Freestanding and tooth-implant connected prostheses in the treatment of partially edentulous patients Part II: An up to 15-years radiographic evaluation.
Identifieur interne : 008732 ( Main/Curation ); précédent : 008731; suivant : 008733Freestanding and tooth-implant connected prostheses in the treatment of partially edentulous patients Part II: An up to 15-years radiographic evaluation.
Auteurs : I E Naert [Belgique] ; J A Duyck ; M M Hosny ; M. Quirynen ; D. Van SteenbergheSource :
- Clinical oral implants research [ 0905-7161 ] ; 2001.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Analyse de régression, Analyse de survie, Analyse de variance, Analyse multivariée, Caries dentaires (), Ciments dentaires (), Conception de prothèse dentaire, Contrainte mécanique, Couronnes, Extraction dentaire, Facteurs temps, Femelle, Flexibilité, Fractures dentaires (), Humains, Implants dentaires, Intervalles de confiance, Maladies périapicales (), Modèles de hasards proportionnels, Modèles linéaires, Mâchoire partiellement édentée (), Mâchoire partiellement édentée (imagerie diagnostique), Mâchoire partiellement édentée (rééducation et réadaptation), Mâle, Ostéo-intégration, Parodontite (), Piliers dentaires, Pronostic, Propriétés de surface, Prothèse dentaire implanto-portée, Prothèse partielle fixe, Radiographie, Résorption osseuse (imagerie diagnostique), Résultat thérapeutique, Sujet âgé, Échec de restauration dentaire, Élasticité, Études de cohortes, Études de suivi, Études longitudinales.
- MESH :
- imagerie diagnostique : Mâchoire partiellement édentée, Résorption osseuse.
- rééducation et réadaptation : Mâchoire partiellement édentée.
- Adulte, Adulte d'âge moyen, Analyse de régression, Analyse de survie, Analyse de variance, Analyse multivariée, Caries dentaires, Ciments dentaires, Conception de prothèse dentaire, Contrainte mécanique, Couronnes, Extraction dentaire, Facteurs temps, Femelle, Flexibilité, Fractures dentaires, Humains, Implants dentaires, Intervalles de confiance, Maladies périapicales, Modèles de hasards proportionnels, Modèles linéaires, Mâchoire partiellement édentée, Mâle, Ostéo-intégration, Parodontite, Piliers dentaires, Pronostic, Propriétés de surface, Prothèse dentaire implanto-portée, Prothèse partielle fixe, Radiographie, Résultat thérapeutique, Sujet âgé, Échec de restauration dentaire, Élasticité, Études de cohortes, Études de suivi, Études longitudinales.
English descriptors
- KwdEn :
- Adult, Aged, Analysis of Variance, Bone Resorption (diagnostic imaging), Cohort Studies, Confidence Intervals, Crowns, Dental Abutments, Dental Caries (classification), Dental Cements (chemistry), Dental Implants, Dental Prosthesis Design, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Denture, Partial, Fixed, Elasticity, Female, Follow-Up Studies, Humans, Jaw, Edentulous, Partially (diagnostic imaging), Jaw, Edentulous, Partially (rehabilitation), Jaw, Edentulous, Partially (surgery), Linear Models, Longitudinal Studies, Male, Middle Aged, Multivariate Analysis, Osseointegration, Periapical Diseases (classification), Periodontitis (classification), Pliability, Prognosis, Proportional Hazards Models, Radiography, Regression Analysis, Stress, Mechanical, Surface Properties, Survival Analysis, Time Factors, Tooth Extraction, Tooth Fractures (classification), Treatment Outcome.
- MESH :
- chemical , chemistry : Dental Cements.
- chemical : Dental Implants.
- classification : Dental Caries, Periapical Diseases, Periodontitis, Tooth Fractures.
- diagnostic imaging : Bone Resorption, Jaw, Edentulous, Partially.
- rehabilitation : Jaw, Edentulous, Partially.
- surgery : Jaw, Edentulous, Partially.
