Serveur d'exploration sur le patient édenté

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Satisfaction and psychosocial aspects of patients with an extremely resorbed mandible treated with implant‐retained overdentures

Identifieur interne : 007E56 ( Main/Exploration ); précédent : 007E55; suivant : 007E57

Satisfaction and psychosocial aspects of patients with an extremely resorbed mandible treated with implant‐retained overdentures

Auteurs : Kees Stellingsma [Pays-Bas] ; Jelte Bouma [Pays-Bas] ; Boudewijn Stegenga [Pays-Bas] ; Henny J. A. Meijer [Pays-Bas] ; Gerry M. Raghoebar [Pays-Bas]

Source :

RBID : ISTEX:38932D26BE6F42598190548D1E30C11D09690AB3

Descripteurs français

English descriptors

Abstract

Abstract: The objective of the present report was to study the effect of implant treatment on subjective parameters in edentulous patients with an extremely resorbed mandible. Three different treatment modalities to support an overdenture were compared: transmandibular implant according to Bosker, augmentation of the mandible followed by four endosseous implants, and the insertion of four short endosseous implants. Sixty patients [50 women and 10 men, mean (± SD) age 59 (± 11) years] met the inclusion criteria and were assigned in one of the three treatment groups. Before treatment and 12 months after placement of the new overdentures, denture satisfaction, psychosocial aspects and experiences during the surgical phase were assessed with a battery of questionnaires. After 1 year, 58 patients were available for evaluation: one patient had died, and one patient had moved out of the region. There was a significant improvement of patient satisfaction and psychosocial functioning in all three treatment groups. At the 1‐year evaluation, differences amongst the three groups were not significant. However, in terms of discomfort and pain during the surgical phase as well as the length of this phase (at least 6 months), the augmentation using an autologous bone graft from the iliac crest followed by inserting four endosseous implants 3 months later appeared the least favorite option of the three modalities studied.

Url:
DOI: 10.1034/j.1600-0501.2003.140205.x


Affiliations:


