStatus="accepted">
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<noCountry>
<name sortKey="Cooper, Lyndon F" sort="Cooper, Lyndon F" uniqKey="Cooper L" first="Lyndon F" last="Cooper">Lyndon F. Cooper</name>
<name sortKey="Reside, Glenn" sort="Reside, Glenn" uniqKey="Reside G" first="Glenn" last="Reside">Glenn Reside</name>
<name sortKey="Sanders, Anne E" sort="Sanders, Anne E" uniqKey="Sanders A" first="Anne E" last="Sanders">Anne E. Sanders</name>
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