- Adult, Aged, Analysis of Variance, Cohort Studies, Confidence Intervals, Crowns, Dental Abutments, Dental Implants, Dental Prosthesis Design, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Denture, Partial, Fixed, Elasticity, Female, Follow-Up Studies, Humans, Linear Models, Longitudinal Studies, Male, Middle Aged, Multivariate Analysis, Osseointegration, Pliability, Prognosis, Proportional Hazards Models, Radiography, Regression Analysis, Stress, Mechanical, Surface Properties, Survival Analysis, Time Factors, Tooth Extraction, Treatment Outcome.
Abstract
A total of 123 patients were followed between January 1983 and July 1998 with 140 tooth-implant connected prostheses. The age of the patients at prosthesis installation ranged from 20 to 79 years (mean 51.8). 339 (Brånemark(R) system) implants were connected to 313 teeth. The loading time ranged from 1.5 to 15 years (mean: 6.5). 123 patients were randomly selected as a control group with freestanding implant-supported prostheses only. The age of the patients at prosthesis installation ranged from 22 to 78 years (mean 52.3). The loading time for the 329 freestanding (Brånemark(R) system) implants ranged from 1.3 to 14.5 years (mean: 6.2). Evolution of the marginal bone stability around the implant in the tooth-implant connected as well as the freestanding group was studied with respect to the prognosis of the implants. Over the period from 0 to 15 years, there was significantly more marginal bone loss (0.7 mm) in tooth-implant connected versus freestanding prostheses. No significant difference in marginal bone loss was found between the non-rigid tooth-implant connected prostheses versus freestanding prostheses. However, there was a significant difference in marginal bone loss for rigid and multi-connected tooth-implant connected prostheses versus freestanding ones. The results of this study indicate that more bone is lost around implants which are rigidly connected to teeth. This suggests that bending load, which is increased in tooth-implant connected prostheses, might be responsible for this phenomenon. These observations favor the use of freestanding prostheses whenever possible. However, the clinical significance of greater bone loss in rigid versus non-rigid connections might outweigh the annoying phenomenon of tooth intrusion in the case of non-rigid tooth connection, when connection is considered.
PubMed: 11359482
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pubmed:11359482Le document en format XML
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Van Steenberghe</name></author></analytic><series><title level="j">Clinical oral implants research</title><idno type="ISSN">0905-7161</idno><imprint><date when="2001" type="published">2001</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Analysis of Variance</term><term>Bone Resorption (diagnostic imaging)</term><term>Cohort Studies</term><term>Confidence Intervals</term><term>Crowns</term><term>Dental Abutments</term><term>Dental Caries (classification)</term><term>Dental Cements (chemistry)</term><term>Dental Implants</term><term>Dental Prosthesis Design</term><term>Dental Prosthesis, Implant-Supported</term><term>Dental Restoration Failure</term><term>Denture, Partial, Fixed</term><term>Elasticity</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Jaw, Edentulous, Partially (diagnostic imaging)</term><term>Jaw, Edentulous, Partially (rehabilitation)</term><term>Jaw, Edentulous, Partially (surgery)</term><term>Linear Models</term><term>Longitudinal Studies</term><term>Male</term><term>Middle Aged</term><term>Multivariate Analysis</term><term>Osseointegration</term><term>Periapical Diseases (classification)</term><term>Periodontitis (classification)</term><term>Pliability</term><term>Prognosis</term><term>Proportional Hazards Models</term><term>Radiography</term><term>Regression Analysis</term><term>Stress, Mechanical</term><term>Surface Properties</term><term>Survival Analysis</term><term>Time Factors</term><term>Tooth Extraction</term><term>Tooth Fractures (classification)</term><term>Treatment Outcome</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analyse de régression</term><term>Analyse de survie</term><term>Analyse de variance</term><term>Analyse multivariée</term><term>Caries dentaires ()</term><term>Ciments dentaires ()</term><term>Conception de prothèse dentaire</term><term>Contrainte mécanique</term><term>Couronnes</term><term>Extraction dentaire</term><term>Facteurs