Single dental implant retained mandibular complete dentures--influence of the loading protocol: study protocol for a randomized controlled trial.
Identifieur interne : 000331 ( PubMed/Checkpoint ); précédent : 000330; suivant : 000332Single dental implant retained mandibular complete dentures--influence of the loading protocol: study protocol for a randomized controlled trial.
Auteurs : Nicole Passia [Allemagne] ; Miha Brezavš Ek ; Elfriede Fritzer ; Stefanie Kappel ; Thomas Kern ; Ralph G. Luthardt ; Nadine Frfr Von Maltzahn ; Torsten Mundt ; Michael R Del ; Axel Von Stein-Lausnitz ; Matthias KernSource :
- Trials [ 1745-6215 ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Allemagne, Analyse du stress dentaire, Conception de prothèse dentaire, Contrainte mécanique, Facteurs temps, Femelle, Humains, Mandibule (), Mâchoire édentée (), Mâle, Overdenture, Plan de recherche, Pose d'implant dentaire (), Pose d'implant dentaire (effets indésirables), Pose d'implant dentaire (instrumentation), Prothèse dentaire implanto-portée, Protocoles cliniques, Résultat thérapeutique, Sujet âgé, Sujet âgé de 80 ans ou plus, Échec de restauration dentaire, Études prospectives.
- MESH :
- effets indésirables : Pose d'implant dentaire.
- Adulte d'âge moyen, Allemagne, Analyse du stress dentaire, Conception de prothèse dentaire, Contrainte mécanique, Facteurs temps, Femelle, Humains, Mandibule, Mâchoire édentée, Mâle, Overdenture, Plan de recherche, Pose d'implant dentaire, Prothèse dentaire implanto-portée, Protocoles cliniques, Résultat thérapeutique, Sujet âgé, Sujet âgé de 80 ans ou plus, Échec de restauration dentaire, Études prospectives.
- Wicri :
- geographic : Allemagne.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Clinical Protocols, Dental Implantation (adverse effects), Dental Implantation (instrumentation), Dental Implantation (methods), Dental Prosthesis Design, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Dental Stress Analysis, Denture, Overlay, Female, Germany, Humans, Jaw, Edentulous (surgery), Male, Mandible (surgery), Middle Aged, Prospective Studies, Research Design, Stress, Mechanical, Time Factors, Treatment Outcome.
- MESH :
- geographic : Germany.
- adverse effects : Dental Implantation.
- instrumentation : Dental Implantation.
- methods : Dental Implantation.
- surgery : Jaw, Edentulous, Mandible.
- Aged, Aged, 80 and over, Clinical Protocols, Dental Prosthesis Design, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Dental Stress Analysis, Denture, Overlay, Female, Humans, Male, Middle Aged, Prospective Studies, Research Design, Stress, Mechanical, Time Factors, Treatment Outcome.
Abstract
Over the years, there has been a strong consensus in dentistry that at least two implants are required to retain a complete mandibular denture. It has been shown in several clinical trials that one single median implant can retain a mandibular overdenture sufficiently well for up to 5 years without implant failures, when delayed loading was used. However, other trials have reported conflicting results with in part considerable failure rates when immediate loading was applied. Therefore it is the purpose of the current randomized clinical trial to test the hypothesis that immediate loading of a single mandibular midline implant with an overdenture will result in a comparable clinical outcome as using the standard protocol of delayed loading.
DOI: 10.1186/1745-6215-15-186
PubMed: 24884848
Affiliations:
Links toward previous steps (curation, corpus...)
