EdenteV2, Main, Exploration, bibRecord, 006547

Dental rehabilitation in 101 primarily reconstructed jaws after segmental resections : Possibilities and problems. An 18-year study

Identifieur interne : 006547 ( Main/Exploration ); précédent : 006546; suivant : 006548

Dental rehabilitation in 101 primarily reconstructed jaws after segmental resections : Possibilities and problems. An 18-year study

Auteurs : Ragnar Adell [Suède] ; Börje Svensson [Suède] ; Torun Bagenholm [Suède]

Source :

Journal of cranio-maxillo-facial surgery [ 1010-5182 ] ; 2008.

RBID : Pascal:08-0466547

Descripteurs français

English descriptors

KwdEn :
- Adolescent, Adult, Aged, Aged, 80 and over, Anatomical reconstruction, Bone Plates, Bone Transplantation, Cohort Studies, Dental Implants, Dental Prosthesis, Implant-Supported, Denture, Complete, Denture, Partial, Fixed, Denture, Partial, Removable, Female, Follow-Up Studies, Humans, Implant, Jaw, Jaw (surgery), Jaw, Edentulous (rehabilitation), Jaw, Edentulous (surgery), Jaw, Edentulous, Partially (rehabilitation), Jaw, Edentulous, Partially (surgery), Male, Mandible (surgery), Microsurgery, Middle Aged, Mouth Rehabilitation, Prosthesis, Radiotherapy, Adjuvant, Reconstructive Surgical Procedures, Reeducation, Rehabilitation, Rehabilitation(human), Retrospective Studies, Segmental, Stomatology, Surgery, Surgical resection, Survival Analysis, Tooth, Treatment, Treatment Outcome, Young Adult.
MESH :
- chemical : Dental Implants.
- rehabilitation : Jaw, Edentulous, Jaw, Edentulous, Partially.
- surgery : Jaw, Jaw, Edentulous, Jaw, Edentulous, Partially, Mandible.
- Adolescent, Adult, Aged, Aged, 80 and over, Bone Plates, Bone Transplantation, Cohort Studies, Dental Prosthesis, Implant-Supported, Denture, Complete, Denture, Partial, Fixed, Denture, Partial, Removable, Female, Follow-Up Studies, Humans, Male, Middle Aged, Mouth Rehabilitation, Radiotherapy, Adjuvant, Reconstructive Surgical Procedures, Retrospective Studies, Survival Analysis, Treatment Outcome, Young Adult.

Abstract

Aims: To evaluate the possibility of providing every patient with dental rehabilitation after segmental resections and primary jaw reconstructions. Materials and methods: Ninety-five consecutive patients, followed for more than 1 year, were retrospectively evaluated without any exclusions, using the patients' records. Results: • Forty percent received dental substitutes after a mean of 32 months for implant bridges and 20 months for removable dentures. Thirty-one percent were implant bridges and 9% removable dentures. • Of patients with mandibles, reconstructed with bone, 48% were dentally rehabilitated. • Seventeen percent decided against dental rehabilitation, either because they could manage with their remaining teeth or - in edentulous cases - because they could not cope with the additional treatment thought-to-be necessary for dental rehabilitation. • Jaws, reconstructed without bone, did not receive any dental rehabilitation • The overall survival rate of the dental reconstructions was 92% with a mean observation time of 36 months (0-129). For implant-supported bridges, the survival ratio was 90% with a mean observation time of 39 months (0-129). • The overall survival rate of dental implants was 90% with a mean observation time of 53 months (12-149). Conclusions: When all patients were accounted for, less than 50% had their dentitions restored. This took more than 2 years to accomplish. Edentulous jaws, reconstructed without bone, never became rehabilitated. Several patients could not cope with the additional treatment necessary to restore their dentitions. The overall survival rate of dental reconstructions and implants was at least 90%.

Affiliations:

