Posterior implants for distal extension removable prostheses: a retrospective study.
Identifieur interne : 007C50 ( Main/Exploration ); précédent : 007C49; suivant : 007C51Posterior implants for distal extension removable prostheses: a retrospective study.
Auteurs : Ricardo Mitrani [États-Unis] ; James S. Brudvik ; Keith M. PhillipsSource :
- The International journal of periodontics & restorative dentistry [ 0198-7569 ] ; 2003.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Analyse de variance, Conception d'appareil de prothèse dentaire, Humains, Implants dentaires, Mandibule (imagerie diagnostique), Mâchoire partiellement édentée (rééducation et réadaptation), Ostéo-intégration, Piliers dentaires, Processus alvéolaire (imagerie diagnostique), Prothèse dentaire implanto-portée, Prothèse dentaire partielle amovible, Radiographie, Rétention d'appareil de prothèse dentaire, Satisfaction du patient, Statistique non paramétrique, Sujet âgé, Sujet âgé de 80 ans ou plus, Études de suivi, Études rétrospectives.
- MESH :
- imagerie diagnostique : Mandibule, Processus alvéolaire.
- rééducation et réadaptation : Mâchoire partiellement édentée.
- Adulte d'âge moyen, Analyse de variance, Conception d'appareil de prothèse dentaire, Humains, Implants dentaires, Ostéo-intégration, Piliers dentaires, Prothèse dentaire implanto-portée, Prothèse dentaire partielle amovible, Radiographie, Rétention d'appareil de prothèse dentaire, Satisfaction du patient, Statistique non paramétrique, Sujet âgé, Sujet âgé de 80 ans ou plus, Études de suivi, Études rétrospectives.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Alveolar Process (diagnostic imaging), Analysis of Variance, Dental Abutments, Dental Implants, Dental Prosthesis, Implant-Supported, Denture Design, Denture Retention, Denture, Partial, Removable, Follow-Up Studies, Humans, Jaw, Edentulous, Partially (rehabilitation), Mandible (diagnostic imaging), Middle Aged, Osseointegration, Patient Satisfaction, Radiography, Retrospective Studies, Statistics, Nonparametric.
- MESH :
- chemical : Dental Implants.
- diagnostic imaging : Alveolar Process, Mandible.
- rehabilitation : Jaw, Edentulous, Partially.
- Aged, Aged, 80 and over, Analysis of Variance, Dental Abutments, Dental Prosthesis, Implant-Supported, Denture Design, Denture Retention, Denture, Partial, Removable, Follow-Up Studies, Humans, Middle Aged, Osseointegration, Patient Satisfaction, Radiography, Retrospective Studies, Statistics, Nonparametric.
Abstract
Common complaints associated with the Kennedy Class I (bilateral free end) and Class II (unilateral free end) removable partial denture situations are lack of stability, minimal retention, and unesthetic retentive clasping. Some of the same complaints have been reported for implant overdentures with only anterior implants. Starting in 1995, 10 of these patients were treated at the University of Washington with posterior osseointegrated implants to provide stability and/or retention of the removable prostheses, eliminating the need for clasps when possible. This article describes implant alternatives and prosthesis designs and presents a follow-up clinical evaluation of at least 1 year consisting of patient satisfaction, radiographic examination, and soft tissue health. Two groups were evaluated. Group 1 included patients whose implants were used as vertical stops for mandibular distal extension prostheses. Care was taken to ensure that the implants were not loaded laterally by creating a single-point contact at the center of a modified healing abutment. In these cases, sufficient retention was available from the anterior teeth and/or implant abutments. Group 2 included patients whose implants required retention because of lack of adequate tooth abutments. In those cases, a resilient type of attachment was used, which allowed for a small divergence from the path of insertion. Results indicated consistent increased satisfaction in all patients, minimal component wear, no radiographic evidence of excessive bone loss, and stable peri-implant soft tissues.
