Long‐Term Function of Single‐Implant Restorations: A 17‐ to 19‐Year Follow‐Up Study on Implant Infraposition Related to the Shape of the Face and Patients' Satisfaction
Identifieur interne : 007C93 ( Istex/Corpus ); précédent : 007C92; suivant : 007C94Long‐Term Function of Single‐Implant Restorations: A 17‐ to 19‐Year Follow‐Up Study on Implant Infraposition Related to the Shape of the Face and Patients' Satisfaction
Auteurs : Bernt Andersson ; Sibel Bergenblock ; Björn Fürst ; Torsten JemtSource :
- Clinical Implant Dentistry and Related Research [ 1523-0899 ] ; 2013-08.
English descriptors
- KwdEn :
- Adjacent teeth, Aesthetic assessments, Aesthetic result, Aesthetic satisfaction, Aesthetic zone, Anterior face height, Anterior maxilla, Clear relationship, Clin implant dent relat, Clinical implant dentistry, Clinical situation, Crown placement, Crown restoration, Crown restorations, Dentistry, Different groups, Different observers, Face height, Facial, Facial appearance, Facial shape, Facial shape index, Female patients, Former chairman, Health service, Higher risk, Higher satisfaction, Implant, Implant crown infraposition, Implant crown restoration, Implant crown restorations, Implant crowns, Implant head, Implant infraposition, Implant placement, Implant restoration infraposition, Implant restorations, Individual observers, Individual patients, Individual scores, Infraposition, Infraposition index, Infraposition scores, Jemt, Kappa test, Less attention, Long face, Male patients, Negative values, Nobel biocare, Observer distribution, Observer satisfaction, Observer satisfaction scores, Obvious infraposition, Obvious signs, Older patients, Original crowns, Orthod, Orthod dentofacial orthop, Osseointegrated implants, Patient satisfaction, Possible relationship, Posterior rotation, Premolar areas, Present study, Prosthetic dentistry, Radiographic protocol, Risk factors, Satisfaction index, Severe signs, Shape index, Single implant restorations, Single implants, Specialist clinic, Square face, Stable situation, Standard deviation, Statistical tests, Temporary restoration, Temporary restorations, Torsten jemt, Vertical distance, Visual analog scale, Weak trend.
- Teeft :
- Adjacent teeth, Aesthetic assessments, Aesthetic result, Aesthetic satisfaction, Aesthetic zone, Anterior face height, Anterior maxilla, Clear relationship, Clin implant dent relat, Clinical implant dentistry, Clinical situation, Crown placement, Crown restoration, Crown restorations, Dentistry, Different groups, Different observers, Face height, Facial, Facial appearance, Facial shape, Facial shape index, Female patients, Former chairman, Health service, Higher risk, Higher satisfaction, Implant, Implant crown infraposition, Implant crown restoration, Implant crown restorations, Implant crowns, Implant head, Implant infraposition, Implant placement, Implant restoration infraposition, Implant restorations, Individual observers, Individual patients, Individual scores, Infraposition, Infraposition index, Infraposition scores, Jemt, Kappa test, Less attention, Long face, Male patients, Negative values, Nobel biocare, Observer distribution, Observer satisfaction, Observer satisfaction scores, Obvious infraposition, Obvious signs, Older patients, Original crowns, Orthod, Orthod dentofacial orthop, Osseointegrated implants, Patient satisfaction, Possible relationship, Posterior rotation, Premolar areas, Present study, Prosthetic dentistry, Radiographic protocol, Risk factors, Satisfaction index, Severe signs, Shape index, Single implant restorations, Single implants, Specialist clinic, Square face, Stable situation, Standard deviation, Statistical tests, Temporary restoration, Temporary restorations, Torsten jemt, Vertical distance, Visual analog scale, Weak trend.
Abstract
Background: Various levels of infraposition of single‐implant restorations have been observed in long‐term follow‐up studies, but little knowledge is available on the biological mechanism behind this pattern.