temps</term><term>Femelle</term><term>Flexibilité</term><term>Fractures dentaires ()</term><term>Humains</term><term>Implants dentaires</term><term>Intervalles de confiance</term><term>Maladies périapicales ()</term><term>Modèles de hasards proportionnels</term><term>Modèles linéaires</term><term>Mâchoire partiellement édentée ()</term><term>Mâchoire partiellement édentée (imagerie diagnostique)</term><term>Mâchoire partiellement édentée (rééducation et réadaptation)</term><term>Mâle</term><term>Ostéo-intégration</term><term>Parodontite ()</term><term>Piliers dentaires</term><term>Pronostic</term><term>Propriétés de surface</term><term>Prothèse dentaire implanto-portée</term><term>Prothèse partielle fixe</term><term>Radiographie</term><term>Résorption osseuse (imagerie diagnostique)</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Échec de 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qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire partiellement édentée</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous, Partially</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Analysis of Variance</term><term>Cohort Studies</term><term>Confidence Intervals</term><term>Crowns</term><term>Dental Abutments</term><term>Dental Implants</term><term>Dental Prosthesis Design</term><term>Dental Prosthesis, Implant-Supported</term><term>Dental Restoration Failure</term><term>Denture, Partial, Fixed</term><term>Elasticity</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Linear Models</term><term>Longitudinal Studies</term><term>Male</term><term>Middle Aged</term><term>Multivariate Analysis</term><term>Osseointegration</term><term>Pliability</term><term>Prognosis</term><term>Proportional Hazards Models</term><term>Radiography</term><term>Regression Analysis</term><term>Stress, Mechanical</term><term>Surface Properties</term><term>Survival Analysis</term><term>Time Factors</term><term>Tooth Extraction</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analyse de régression</term><term>Analyse de survie</term><term>Analyse de variance</term><term>Analyse multivariée</term><term>Caries dentaires</term><term>Ciments dentaires</term><term>Conception de prothèse dentaire</term><term>Contrainte mécanique</term><term>Couronnes</term><term>Extraction dentaire</term><term>Facteurs temps</term><term>Femelle</term><term>Flexibilité</term><term>Fractures dentaires</term><term>Humains</term><term>Implants dentaires</term><term>Intervalles de confiance</term><term>Maladies périapicales</term><term>Modèles de hasards proportionnels</term><term>Modèles linéaires</term><term>Mâchoire partiellement édentée</term><term>Mâle</term><term>Ostéo-intégration</term><term>Parodontite</term><term>Piliers dentaires</term><term>Pronostic</term><term>Propriétés de surface</term><term>Prothèse dentaire implanto-portée</term><term>Prothèse partielle fixe</term><term>Radiographie</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Échec de restauration dentaire</term><term>Élasticité</term><term>Études de cohortes</term><term>Études de suivi</term><term>Études longitudinales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A total of 123 patients were followed between January 1983 and July 1998 with 140 tooth-implant connected prostheses. The age of the patients at prosthesis installation ranged from 20 to 79 years (mean 51.8). 339 (Brånemark(R) system) implants were connected to 313 teeth. The loading time ranged from 1.5 to 15 years (mean: 6.5). 123 patients were randomly selected as a control group with freestanding implant-supported prostheses only. The age of the patients at prosthesis installation ranged from 22 to 78 years (mean 52.3). The loading time for the 329 freestanding (Brånemark(R) system) implants ranged from 1.3 to 14.5 years (mean: 6.2). Evolution of the marginal bone stability around the implant in the tooth-implant connected as well as the freestanding group was studied with respect to the prognosis of the implants. Over the period from 0 to 15 years, there was significantly more marginal bone loss (0.7 mm) in tooth-implant connected versus freestanding prostheses. No significant difference in marginal bone loss was found between the non-rigid tooth-implant connected prostheses versus freestanding prostheses. However, there was a significant difference in marginal bone loss for rigid and multi-connected tooth-implant connected prostheses versus freestanding ones. The results of this study indicate that more bone is lost around implants which are rigidly connected to teeth. This suggests that bending load, which is increased in tooth-implant connected prostheses, might be responsible for this phenomenon. These observations favor the use of freestanding prostheses whenever possible. However, the clinical significance of greater bone loss in rigid versus non-rigid connections might outweigh the annoying phenomenon of tooth intrusion in the case of non-rigid tooth connection, when connection is considered.