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A controlled clinical trial of implant‐retained mandibular overdentures: 10 years' results of clinical aspects and aftercare of IMZ implants and Brånemark implants

Identifieur interne : 000739 ( Istex/Corpus ); précédent : 000738; suivant : 000740

A controlled clinical trial of implant‐retained mandibular overdentures: 10 years' results of clinical aspects and aftercare of IMZ implants and Brånemark implants

Auteurs : Henny J. A. Meijer ; Gerry M. Raghoebar ; Martin A. Van'T Hof ; Anita Visser

Source :

RBID : ISTEX:0EF2ACDEBD29FC8CB6B53DA67C50C0313488C95C

English descriptors

Abstract

Abstract: The aim of this prospective randomized controlled clinical trial was to evaluate the clinical outcomes and prosthetic aftercare of edentulous patients with a mandibular overdenture retained by two IMZ implants or two Brånemark implants during a 10‐year period. Patients were allocated to the IMZ group (n=29) or the Brånemark group (n=32) by a computerized balancing method. In the IMZ group, four implants were lost during the 10‐year follow‐up (survival rate: 93%). In the Brånemark group, nine implants were lost (survival rate: 86%). All patients were re‐operated successfully. Multiple prosthetic revisions were necessary in both groups; especially the precision attachment system in the overdenture (23% of the total number of revisions) and the denture base and teeth (26% of the total number of revisions) were subject to frequent fracture. From this study, it can be concluded that both the IMZ implant and the Brånemark implant systems supporting an overdenture are functioning well after 10 years of follow‐up. There are no indications of a worsening of clinical or radiographical state after 10 years.

Url:
DOI: 10.1111/j.1600-0501.2004.01024.x

Links to Exploration step

ISTEX:0EF2ACDEBD29FC8CB6B53DA67C50C0313488C95C

Le document en format XML

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<div type="abstract">Abstract: The aim of this prospective randomized controlled clinical trial was to evaluate the clinical outcomes and prosthetic aftercare of edentulous patients with a mandibular overdenture retained by two IMZ implants or two Brånemark implants during a 10‐year period. Patients were allocated to the IMZ group (n=29) or the Brånemark group (n=32) by a computerized balancing method. In the IMZ group, four implants were lost during the 10‐year follow‐up (survival rate: 93%). In the Brånemark group, nine implants were lost (survival rate: 86%). All patients were re‐operated successfully. Multiple prosthetic revisions were necessary in both groups; especially the precision attachment system in the overdenture (23% of the total number of revisions) and the denture base and teeth (26% of the total number of revisions) were subject to frequent fracture. From this study, it can be concluded that both the IMZ implant and the Brånemark implant systems supporting an overdenture are functioning well after 10 years of follow‐up. There are no indications of a worsening of clinical or radiographical state after 10 years.</div>
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Department of Oral–Maxillofacial Surgery and Maxillofacial Prosthetics 
University Hospital Groningen 
PO Box 30.001 
9700 RB Groningen 
The Netherlands 
Tel.: 31 (0)50 3612167 
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<p>
<b>Abstract: </b>
The aim of this prospective randomized controlled clinical trial was to evaluate the clinical outcomes and prosthetic aftercare of edentulous patients with a mandibular overdenture retained by two IMZ implants or two Brånemark implants during a 10‐year period. Patients were allocated to the IMZ group (
<i>n</i>
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<i>n</i>
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<!--

To cite this article:

Meijer HJA, Raghoebar GM, Van't Hof MA, Visser A. A controlled clinical trial of implant-retained mandibular overdentures: 10 years' results of clinical aspects and aftercare of IMZ implants and Brånemark implants.

