The influence of resilient liner and clip attachments for bar‐implant‐retained mandibular overdentures on opposing maxillary ridge. A 5‐year randomised clinical trial
Identifieur interne : 001E10 ( Main/Exploration ); précédent : 001E09; suivant : 001E11The influence of resilient liner and clip attachments for bar‐implant‐retained mandibular overdentures on opposing maxillary ridge. A 5‐year randomised clinical trial
Auteurs : M. A. Elsyad [Égypte] ; T. M. Ashmawy [Égypte] ; A. G. Faramawy [Égypte]Source :
- Journal of Oral Rehabilitation [ 0305-182X ] ; 2014-01.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Conception d'appareil de prothèse dentaire, Humains, Mandibule (anatomopathologie), Maxillaire (anatomopathologie), Mâchoire édentée (anatomopathologie), Mâle, Overdenture (effets indésirables), Prothèse dentaire complète inférieure, Prothèse dentaire implanto-portée (effets indésirables), Résorption alvéolaire, Résultat thérapeutique, Satisfaction du patient, Sujet âgé.
- MESH :
- anatomopathologie : Mandibule, Maxillaire, Mâchoire édentée.
- effets indésirables : Overdenture, Prothèse dentaire implanto-portée.
- Adulte d'âge moyen, Conception d'appareil de prothèse dentaire, Humains, Mâle, Prothèse dentaire complète inférieure, Résorption alvéolaire, Résultat thérapeutique, Satisfaction du patient, Sujet âgé.
English descriptors
- KwdEn :
- MESH :
- adverse effects : Dental Prosthesis, Implant-Supported, Denture, Overlay.
- pathology : Jaw, Edentulous, Mandible, Maxilla.
- Aged, Alveolar Bone Loss, Denture Design, Denture, Complete, Lower, Humans, Male, Middle Aged, Patient Satisfaction, Treatment Outcome.
Abstract
This study aimed to compare the influence of resilient liner and clip attachments for bar‐implant‐retained mandibular overdentures on opposing maxillary ridge after 5 years of denture wearing. Thirty edentulous male patients (mean age 62·5 years) received two implants in the anterior mandible after being allocated into two equal groups using balanced randomisation. After 3 months, implants were connected with resilient bars. New maxillary complete dentures were then constructed, and mandibular overdentures were retained to the bars with either clips (group I, GI) or silicone resilient liners (group II, GII). The prosthetic and soft tissue complications of the maxillary dentures were recorded 6 months (T6 m), 1 year (T1), 3 years (T3) and 5 years (T5) after overdenture insertion. Traced rotational tomograms were used for measurements of maxillary alveolar bone loss. The proportional value between bone areas and areas of reference not subject to resorption was expressed as a ratio (R). Change in R immediately before (T0) and after 5 years (T5) of overdenture insertion was calculated. Maxillary denture relining times and frequency of flabby anterior maxillary ridge occurred significantly more often in GI compared with GII. The change of R in anterior part of maxilla was significantly higher than change of R in posterior part in both groups. GI showed significant resorption of anterior residual ridge compared with GII. Relining times and frequencies of flabby ridge were significantly correlated with change in R. Within the limitations of this study, resilient liner attachments for bar‐implant‐retained mandibular overdentures are associated with decreased resorption and flabbiness of maxillary anterior residual ridge and fewer maxillary denture relining times when compared with clip attachments.