</div></front></TEI><double idat="0905-7161:2001:Naert I:freestanding:and:tooth"><PubMed><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Freestanding and tooth-implant connected prostheses in the treatment of partially edentulous patients Part II: An up to 15-years radiographic evaluation.</title><author><name sortKey="Naert, I E" sort="Naert, I E" uniqKey="Naert I" first="I E" last="Naert">I E Naert</name><affiliation wicri:level="1"><nlm:affiliation>Department of Prosthetic Dentistry/BIOMAT Research Group, Catholic University of Leuven, Belgium. Ignace@MED.Kuleuven.ac.be</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Prosthetic Dentistry/BIOMAT Research Group, Catholic University of Leuven</wicri:regionArea><wicri:noRegion>Catholic University of Leuven</wicri:noRegion></affiliation></author><author><name sortKey="Duyck, J A" sort="Duyck, J A" uniqKey="Duyck J" first="J A" last="Duyck">J A Duyck</name></author><author><name sortKey="Hosny, M M" sort="Hosny, M M" uniqKey="Hosny M" first="M M" last="Hosny">M M Hosny</name></author><author><name sortKey="Quirynen, M" sort="Quirynen, M" uniqKey="Quirynen M" first="M" last="Quirynen">M. Quirynen</name></author><author><name sortKey="Van Steenberghe, D" sort="Van Steenberghe, D" uniqKey="Van Steenberghe D" first="D" last="Van Steenberghe">D. Van Steenberghe</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2001">2001</date><idno type="RBID">pubmed:11359482</idno><idno type="pmid">11359482</idno><idno type="wicri:Area/PubMed/Corpus">003452</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">003452</idno><idno type="wicri:Area/PubMed/Curation">003452</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">003452</idno><idno type="wicri:Area/PubMed/Checkpoint">003452</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">003452</idno><idno type="wicri:Area/Ncbi/Merge">000599</idno><idno type="wicri:Area/Ncbi/Curation">000599</idno><idno type="wicri:Area/Ncbi/Checkpoint">000599</idno><idno type="wicri:doubleKey">0905-7161:2001:Naert I:freestanding:and:tooth</idno><idno type="wicri:Area/Main/Merge">008A39</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Freestanding and tooth-implant connected prostheses in the treatment of partially edentulous patients Part II: An up to 15-years radiographic evaluation.</title><author><name sortKey="Naert, I E" sort="Naert, I E" uniqKey="Naert I" first="I E" last="Naert">I E Naert</name><affiliation wicri:level="1"><nlm:affiliation>Department of Prosthetic Dentistry/BIOMAT Research Group, Catholic University of Leuven, Belgium. Ignace@MED.Kuleuven.ac.be</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Prosthetic Dentistry/BIOMAT Research Group, Catholic University of Leuven</wicri:regionArea><wicri:noRegion>Catholic University of Leuven</wicri:noRegion></affiliation></author><author><name sortKey="Duyck, J A" sort="Duyck, J A" uniqKey="Duyck J" first="J A" last="Duyck">J A Duyck</name></author><author><name sortKey="Hosny, M M" sort="Hosny, M M" uniqKey="Hosny M" first="M M" last="Hosny">M M Hosny</name></author><author><name sortKey="Quirynen, M" sort="Quirynen, M" uniqKey="Quirynen M" first="M" last="Quirynen">M. Quirynen</name></author><author><name sortKey="Van Steenberghe, D" sort="Van Steenberghe, D" uniqKey="Van Steenberghe D" first="D" last="Van Steenberghe">D. Van Steenberghe</name></author></analytic><series><title level="j">Clinical oral implants research</title><idno type="ISSN">0905-7161</idno><imprint><date when="2001" type="published">2001</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Analysis of Variance</term><term>Bone Resorption (diagnostic imaging)</term><term>Cohort Studies</term><term>Confidence Intervals</term><term>Dental Abutments</term><term>Dental Implants</term><term>Dental Prosthesis Design</term><term>Dental Prosthesis, Implant-Supported</term><term>Elasticity</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Jaw, Edentulous, Partially (diagnostic imaging)</term><term>Jaw, Edentulous, Partially (rehabilitation)</term><term>Jaw, Edentulous, Partially (surgery)</term><term>Linear Models</term><term>Longitudinal Studies</term><term>Male</term><term>Middle Aged</term><term>Pliability</term><term>Prognosis</term><term>Radiography</term><term>Stress, Mechanical</term><term>Surface Properties</term><term>Time Factors</term><term>Treatment Outcome</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analyse de variance</term><term>Conception de prothèse dentaire</term><term>Contrainte mécanique</term><term>Facteurs temps</term><term>Femelle</term><term>Flexibilité</term><term>Humains</term><term>Implants dentaires</term><term>Intervalles de confiance</term><term>Modèles linéaires</term><term>Mâchoire partiellement édentée ()</term><term>Mâchoire partiellement édentée (imagerie diagnostique)</term><term>Mâchoire partiellement édentée (rééducation et réadaptation)</term><term>Mâle</term><term>Piliers dentaires</term><term>Pronostic</term><term>Propriétés de surface</term><term>Prothèse dentaire implanto-portée</term><term>Radiographie</term><term>Résorption osseuse (imagerie diagnostique)</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Élasticité</term><term>Études de cohortes</term><term>Études de suivi</term><term>Études longitudinales</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Bone Resorption</term><term>Jaw, Edentulous, Partially</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Mâchoire partiellement édentée</term><term>Résorption osseuse</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous, Partially</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire partiellement édentée</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous, Partially</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Analysis of Variance</term><term>Cohort Studies</term><term>Confidence Intervals</term><term>Dental Abutments</term><term>Dental Prosthesis Design</term><term>Dental Prosthesis, Implant-Supported</term><term>Elasticity</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Linear Models</term><term>Longitudinal Studies</term><term>Male</term><term>Middle Aged</term><term>Pliability</term><term>Prognosis</term><term>Radiography</term><term>Stress, Mechanical</term><term>Surface Properties</term><term>Time Factors</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analyse de variance</term><term>Conception de prothèse dentaire</term><term>Contrainte mécanique</term><term>Facteurs temps</term><term>Femelle</term><term>Flexibilité</term><term>Humains</term><term>Implants dentaires</term><term>Intervalles de confiance</term><term>Modèles linéaires</term><term>Mâchoire partiellement édentée</term><term>Mâle</term><term>Piliers dentaires</term><term>Pronostic</term><term>Propriétés de surface</term><term>Prothèse dentaire implanto-portée</term><term>Radiographie</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Élasticité</term><term>Études de cohortes</term><term>Études de suivi</term><term>Études longitudinales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A total of 123 patients were followed between January 1983 and July 1998 with 140 tooth-implant connected prostheses. The age of the patients at prosthesis installation ranged from 20 to 79 years (mean 51.8). 339 (Brånemark(R) system) implants were connected to 313 teeth. The loading time ranged from 1.5 to 15 years (mean: 6.5). 123 patients were randomly selected as a control group with freestanding implant-supported prostheses only. The age of the patients at prosthesis installation ranged from 22 to 78 years (mean 52.3). The loading time for the 329 freestanding (Brånemark(R) system) implants ranged from 1.3 to 14.5 years (mean: 6.2). Evolution of the marginal bone stability around the implant in the tooth-implant connected as well as the freestanding group was studied with respect to the prognosis of the implants. Over the period from 0 to 15 years, there was significantly more marginal bone loss (0.7 mm) in tooth-implant connected versus freestanding prostheses. No significant difference in marginal bone loss was found between the non-rigid tooth-implant connected prostheses versus freestanding prostheses. However, there was a significant difference in marginal bone loss for rigid and multi-connected tooth-implant connected prostheses versus freestanding ones. The results of this study indicate that more bone is lost around implants which are rigidly connected to teeth. This suggests that bending load, which is increased in tooth-implant connected prostheses, might be responsible for this phenomenon. These observations favor the use of freestanding prostheses whenever possible. However, the clinical significance of greater bone loss in rigid versus non-rigid connections might outweigh the annoying phenomenon of tooth intrusion in the case of non-rigid tooth connection, when connection is considered.