Clin. Oral Impl. Res. doi: 10.1111/j.1600-0501.2004.01024.x

--></abstract>
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<title type="main">Résumé</title>
<p>Le but de cet essai clinique contrôlé randomisé et prospectif a été d'évaluer les conséquences cliniques et prothétiques chez des patients édentés avec une prothèse mandibulaire retenue par deux implants IMZ ou
<i>ad modum</i>
Branemark durant une décennie. Les patients ont été répartis soit dans le groupe IMZ (n=29) soit le Branemark (n=32) par ordinateur. Dans le groupe IMZ, quatre implants ont été perdu durant cette décennie ce qui signifie un taux de survie de 93%. Dans le groupe Branemark, neuf implants ont été perdus entraînant un taux de survie de 86%. Tous les patients ont été réopérés avec succès. Des révisions prothétiques multiples ont été nécessaires dans les deux groupes; le système d'attache de précision dans la prothèse (23% du nombre total des révisions) et la base de la prothèse et les dents (26% du nombre total des révisions) sujets à de multiples fractures. Tant les implants IMZ que les Branemark sont des implants permettant de fixer une prothèse qui fonctionne bien après une décennie. Il n'y avait aucune indication d'une dégradation de l'état clinique ou radiographique après cette durée.</p>
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<title type="main">Zusammenfassung</title>
<p>Das Ziel dieser randomisierten prospektiven und kontrollierten klinischen Studie war, die Befunde der prothetischen Nachsorge bei zahnlosen Patienten auszuwerten, die über eine Zeitspanne von 10 Jahren eine Unterkieferhybridprothese auf zwei IMZ‐Implantaten oder zwei Brånemarkimplantaten getragen hatten. Die Patienten ordnete man mit einem komputergesteuerten Auswahlverfahren der IMZ‐Gruppe (n=29) oder der Brånemark‐Gruppe (n=32) zu. In der IMZ‐Gruppe gingen in der 10‐jährigen Versuchsphase vier Implantate verloren (Überlebensrate von 93%). In der Brånemark‐Gruppe gingen neun Implantate verloren (Überlebensrate von 86%). All diese Patienten konnten erfolgreich nachoperiert werden. In beiden Gruppen waren zusätzlich verschiedene prothetische Eingriffe nötig. Insbesondere das Präzisions der Hybridprothesen (23% aller Reparaturen) und die Prothesenbasis und ‐zähne (26% aller Reparaturen) mussten öfters wegen Frakturen repariert oder ersetzt werden. Aus dieser Studie kann man schliessen, dass sich sowohl das IMZ‐System wie auch das Brånemarksystem gut eignen, um eine Hybridprothese über eine 10 jährige Beobachtungszeit zu fixieren. Es gibt nach 10 Jahren keine Anzeichen einer Verschlechterung des klinischen oder des röntgenologischen Zustandes.</p>
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<p>La intención de este ensayo clínico controlado prospectivo aleatorio fue evaluar los resultados clínicos cuidados protésicos de pacientes edéntulos con dentadura mandibular retenida por dos implantes IMZ o Brånemark durante un periodo de diez años. Los pacientes se alojaron en el grupo IMZ (
<i>n</i>
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<i>n</i>
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<abstract>Abstract: The aim of this prospective randomized controlled clinical trial was to evaluate the clinical outcomes and prosthetic aftercare of edentulous patients with a mandibular overdenture retained by two IMZ implants or two Brånemark implants during a 10‐year period. Patients were allocated to the IMZ group (n=29) or the Brånemark group (n=32) by a computerized balancing method. In the IMZ group, four implants were lost during the 10‐year follow‐up (survival rate: 93%). In the Brånemark group, nine implants were lost (survival rate: 86%). All patients were re‐operated successfully. Multiple prosthetic revisions were necessary in both groups; especially the precision attachment system in the overdenture (23% of the total number of revisions) and the denture base and teeth (26% of the total number of revisions) were subject to frequent fracture. From this study, it can be concluded that both the IMZ implant and the Brånemark implant systems supporting an overdenture are functioning well after 10 years of follow‐up. There are no indications of a worsening of clinical or radiographical state after 10 years.</abstract>