Url:
DOI: 10.1111/joor.12120
Affiliations:
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Faramawy</name><affiliation wicri:level="1"><country xml:lang="fr">Égypte</country><wicri:regionArea>Department of Removable Prosthodontics, Faculty of Dentistry, Mansoura University, Mansoura</wicri:regionArea><wicri:noRegion>Mansoura</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Journal of Oral Rehabilitation</title><title level="j" type="alt">JOURNAL OF ORAL REHABILITATION</title><idno type="ISSN">0305-182X</idno><idno type="eISSN">1365-2842</idno><imprint><biblScope unit="vol">41</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="69">69</biblScope><biblScope unit="page" to="77">77</biblScope><biblScope unit="page-count">9</biblScope><date type="published" when="2014-01">2014-01</date></imprint><idno type="ISSN">0305-182X</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0305-182X</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Alveolar Bone Loss</term><term>Dental Prosthesis, Implant-Supported (adverse effects)</term><term>Denture Design</term><term>Denture, Complete, Lower</term><term>Denture, Overlay (adverse effects)</term><term>Humans</term><term>Jaw, Edentulous (pathology)</term><term>Male</term><term>Mandible (pathology)</term><term>Maxilla (pathology)</term><term>Middle Aged</term><term>Patient Satisfaction</term><term>Treatment Outcome</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Conception d'appareil de prothèse dentaire</term><term>Humains</term><term>Mandibule (anatomopathologie)</term><term>Maxillaire (anatomopathologie)</term><term>Mâchoire édentée (anatomopathologie)</term><term>Mâle</term><term>Overdenture (effets indésirables)</term><term>Prothèse dentaire complète inférieure</term><term>Prothèse dentaire implanto-portée (effets indésirables)</term><term>Résorption alvéolaire</term><term>Résultat thérapeutique</term><term>Satisfaction du patient</term><term>Sujet âgé</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Dental Prosthesis, Implant-Supported</term><term>Denture, Overlay</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Mandibule</term><term>Maxillaire</term><term>Mâchoire édentée</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Overdenture</term><term>Prothèse dentaire implanto-portée</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Jaw, Edentulous</term><term>Mandible</term><term>Maxilla</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Alveolar Bone Loss</term><term>Denture Design</term><term>Denture, Complete, Lower</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Patient Satisfaction</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Conception d'appareil de prothèse dentaire</term><term>Humains</term><term>Mâle</term><term>Prothèse dentaire complète inférieure</term><term>Résorption alvéolaire</term><term>Résultat thérapeutique</term><term>Satisfaction du patient</term><term>Sujet âgé</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">This study aimed to compare the influence of resilient liner and clip attachments for bar‐implant‐retained mandibular overdentures on opposing maxillary ridge after 5 years of denture wearing. Thirty edentulous male patients (mean age 62·5 years) received two implants in the anterior mandible after being allocated into two equal groups using balanced randomisation. After 3 months, implants were connected with resilient bars. New maxillary complete dentures were then constructed, and mandibular overdentures were retained to the bars with either clips (group I, GI) or silicone resilient liners (group II, GII). The prosthetic and soft tissue complications of the maxillary dentures were recorded 6 months (T6 m), 1 year (T1), 3 years (T3) and 5 years (T5) after overdenture insertion. Traced rotational tomograms were used for measurements of maxillary alveolar bone loss. The proportional value between bone areas and areas of reference not subject to resorption was expressed as a ratio (R). Change in R immediately before (T0) and after 5 years (T5) of overdenture insertion was calculated. Maxillary denture relining times and frequency of flabby anterior maxillary ridge occurred significantly more often in GI compared with GII. The change of R in anterior part of maxilla was significantly higher than change of R in posterior part in both groups. GI showed significant resorption of anterior residual ridge compared with GII. Relining times and frequencies of flabby ridge were significantly correlated with change in R. Within the limitations of this study, resilient liner attachments for bar‐implant‐retained mandibular overdentures are associated with decreased resorption and flabbiness of maxillary anterior residual ridge and fewer maxillary denture relining times when compared with clip attachments.</div></front></TEI><affiliations><list><country><li>Égypte</li></country></list><tree><country name="Égypte"><noRegion><name sortKey="Elsyad, M A" sort="Elsyad, M A" uniqKey="Elsyad M" first="M. A." last="Elsyad">M. A. Elsyad</name></noRegion><name sortKey="Ashmawy, T M" sort="Ashmawy, T M" uniqKey="Ashmawy T" first="T. M." last="Ashmawy">T. M. Ashmawy</name><name sortKey="Elsyad, M A" sort="Elsyad, M A" uniqKey="Elsyad M" first="M. A." last="Elsyad">M. A. Elsyad</name><name sortKey="Faramawy, A G" sort="Faramawy, A G" uniqKey="Faramawy A" first="A. G." last="Faramawy">A. G. Faramawy</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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