</div></front></TEI></PubMed><PubMed><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Freestanding and tooth-implant connected prostheses in the treatment of partially edentulous patients. Part I: An up to 15-years clinical evaluation.</title><author><name sortKey="Naert, I E" sort="Naert, I E" uniqKey="Naert I" first="I E" last="Naert">I E Naert</name><affiliation><nlm:affiliation>Department of Prosthetic Dentistry/BIOMAT Research Group, Catholic University of Leuven Belgium.</nlm:affiliation><wicri:noCountry code="subField">Catholic University of Leuven Belgium</wicri:noCountry></affiliation></author><author><name sortKey="Duyck, J A" sort="Duyck, J A" uniqKey="Duyck J" first="J A" last="Duyck">J A Duyck</name></author><author><name sortKey="Hosny, M M" sort="Hosny, M M" uniqKey="Hosny M" first="M M" last="Hosny">M M Hosny</name></author><author><name sortKey="Van Steenberghe, D" sort="Van Steenberghe, D" uniqKey="Van Steenberghe D" first="D" last="Van Steenberghe">D. Van Steenberghe</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2001">2001</date><idno type="RBID">pubmed:11359481</idno><idno type="pmid">11359481</idno><idno type="wicri:Area/PubMed/Corpus">003453</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">003453</idno><idno type="wicri:Area/PubMed/Curation">003453</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">003453</idno><idno type="wicri:Area/PubMed/Checkpoint">003453</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">003453</idno><idno type="wicri:Area/Ncbi/Merge">000598</idno><idno type="wicri:Area/Ncbi/Curation">000598</idno><idno type="wicri:Area/Ncbi/Checkpoint">000598</idno><idno type="wicri:doubleKey">0905-7161:2001:Naert I:freestanding:and:tooth</idno><idno type="wicri:Area/Main/Merge">008A38</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Freestanding and tooth-implant connected prostheses in the treatment of partially edentulous patients. Part I: An up to 15-years clinical evaluation.</title><author><name sortKey="Naert, I E" sort="Naert, I E" uniqKey="Naert I" first="I E" last="Naert">I E Naert</name><affiliation><nlm:affiliation>Department of Prosthetic Dentistry/BIOMAT Research Group, Catholic University of Leuven Belgium.</nlm:affiliation><wicri:noCountry code="subField">Catholic University of Leuven Belgium</wicri:noCountry></affiliation></author><author><name sortKey="Duyck, J A" sort="Duyck, J A" uniqKey="Duyck J" first="J A" last="Duyck">J A Duyck</name></author><author><name sortKey="Hosny, M M" sort="Hosny, M M" uniqKey="Hosny M" first="M M" last="Hosny">M M Hosny</name></author><author><name sortKey="Van Steenberghe, D" sort="Van Steenberghe, D" uniqKey="Van Steenberghe D" first="D" last="Van Steenberghe">D. Van Steenberghe</name></author></analytic><series><title level="j">Clinical oral implants research</title><idno type="ISSN">0905-7161</idno><imprint><date when="2001" type="published">2001</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Cohort Studies</term><term>Crowns</term><term>Dental Abutments</term><term>Dental Caries (classification)</term><term>Dental Cements (chemistry)</term><term>Dental Implants</term><term>Dental Prosthesis Design</term><term>Dental Prosthesis, Implant-Supported</term><term>Dental Restoration Failure</term><term>Denture, Partial, Fixed</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Jaw, Edentulous, Partially (rehabilitation)</term><term>Jaw, Edentulous, Partially (surgery)</term><term>Longitudinal Studies</term><term>Male</term><term>Middle Aged</term><term>Multivariate Analysis</term><term>Osseointegration</term><term>Periapical Diseases (classification)</term><term>Periodontitis (classification)</term><term>Proportional Hazards Models</term><term>Regression Analysis</term><term>Stress, Mechanical</term><term>Survival Analysis</term><term>Tooth Extraction</term><term>Tooth Fractures (classification)</term><term>Treatment Outcome</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analyse de régression</term><term>Analyse de survie</term><term>Analyse multivariée</term><term>Caries dentaires ()</term><term>Ciments dentaires ()</term><term>Conception de prothèse dentaire</term><term>Contrainte mécanique</term><term>Couronnes</term><term>Extraction