Links to Exploration step
pubmed:24884848Le document en format XML
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Luthardt</name></author><author><name sortKey="Frfr Von Maltzahn, Nadine" sort="Frfr Von Maltzahn, Nadine" uniqKey="Frfr Von Maltzahn N" first="Nadine" last="Frfr Von Maltzahn">Nadine Frfr Von Maltzahn</name></author><author><name sortKey="Mundt, Torsten" sort="Mundt, Torsten" uniqKey="Mundt T" first="Torsten" last="Mundt">Torsten Mundt</name></author><author><name sortKey="R Del, Michael" sort="R Del, Michael" uniqKey="R Del M" first="Michael" last="R Del">Michael R Del</name></author><author><name sortKey="Von Stein Lausnitz, Axel" sort="Von Stein Lausnitz, Axel" uniqKey="Von Stein Lausnitz A" first="Axel" last="Von Stein-Lausnitz">Axel Von Stein-Lausnitz</name></author><author><name sortKey="Kern, Matthias" sort="Kern, Matthias" uniqKey="Kern M" first="Matthias" last="Kern">Matthias Kern</name></author></analytic><series><title level="j">Trials</title><idno type="eISSN">1745-6215</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Clinical Protocols</term><term>Dental Implantation (adverse effects)</term><term>Dental Implantation (instrumentation)</term><term>Dental Implantation (methods)</term><term>Dental Prosthesis Design</term><term>Dental Prosthesis, Implant-Supported</term><term>Dental Restoration Failure</term><term>Dental Stress Analysis</term><term>Denture, Overlay</term><term>Female</term><term>Germany</term><term>Humans</term><term>Jaw, Edentulous (surgery)</term><term>Male</term><term>Mandible (surgery)</term><term>Middle Aged</term><term>Prospective Studies</term><term>Research Design</term><term>Stress, Mechanical</term><term>Time Factors</term><term>Treatment Outcome</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Allemagne</term><term>Analyse du stress dentaire</term><term>Conception de prothèse dentaire</term><term>Contrainte mécanique</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Mandibule ()</term><term>Mâchoire édentée ()</term><term>Mâle</term><term>Overdenture</term><term>Plan de recherche</term><term>Pose d'implant dentaire ()</term><term>Pose d'implant dentaire (effets indésirables)</term><term>Pose d'implant dentaire (instrumentation)</term><term>Prothèse dentaire implanto-portée</term><term>Protocoles cliniques</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Échec de restauration dentaire</term><term>Études prospectives</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Germany</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Dental Implantation</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Pose d'implant dentaire</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Dental Implantation</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Dental Implantation</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous</term><term>Mandible</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Clinical Protocols</term><term>Dental Prosthesis Design</term><term>Dental Prosthesis, Implant-Supported</term><term>Dental Restoration Failure</term><term>Dental Stress Analysis</term><term>Denture, Overlay</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Prospective Studies</term><term>Research Design</term><term>Stress, Mechanical</term><term>Time Factors</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Allemagne</term><term>Analyse du stress dentaire</term><term>Conception de prothèse dentaire</term><term>Contrainte mécanique</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Mandibule</term><term>Mâchoire édentée</term><term>Mâle</term><term>Overdenture</term><term>Plan de recherche</term><term>Pose d'implant dentaire</term><term>Prothèse dentaire implanto-portée</term><term>Protocoles cliniques</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Échec de restauration dentaire</term><term>Études prospectives</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Allemagne</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Over the years, there has been a strong consensus in dentistry that at least two implants are required to retain a complete mandibular denture. It has been shown in several clinical trials that one single median implant can retain a mandibular overdenture sufficiently well for up to 5 years without implant failures, when delayed loading was used. However, other trials have reported conflicting results with in part considerable failure rates when immediate loading was applied. Therefore it is the purpose of the current randomized clinical trial to test the hypothesis that immediate loading of a single mandibular midline implant with an overdenture will result in a comparable clinical outcome as using the standard protocol of delayed loading.