Serveur d'exploration sur le patient édenté

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The longitudinal clinical effectiveness of osseointegrated dental implants: The Toronto study. Part I: Surgical results

Identifieur interne : 00B908 ( Main/Curation ); précédent : 00B907; suivant : 00B909

The longitudinal clinical effectiveness of osseointegrated dental implants: The Toronto study. Part I: Surgical results

Auteurs : G. A. Zarb [Canada] ; A. Schmitt [Canada]

Source :

RBID : ISTEX:94F226E34E56DD45E085BDFB2B788A64DCD38DD1

Descripteurs français

English descriptors

Abstract

Abstract: In this prospective study, 46 edentulous patients who had undergone traditional denture optimization therapy without success were treated with osseointegrated implants according to the surgical protocol described by Dr. P.I. Branemark. Two hundred seventy-four implants were placed in 49 dental arches—43 mandibles and six maxillae. At the time of writing, 4 to 9 years after insertion of the implants, 244 or 89.05% remained osseointegrated. Of the 262 implants in place more than 5 years, 232 or 88.55% were still integrated. The implant success criteria developed in this clinical study endorsed the predictably favorable outcome of the Branemark technique.

Url:
DOI: 10.1016/0022-3913(90)90237-7

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ISTEX:94F226E34E56DD45E085BDFB2B788A64DCD38DD1