Suède

Le document en format XML

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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Anatomical reconstruction</term>
<term>Bone Plates</term>
<term>Bone Transplantation</term>
<term>Cohort Studies</term>
<term>Dental Implants</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture, Complete</term>
<term>Denture, Partial, Fixed</term>
<term>Denture, Partial, Removable</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Implant</term>
<term>Jaw</term>
<term>Jaw (surgery)</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Male</term>
<term>Mandible (surgery)</term>
<term>Microsurgery</term>
<term>Middle Aged</term>
<term>Mouth Rehabilitation</term>
<term>Prosthesis</term>
<term>Radiotherapy, Adjuvant</term>
<term>Reconstructive Surgical Procedures</term>
<term>Reeducation</term>
<term>Rehabilitation</term>
<term>Rehabilitation(human)</term>
<term>Retrospective Studies</term>
<term>Segmental</term>
<term>Stomatology</term>
<term>Surgery</term>
<term>Surgical resection</term>
<term>Survival Analysis</term>
<term>Tooth</term>
<term>Treatment</term>
<term>Treatment Outcome</term>
<term>Young Adult</term>
</keywords>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse de survie</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Jeune adulte</term>
<term>Mandibule ()</term>
<term>Mâchoire ()</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Plaques orthopédiques</term>
<term>Procédures de chirurgie reconstructive</term>
<term>Prothèse dentaire complète</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse dentaire partielle amovible</term>
<term>Prothèse partielle fixe</term>
<term>Radiothérapie adjuvante</term>
<term>Résultat thérapeutique</term>
<term>Rééducation buccale</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Transplantation osseuse</term>
<term>Études de cohortes</term>
<term>Études de suivi</term>
<term>Études rétrospectives</term>
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<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term>
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<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous</term>
<term>Jaw, Edentulous, Partially</term>
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<term>Mâchoire édentée</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw</term>
<term>Jaw, Edentulous</term>
<term>Jaw, Edentulous, Partially</term>
<term>Mandible</term>
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<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Bone Plates</term>
<term>Bone Transplantation</term>
<term>Cohort Studies</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture, Complete</term>
<term>Denture, Partial, Fixed</term>
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<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Mouth Rehabilitation</term>
<term>Radiotherapy, Adjuvant</term>
<term>Reconstructive Surgical Procedures</term>
<term>Retrospective Studies</term>
<term>Survival Analysis</term>
<term>Treatment Outcome</term>
<term>Young Adult</term>
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<keywords scheme="Pascal" xml:lang="fr"><term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse de survie</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Jeune adulte</term>
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<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Plaques orthopédiques</term>
<term>Procédures de chirurgie reconstructive</term>
<term>Prothèse dentaire complète</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse dentaire partielle amovible</term>
<term>Prothèse partielle fixe</term>
<term>Radiothérapie adjuvante</term>
<term>Résection chirurgicale</term>
<term>Reconstruction anatomique</term>
<term>Chirurgie</term>
<term>Dent</term>
<term>Réhabilitation</term>
<term>Réadaptation</term>
<term>Résultat thérapeutique</term>
<term>Rééducation</term>
<term>Mâchoire</term>
<term>Rééducation buccale</term>
<term>Segmentaire</term>
<term>Prothèse</term>
<term>Implant</term>
<term>Microchirurgie</term>
<term>Stomatologie</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Traitement</term>
<term>Transplantation osseuse</term>
<term>Études de cohortes</term>
<term>Études de suivi</term>
<term>Études rétrospectives</term>
</keywords>
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<front><div type="abstract" xml:lang="en">Aims: To evaluate the possibility of providing every patient with dental rehabilitation after segmental resections and primary jaw reconstructions. Materials and methods: Ninety-five consecutive patients, followed for more than 1 year, were retrospectively evaluated without any exclusions, using the patients' records. Results: • Forty percent received dental substitutes after a mean of 32 months for implant bridges and 20 months for removable dentures. Thirty-one percent were implant bridges and 9% removable dentures. • Of patients with mandibles, reconstructed with bone, 48% were dentally rehabilitated. • Seventeen percent decided against dental rehabilitation, either because they could manage with their remaining teeth or - in edentulous cases - because they could not cope with the additional treatment thought-to-be necessary for dental rehabilitation. • Jaws, reconstructed without bone, did not receive any dental rehabilitation • The overall survival rate of the dental reconstructions was 92% with a mean observation time of 36 months (0-129). For implant-supported bridges, the survival ratio was 90% with a mean observation time of 39 months (0-129). • The overall survival rate of dental implants was 90% with a mean observation time of 53 months (12-149). Conclusions: When all patients were accounted for, less than 50% had their dentitions restored. This took more than 2 years to accomplish. Edentulous jaws, reconstructed without bone, never became rehabilitated. Several patients could not cope with the additional treatment necessary to restore their dentitions. The overall survival rate of dental reconstructions and implants was at least 90%.</div>
</front>
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Dental rehabilitation in 101 primarily reconstructed jaws after segmental resections : Possibilities and problems. An 18-year study

Dental rehabilitation in 101 primarily reconstructed jaws after segmental resections : Possibilities and problems. An 18-year study

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Descripteurs français

English descriptors

Abstract

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