PubMed: 12956479
Affiliations:
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Le document en format XML
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Brudvik</name></author><author><name sortKey="Phillips, Keith M" sort="Phillips, Keith M" uniqKey="Phillips K" first="Keith M" last="Phillips">Keith M. Phillips</name></author></analytic><series><title level="j">The International journal of periodontics & restorative dentistry</title><idno type="ISSN">0198-7569</idno><imprint><date when="2003" type="published">2003</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Alveolar Process (diagnostic imaging)</term><term>Analysis of Variance</term><term>Dental Abutments</term><term>Dental Implants</term><term>Dental Prosthesis, Implant-Supported</term><term>Denture Design</term><term>Denture Retention</term><term>Denture, Partial, Removable</term><term>Follow-Up Studies</term><term>Humans</term><term>Jaw, Edentulous, Partially (rehabilitation)</term><term>Mandible (diagnostic imaging)</term><term>Middle Aged</term><term>Osseointegration</term><term>Patient Satisfaction</term><term>Radiography</term><term>Retrospective Studies</term><term>Statistics, Nonparametric</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Analyse de variance</term><term>Conception d'appareil de prothèse dentaire</term><term>Humains</term><term>Implants dentaires</term><term>Mandibule (imagerie diagnostique)</term><term>Mâchoire partiellement édentée (rééducation et réadaptation)</term><term>Ostéo-intégration</term><term>Piliers dentaires</term><term>Processus alvéolaire (imagerie diagnostique)</term><term>Prothèse dentaire implanto-portée</term><term>Prothèse dentaire partielle amovible</term><term>Radiographie</term><term>Rétention d'appareil 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><term>Études rétrospectives</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Alveolar Process</term><term>Mandible</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Mandibule</term><term>Processus alvéolaire</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous, Partially</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire partiellement édentée</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Analysis of Variance</term><term>Dental Abutments</term><term>Dental Prosthesis, Implant-Supported</term><term>Denture Design</term><term>Denture Retention</term><term>Denture, Partial, Removable</term><term>Follow-Up Studies</term><term>Humans</term><term>Middle Aged</term><term>Osseointegration</term><term>Patient Satisfaction</term><term>Radiography</term><term>Retrospective Studies</term><term>Statistics, Nonparametric</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Analyse de variance</term><term>Conception d'appareil de prothèse dentaire</term><term>Humains</term><term>Implants dentaires</term><term>Ostéo-intégration</term><term>Piliers dentaires</term><term>Prothèse dentaire implanto-portée</term><term>Prothèse dentaire partielle amovible</term><term>Radiographie</term><term>Rétention d'appareil 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><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Common complaints associated with the Kennedy Class I (bilateral free end) and Class II (unilateral free end) removable partial denture situations are lack of stability, minimal retention, and unesthetic retentive clasping. Some of the same complaints have been reported for implant overdentures with only anterior implants. Starting in 1995, 10 of these patients were treated at the University of Washington with posterior osseointegrated implants to provide stability and/or retention of the removable prostheses, eliminating the need for clasps when possible. This article describes implant alternatives and prosthesis designs and presents a follow-up clinical evaluation of at least 1 year consisting of patient satisfaction, radiographic examination, and soft tissue health. Two groups were evaluated. Group 1 included patients whose implants were used as vertical stops for mandibular distal extension prostheses. Care was taken to ensure that the implants were not loaded laterally by creating a single-point contact at the center of a modified healing abutment. In these cases, sufficient retention was available from the anterior teeth and/or implant abutments. Group 2 included patients whose implants required retention because of lack of adequate tooth abutments. In those cases, a resilient type of attachment was used, which allowed for a small divergence from the path of insertion. Results indicated consistent increased satisfaction in all patients, minimal component wear, no radiographic evidence of excessive bone loss, and stable peri-implant soft tissues.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Washington (État)</li></region><settlement><li>Seattle</li></settlement><orgName><li>Université de Washington</li></orgName></list><tree><noCountry><name sortKey="Brudvik, James S" sort="Brudvik, James S" uniqKey="Brudvik J" first="James S" last="Brudvik">James S. Brudvik</name><name sortKey="Phillips, Keith M" sort="Phillips, Keith M" uniqKey="Phillips K" first="Keith M" last="Phillips">Keith M. Phillips</name></noCountry><country name="États-Unis"><region name="Washington (État)"><name sortKey="Mitrani, Ricardo" sort="Mitrani, Ricardo" uniqKey="Mitrani R" first="Ricardo" last="Mitrani">Ricardo Mitrani</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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