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Le document en format XML

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<term>Alveolar Ridge Augmentation</term>
<term>Analysis of Variance</term>
<term>Attitude to Health</term>
<term>Augmentation</term>
<term>Augmentation group</term>
<term>Autologous</term>
<term>Autologous bone graft</term>
<term>Boerrigter</term>
<term>Bone Resorption (pathology)</term>
<term>Bone Resorption (surgery)</term>
<term>Bone Transplantation</term>
<term>Bosker</term>
<term>Bouma</term>
<term>Clin</term>
<term>Clinical aspects</term>
<term>Clinical trial</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Implants (psychology)</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported (psychology)</term>
<term>Dental implants</term>
<term>Denture</term>
<term>Denture Retention</term>
<term>Denture complaints</term>
<term>Denture patients</term>
<term>Denture satisfaction</term>
<term>Denture, Overlay</term>
<term>Edentulous</term>
<term>Edentulous mandible</term>
<term>Edentulous patients</term>
<term>Effect size</term>
<term>Effect sizes</term>
<term>Endosseous</term>
<term>Endosseous implants</term>
<term>Facial appearance</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Friatec</term>
<term>Graft</term>
<term>Groningen</term>
<term>Healing phase</term>
<term>Humans</term>
<term>Iliac</term>
<term>Iliac crest</term>
<term>Impl</term>
<term>Implant</term>
<term>Interforaminal</term>
<term>Interforaminal region</term>
<term>International journal</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Lower denture</term>
<term>Male</term>
<term>Mandible</term>
<term>Mandible (pathology)</term>
<term>Mandible (surgery)</term>
<term>Mandibular</term>
<term>Mandibular dentures</term>
<term>Mandibular overdentures</term>
<term>Maxillofacial</term>
<term>Maxillofacial implants</term>
<term>Maxillofacial surgery</term>
<term>Meijer</term>
<term>Middle Aged</term>
<term>Modality</term>
<term>Oral impl</term>
<term>Overall denture satisfaction</term>
<term>Overall denture satisfaction rate</term>
<term>Overdenture</term>
<term>Overdentures</term>
<term>Patient Satisfaction</term>
<term>Patient satisfaction</term>
<term>Postoperative Complications</term>
<term>Prospective Studies</term>
<term>Prosthetic dentistry</term>
<term>Psychological questionnaires</term>
<term>Psychosocial</term>
<term>Psychosocial aspects</term>
<term>Quality of Life</term>
<term>Raghoebar</term>
<term>Ranks test</term>
<term>Ranks tests</term>
<term>Resorbed</term>
<term>Resorbed mandible</term>
<term>Scale range</term>
<term>Social activities</term>
<term>Standard deviation</term>
<term>Statistics, Nonparametric</term>
<term>Stellingsma</term>
<term>Subjective parameters</term>
<term>Surgical</term>
<term>Surgical phase</term>
<term>Transmandibular</term>
<term>Transmandibular implant</term>
<term>Treatment groups</term>
<term>Tres</term>
<term>Variance</term>
<term>Wilcoxon</term>
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<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte d'âge moyen</term>
<term>Analyse de variance</term>
<term>Attitude envers la santé</term>
<term>Complications postopératoires</term>
<term>Conception de prothèse dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires (psychologie)</term>
<term>Mandibule ()</term>
<term>Mandibule (anatomopathologie)</term>
<term>Mâchoire édentée ()</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 implanto-portée (psychologie)</term>
<term>Qualité de vie</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Résorption osseuse ()</term>
<term>Résorption osseuse (anatomopathologie)</term>
<term>Rétention d'appareil de prothèse dentaire</term>
<term>Satisfaction du patient</term>
<term>Statistique non paramétrique</term>
<term>Transplantation osseuse</term>
<term>Études de suivi</term>
<term>Études prospectives</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="psychology" xml:lang="en">
<term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr">
<term>Mandibule</term>
<term>Résorption osseuse</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Bone Resorption</term>
<term>Mandible</term>
</keywords>
<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr">
<term>Implants dentaires</term>
<term>Prothèse dentaire implanto-portée</term>
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<keywords scheme="MESH" qualifier="psychology" xml:lang="en">
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<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Jaw, Edentulous</term>
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<term>Bone Resorption</term>
<term>Jaw, Edentulous</term>
<term>Mandible</term>
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<keywords scheme="Teeft" xml:lang="en">
<term>Alveolar Ridge Augmentation</term>
<term>Analysis of Variance</term>
<term>Attitude to Health</term>
<term>Augmentation</term>
<term>Augmentation group</term>
<term>Autologous</term>
<term>Autologous bone graft</term>
<term>Boerrigter</term>
<term>Bone Transplantation</term>
<term>Bosker</term>
<term>Bouma</term>
<term>Clin</term>
<term>Clinical aspects</term>
<term>Clinical trial</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Prosthesis Design</term>
<term>Dental implants</term>
<term>Denture</term>
<term>Denture Retention</term>
<term>Denture complaints</term>
<term>Denture patients</term>
<term>Denture satisfaction</term>
<term>Denture, Overlay</term>
<term>Edentulous</term>
<term>Edentulous mandible</term>
<term>Edentulous patients</term>
<term>Effect size</term>
<term>Effect sizes</term>
<term>Endosseous</term>
<term>Endosseous implants</term>
<term>Facial appearance</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Friatec</term>
<term>Graft</term>
<term>Groningen</term>
<term>Healing phase</term>
<term>Humans</term>
<term>Iliac</term>
<term>Iliac crest</term>
<term>Impl</term>
<term>Implant</term>
<term>Interforaminal</term>
<term>Interforaminal region</term>
<term>International journal</term>
<term>Lower denture</term>
<term>Male</term>
<term>Mandible</term>
<term>Mandibular</term>
<term>Mandibular dentures</term>
<term>Mandibular overdentures</term>
<term>Maxillofacial</term>
<term>Maxillofacial implants</term>
<term>Maxillofacial surgery</term>
<term>Meijer</term>
<term>Middle Aged</term>
<term>Modality</term>
<term>Oral impl</term>
<term>Overall denture satisfaction</term>
<term>Overall denture satisfaction rate</term>
<term>Overdenture</term>
<term>Overdentures</term>
<term>Patient Satisfaction</term>
<term>Patient satisfaction</term>
<term>Postoperative Complications</term>
<term>Prospective Studies</term>
<term>Prosthetic dentistry</term>
<term>Psychological questionnaires</term>
<term>Psychosocial</term>
<term>Psychosocial aspects</term>
<term>Quality of Life</term>
<term>Raghoebar</term>
<term>Ranks test</term>
<term>Ranks tests</term>
<term>Resorbed</term>
<term>Resorbed mandible</term>
<term>Scale range</term>
<term>Social activities</term>
<term>Standard deviation</term>
<term>Statistics, Nonparametric</term>
<term>Stellingsma</term>
<term>Subjective parameters</term>
<term>Surgical</term>
<term>Surgical phase</term>
<term>Transmandibular</term>
<term>Transmandibular implant</term>
<term>Treatment groups</term>
<term>Tres</term>
<term>Variance</term>
<term>Wilcoxon</term>
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<term>Adulte d'âge moyen</term>
<term>Analyse de variance</term>
<term>Attitude envers la santé</term>
<term>Complications postopératoires</term>
<term>Conception de prothèse dentaire</term>
<term>Femelle</term>
<term>Groningue</term>
<term>Humains</term>
<term>Mandibule</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Overdenture</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Qualité de vie</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Résorption osseuse</term>
<term>Rétention d'appareil de prothèse dentaire</term>
<term>Satisfaction du patient</term>
<term>Statistique non paramétrique</term>
<term>Transplantation osseuse</term>
<term>Études de suivi</term>
<term>Études prospectives</term>
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<front>
<div type="abstract">Abstract: The objective of the present report was to study the effect of implant treatment on subjective parameters in edentulous patients with an extremely resorbed mandible. Three different treatment modalities to support an overdenture were compared: transmandibular implant according to Bosker, augmentation of the mandible followed by four endosseous implants, and the insertion of four short endosseous implants. Sixty patients [50 women and 10 men, mean (± SD) age 59 (± 11) years] met the inclusion criteria and were assigned in one of the three treatment groups. Before treatment and 12 months after placement of the new overdentures, denture satisfaction, psychosocial aspects and experiences during the surgical phase were assessed with a battery of questionnaires. After 1 year, 58 patients were available for evaluation: one patient had died, and one patient had moved out of the region. There was a significant improvement of patient satisfaction and psychosocial functioning in all three treatment groups. At the 1‐year evaluation, differences amongst the three groups were not significant. However, in terms of discomfort and pain during the surgical phase as well as the length of this phase (at least 6 months), the augmentation using an autologous bone graft from the iliac crest followed by inserting four endosseous implants 3 months later appeared the least favorite option of the three modalities studied.</div>
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