Maxillary overdentures supported by four or six implants in the anterior region: 5‐year results from a randomized controlled trial
Identifieur interne : 000695 ( Main/Exploration ); précédent : 000694; suivant : 000696Maxillary overdentures supported by four or six implants in the anterior region: 5‐year results from a randomized controlled trial
Auteurs : Wim Slot ; Gerry M. Raghoebar ; Marco S. Cune ; Arjan Vissink ; Henny J. A. MeijerSource :
- Journal of Clinical Periodontology [ 0303-6979 ] ; 2016.
Abstract
To compare a four‐ and six‐implant maxillary overdenture after an observation period of 5 years.
Fifty subjects with functional problems concerning their maxillary denture, who had ample bone volume in the anterior region to place four or six implants, were included and randomly assigned to either group. Implant and overdenture survival, clinical performance, marginal bone loss and patient satisfaction were assessed.
Forty‐six patients completed the 5‐year follow‐up. One implant failed in the six implants group (99.2% survival) and none in the four implants group (100% survival). No overdentures had to be replaced during the observation period and the number of complications was limited. Clinical function was good, with no difference in clinical parameters between the groups. Mean marginal bone resorption was 0.50 ± 0.37 and 0.52 ± 0.43 mm in the four and six implant group respectively.
In patients with functional complaints of their maxillary denture, bar‐supported overdentures on four implants in the anterior maxillary region were not inferior to overdentures supported by six implants after 5 years of function. Implant survival and patient satisfaction were high, clinical parameters favourable, bone loss and complications to the denture were minor in both groups (Clinical trial registration number: NTR2969).
Url:
DOI: 10.1111/jcpe.12625
PubMed: 27630092
PubMed Central: 5215446
Affiliations:
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Le document en format XML
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Maxillary overdentures supported by four or six implants in the anterior region: 5‐year results from a randomized controlled trial</title>
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<author><name sortKey="Cune, Marco S" sort="Cune, Marco S" uniqKey="Cune M" first="Marco S." last="Cune">Marco S. Cune</name>
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<author><name sortKey="Vissink, Arjan" sort="Vissink, Arjan" uniqKey="Vissink A" first="Arjan" last="Vissink">Arjan Vissink</name>
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<author><name sortKey="Meijer, Henny J A" sort="Meijer, Henny J A" uniqKey="Meijer H" first="Henny J. A." last="Meijer">Henny J. A. Meijer</name>
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<series><title level="j">Journal of Clinical Periodontology</title>
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<front><div type="abstract" xml:lang="en"><title>Abstract</title>
<sec id="jcpe12625-sec-0001"><title>Objective</title>
<p>To compare a four‐ and six‐implant maxillary overdenture after an observation period of 5 years.</p>
</sec>
<sec id="jcpe12625-sec-0002"><title>Material and methods</title>
<p>Fifty subjects with functional problems concerning their maxillary denture, who had ample bone volume in the anterior region to place four or six implants, were included and randomly assigned to either group. Implant and overdenture survival, clinical performance, marginal bone loss and patient satisfaction were assessed.</p>
</sec>
<sec id="jcpe12625-sec-0003"><title>Results</title>
<p>Forty‐six patients completed the 5‐year follow‐up. One implant failed in the six implants group (99.2% survival) and none in the four implants group (100% survival). No overdentures had to be replaced during the observation period and the number of complications was limited. Clinical function was good, with no difference in clinical parameters between the groups. Mean marginal bone resorption was 0.50 ± 0.37 and 0.52 ± 0.43 mm in the four and six implant group respectively.</p>
</sec>
<sec id="jcpe12625-sec-0004"><title>Conclusion</title>
<p>In patients with functional complaints of their maxillary denture, bar‐supported overdentures on four implants in the anterior maxillary region were not inferior to overdentures supported by six implants after 5 years of function. Implant survival and patient satisfaction were high, clinical parameters favourable, bone loss and complications to the denture were minor in both groups (Clinical trial registration number: NTR2969).</p>
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