Le document en format XML

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<term>Middle Aged</term>
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<term>Observation period</term>
<term>Oeseointegrated implants</term>
<term>Oral maxillofac implants</term>
<term>Osseointegrated</term>
<term>Osseointegrated implants</term>
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<term>Overdentures</term>
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<term>Implant fractures</term>
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<term>Individual implants</term>
<term>Labial flange</term>
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<term>Patient selection</term>
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<term>Preprosthetic surgicalmethod</term>
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<div type="abstract" xml:lang="en">Abstract: In this prospective study, 46 edentulous patients who had undergone traditional denture optimization therapy without success were treated with osseointegrated implants according to the surgical protocol described by Dr. P.I. Branemark. Two hundred seventy-four implants were placed in 49 dental arches—43 mandibles and six maxillae. At the time of writing, 4 to 9 years after insertion of the implants, 244 or 89.05% remained osseointegrated. Of the 262 implants in place more than 5 years, 232 or 88.55% were still integrated. The implant success criteria developed in this clinical study endorsed the predictably favorable outcome of the Branemark technique.</div>
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<name sortKey="Zarb, G A" sort="Zarb, G A" uniqKey="Zarb G" first="G. A." last="Zarb">G. A. Zarb</name>
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<country xml:lang="fr">Canada</country>
<wicri:regionArea>University of Toronto Faculty of Dentistry, Toronto, Ont.</wicri:regionArea>
<wicri:noRegion>Ont.</wicri:noRegion>
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<author>
<name sortKey="Schmitt, A" sort="Schmitt, A" uniqKey="Schmitt A" first="A." last="Schmitt">A. Schmitt</name>
<affiliation wicri:level="1">
<country xml:lang="fr">Canada</country>
<wicri:regionArea>University of Toronto Faculty of Dentistry, Toronto, Ont.</wicri:regionArea>
<wicri:noRegion>Ont.</wicri:noRegion>
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<title level="j">The Journal of Prosthetic Dentistry</title>
<title level="j" type="abbrev">YMPR</title>
<idno type="ISSN">0022-3913</idno>
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<publisher>ELSEVIER</publisher>
<date type="published" when="1990">1990</date>
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<term>Associate professor</term>
<term>Branemark</term>
<term>Chronic inability</term>
<term>Clinical dentistry</term>
<term>Clinical study</term>
<term>Complete dentures</term>
<term>Data collection</term>
<term>Dent</term>
<term>Dental implants</term>
<term>Dentistry</term>
<term>Denture</term>
<term>Edentulous</term>
<term>Edentulous patients</term>
<term>Endosseous</term>
<term>Endosseous implants</term>
<term>Implant</term>
<term>Individual implants</term>
<term>Mandibular arch</term>
<term>Maxillary patients</term>
<term>Osseointegrated</term>
<term>Osseointegrated implants</term>
<term>Osseointegration</term>
<term>Osseointegration method</term>
<term>Patient eligibility</term>
<term>Patient selection</term>
<term>Preprosthetic surgicalmethod</term>
<term>Prospective study</term>
<term>Prosthesis</term>
<term>Prosthet dent</term>
<term>Prosthetic</term>
<term>Prosthetic dentistry</term>
<term>Prosthodontic</term>
<term>Recent charting</term>
<term>Stage surgery</term>
<term>Stageii surgery</term>
<term>Surgical</term>
<term>Table viii</term>
<term>Toronto conference</term>
<term>Toronto study</term>
<term>Total study</term>
<term>Zarb</term>
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<term>Associate professor</term>
<term>Branemark</term>
<term>Chronic inability</term>
<term>Clinical dentistry</term>
<term>Clinical study</term>
<term>Complete dentures</term>
<term>Data collection</term>
<term>Dent</term>
<term>Dental implants</term>
<term>Dentistry</term>
<term>Denture</term>
<term>Edentulous</term>
<term>Edentulous patients</term>
<term>Endosseous</term>
<term>Endosseous implants</term>
<term>Implant</term>
<term>Individual implants</term>
<term>Mandibular arch</term>
<term>Maxillary patients</term>
<term>Osseointegrated</term>
<term>Osseointegrated implants</term>
<term>Osseointegration</term>
<term>Osseointegration method</term>
<term>Patient eligibility</term>
<term>Patient selection</term>
<term>Preprosthetic surgicalmethod</term>
<term>Prospective study</term>
<term>Prosthesis</term>
<term>Prosthet dent</term>
<term>Prosthetic</term>
<term>Prosthetic dentistry</term>
<term>Prosthodontic</term>
<term>Recent charting</term>
<term>Stage surgery</term>
<term>Stageii surgery</term>
<term>Surgical</term>
<term>Table viii</term>
<term>Toronto conference</term>
<term>Toronto study</term>
<term>Total study</term>
<term>Zarb</term>
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<term>Collecte de données</term>
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<div type="abstract" xml:lang="en">Abstract: In this prospective study, 46 edentulous patients who had undergone traditional denture optimization therapy without success were treated with osseointegrated implants according to the surgical protocol described by Dr. P.I. Branemark. Two hundred seventy-four implants were placed in 49 dental arches—43 mandibles and six maxillae. At the time of writing, 4 to 9 years after insertion of the implants, 244 or 89.05% remained osseointegrated. Of the 262 implants in place more than 5 years, 232 or 88.55% were still integrated. The implant success criteria developed in this clinical study endorsed the predictably favorable outcome of the Branemark technique.</div>
