Serveur d'exploration sur le patient édenté (maquette)

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Implant-supported mandibular overdentures in very old adults: a randomized controlled trial.

Identifieur interne : 000005 ( PubMed/Corpus ); précédent : 000004; suivant : 000006

Implant-supported mandibular overdentures in very old adults: a randomized controlled trial.

Auteurs : F. Müller ; E. Duvernay ; A. Loup ; L. Vazquez ; F R Herrmann ; M. Schimmel

Source :

RBID : pubmed:24158342

English descriptors

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

Links to Exploration step

pubmed:24158342

Le document en format XML

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<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>
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<CommentsCorrectionsList>
<CommentsCorrections RefType="Cites">
<RefSource>Gerodontology. 2011 Mar;28(1):62-8</RefSource>
<PMID Version="1">20545777</PMID>
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<RefSource>J Oral Rehabil. 2011 Mar;38(3):176-84</RefSource>
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<RefSource>Gerodontology. 2012 Jun;29(2):e914-23</RefSource>
<PMID Version="1">22073988</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Clin Implant Dent Relat Res. 2013 Feb;15(1):37-46</RefSource>
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<RefSource>J Oral Rehabil. 2013 May;40(5):329-35</RefSource>
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<RefSource>Clin Oral Implants Res. 2014 May;25(5):539-45</RefSource>
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<CommentsCorrections RefType="Cites">
<RefSource>J Dent Res. 2000 Sep;79(9):1659-63</RefSource>
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<RefSource>J Dent Res. 2001 Feb;80(2):408-13</RefSource>
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<RefSource>Int J Prosthodont. 2002 Sep-Oct;15(5):446-50</RefSource>
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<RefSource>J Public Health Dent. 2002 Winter;62(1):13-20</RefSource>
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<RefSource>Gerontologist. 1969 Autumn;9(3):179-86</RefSource>
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<RefSource>J Psychiatr Res. 1975 Nov;12(3):189-98</RefSource>
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<RefSource>Gerodontics. 1987 Aug;3(4):151-4</RefSource>
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<PMID Version="1">21631592</PMID>
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