Success rate in implant-supported overdenture and implant-supported fixed denture in cleft lip and palate patients
Identifieur interne : 000492 ( Main/Exploration ); précédent : 000491; suivant : 000493Success rate in implant-supported overdenture and implant-supported fixed denture in cleft lip and palate patients
Auteurs : Jaine Zanolla [Brésil] ; Flávio Monteiro Amado [Brésil] ; Willian Saranholi Da Silva [Brésil] ; Bruno Ayub [Brésil] ; Ana Lúcia Pompéia Fraga De Almeida [Brésil] ; Simone Soares [Brésil]Source :
- Annals of Maxillofacial Surgery [ 2231-0746 ] ; 2016.
Abstract
The prosthetic treatment in cleft patients is challenging. Based on this, the aim of this study was to evaluate the longevity of prosthetic rehabilitation treatment with implant-supported overdenture (IOD) and implant-supported fixed denture (IFD) in cleft lip and palate patients in a period of 22 years.
The medical records of 72 patients were analyzed (29 males and 43 females), and the survival rate of the implants was evaluated. Moreover, the prostheses’ time of use and the reason for the changing of these were also evaluated.
Four-hundred-seventeen implants were installed, and 370 implants survive today. The mean survival time of the implants was 7.6 years. Regarding the 97 prostheses made, the time of average use was 3.28 for the IFDs and 3.92 for IODs. The reasons for the replacements of the prostheses were mainly: fracture of the acrylic base (29.6%) and loss of vertical dimension of occlusion (VDO) (18.5%) in the IFDs. Moreover, in IODs, these were accounted for the loss of VDO due to teeth damage (17.2%) and implant loss (14.6%).
The maintenance of the prostheses was challenging because the patients had difficulties returning for periodic control, but this fact did not result in the decrease of the success rate of the implants. The longevity of implants and prostheses was satisfactory; however, the prostheses showed repetitions mainly due to the wear of the teeth, with decreased vertical dimension and fracture of acrylic base.
Url:
DOI: 10.4103/2231-0746.200338
PubMed: 28299262
PubMed Central: 5343632
Affiliations:
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type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Amado, Flavio Monteiro" sort="Amado, Flavio Monteiro" uniqKey="Amado F" first="Flávio Monteiro" last="Amado">Flávio Monteiro Amado</name><affiliation wicri:level="3"><nlm:aff id="aff1">Department of Prosthetic Dentistry, Hospital of Rehabilitation of Craniofacial Anomalies, Bauru, São Paulo, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Prosthetic Dentistry, Hospital of Rehabilitation of Craniofacial Anomalies, Bauru, São Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Da Silva, Willian Saranholi" sort="Da Silva, Willian Saranholi" uniqKey="Da Silva W" first="Willian Saranholi" last="Da Silva">Willian Saranholi Da Silva</name><affiliation wicri:level="3"><nlm:aff id="aff1">Department of Prosthetic Dentistry, Hospital of Rehabilitation of Craniofacial Anomalies, Bauru, São Paulo, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Prosthetic Dentistry, Hospital of Rehabilitation of Craniofacial Anomalies, Bauru, São Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Ayub, Bruno" sort="Ayub, Bruno" uniqKey="Ayub B" first="Bruno" last="Ayub">Bruno Ayub</name><affiliation wicri:level="3"><nlm:aff id="aff1">Department of Prosthetic Dentistry, Hospital of Rehabilitation of Craniofacial Anomalies, Bauru, São Paulo, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Prosthetic Dentistry, Hospital of Rehabilitation of Craniofacial Anomalies, Bauru, São Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="De Almeida, Ana Lucia Pompeia Fraga" sort="De Almeida, Ana Lucia Pompeia Fraga" uniqKey="De Almeida A" first="Ana Lúcia Pompéia Fraga" last="De Almeida">Ana Lúcia Pompéia Fraga De Almeida</name><affiliation wicri:level="3"><nlm:aff id="aff1">Department of Prosthetic Dentistry, Hospital of Rehabilitation of Craniofacial Anomalies, Bauru, São Paulo, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Prosthetic Dentistry, Hospital of Rehabilitation of Craniofacial Anomalies, Bauru, São Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="aff2">Department of Prosthodontic, Bauru School of Dentistry, University of São Paulo - USP, Bauru, São Paulo, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Prosthodontic, Bauru School of Dentistry, University of São Paulo - USP, Bauru, São Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Soares, Simone" sort="Soares, Simone" uniqKey="Soares S" first="Simone" last="Soares">Simone