Url:
DOI: 10.1111/j.1708-8208.2011.00381.x
Links to Exploration step
ISTEX:FC7AA652A32686A1DE53E3F12C85D297EA862846Le document en format XML
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Public Dental Health Service, Västra Götaland, Sweden, and professor, Department of Prosthetic Dentistry/Dental Material Science, Institute of Odontology, Sahlgrenska Academy at Göteborg University, Göteborg, Sweden</json:string><json:string>E-mail: torsten.jemt@vgregion.se</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>aesthetics</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>complication</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>facial growth</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>facial shape</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>follow‐up</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>infraposition</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>patient 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Related to the Shape of the Face and Patients' Satisfaction</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><availability><licence>© 2011 Wiley Periodicals, Inc.</licence></availability><date type="published" when="2013-08"></date></publicationStmt><notesStmt><note type="content-type" subtype="article" source="article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="article"><analytic><title level="a" type="main">Long‐Term Function of Single‐Implant Restorations: A 17‐ to 19‐Year Follow‐Up Study on Implant Infraposition Related to the Shape of the Face and Patients' Satisfaction</title><title level="a" type="short">Implant Infraposition</title><author xml:id="author-0000"><persName><forename type="first">Bernt</forename><surname>Andersson</surname><roleName type="degree">DDS, Odont Dr/PhD</roleName></persName><affiliation>Prosthodontist and former chairman, Specialist Clinic of Prosthetic Dentistry, Public Dental Health Service, Mölndal Hospital, Västra Götaland, Sweden<address><country key="SE"></country></address></affiliation></author><author xml:id="author-0001"><persName><forename type="first">Sibel</forename><surname>Bergenblock</surname><roleName type="degree">DDS</roleName></persName><affiliation>Prosthodontist, Specialist Clinic of Prosthetic Dentistry, Public Dental Health Service, Mölndal Hospital, Västra Götaland, Sweden<address><country key="SE"></country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">Björn</forename><surname>Fürst</surname><roleName type="degree">DDS</roleName></persName><affiliation>Prosthodontist, Specialist Clinic of Prosthetic Dentistry, Public Dental Health Service, Mölndal Hospital, Västra Götaland, Sweden<address><country key="SE"></country></address></affiliation><affiliation>Chairman, Specialist Clinic of Prosthetic Dentistry, Public Dental Health Service, Mölndal Hospital, Västra Götaland, Sweden<address><country key="SE"></country></address></affiliation></author><author xml:id="author-0003" role="corresp"><persName><forename type="first">Torsten</forename><surname>Jemt</surname><roleName type="degree">DDS, Odont Dr/PhD</roleName></persName><affiliation>Prosthodontis and former chairman, Brånemark Clinic, Public Dental Health Service, Västra Götaland, Sweden, and professor, Department of Prosthetic Dentistry/Dental Material Science, Institute of Odontology, Sahlgrenska Academy at Göteborg University, Göteborg, Sweden<address><country key="SE"></country></address></affiliation><affiliation>Dr. Torsten Jemt, Brånemarkkliniken, Medicnaregatan 12C, 41390 Göteborg, Sweden; e‐mail: torsten.jemt@vgregion.se</affiliation></author><idno type="istex">FC7AA652A32686A1DE53E3F12C85D297EA862846</idno><idno type="ark">ark:/67375/WNG-94463M9C-Z</idno><idno type="DOI">10.1111/j.1708-8208.2011.00381.x</idno><idno type="unit">CID381</idno><idno type="toTypesetVersion">file:CID.CID381.pdf</idno></analytic><monogr><title level="j" type="main">Clinical Implant Dentistry and Related Research</title><title level="j" type="alt">CLINICAL IMPLANT DENTISTRY RELATED RESEARCH</title><idno type="pISSN">1523-0899</idno><idno type="eISSN">1708-8208</idno><idno type="book-DOI">10.1111/(ISSN)1708-8208</idno><idno type="book-part-DOI">10.1111/cid.2013.15.issue-4</idno><idno type="product">CID</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">15</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="471">471</biblScope><biblScope unit="page" to="480">480</biblScope><biblScope unit="page-count">10</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2013-08"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><head>ABSTRACT</head><p><hi rend="bold">Background:</hi> Various levels of infraposition of single‐implant restorations have been observed in long‐term follow‐up studies, but little knowledge is available on the biological mechanism behind this pattern.