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24884848</PMID><DateCompleted><Year>2015</Year><Month>02</Month><Day>19</Day></DateCompleted><DateRevised><Year>2017</Year><Month>02</Month><Day>20</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1745-6215</ISSN><JournalIssue CitedMedium="Internet"><Volume>15</Volume><PubDate><Year>2014</Year><Month>May</Month><Day>24</Day></PubDate></JournalIssue><Title>Trials</Title><ISOAbbreviation>Trials</ISOAbbreviation></Journal><ArticleTitle>Single dental implant retained mandibular complete dentures--influence of the loading protocol: study protocol for a randomized controlled trial.</ArticleTitle><Pagination><MedlinePgn>186</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/1745-6215-15-186</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Over the years, there has been a strong consensus in dentistry that at least two implants are required to retain a complete mandibular denture. It has been shown in several clinical trials that one single median implant can retain a mandibular overdenture sufficiently well for up to 5 years without implant failures, when delayed loading was used. However, other trials have reported conflicting results with in part considerable failure rates when immediate loading was applied. Therefore it is the purpose of the current randomized clinical trial to test the hypothesis that immediate loading of a single mandibular midline implant with an overdenture will result in a comparable clinical outcome as using the standard protocol of delayed loading.</AbstractText><AbstractText Label="METHODS/DESIGN" NlmCategory="METHODS">This prospective nine-center randomized controlled clinical trial is still ongoing. The final patient will complete the trial in 2016. In total, 180 edentulous patients between 60 and 89 years with sufficient complete dentures will receive one median implant in the edentulous mandible, which will retain the existing complete denture using a ball attachment. Loading of the median implant is either immediately after implant placement (experimental group) or delayed by 3 months of submerged healing at second-stage surgery (control group). Follow-up of patients will be performed for 24 months after implant loading. The primary outcome measure is non-inferiority of implant success rate of the experimental group compared to the control group. The secondary outcome measures encompass clinical, technical and subjective variables. The study was funded by the Deutsche Forschungsgemeinschaft (German research foundation, KE 477/8-1).</AbstractText><AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">This multi-center clinical trial will give information on the ability of a single median implant to retain a complete mandibular denture when immediately loaded. If viable, this treatment option will strongly improve everyday dental practice.</AbstractText><AbstractText Label="TRIAL REGISTRATION" NlmCategory="BACKGROUND">The trial has been registered at Deutsches Register Klinischer Studien (German register of clinical trials) under DRKS-ID: DRKS00003730 since 23 August 2012. (http://www.germanctr.de).</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Passia</LastName><ForeName>Nicole</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Department of Prosthodontics, Propaedeutics and Dental Materials, Christian-Albrechts University of Kiel, Kiel, Germany. npassia@proth.uni-kiel.de.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Brezavšček</LastName><ForeName>Miha</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Fritzer</LastName><ForeName>Elfriede</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Kappel</LastName><ForeName>Stefanie</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Kern</LastName><ForeName>Thomas</ForeName><Initials>T</Initials></Author><Author ValidYN="Y"><LastName>Luthardt</LastName><ForeName>Ralph G</ForeName><Initials>RG</Initials></Author><Author ValidYN="Y"><LastName>Frfr von Maltzahn</LastName><ForeName>Nadine</ForeName><Initials>N</Initials></Author><Author ValidYN="Y"><LastName>Mundt</LastName><ForeName>Torsten</ForeName><Initials>T</Initials></Author><Author ValidYN="Y"><LastName>Rädel</LastName><ForeName>Michael</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>von Stein-Lausnitz</LastName><ForeName>Axel</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Kern</LastName><ForeName>Matthias</ForeName><Initials>M</Initials></Author></AuthorList><Language>eng</Language><DataBankList CompleteYN="Y"><DataBank><DataBankName>DRKS</DataBankName><AccessionNumberList><AccessionNumber>DRKS00003730</AccessionNumber></AccessionNumberList></DataBank></DataBankList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016448">Multicenter Study</PublicationType><PublicationType UI="D016449">Randomized Controlled Trial</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2014</Year><Month>05</Month><Day>24</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Trials</MedlineTA><NlmUniqueID>101263253</NlmUniqueID><ISSNLinking>1745-6215</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Spec Care Dentist. 