Serveur d'exploration sur le patient édenté

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[Patient satisfaction with removable implant-supported prostheses in the edentulous mandible].

Identifieur interne : 006B56 ( Main/Exploration ); précédent : 006B55; suivant : 006B57

[Patient satisfaction with removable implant-supported prostheses in the edentulous mandible].

Auteurs : Nicola U. Zitzmann [Suisse] ; Carlo P. Marinello

Source :

RBID : pubmed:16610459

Descripteurs français

English descriptors

Abstract

The aim of the present study was to investigate patients' satisfaction with removable implant restorations with two or four implants compared to a complete denture (CD) in the edentulous mandible. 20 patients in each group were asked to fill out a questionnaire ("Patient satisfaction related to the prosthetic restoration") before treatment, after six months and three years. With implant restorations, either implant-retained (IRET) or implant-supported (ISUP), greater improvements in prostheses retention and pain reduction were achieved in comparison to complete dentures. In addition, restrictions related to food selection were resolved for most implant patients. Despite great inter-individual differences, there was a tendency for larger improvements of almost all parameters with IRET, except chewing ability, which was rated best with ISUP. Long-term results revealed that patients with ISUP (four implants) assessed prostheses retention with the highest ratings compared to those with IRET and CD (p = 0,0147). These results indicate that an improvement in functional and psychological parameters can be achieved with two implants, whilst stabilization with four implants improves prosthesis retention, chewing ability and pain reduction in the long term. Maintenance efforts were more complex for implant restorations than for CD and imply a recall at least once a year.

PubMed: 16610459


Affiliations:


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Le document en format XML

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<title xml:lang="en">[Patient satisfaction with removable implant-supported prostheses in the edentulous mandible].</title>
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<name sortKey="Zitzmann, Nicola U" sort="Zitzmann, Nicola U" uniqKey="Zitzmann N" first="Nicola U" last="Zitzmann">Nicola U. Zitzmann</name>
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<nlm:affiliation>Klinik für Rekonstruktive Zahnmedizin und Myoarthropathien, Universitätskliniken für Zahnmedizin, Universität Basel. n.zitzmann@unibas.ch</nlm:affiliation>
<country>Suisse</country>
<placeName>
<settlement type="city">Bâle</settlement>
<region nuts="3" type="region">Canton de Bâle-Ville</region>
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<orgName type="university">Université de Bâle</orgName>
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<title level="j">Schweizer Monatsschrift fur Zahnmedizin = Revue mensuelle suisse d'odonto-stomatologie = Rivista mensile svizzera di odontologia e stomatologia</title>
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<term>Adaptation, Psychological</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Prosthesis Retention</term>
<term>Dental Prosthesis, Implant-Supported (psychology)</term>
<term>Denture, Complete, Lower (psychology)</term>
<term>Denture, Overlay</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Jaw, Edentulous (psychology)</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Male</term>
<term>Mastication</term>
<term>Middle Aged</term>
<term>Patient Satisfaction</term>
<term>Regression Analysis</term>
<term>Statistics, Nonparametric</term>
<term>Surveys and Questionnaires</term>
<term>Survival Analysis</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adaptation psychologique</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse de régression</term>
<term>Analyse de survie</term>
<term>Enquêtes et questionnaires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mastication</term>
<term>Mâchoire édentée (psychologie)</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Overdenture</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire complète inférieure (psychologie)</term>
<term>Prothèse dentaire implanto-portée (psychologie)</term>
<term>Rétention de prothèse dentaire</term>
<term>Satisfaction du patient</term>
<term>Statistique non paramétrique</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Études de suivi</term>
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<term>Mâchoire édentée</term>
<term>Prothèse dentaire complète inférieure</term>
<term>Prothèse dentaire implanto-portée</term>
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<keywords scheme="MESH" qualifier="psychology" xml:lang="en">
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture, Complete, Lower</term>
<term>Jaw, Edentulous</term>
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<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Jaw, Edentulous</term>
</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr">
<term>Mâchoire édentée</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adaptation, Psychological</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Prosthesis Retention</term>
<term>Denture, Overlay</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Mastication</term>
<term>Middle Aged</term>
<term>Patient Satisfaction</term>
<term>Regression Analysis</term>
<term>Statistics, Nonparametric</term>
<term>Surveys and Questionnaires</term>
<term>Survival Analysis</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adaptation psychologique</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse de régression</term>
<term>Analyse de survie</term>
<term>Enquêtes et questionnaires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mastication</term>
<term>Mâle</term>
<term>Overdenture</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Rétention de prothèse dentaire</term>
<term>Satisfaction du patient</term>
<term>Statistique non paramétrique</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Études de suivi</term>
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<front>
<div type="abstract" xml:lang="en">The aim of the present study was to investigate patients' satisfaction with removable implant restorations with two or four implants compared to a complete denture (CD) in the edentulous mandible. 20 patients in each group were asked to fill out a questionnaire ("Patient satisfaction related to the prosthetic restoration") before treatment, after six months and three years. With implant restorations, either implant-retained (IRET) or implant-supported (ISUP), greater improvements in prostheses retention and pain reduction were achieved in comparison to complete dentures. In addition, restrictions related to food selection were resolved for most implant patients. Despite great inter-individual differences, there was a tendency for larger improvements of almost all parameters with IRET, except chewing ability, which was rated best with ISUP. Long-term results revealed that patients with ISUP (four implants) assessed prostheses retention with the highest ratings compared to those with IRET and CD (p = 0,0147). These results indicate that an improvement in functional and psychological parameters can be achieved with two implants, whilst stabilization with four implants improves prosthesis retention, chewing ability and pain reduction in the long term. Maintenance efforts were more complex for implant restorations than for CD and imply a recall at least once a year.</div>
</front>
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<li>Suisse</li>
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<name sortKey="Marinello, Carlo P" sort="Marinello, Carlo P" uniqKey="Marinello C" first="Carlo P" last="Marinello">Carlo P. Marinello</name>
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<name sortKey="Zitzmann, Nicola U" sort="Zitzmann, Nicola U" uniqKey="Zitzmann N" first="Nicola U" last="Zitzmann">Nicola U. Zitzmann</name>
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