<abstract lang="fr">Le but de cet essai clinique contrôlé randomisé et prospectif a été d'évaluer les conséquences cliniques et prothétiques chez des patients édentés avec une prothèse mandibulaire retenue par deux implants IMZ ou ad modum Branemark durant une décennie. Les patients ont été répartis soit dans le groupe IMZ (n=29) soit le Branemark (n=32) par ordinateur. Dans le groupe IMZ, quatre implants ont été perdu durant cette décennie ce qui signifie un taux de survie de 93%. Dans le groupe Branemark, neuf implants ont été perdus entraînant un taux de survie de 86%. Tous les patients ont été réopérés avec succès. Des révisions prothétiques multiples ont été nécessaires dans les deux groupes; le système d'attache de précision dans la prothèse (23% du nombre total des révisions) et la base de la prothèse et les dents (26% du nombre total des révisions) sujets à de multiples fractures. Tant les implants IMZ que les Branemark sont des implants permettant de fixer une prothèse qui fonctionne bien après une décennie. Il n'y avait aucune indication d'une dégradation de l'état clinique ou radiographique après cette durée.</abstract>
<abstract lang="de">Das Ziel dieser randomisierten prospektiven und kontrollierten klinischen Studie war, die Befunde der prothetischen Nachsorge bei zahnlosen Patienten auszuwerten, die über eine Zeitspanne von 10 Jahren eine Unterkieferhybridprothese auf zwei IMZ‐Implantaten oder zwei Brånemarkimplantaten getragen hatten. Die Patienten ordnete man mit einem komputergesteuerten Auswahlverfahren der IMZ‐Gruppe (n=29) oder der Brånemark‐Gruppe (n=32) zu. In der IMZ‐Gruppe gingen in der 10‐jährigen Versuchsphase vier Implantate verloren (Überlebensrate von 93%). In der Brånemark‐Gruppe gingen neun Implantate verloren (Überlebensrate von 86%). All diese Patienten konnten erfolgreich nachoperiert werden. In beiden Gruppen waren zusätzlich verschiedene prothetische Eingriffe nötig. Insbesondere das Präzisions der Hybridprothesen (23% aller Reparaturen) und die Prothesenbasis und ‐zähne (26% aller Reparaturen) mussten öfters wegen Frakturen repariert oder ersetzt werden. Aus dieser Studie kann man schliessen, dass sich sowohl das IMZ‐System wie auch das Brånemarksystem gut eignen, um eine Hybridprothese über eine 10 jährige Beobachtungszeit zu fixieren. Es gibt nach 10 Jahren keine Anzeichen einer Verschlechterung des klinischen oder des röntgenologischen Zustandes.</abstract>
<abstract lang="es">La intención de este ensayo clínico controlado prospectivo aleatorio fue evaluar los resultados clínicos cuidados protésicos de pacientes edéntulos con dentadura mandibular retenida por dos implantes IMZ o Brånemark durante un periodo de diez años. Los pacientes se alojaron en el grupo IMZ (n=29) o Brånemark (n=32) por medio de un método de balanceo computarizado. En el grupo IMZ se perdieron cuatro implantes durante lo diez años de seguimiento (índice de supervivencia: 93%). En el grupo Brånemark se perdieron nueve implantes (índice de supervivencia: 86%). Todos los pacientes fueron reoperados con éxito. Se necesitaron múltiples revisiones protésicas en ambos grupos, especialmente el sistema de atache de precisión en la sobredentadura (23% del número total de revisiones) y la base y los dientes de la sobredentadura (26% del número total de revisiones) sufrieron frecuentes fracturas. De este estudio se puede concluir que tanto el sistema de implantes IMZ como el sistema de implantes Brånemark soportando una sobredentadura funcionan bien tras diez años de seguimiento. No hay indicaciones de empeoramiento del estado clínico o radiográfico tras diez años.</abstract>
<subject lang="en">
<genre>keywords</genre>
<topic>aftercare</topic>
<topic>clinical aspects</topic>
<topic>dental implants</topic>
<topic>overdenture</topic>
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