</p><p><hi rend="bold">Purpose:</hi> The primary aim of this study is to report the frequency and severeness of implant infraposition in the anterior single‐implant application after 17 to 19 years in function and, secondly, to try to relate these observations to anatomical appearance of the shape of the face of the patient.</p><p><hi rend="bold">Materials and Methods:</hi> The present study comprised of 57 patients who were provided with 65 CeraOne™ single‐tooth restorations (Nobel Biocare AB, Gothenburg, Sweden) between 1989 and 1991. Altogether 46 of these patients were treated with single implants in the anterior region. Besides clinical and radiographic data, clinical photographs, study casts, and patient's assessment of the long‐term aesthetic result (visual analog scale) was collected at the termination of the present study. The degree of implant crown infraposition was related to assessed facial shape and to patient and clinical assessment of the aesthetic result by means of Pearson's correlation test. To increase the numbers of patients, another group of 25 patients presented in another similar study were pooled with the present material for prevalence calculations.</p><p><hi rend="bold">Results:</hi> Altogether 47 patients showed up for the final examination after an average of 18 years (82%). Two implants failed (18 years cumulative survival rates [CSR]– 96.8%) and eight original single‐crown restorations were replaced (CSR 83.8%). Three of the replaced crowns were replaced because of infraposition of the crowns. About 40% of the patients showed signs of infraposition, similar in younger and older age groups, but more frequently observed in female patients at termination of the study (<hi rend="italic">p</hi> < 0.05). There was a weak trend indicating an association between “long‐face” appearance and infraposition of the crown restoration (<hi rend="italic">p</hi> > 0.05), and patients were more satisfied with the aesthetic clinical result than the participating clinicians (<hi rend="italic">p</hi> < 0.05).</p><p><hi rend="bold">Conclusion:</hi> Single‐implant restorations in the anterior upper jaw may present small degrees of infraposition in long‐term perspectives. Female patients seem to be at a higher risk of infraposition (<hi rend="italic">p</hi> < 0.05), but no clear relationship between age at implant placement or facial shape and degree of infraposition was possible to establish (<hi rend="italic">p</hi> > 0.05). Patients were more satisfied with the aesthetic result, as compared with the clinicians (<hi rend="italic">p</hi> < 0.05), and patients seemed to pay less attention to the degree of infraposition in their aesthetic assessments, as compared with most of the clinicians.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">aesthetics</term><term xml:id="k2">complication</term><term xml:id="k3">facial growth</term><term xml:id="k4">facial shape</term><term xml:id="k5">follow‐up</term><term xml:id="k6">infraposition</term><term xml:id="k7">patient satisfaction</term><term xml:id="k8">single implants</term></keywords><keywords rend="tocHeading1"><term>ARTICLES</term></keywords><keywords rend="articleCategory"><term>ARTICLE</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/FC7AA652A32686A1DE53E3F12C85D297EA862846/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Ltd</publisherName><publisherLoc>Oxford, UK</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1708-8208</doi><issn type="print">1523-0899</issn><issn type="electronic">1708-8208</issn><idGroup><id type="product" value="CID"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="CLINICAL IMPLANT DENTISTRY RELATED RESEARCH">Clinical Implant Dentistry and Related Research</title></titleGroup></publicationMeta><publicationMeta level="part" position="08104"><doi>10.1111/cid.2013.15.issue-4</doi><copyright ownership="publisher">Copyright © 2013 Wiley Periodicals, Inc.</copyright><numberingGroup><numbering number="15" type="journalVolume">15</numbering><numbering type="journalIssue">4</numbering></numberingGroup><coverDate startDate="2013-08">August 2013</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="10" status="forIssue"><doi origin="wiley">10.1111/j.1708-8208.2011.00381.x</doi><idGroup><id type="unit" value="CID381"></id></idGroup><countGroup><count type="pageTotal" number="10"></count></countGroup><titleGroup><title type="tocHeading1">ARTICLES</title><title type="articleCategory">ARTICLE</title></titleGroup><copyright>© 2011 Wiley Periodicals, Inc.