dentaire</term><term>Femelle</term><term>Fractures dentaires ()</term><term>Humains</term><term>Implants dentaires</term><term>Maladies périapicales ()</term><term>Modèles de hasards proportionnels</term><term>Mâchoire partiellement édentée ()</term><term>Mâchoire partiellement édentée (rééducation et réadaptation)</term><term>Mâle</term><term>Ostéo-intégration</term><term>Parodontite ()</term><term>Piliers dentaires</term><term>Prothèse dentaire implanto-portée</term><term>Prothèse partielle fixe</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Échec de restauration dentaire</term><term>Études de cohortes</term><term>Études de suivi</term><term>Études longitudinales</term></keywords><keywords scheme="MESH" type="chemical" qualifier="chemistry" xml:lang="en"><term>Dental Cements</term></keywords><keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Dental Caries</term><term>Periapical Diseases</term><term>Periodontitis</term><term>Tooth Fractures</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous, Partially</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire partiellement édentée</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous, Partially</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Cohort Studies</term><term>Crowns</term><term>Dental Abutments</term><term>Dental Implants</term><term>Dental Prosthesis Design</term><term>Dental Prosthesis, Implant-Supported</term><term>Dental Restoration Failure</term><term>Denture, Partial, Fixed</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Longitudinal Studies</term><term>Male</term><term>Middle Aged</term><term>Multivariate Analysis</term><term>Osseointegration</term><term>Proportional Hazards Models</term><term>Regression Analysis</term><term>Stress, Mechanical</term><term>Survival Analysis</term><term>Tooth Extraction</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analyse de régression</term><term>Analyse de survie</term><term>Analyse multivariée</term><term>Caries dentaires</term><term>Ciments dentaires</term><term>Conception de prothèse dentaire</term><term>Contrainte mécanique</term><term>Couronnes</term><term>Extraction dentaire</term><term>Femelle</term><term>Fractures dentaires</term><term>Humains</term><term>Implants dentaires</term><term>Maladies périapicales</term><term>Modèles de hasards proportionnels</term><term>Mâchoire partiellement édentée</term><term>Mâle</term><term>Ostéo-intégration</term><term>Parodontite</term><term>Piliers dentaires</term><term>Prothèse dentaire implanto-portée</term><term>Prothèse partielle fixe</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Échec de restauration dentaire</term><term>Études de cohortes</term><term>Études de suivi</term><term>Études longitudinales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">In 123 patients, 339 implants were connected to 313 teeth by means of fixed partial prostheses (test) and followed up for 1.5-15 years (mean: 6.5). In another ad random selected 123 patients, 329 implants were connected to each other by means of 123 freestanding fixed partial prostheses (control) and were followed up for 1.3-14.5 years (mean: 6.2). The aim of this study was to compare both treatment modalities with each other based on implant, tooth and prosthesis complications. The cumulative implant success, based on implant immobility and/or lack of implant fractures after loading, in the test and control groups amounted to 95% and 98.5%, respectively. Although in the test group 10 implants versus only 1 in the control group failed, a regression analysis of the survival data, based on the cox proportional hazards model, revealed no significant difference. In the test group periapical lesions (3.5%), tooth fracture (0.6%) and tooth extraction due to fatal decay or periodontitis (1%) were observed, besides tooth intrusion (3.4%) and crown cement failure (8%). Framework fracture occurred in 3 patients. In the control group, only 2 abutment screws fractured. The treatment of partial edentulism by means of oral implants was beneficial for our patients. Because of a clear tendency of more implant failures (mobility or fractures) and tooth complications in the tooth-implant connected prostheses, the freestanding solution is the primary option to be considered. To avoid intrusion of abutment teeth, the connection, if made, should be completely rigid.</div></front></TEI></PubMed></double></record>Pour manipuler ce document sous Unix (Dilib)
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