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<title level="a" type="main" xml:lang="en">The longitudinal clinical effectiveness of osseointegrated dental implants: The Toronto study. Part II: The prosthetic results</title>
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<title level="j" type="abbrev">YMPR</title>
<idno type="ISSN">0022-3913</idno>
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<publisher>ELSEVIER</publisher>
<date type="published" when="1990">1990</date>
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<term>Abutment</term>
<term>Acrylic resin</term>
<term>Acta odontol</term>
<term>Additional implants</term>
<term>Artificial teeth</term>
<term>Branemark</term>
<term>Chronic inability</term>
<term>Clinical effectiveness</term>
<term>Complete denture</term>
<term>Complete denture prosthodontics</term>
<term>Complete dentures</term>
<term>Dental arches</term>
<term>Dentistry</term>
<term>Denture</term>
<term>Denture stability</term>
<term>Denture wearers</term>
<term>Edentulous</term>
<term>Edentulous patients</term>
<term>Healing period</term>
<term>Human services</term>
<term>Implant</term>
<term>Implant abutments</term>
<term>Individual implants</term>
<term>Labial flange</term>
<term>Maladaptive response</term>
<term>Mandibular</term>
<term>Mandibular function</term>
<term>Mandibular treatment</term>
<term>Observation period</term>
<term>Osseointegrated</term>
<term>Osseointegrated implants</term>
<term>Osseointegration</term>
<term>Osseointegration treatment</term>
<term>Overdenture</term>
<term>Overdentures</term>
<term>Partial dentures</term>
<term>Prosthesis</term>
<term>Prosthesis design</term>
<term>Prosthesis support</term>
<term>Prosthet dent</term>
<term>Prosthetic</term>
<term>Prosthetic cylinders</term>
<term>Prosthetic dentistry</term>
<term>Prosthetic design</term>
<term>Prosthetic problem patients</term>
<term>Prosthetic problems</term>
<term>Prosthetic results</term>
<term>Prosthetic solution</term>
<term>Prosthetic superstructure</term>
<term>Prosthetic treatment</term>
<term>Prosthodontic</term>
<term>Prosthodontic department</term>
<term>Prosthodontic treatment</term>
<term>Relation records</term>
<term>Surgical</term>
<term>Surgical procedure</term>
<term>Systemic health</term>
<term>Tissue conditioner</term>
<term>Toronto study</term>
<term>Trial denture base</term>
<term>Zarb</term>
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<term>Abutment</term>
<term>Acrylic resin</term>
<term>Acta odontol</term>
<term>Additional implants</term>
<term>Artificial teeth</term>
<term>Branemark</term>
<term>Chronic inability</term>
<term>Clinical effectiveness</term>
<term>Complete denture</term>
<term>Complete denture prosthodontics</term>
<term>Complete dentures</term>
<term>Dental arches</term>
<term>Dentistry</term>
<term>Denture</term>
<term>Denture stability</term>
<term>Denture wearers</term>
<term>Edentulous</term>
<term>Edentulous patients</term>
<term>Healing period</term>
<term>Human services</term>
<term>Implant</term>
<term>Implant abutments</term>
<term>Individual implants</term>
<term>Labial flange</term>
<term>Maladaptive response</term>
<term>Mandibular</term>
<term>Mandibular function</term>
<term>Mandibular treatment</term>
<term>Observation period</term>
<term>Osseointegrated</term>
<term>Osseointegrated implants</term>
<term>Osseointegration</term>
<term>Osseointegration treatment</term>
<term>Overdenture</term>
<term>Overdentures</term>
<term>Partial dentures</term>
<term>Prosthesis</term>
<term>Prosthesis design</term>
<term>Prosthesis support</term>
<term>Prosthet dent</term>
<term>Prosthetic</term>
<term>Prosthetic cylinders</term>
<term>Prosthetic dentistry</term>
<term>Prosthetic design</term>
<term>Prosthetic problem patients</term>
<term>Prosthetic problems</term>
<term>Prosthetic results</term>
<term>Prosthetic solution</term>
<term>Prosthetic superstructure</term>
<term>Prosthetic treatment</term>
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<term>Prosthodontic department</term>
<term>Prosthodontic treatment</term>
<term>Relation records</term>
<term>Surgical</term>
<term>Surgical procedure</term>
<term>Systemic health</term>
<term>Tissue conditioner</term>
<term>Toronto study</term>
<term>Trial denture base</term>
<term>Zarb</term>
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<div type="abstract" xml:lang="en">Abstract: Forty-six patients who had shown chronic maladaptive behavior in using complete dentures were treated with osseointegrated implant-supported prostheses. Forty patients needed mandibular treatment, three patients needed treatment in the maxillae, and three required treatment in both dental arches. At the most recent data collection (4 to 9 years after surgical placement of the implants), the 49 dental arches remained successfully treated with 44 implant-supported fixed partial dentures and five implant-supported overdentures. The efficacy of the osseointegration technique in maladaptive prosthetic patients is demonstrated in this descriptive study.</div>
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<title level="a" type="main" xml:lang="en">The longitudinal clinical effectiveness of osseointegrated dental implants: The Toronto study. Part III: Problems and complications encountered</title>
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<country xml:lang="fr">Canada</country>
<wicri:regionArea>University of Toronto, Faculty of Dentistry, Toronto, Ont.</wicri:regionArea>
<orgName type="university">Université de Toronto</orgName>
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<settlement type="city">Toronto</settlement>
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<country xml:lang="fr">Canada</country>
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<orgName type="university">Université de Toronto</orgName>