</copyright><eventGroup><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:3.2.3 mode:FullText" date="2013-07-28"></event><event date="2013-07-29" type="xmlCorrected"></event><event type="publishedOnlineEarlyUnpaginated" date="2011-08-11"></event><event type="firstOnline" date="2011-08-11"></event><event type="publishedOnlineFinalForm" date="2013-08-01"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-15"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.6.4 mode:FullText" date="2015-10-01"></event></eventGroup><numberingGroup><numbering type="pageFirst">471</numbering><numbering type="pageLast">480</numbering></numberingGroup><correspondenceTo>Dr. Torsten Jemt, Brånemarkkliniken, Medicnaregatan 12C, 41390 Göteborg, Sweden; e‐mail: <email>torsten.jemt@vgregion.se</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:CID.CID381.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="figureTotal" number="4"></count><count type="tableTotal" number="4"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="28"></count><count type="wordTotal" number="5549"></count><count type="linksPubMed" number="0"></count><count type="linksCrossRef" number="0"></count></countGroup><titleGroup><title type="main">Long‐Term Function of Single‐Implant Restorations: A 17‐ to 19‐Year Follow‐Up Study on Implant Infraposition Related to the Shape of the Face and Patients' Satisfaction</title><title type="shortAuthors">Clinical Implant Dentistry and Related Research, Volume *, Number *, 2011</title><title type="short">Implant Infraposition</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1"><personName><givenNames>Bernt</givenNames><familyName>Andersson</familyName><degrees>DDS, Odont Dr/PhD</degrees></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a2"><personName><givenNames>Sibel</givenNames><familyName>Bergenblock</familyName><degrees>DDS</degrees></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a2 #a3"><personName><givenNames>Björn</givenNames><familyName>Fürst</familyName><degrees>DDS</degrees></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#a4" corresponding="yes"><personName><givenNames>Torsten</givenNames><familyName>Jemt</familyName><degrees>DDS, Odont Dr/PhD</degrees></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="SE"><unparsedAffiliation>Prosthodontist and former chairman, Specialist Clinic of Prosthetic Dentistry, Public Dental Health Service, Mölndal Hospital, Västra Götaland, Sweden</unparsedAffiliation></affiliation><affiliation xml:id="a2" countryCode="SE"><unparsedAffiliation>Prosthodontist, Specialist Clinic of Prosthetic Dentistry, Public Dental Health Service, Mölndal Hospital, Västra Götaland, Sweden</unparsedAffiliation></affiliation><affiliation xml:id="a3" countryCode="SE"><unparsedAffiliation>Chairman, Specialist Clinic of Prosthetic Dentistry, Public Dental Health Service, Mölndal Hospital, Västra Götaland, Sweden</unparsedAffiliation></affiliation><affiliation xml:id="a4" countryCode="SE"><unparsedAffiliation>Prosthodontis and former chairman, Brånemark Clinic, Public Dental Health Service, Västra Götaland, Sweden, and professor, Department of Prosthetic Dentistry/Dental Material Science, Institute of Odontology, Sahlgrenska Academy at Göteborg University, Göteborg, Sweden</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">aesthetics</keyword><keyword xml:id="k2">complication</keyword><keyword xml:id="k3">facial growth</keyword><keyword xml:id="k4">facial shape</keyword><keyword xml:id="k5">follow‐up</keyword><keyword xml:id="k6">infraposition</keyword><keyword xml:id="k7">patient satisfaction</keyword><keyword xml:id="k8">single implants</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">ABSTRACT</title><p><b>Background:</b> Various levels of infraposition of single‐implant restorations have been observed in long‐term follow‐up studies, but little knowledge is available on the biological mechanism behind this pattern.</p><p><b>Purpose:</b> The primary aim of this study is to report the frequency and severeness of implant infraposition in the anterior single‐implant application after 17 to 19 years in function and, secondly, to try to relate these observations to anatomical appearance of the shape of the face of the patient.