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Prognosis of implants and abutment teeth under combined tooth‐implant‐supported and solely implant‐supported double‐crown‐retained removable dental prostheses

Identifieur interne : 002603 ( Istex/Corpus ); précédent : 002602; suivant : 002604

Prognosis of implants and abutment teeth under combined tooth‐implant‐supported and solely implant‐supported double‐crown‐retained removable dental prostheses

Auteurs : Peter Rammelsberg ; Gunda Bernhart ; Justo Lorenzo Bermejo ; Marc Schmitter ; Stefanie Schwarz

Source :

RBID : ISTEX:4D60A375E5BFDAE75E574FB20C5C35270A1C54D9

Abstract

Objective of this study was to evaluate the incidence of complications in dental implants and abutment teeth used for combined tooth‐implant‐ and solely implant‐supported double crown‐retained removable dental prostheses (RDPs).

Url:
DOI: 10.1111/clr.12197

Links to Exploration step

ISTEX:4D60A375E5BFDAE75E574FB20C5C35270A1C54D9

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Objective
<p>Objective of this study was to evaluate the incidence of complications in dental implants and abutment teeth used for combined tooth‐implant‐ and solely implant‐supported double crown‐retained removable dental prostheses (
<hi rend="fc">RDP</hi>
s).</p>
Material and methods
<p>Patients were selected from a prospective clinical study. Seventy‐three
<hi rend="fc">RDP</hi>
s retained by 234 implants and 107 abutment teeth were placed in 39 men and 22 women with a mean age of 65 years. Forty‐five
<hi rend="fc">RDP</hi>
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<hi rend="fc">RDP</hi>
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Results
<p>After a median observation period of 2.7 years for the
<hi rend="fc">RDP</hi>
s, six implants failed and eleven implants were diagnosed with peri‐implantitis. Four abutment teeth were extracted, and three abutment teeth showed severe complications requiring extended interventions. For both abutment teeth and implants, Kaplan–Meier analyses revealed a 5‐year probability of success of 85% for solely implant‐supported
<hi rend="fc">RDP</hi>
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<hi rend="fc">RDP</hi>
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<hi rend="fc">RDP</hi>
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<hi rend="italic"></hi>
=
<hi rend="italic"> </hi>
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<hi rend="italic"></hi>
=
<hi rend="italic"> </hi>
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<hi rend="italic"></hi>
=
<hi rend="italic"> </hi>
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Conclusions
<p>Preliminary data suggest that the combination of teeth and implants to support double crown‐retained
<hi rend="fc">RDP</hi>
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<title type="main">Prognosis of implants and abutment teeth under combined tooth‐implant‐supported and solely implant‐supported double‐crown‐retained removable dental prostheses</title>
<title type="shortAuthors">Rammelsberg et al</title>
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<givenNames>Peter</givenNames>
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<creator affiliationRef="#clr12197-aff-0002" creatorRole="author" xml:id="clr12197-cr-0003">
<personName>
<givenNames>Justo</givenNames>
<familyName>Lorenzo Bermejo</familyName>
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<personName>
<givenNames>Marc</givenNames>
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<givenNames>Stefanie</givenNames>
<familyName>Schwarz</familyName>
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<affiliation countryCode="DE" type="organization" xml:id="clr12197-aff-0001">
<orgDiv>Department of Prosthodontics</orgDiv>
<orgName>University of Heidelberg</orgName>
<address>
<city>Heidelberg</city>
<country>Germany</country>
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<affiliation countryCode="DE" type="organization" xml:id="clr12197-aff-0002">
<orgName>Institute for Biometry and Informatics, University Hospital Heidelberg</orgName>
<address>
<city>Heidelberg</city>
<country>Germany</country>
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<keyword xml:id="clr12197-kwd-0001">complication</keyword>
<keyword xml:id="clr12197-kwd-0002">dental implants</keyword>
<keyword xml:id="clr12197-kwd-0003">prognosis</keyword>
<keyword xml:id="clr12197-kwd-0004">removable dental prosthesis</keyword>
<keyword xml:id="clr12197-kwd-0005">telescoping double crown</keyword>
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<title type="main">Abstract</title>
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<title type="main">Objective</title>
