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Satisfaction and psychosocial aspects of patients with an extremely resorbed mandible treated with implant‐retained overdentures

Identifieur interne : 001B68 ( Istex/Corpus ); précédent : 001B67; suivant : 001B69

Satisfaction and psychosocial aspects of patients with an extremely resorbed mandible treated with implant‐retained overdentures

Auteurs : Kees Stellingsma ; Jelte Bouma ; Boudewijn Stegenga ; Henny J. A. Meijer ; Gerry M. Raghoebar

Source :

RBID : ISTEX:38932D26BE6F42598190548D1E30C11D09690AB3

English descriptors

Abstract

Abstract: The objective of the present report was to study the effect of implant treatment on subjective parameters in edentulous patients with an extremely resorbed mandible. Three different treatment modalities to support an overdenture were compared: transmandibular implant according to Bosker, augmentation of the mandible followed by four endosseous implants, and the insertion of four short endosseous implants. Sixty patients [50 women and 10 men, mean (± SD) age 59 (± 11) years] met the inclusion criteria and were assigned in one of the three treatment groups. Before treatment and 12 months after placement of the new overdentures, denture satisfaction, psychosocial aspects and experiences during the surgical phase were assessed with a battery of questionnaires. After 1 year, 58 patients were available for evaluation: one patient had died, and one patient had moved out of the region. There was a significant improvement of patient satisfaction and psychosocial functioning in all three treatment groups. At the 1‐year evaluation, differences amongst the three groups were not significant. However, in terms of discomfort and pain during the surgical phase as well as the length of this phase (at least 6 months), the augmentation using an autologous bone graft from the iliac crest followed by inserting four endosseous implants 3 months later appeared the least favorite option of the three modalities studied.

Url:
DOI: 10.1034/j.1600-0501.2003.140205.x

Links to Exploration step

ISTEX:38932D26BE6F42598190548D1E30C11D09690AB3

Le document en format XML

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<title level="j" type="main">Clinical Oral Implants Research</title>
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<div type="abstract">Abstract: The objective of the present report was to study the effect of implant treatment on subjective parameters in edentulous patients with an extremely resorbed mandible. Three different treatment modalities to support an overdenture were compared: transmandibular implant according to Bosker, augmentation of the mandible followed by four endosseous implants, and the insertion of four short endosseous implants. Sixty patients [50 women and 10 men, mean (± SD) age 59 (± 11) years] met the inclusion criteria and were assigned in one of the three treatment groups. Before treatment and 12 months after placement of the new overdentures, denture satisfaction, psychosocial aspects and experiences during the surgical phase were assessed with a battery of questionnaires. After 1 year, 58 patients were available for evaluation: one patient had died, and one patient had moved out of the region. There was a significant improvement of patient satisfaction and psychosocial functioning in all three treatment groups. At the 1‐year evaluation, differences amongst the three groups were not significant. However, in terms of discomfort and pain during the surgical phase as well as the length of this phase (at least 6 months), the augmentation using an autologous bone graft from the iliac crest followed by inserting four endosseous implants 3 months later appeared the least favorite option of the three modalities studied.</div>
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<affiliation>Authors' affiliations: Kees Stellingsma, Boudewijn Stegenga, Gerry M. Raghoebar, Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University Hospital, Groningen, the Netherlands.Jelte Bouma, Northern Centre for Healthcare Research, State University Groningen, Groningen, the Netherlands.Henny J. A. Meijer, Department of Oral Function and Prosthetic Dentistry, Dental School, Faculty of Medical Sciences, University of Groningen, Groningen, the Netherlands</affiliation>
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<namePart type="given">Gerry M.</namePart>
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<affiliation>Authors' affiliations: Kees Stellingsma, Boudewijn Stegenga, Gerry M. Raghoebar, Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University Hospital, Groningen, the Netherlands.Jelte Bouma, Northern Centre for Healthcare Research, State University Groningen, Groningen, the Netherlands.Henny J. A. Meijer, Department of Oral Function and Prosthetic Dentistry, Dental School, Faculty of Medical Sciences, University of Groningen, Groningen, the Netherlands</affiliation>
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<dateIssued encoding="w3cdtf">2003-04</dateIssued>
<edition>Accepted 15 March 2002</edition>
<copyrightDate encoding="w3cdtf">2003</copyrightDate>
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<abstract>Abstract: The objective of the present report was to study the effect of implant treatment on subjective parameters in edentulous patients with an extremely resorbed mandible. Three different treatment modalities to support an overdenture were compared: transmandibular implant according to Bosker, augmentation of the mandible followed by four endosseous implants, and the insertion of four short endosseous implants. Sixty patients [50 women and 10 men, mean (± SD) age 59 (± 11) years] met the inclusion criteria and were assigned in one of the three treatment groups. Before treatment and 12 months after placement of the new overdentures, denture satisfaction, psychosocial aspects and experiences during the surgical phase were assessed with a battery of questionnaires. After 1 year, 58 patients were available for evaluation: one patient had died, and one patient had moved out of the region. There was a significant improvement of patient satisfaction and psychosocial functioning in all three treatment groups. At the 1‐year evaluation, differences amongst the three groups were not significant. However, in terms of discomfort and pain during the surgical phase as well as the length of this phase (at least 6 months), the augmentation using an autologous bone graft from the iliac crest followed by inserting four endosseous implants 3 months later appeared the least favorite option of the three modalities studied.</abstract>
<subject lang="en">
<genre>keywords</genre>
<topic>edentulous</topic>
<topic>extremely resorbed</topic>
<topic>implant</topic>
<topic>implant‐retained overdenture</topic>
<topic>mandible</topic>
<topic>psychosocial</topic>
<topic>satisfaction</topic>
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<title>Clinical Oral Implants Research</title>
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<identifier type="ISSN">0905-7161</identifier>
<identifier type="eISSN">1600-0501</identifier>
<identifier type="DOI">10.1111/(ISSN)1600-0501</identifier>
<identifier type="PublisherID">CLR</identifier>
<part>
<date>2003</date>
<detail type="volume">
<caption>vol.</caption>
<number>14</number>
</detail>
<detail type="issue">
<caption>no.</caption>
<number>2</number>
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<extent unit="pages">
<start>166</start>
<end>172</end>
<total>7</total>
</extent>
</part>
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<identifier type="ark">ark:/67375/WNG-32C2BQ76-7</identifier>
<identifier type="DOI">10.1034/j.1600-0501.2003.140205.x</identifier>
<identifier type="ArticleID">841</identifier>
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