</p><p><b>Materials and Methods:</b> The present study comprised of 57 patients who were provided with 65 CeraOne™ single‐tooth restorations (Nobel Biocare AB, Gothenburg, Sweden) between 1989 and 1991. Altogether 46 of these patients were treated with single implants in the anterior region. Besides clinical and radiographic data, clinical photographs, study casts, and patient's assessment of the long‐term aesthetic result (visual analog scale) was collected at the termination of the present study. The degree of implant crown infraposition was related to assessed facial shape and to patient and clinical assessment of the aesthetic result by means of Pearson's correlation test. To increase the numbers of patients, another group of 25 patients presented in another similar study were pooled with the present material for prevalence calculations.</p><p><b>Results:</b> Altogether 47 patients showed up for the final examination after an average of 18 years (82%). Two implants failed (18 years cumulative survival rates [CSR]– 96.8%) and eight original single‐crown restorations were replaced (CSR 83.8%). Three of the replaced crowns were replaced because of infraposition of the crowns. About 40% of the patients showed signs of infraposition, similar in younger and older age groups, but more frequently observed in female patients at termination of the study (<i>p</i> < 0.05). There was a weak trend indicating an association between “long‐face” appearance and infraposition of the crown restoration (<i>p</i> > 0.05), and patients were more satisfied with the aesthetic clinical result than the participating clinicians (<i>p</i> < 0.05).</p><p><b>Conclusion:</b> Single‐implant restorations in the anterior upper jaw may present small degrees of infraposition in long‐term perspectives. Female patients seem to be at a higher risk of infraposition (<i>p</i> < 0.05), but no clear relationship between age at implant placement or facial shape and degree of infraposition was possible to establish (<i>p</i> > 0.05). Patients were more satisfied with the aesthetic result, as compared with the clinicians (<i>p</i> < 0.05), and patients seemed to pay less attention to the degree of infraposition in their aesthetic assessments, as compared with most of the clinicians.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Long‐Term Function of Single‐Implant Restorations: A 17‐ to 19‐Year Follow‐Up Study on Implant Infraposition Related to the Shape of the Face and Patients' Satisfaction</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Implant Infraposition</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Long‐Term Function of Single‐Implant Restorations: A 17‐ to 19‐Year Follow‐Up Study on Implant Infraposition Related to the Shape of the Face and Patients' Satisfaction</title></titleInfo><name type="personal"><namePart type="given">Bernt</namePart><namePart type="family">Andersson</namePart><namePart type="termsOfAddress">DDS, Odont Dr/PhD</namePart><affiliation>Prosthodontist and former chairman, Specialist Clinic of Prosthetic Dentistry, Public Dental Health Service, Mölndal Hospital, Västra Götaland, Sweden</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Sibel</namePart><namePart type="family">Bergenblock</namePart><namePart type="termsOfAddress">DDS</namePart><affiliation>Prosthodontist, Specialist Clinic of Prosthetic Dentistry, Public Dental Health Service, Mölndal Hospital, Västra Götaland, Sweden</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Björn</namePart><namePart type="family">Fürst</namePart><namePart type="termsOfAddress">DDS</namePart><affiliation>Prosthodontist, Specialist Clinic of Prosthetic Dentistry, Public Dental Health Service, Mölndal Hospital, Västra Götaland, Sweden</affiliation><affiliation>Chairman, Specialist Clinic of Prosthetic Dentistry, Public Dental Health Service, Mölndal Hospital, Västra Götaland, Sweden</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Torsten</namePart><namePart type="family">Jemt</namePart><namePart type="termsOfAddress">DDS, Odont Dr/PhD</namePart><affiliation>Prosthodontis and former chairman, Brånemark Clinic, Public Dental Health Service, Västra Götaland, Sweden, and professor, Department of Prosthetic Dentistry/Dental Material Science, Institute of Odontology, Sahlgrenska Academy at Göteborg University, Göteborg, Sweden</affiliation><affiliation>E-mail: torsten.jemt@vgregion.se</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">2013-08</dateIssued><copyrightDate encoding="w3cdtf">2013</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">4</extent><extent unit="tables">4</extent><extent unit="formulas">0</extent><extent unit="references">28</extent><extent unit="linksCrossRef">0</extent><extent unit="words">5549</extent></physicalDescription><abstract>Background: Various levels of infraposition of single‐implant restorations have been observed in long‐term follow‐up studies, but little knowledge is available on the biological mechanism behind this pattern.