<p>Objective of this study was to evaluate the incidence of complications in dental implants and abutment teeth used for combined tooth‐implant‐ and solely implant‐supported double crown‐retained removable dental prostheses (
<fc>RDP</fc>
s).</p>
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<title type="main">Material and methods</title>
<p>Patients were selected from a prospective clinical study. Seventy‐three
<fc>RDP</fc>
s retained by 234 implants and 107 abutment teeth were placed in 39 men and 22 women with a mean age of 65 years. Forty‐five
<fc>RDP</fc>
s were located in the maxilla and 28 in the mandible. Thirty‐four
<fc>RDP</fc>
s were solely implant‐supported and 39 were combined tooth‐implant‐supported. Kaplan–Meier analysis was used to estimate success defined as survival without severe abutment‐related complications, and Cox regression was used to isolate the most relevant prognostic risk factors.</p>
</section>
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<title type="main">Results</title>
<p>After a median observation period of 2.7 years for the
<fc>RDP</fc>
s, six implants failed and eleven implants were diagnosed with peri‐implantitis. Four abutment teeth were extracted, and three abutment teeth showed severe complications requiring extended interventions. For both abutment teeth and implants, Kaplan–Meier analyses revealed a 5‐year probability of success of 85% for solely implant‐supported
<fc>RDP</fc>
s and 92% for combined tooth‐implant‐supported
<fc>RDP</fc>
s. Multiple Cox regression identified
<fc>RDP</fc>
location (
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0.01), age (
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=
<i> </i>
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<i></i>
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0.04) as prognostic risk factors for severe implant‐related complications. Solely implant‐supported
<fc>RPD</fc>
s showed a poorer prognosis, but the risk difference did not reach statistical significance.</p>
</section>
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<title type="main">Conclusions</title>
<p>Preliminary data suggest that the combination of teeth and implants to support double crown‐retained
<fc>RDP</fc>
s may result in a prognostic advantage. The present findings should be validated in independent studies.</p>
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<title>Prognosis of implants and abutment teeth under combined tooth‐implant‐supported and solely implant‐supported double‐crown‐retained removable dental prostheses</title>
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<affiliation>Department of Prosthodontics, University of Heidelberg, Heidelberg, Germany</affiliation>
<affiliation>Department of Prosthodontics, University of HeidelbergIm Neuenheimer Feld 40069120 Heidelberg, GermanyTel.: +49 6221 568799Fax: +49 6221 566032e‐mail:</affiliation>
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<abstract>Objective of this study was to evaluate the incidence of complications in dental implants and abutment teeth used for combined tooth‐implant‐ and solely implant‐supported double crown‐retained removable dental prostheses (RDPs).</abstract>
<abstract>Patients were selected from a prospective clinical study. Seventy‐three RDPs retained by 234 implants and 107 abutment teeth were placed in 39 men and 22 women with a mean age of 65 years. Forty‐five RDPs were located in the maxilla and 28 in the mandible. Thirty‐four RDPs were solely implant‐supported and 39 were combined tooth‐implant‐supported. Kaplan–Meier analysis was used to estimate success defined as survival without severe abutment‐related complications, and Cox regression was used to isolate the most relevant prognostic risk factors.</abstract>
<abstract>After a median observation period of 2.7 years for the RDPs, six implants failed and eleven implants were diagnosed with peri‐implantitis. Four abutment teeth were extracted, and three abutment teeth showed severe complications requiring extended interventions. For both abutment teeth and implants, Kaplan–Meier analyses revealed a 5‐year probability of success of 85% for solely implant‐supported RDPs and 92% for combined tooth‐implant‐supported RDPs. Multiple Cox regression identified RDP location (P = 0.01), age (P = 0.01), and gender (P = 0.04) as prognostic risk factors for severe implant‐related complications. Solely implant‐supported RPDs showed a poorer prognosis, but the risk difference did not reach statistical significance.</abstract>
<abstract>Preliminary data suggest that the combination of teeth and implants to support double crown‐retained RDPs may result in a prognostic advantage. The present findings should be validated in independent studies.</abstract>
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