Soares</name><affiliation wicri:level="3"><nlm:aff id="aff1">Department of Prosthetic Dentistry, Hospital of Rehabilitation of Craniofacial Anomalies, Bauru, São Paulo, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Prosthetic Dentistry, Hospital of Rehabilitation of Craniofacial Anomalies, Bauru, São Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="aff2">Department of Prosthodontic, Bauru School of Dentistry, University of São Paulo - USP, Bauru, São Paulo, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Prosthodontic, Bauru School of Dentistry, University of São Paulo - USP, Bauru, São Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName></affiliation></author></analytic><series><title level="j">Annals of Maxillofacial Surgery</title><idno type="ISSN">2231-0746</idno><idno type="eISSN">2249-3816</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Background:</title><p>The prosthetic treatment in cleft patients is challenging. Based on this, the aim of this study was to evaluate the longevity of prosthetic rehabilitation treatment with implant-supported overdenture (IOD) and implant-supported fixed denture (IFD) in cleft lip and palate patients in a period of 22 years.</p></sec><sec id="st2"><title>Materials and Methods:</title><p>The medical records of 72 patients were analyzed (29 males and 43 females), and the survival rate of the implants was evaluated. Moreover, the prostheses’ time of use and the reason for the changing of these were also evaluated.</p></sec><sec id="st3"><title>Results:</title><p>Four-hundred-seventeen implants were installed, and 370 implants survive today. The mean survival time of the implants was 7.6 years. Regarding the 97 prostheses made, the time of average use was 3.28 for the IFDs and 3.92 for IODs. The reasons for the replacements of the prostheses were mainly: fracture of the acrylic base (29.6%) and loss of vertical dimension of occlusion (VDO) (18.5%) in the IFDs. Moreover, in IODs, these were accounted for the loss of VDO due to teeth damage (17.2%) and implant loss (14.6%).</p></sec><sec id="st4"><title>Conclusions:</title><p>The maintenance of the prostheses was challenging because the patients had difficulties returning for periodic control, but this fact did not result in the decrease of the success rate of the implants. The longevity of implants and prostheses was satisfactory; however, the prostheses showed repetitions mainly due to the wear of the teeth, with decreased vertical dimension and fracture of acrylic base.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Freitas, Ja" uniqKey="Freitas J">JA Freitas</name></author><author><name sortKey="Almeida, Al" uniqKey="Almeida A">AL Almeida</name></author><author><name sortKey="Soares, S" uniqKey="Soares S">S Soares</name></author><author><name sortKey="Neves, Lt" uniqKey="Neves L">LT Neves</name></author><author><name sortKey="Garib, Dg" uniqKey="Garib D">DG Garib</name></author><author><name sortKey="Trindade Suedam, Ik" uniqKey="Trindade Suedam I">IK Trindade-Suedam</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hakan Tuna, S" uniqKey="Hakan Tuna S">S Hakan Tuna</name></author><author><name sortKey="Pekkan, G" uniqKey="Pekkan G">G 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Paulo"><name sortKey="Zanolla, Jaine" sort="Zanolla, Jaine" uniqKey="Zanolla J" first="Jaine" last="Zanolla">Jaine Zanolla</name></region><name sortKey="Amado, Flavio Monteiro" sort="Amado, Flavio Monteiro" uniqKey="Amado F" first="Flávio Monteiro" last="Amado">Flávio Monteiro Amado</name><name sortKey="Ayub, Bruno" sort="Ayub, Bruno" uniqKey="Ayub B" first="Bruno" last="Ayub">Bruno Ayub</name><name sortKey="Da Silva, Willian Saranholi" sort="Da Silva, Willian Saranholi" uniqKey="Da Silva W" first="Willian Saranholi" last="Da Silva">Willian Saranholi Da Silva</name><name sortKey="De Almeida, Ana Lucia Pompeia Fraga" sort="De Almeida, Ana Lucia Pompeia Fraga" uniqKey="De Almeida A" first="Ana Lúcia Pompéia Fraga" last="De Almeida">Ana Lúcia Pompéia Fraga De Almeida</name><name sortKey="De Almeida, Ana Lucia Pompeia Fraga" sort="De Almeida, Ana Lucia Pompeia Fraga" uniqKey="De Almeida A" first="Ana Lúcia Pompéia Fraga" last="De Almeida">Ana Lúcia Pompéia Fraga De Almeida</name><name sortKey="Soares, Simone" sort="Soares, Simone" uniqKey="Soares S" first="Simone" last="Soares">Simone Soares</name><name sortKey="Soares, Simone" sort="Soares, Simone" uniqKey="Soares S" first="Simone" last="Soares">Simone Soares</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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