1994 May-Jun;14(3):123-7</RefSource><PMID Version="1">7871473</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Minerva Stomatol. 1993 Oct;42(10):469-73</RefSource><PMID Version="1">8127318</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>BMC Med Res Methodol. 2001;1:2</RefSource><PMID Version="1">11336663</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Clin Oral Implants Res. 2015 Oct;26(10 ):1191-4</RefSource><PMID 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UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002985" MajorTopicYN="N">Clinical Protocols</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003757" MajorTopicYN="N">Dental Implantation</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName><QualifierName UI="Q000295" MajorTopicYN="Y">instrumentation</QualifierName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017267" MajorTopicYN="N">Dental Prosthesis Design</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019094" MajorTopicYN="N">Dental Prosthesis, Implant-Supported</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019232" MajorTopicYN="N">Dental Restoration Failure</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003799" MajorTopicYN="N">Dental Stress Analysis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003828" MajorTopicYN="Y">Denture, Overlay</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005858" MajorTopicYN="N" Type="Geographic">Germany</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007575" MajorTopicYN="N">Jaw, Edentulous</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008334" MajorTopicYN="N">Mandible</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012107" MajorTopicYN="Y">Research Design</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013314" MajorTopicYN="N">Stress, Mechanical</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013997" MajorTopicYN="N">Time Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading></MeshHeadingList><OtherID Source="NLM">PMC4040476</OtherID></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2013</Year><Month>10</Month><Day>09</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2014</Year><Month>05</Month><Day>07</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>6</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>6</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>2</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">24884848</ArticleId><ArticleId IdType="pii">1745-6215-15-186</ArticleId><ArticleId IdType="doi">10.1186/1745-6215-15-186</ArticleId><ArticleId IdType="pmc">PMC4040476</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Allemagne</li></country><region><li>Schleswig-Holstein</li></region><settlement><li>Kiel</li></settlement></list><tree><noCountry><name sortKey="Brezavs Ek, Miha" sort="Brezavs Ek, Miha" uniqKey="Brezavs Ek M" first="Miha" last="Brezavš Ek">Miha Brezavš Ek</name><name sortKey="Frfr Von Maltzahn, Nadine" sort="Frfr Von Maltzahn, Nadine" uniqKey="Frfr Von Maltzahn N" first="Nadine" last="Frfr Von Maltzahn">Nadine Frfr Von Maltzahn</name><name sortKey="Fritzer, Elfriede" sort="Fritzer, Elfriede" uniqKey="Fritzer E" first="Elfriede" last="Fritzer">Elfriede Fritzer</name><name sortKey="Kappel, Stefanie" sort="Kappel, Stefanie" uniqKey="Kappel S" first="Stefanie" last="Kappel">Stefanie Kappel</name><name sortKey="Kern, Matthias" sort="Kern, Matthias" uniqKey="Kern M" first="Matthias" last="Kern">Matthias Kern</name><name sortKey="Kern, Thomas" sort="Kern, Thomas" uniqKey="Kern T" first="Thomas" last="Kern">Thomas Kern</name><name sortKey="Luthardt, Ralph G" sort="Luthardt, Ralph G" uniqKey="Luthardt R" first="Ralph G" last="Luthardt">Ralph G. Luthardt</name><name sortKey="Mundt, Torsten" sort="Mundt, Torsten" uniqKey="Mundt T" first="Torsten" last="Mundt">Torsten Mundt</name><name sortKey="R Del, Michael" sort="R Del, Michael" uniqKey="R Del M" first="Michael" last="R Del">Michael R Del</name><name sortKey="Von Stein Lausnitz, Axel" sort="Von Stein Lausnitz, Axel" uniqKey="Von Stein Lausnitz A" first="Axel" last="Von Stein-Lausnitz">Axel Von Stein-Lausnitz</name></noCountry><country name="Allemagne"><region name="Schleswig-Holstein"><name sortKey="Passia, Nicole" sort="Passia, Nicole" uniqKey="Passia N" first="Nicole" last="Passia">Nicole Passia</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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