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Long‐term outcomes of three types of implant‐supported mandibular overdentures in smokers

Identifieur interne : 003114 ( Istex/Corpus ); précédent : 003113; suivant : 003115

Long‐term outcomes of three types of implant‐supported mandibular overdentures in smokers

Auteurs : Geert Stoker ; Rien Van Waas ; Daniël Wismeijer

Source :

RBID : ISTEX:63B941779A6AB3511F7928C5EA10C83EC50DD72A

English descriptors

Abstract

Purpose: The aim of the study was to compare the differences in the long‐term clinical and radiologic effects for three different treatment strategies with implant‐supported overdentures in the edentulous mandible, with a special emphasis on smoking.

Url:
DOI: 10.1111/j.1600-0501.2011.02237.x

Links to Exploration step

ISTEX:63B941779A6AB3511F7928C5EA10C83EC50DD72A

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<hi rend="bold">Purpose: </hi>
The aim of the study was to compare the differences in the long‐term clinical and radiologic effects for three different treatment strategies with implant‐supported overdentures in the edentulous mandible, with a special emphasis on smoking.</p>
<p>
<hi rend="bold">Materials and methods: </hi>
In a randomized‐ controlled clinical trial, 110 edentulous patients participated. Thirty‐six patients were treated with an overdenture supported by two implants with ball attachments (2IBA), 37 patients with an overdenture supported by two implants with a bar (2ISB) and 37 patients with an overdenture supported by four implants with a triple bar (4ITB). After a mean evaluation period of 8.3 years, the clinical and radiographic parameters were evaluated.</p>
<p>
<hi rend="bold">Results: </hi>
Ninety‐four out of the original 110 patients (=85%) were evaluated. In the 2IBA group, the plaque index was significantly lower (vs. 2ISB,
<hi rend="italic">P</hi>
=0.013; vs. 4ITB,
<hi rend="italic">P</hi>
=0.001) than in the other groups, but there was no correlation with the other peri‐implant parameters. In the 4ITB group, the marginal bone loss was significantly higher than that in the two implant groups. The maximal probing depth was correlated with peri‐implant bone loss (
<hi rend="italic">P</hi>
=0.011). Smoking almost doubled marginal bone loss irrespective of the treatment strategy chosen.</p>
<p>
<hi rend="bold">Conclusions: </hi>
Patients with two implants show less marginal bone loss than those with four implants. Smoking is a risk factor for the survival of dental implants in the long run.</p>
<p>
<hi rend="bold">To cite this article</hi>
:
Stoker G, van Waas R, Wismeijer D. Long‐term outcomes of three types of implant‐supported mandibular overdentures in smokers.

<hi rend="italic">Clin. Oral Impl. Res</hi>
.
<hi rend="bold">23</hi>
, 2012; 925–929
doi: 10.1111/j.1600‐0501.2011.02237.x</p>
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Hogeweg 5
NL‐3212 LG Simonshaven
The Netherlands
Tel.: +31 641 500 898
Fax: +31 181 630 807
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<b>Table S1.</b>
Supporting information in accordance with the CONSORT Statement 2001 checklist used in reporting randomized trials.</p>
<p>Please note: Wiley‐Blackwell is not responsible for the content or functionality of any supporting materials supplied by the authors. Any queries (other than missing material) should be directed to the corresponding author for the article.</p>
<p>
<b>Appendix S1</b>
. Consort Checklist.</p>
<p>Please note: Wiley‐Blackwell is not responsible for the content or functionality of any supporting materials supplied by the authors. Any queries (other than missing material) should be directed to the corresponding author for the article.</p>
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<b>Purpose: </b>
The aim of the study was to compare the differences in the long‐term clinical and radiologic effects for three different treatment strategies with implant‐supported overdentures in the edentulous mandible, with a special emphasis on smoking.</p>
<p>
<b>Materials and methods: </b>
In a randomized‐ controlled clinical trial, 110 edentulous patients participated. Thirty‐six patients were treated with an overdenture supported by two implants with ball attachments (2IBA), 37 patients with an overdenture supported by two implants with a bar (2ISB) and 37 patients with an overdenture supported by four implants with a triple bar (4ITB). After a mean evaluation period of 8.3 years, the clinical and radiographic parameters were evaluated.</p>
<p>
<b>Results: </b>
Ninety‐four out of the original 110 patients (=85%) were evaluated. In the 2IBA group, the plaque index was significantly lower (vs. 2ISB,
<i>P</i>
=0.013; vs. 4ITB,
<i>P</i>
=0.001) than in the other groups, but there was no correlation with the other peri‐implant parameters. In the 4ITB group, the marginal bone loss was significantly higher than that in the two implant groups. The maximal probing depth was correlated with peri‐implant bone loss (
<i>P</i>
=0.011). Smoking almost doubled marginal bone loss irrespective of the treatment strategy chosen.</p>
<p>
<b>Conclusions: </b>
Patients with two implants show less marginal bone loss than those with four implants. Smoking is a risk factor for the survival of dental implants in the long run.</p>
<p>
<b>To cite this article</b>
:
Stoker G, van Waas R, Wismeijer D. Long‐term outcomes of three types of implant‐supported mandibular overdentures in smokers.

<i>Clin. Oral Impl. Res</i>
.
<b>23</b>
, 2012; 925–929
doi: 10.1111/j.1600‐0501.2011.02237.x</p>
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<abstract>Purpose: The aim of the study was to compare the differences in the long‐term clinical and radiologic effects for three different treatment strategies with implant‐supported overdentures in the edentulous mandible, with a special emphasis on smoking.</abstract>
<abstract>Materials and methods: In a randomized‐ controlled clinical trial, 110 edentulous patients participated. Thirty‐six patients were treated with an overdenture supported by two implants with ball attachments (2IBA), 37 patients with an overdenture supported by two implants with a bar (2ISB) and 37 patients with an overdenture supported by four implants with a triple bar (4ITB). After a mean evaluation period of 8.3 years, the clinical and radiographic parameters were evaluated.</abstract>
<abstract>Results: Ninety‐four out of the original 110 patients (=85%) were evaluated. In the 2IBA group, the plaque index was significantly lower (vs. 2ISB, P=0.013; vs. 4ITB, P=0.001) than in the other groups, but there was no correlation with the other peri‐implant parameters. In the 4ITB group, the marginal bone loss was significantly higher than that in the two implant groups. The maximal probing depth was correlated with peri‐implant bone loss (P=0.011). Smoking almost doubled marginal bone loss irrespective of the treatment strategy chosen.</abstract>
<abstract>Conclusions: Patients with two implants show less marginal bone loss than those with four implants. Smoking is a risk factor for the survival of dental implants in the long run.</abstract>
<abstract>To cite this article:
Stoker G, van Waas R, Wismeijer D. Long‐term outcomes of three types of implant‐supported mandibular overdentures in smokers.
Clin. Oral Impl. Res. 23, 2012; 925–929
doi: 10.1111/j.1600‐0501.2011.02237.x</abstract>
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