</abstract><abstract>Purpose: The primary aim of this study is to report the frequency and severeness of implant infraposition in the anterior single‐implant application after 17 to 19 years in function and, secondly, to try to relate these observations to anatomical appearance of the shape of the face of the patient.</abstract><abstract>Materials and Methods: The present study comprised of 57 patients who were provided with 65 CeraOne™ single‐tooth restorations (Nobel Biocare AB, Gothenburg, Sweden) between 1989 and 1991. Altogether 46 of these patients were treated with single implants in the anterior region. Besides clinical and radiographic data, clinical photographs, study casts, and patient's assessment of the long‐term aesthetic result (visual analog scale) was collected at the termination of the present study. The degree of implant crown infraposition was related to assessed facial shape and to patient and clinical assessment of the aesthetic result by means of Pearson's correlation test. To increase the numbers of patients, another group of 25 patients presented in another similar study were pooled with the present material for prevalence calculations.</abstract><abstract>Results: Altogether 47 patients showed up for the final examination after an average of 18 years (82%). Two implants failed (18 years cumulative survival rates [CSR]– 96.8%) and eight original single‐crown restorations were replaced (CSR 83.8%). Three of the replaced crowns were replaced because of infraposition of the crowns. About 40% of the patients showed signs of infraposition, similar in younger and older age groups, but more frequently observed in female patients at termination of the study (p < 0.05). There was a weak trend indicating an association between “long‐face” appearance and infraposition of the crown restoration (p > 0.05), and patients were more satisfied with the aesthetic clinical result than the participating clinicians (p < 0.05).</abstract><abstract>Conclusion: Single‐implant restorations in the anterior upper jaw may present small degrees of infraposition in long‐term perspectives. Female patients seem to be at a higher risk of infraposition (p < 0.05), but no clear relationship between age at implant placement or facial shape and degree of infraposition was possible to establish (p > 0.05). Patients were more satisfied with the aesthetic result, as compared with the clinicians (p < 0.05), and patients seemed to pay less attention to the degree of infraposition in their aesthetic assessments, as compared with most of the clinicians.</abstract><subject lang="en"><genre>keywords</genre><topic>aesthetics</topic><topic>complication</topic><topic>facial growth</topic><topic>facial shape</topic><topic>follow‐up</topic><topic>infraposition</topic><topic>patient satisfaction</topic><topic>single implants</topic></subject><relatedItem type="host"><titleInfo><title>Clinical Implant Dentistry and Related Research</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><subject><genre>article-category</genre><topic>ARTICLE</topic></subject><identifier type="ISSN">1523-0899</identifier><identifier type="eISSN">1708-8208</identifier><identifier type="DOI">10.1111/(ISSN)1708-8208</identifier><identifier type="PublisherID">CID</identifier><part><date>2013</date><detail type="volume"><caption>vol.</caption><number>15</number></detail><detail type="issue"><caption>no.</caption><number>4</number></detail><extent unit="pages"><start>471</start><end>480</end><total>10</total></extent></part></relatedItem><identifier type="istex">FC7AA652A32686A1DE53E3F12C85D297EA862846</identifier><identifier type="ark">ark:/67375/WNG-94463M9C-Z</identifier><identifier type="DOI">10.1111/j.1708-8208.2011.00381.x</identifier><identifier type="ArticleID">CID381</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2013 Wiley Periodicals, Inc.© 2011 Wiley Periodicals, Inc.</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource><recordOrigin>Blackwell Publishing Ltd</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/FC7AA652A32686A1DE53E3F12C85D297EA862846/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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