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<publisher>ELSEVIER</publisher>
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<term>Abutment</term>
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<term>Acrylic resin</term>
<term>Adjacent implant</term>
<term>Branemark</term>
<term>Branemark system</term>
<term>Center screws</term>
<term>Circumoral activity</term>
<term>Clinical problem</term>
<term>Clinical problems</term>
<term>Clinical results</term>
<term>Complete dentures</term>
<term>Complication</term>
<term>Corresponding implants</term>
<term>Dentistry</term>
<term>Denture</term>
<term>Dramatic example</term>
<term>Edentulous patients</term>
<term>Fracture</term>
<term>Functional complaints</term>
<term>Gingival</term>
<term>Gingival problems</term>
<term>Gingival tissues</term>
<term>Granulation tissue</term>
<term>Healing period</term>
<term>Hypertrophic gingivitis</term>
<term>Implant</term>
<term>Implant fractures</term>
<term>Implant losses</term>
<term>Implant placement</term>
<term>Individual implants</term>
<term>Longitudinal</term>
<term>Longitudinal study</term>
<term>Mandibular</term>
<term>Mandibular prostheses</term>
<term>Maxillary</term>
<term>Maxillary dentures</term>
<term>Maximum amount</term>
<term>Mental nerve</term>
<term>Midline fracture</term>
<term>Oeseointegrated implants</term>
<term>Oral maxillofac implants</term>
<term>Osseointegrated</term>
<term>Osseointegrated implants</term>
<term>Osseointegration</term>
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<term>Stagei surgery</term>
<term>Success criteria</term>
<term>Success rate</term>
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<term>Abutment</term>
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<term>Branemark system</term>
<term>Center screws</term>
<term>Circumoral activity</term>
<term>Clinical problem</term>
<term>Clinical problems</term>
<term>Clinical results</term>
<term>Complete dentures</term>
<term>Complication</term>
<term>Corresponding implants</term>
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<term>Denture</term>
<term>Dramatic example</term>
<term>Edentulous patients</term>
<term>Fracture</term>
<term>Functional complaints</term>
<term>Gingival</term>
<term>Gingival problems</term>
<term>Gingival tissues</term>
<term>Granulation tissue</term>
<term>Healing period</term>
<term>Hypertrophic gingivitis</term>
<term>Implant</term>
<term>Implant fractures</term>
<term>Implant losses</term>
<term>Implant placement</term>
<term>Individual implants</term>
<term>Longitudinal</term>
<term>Longitudinal study</term>
<term>Mandibular</term>
<term>Mandibular prostheses</term>
<term>Maxillary</term>
<term>Maxillary dentures</term>
<term>Maximum amount</term>
<term>Mental nerve</term>
<term>Midline fracture</term>
<term>Oeseointegrated implants</term>
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<term>Osseointegrated implants</term>
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<term>Prosthodontic department</term>
<term>Prosthodontic problems</term>
<term>Prosthodontic treatment</term>
<term>Provisional prosthesis</term>
<term>Schmitt</term>
<term>Side effects</term>
<term>Sleeper</term>
<term>Stagei surgery</term>
<term>Success criteria</term>
<term>Success rate</term>
<term>Surgical</term>
<term>Suture remnants</term>
<term>Toronto study</term>
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<div type="abstract" xml:lang="en">Abstract: Two hundred seventy-four implants were placed in 49 dental arches of 46 consecutively treated patients. The success rate for individual implants in this study, 4 to 9 years after placement, was 89.05% and for the prosthetic treatment it was 100%. Problems and complications were observed and recorded at stage I surgery, between stage I and stage II surgery, at stage II surgery, and in the healing period that followed. Also noted were the complications subsequent to prosthodontic treatment and during the years of follow-up. Virtually all of the problems encountered were iatrogenic in nature. These clinical results indicate a safe and retrievable technique with negligible associated morbidity.</div>
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<title xml:lang="en">The longitudinal clinical effectiveness of osseointegrated dental implants: the Toronto study. Part I: Surgical results.</title>
<author>
<name sortKey="Zarb, G A" sort="Zarb, G A" uniqKey="Zarb G" first="G A" last="Zarb">G A Zarb</name>
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<nlm:affiliation>University of Toronto Faculty of Dentistry, Ont., Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>University of Toronto Faculty of Dentistry, Ont.</wicri:regionArea>
<wicri:noRegion>Ont.</wicri:noRegion>
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</author>
<author>
<name sortKey="Schmitt, A" sort="Schmitt, A" uniqKey="Schmitt A" first="A" last="Schmitt">A. Schmitt</name>
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<series>
<title level="j">The Journal of prosthetic dentistry</title>
<idno type="ISSN">0022-3913</idno>
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<date when="1990" type="published">1990</date>
</imprint>
</series>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Dental Abutments</term>
<term>Dental Implantation, Endosseous</term>
<term>Equipment Failure</term>
<term>Female</term>
<term>Humans</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Male</term>
<term>Mandible</term>
<term>Maxilla</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mandibule</term>
<term>Maxillaire</term>
<term>Mâchoire édentée ()</term>
<term>Mâle</term>
<term>Panne d'appareillage</term>
<term>Piliers dentaires</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Sujet âgé</term>
<term>Études prospectives</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Jaw, Edentulous</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Dental Abutments</term>
<term>Dental Implantation, Endosseous</term>
<term>Equipment Failure</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Mandible</term>
<term>Maxilla</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mandibule</term>
<term>Maxillaire</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Panne d'appareillage</term>
<term>Piliers dentaires</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Sujet âgé</term>
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<div type="abstract" xml:lang="en">In this prospective study, 46 edentulous patients who had undergone traditional denture optimization therapy without success were treated with osseointegrated implants according to the surgical protocol described by Dr. P.I. Branemark. Two hundred seventy-four implants were placed in 49 dental arches--43 mandibles and six maxillae. At the time of writing, 4 to 9 years after insertion of the implants, 244 or 89.05% remained osseointegrated. Of the 262 implants in place more than 5 years, 232 or 88.55% were still integrated. The implant success criteria developed in this clinical study endorsed the predictably favorable outcome of the Branemark technique.</div>
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<affiliation wicri:level="4">
<nlm:affiliation>Prosthodonitic Department, University of Toronto, Faculty of Dentistry, Ont, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Prosthodonitic Department, University of Toronto, Faculty of Dentistry, Ont</wicri:regionArea>
<orgName type="university">Université de Toronto</orgName>
<placeName>
<settlement type="city">Toronto</settlement>
<region type="state">Ontario</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Schmitt, A" sort="Schmitt, A" uniqKey="Schmitt A" first="A" last="Schmitt">A. Schmitt</name>
</author>
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<title xml:lang="en">The longitudinal clinical effectiveness of osseointegrated dental implants: the Toronto study. Part III: Problems and complications encountered.</title>
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<name sortKey="Zarb, G A" sort="Zarb, G A" uniqKey="Zarb G" first="G A" last="Zarb">G A Zarb</name>
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<nlm:affiliation>Prosthodonitic Department, University of Toronto, Faculty of Dentistry, Ont, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Prosthodonitic Department, University of Toronto, Faculty of Dentistry, Ont</wicri:regionArea>
<orgName type="university">Université de Toronto</orgName>
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<settlement type="city">Toronto</settlement>
<region type="state">Ontario</region>
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<name sortKey="Schmitt, A" sort="Schmitt, A" uniqKey="Schmitt A" first="A" last="Schmitt">A. Schmitt</name>
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<title level="j">The Journal of prosthetic dentistry</title>
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<term>Dental Implantation, Endosseous (adverse effects)</term>
<term>Dental Implants (adverse effects)</term>
<term>Denture Design</term>
<term>Denture, Complete</term>
<term>Denture, Overlay</term>
<term>Equipment Failure</term>
<term>Female</term>
<term>Gingiva (pathology)</term>
<term>Humans</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Longitudinal Studies</term>
<term>Male</term>
<term>Postoperative Complications</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Complications postopératoires</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Femelle</term>
<term>Gencive (anatomopathologie)</term>
<term>Humains</term>
<term>Implants dentaires (effets indésirables)</term>
<term>Mâchoire édentée ()</term>
<term>Mâle</term>
<term>Overdenture</term>
<term>Panne d'appareillage</term>
<term>Pose d'implant dentaire endo-osseux (effets indésirables)</term>
<term>Prothèse dentaire complète</term>
<term>Études longitudinales</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en">
<term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en">
<term>Dental Implantation, Endosseous</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr">
<term>Gencive</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr">
<term>Implants dentaires</term>
<term>Pose d'implant dentaire endo-osseux</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Gingiva</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Jaw, Edentulous</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Denture Design</term>
<term>Denture, Complete</term>
<term>Denture, Overlay</term>
<term>Equipment Failure</term>
<term>Female</term>
<term>Humans</term>
<term>Longitudinal Studies</term>
<term>Male</term>
<term>Postoperative Complications</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Complications postopératoires</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Overdenture</term>
<term>Panne d'appareillage</term>
<term>Prothèse dentaire complète</term>
<term>Études longitudinales</term>
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<front>
<div type="abstract" xml:lang="en">Two hundred seventy-four implants were placed in 49 dental of 46 consecutively treated patients. The success rate for individual implants in this study, 4 to 9 years after placement, was 89.05% and for the prosthetic treatment it was 100%. Problems, and complications were observed and recorded at stage I surgery, between stage I and stage II surgery, at stage II surgery, and in the healing period that followed. Also noted were the complications subsequent to prosthodontic treatment and during the years of follow-up. Virtually al of the problems encountered were iatrogenic in nature. These clinical results indicate a safe retrievable technique with negligible associated morbidity.</div>
</front>
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