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Randomized multicenter comparison of two coatings of intramobile cylinder implants in 313 partially edentulous mandibles followed up for 5 years.

Identifieur interne : 008192 ( Main/Exploration ); précédent : 008191; suivant : 008193

Randomized multicenter comparison of two coatings of intramobile cylinder implants in 313 partially edentulous mandibles followed up for 5 years.

Auteurs : Jochen Mau [Allemagne] ; Alexandra Behneke ; Nikolaus Behneke ; Claus Udo Fritzemeier ; German Gomez-Roman ; Bernd D'Hoedt ; Hubertus Spiekermann ; Volker Strunz ; Mei Yong

Source :

RBID : pubmed:12453124

Descripteurs français

English descriptors

Abstract

Intramobile cylinder (IMZ) implants with either of two coatings, hydroxyapatite (HA) or titanium plasma-flame (TPF), as distal abutments for combined tooth implant-supported restorations, were compared in 313 partially edentulous mandibles with respect to postprosthetical failure patterns and complication frequencies in a randomized multicenter clinical trial. Within the treatment protocols, the two coatings do not show evidence of different efficacy with respect to occurrence of postprosthetical integration deficiency (ID) or functional deficiency (FD). Statistical equivalence for an absolute effect of +/-15% in event-free survival could only be demonstrated for FD, not for ID, however. Intent-to-treat and per-protocol population analyses gave consistent results. Hazards of occurrence of ID and FD, adjusted for years of follow-up, were estimated for ID as 7% per year (95%CI 4-10% per year) with HA and 5% per year (95%CI 3-7% per year) with TPF, and for FD as 5% per year (95%CI 3-7% per year) with HA and 4% per year (95%CI 2-6% per year) with TPF. The 5-year cumulative success rates for no ID were 69.5% (95%CI 58-81%) with HA and 82.2% (95%CI 74-91%) with TPF. With respect to frequencies of complications, there was no relevant statistically significant difference between the two coatings.

PubMed: 12453124


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Le document en format XML

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<term>Alveolar Bone Loss (classification)</term>
<term>Biocompatible Materials (chemistry)</term>
<term>Chi-Square Distribution</term>
<term>Coated Materials, Biocompatible (chemistry)</term>
<term>Dental Abutments</term>
<term>Dental Implants</term>
<term>Dental Plaque Index</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Denture, Partial, Fixed</term>
<term>Durapatite (chemistry)</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Linear Models</term>
<term>Male</term>
<term>Mandible (surgery)</term>
<term>Osseointegration</term>
<term>Periodontal Index</term>
<term>Periodontal Pocket (classification)</term>
<term>Proportional Hazards Models</term>
<term>Prospective Studies</term>
<term>Statistics, Nonparametric</term>
<term>Titanium (chemistry)</term>
<term>Treatment Outcome</term>
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<term>Adulte</term>
<term>Conception de prothèse dentaire</term>
<term>Durapatite ()</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Indice de plaque dentaire</term>
<term>Indice parodontal</term>
<term>Loi du khi-deux</term>
<term>Mandibule ()</term>
<term>Matériaux biocompatibles ()</term>
<term>Matériaux revêtus, biocompatibles ()</term>
<term>Modèles de hasards proportionnels</term>
<term>Modèles linéaires</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Ostéo-intégration</term>
<term>Piliers dentaires</term>
<term>Poche parodontale ()</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse partielle fixe</term>
<term>Résorption alvéolaire ()</term>
<term>Résultat thérapeutique</term>
<term>Statistique non paramétrique</term>
<term>Titane ()</term>
<term>Échec de restauration dentaire</term>
<term>Études de suivi</term>
<term>Études prospectives</term>
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<term>Biocompatible Materials</term>
<term>Coated Materials, Biocompatible</term>
<term>Durapatite</term>
<term>Titanium</term>
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<keywords scheme="MESH" qualifier="classification" xml:lang="en">
<term>Alveolar Bone Loss</term>
<term>Periodontal Pocket</term>
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<term>Jaw, Edentulous, Partially</term>
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<term>Mâchoire partiellement édentée</term>
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<term>Jaw, Edentulous, Partially</term>
<term>Mandible</term>
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<term>Adult</term>
<term>Chi-Square Distribution</term>
<term>Dental Abutments</term>
<term>Dental Implants</term>
<term>Dental Plaque Index</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Denture, Partial, Fixed</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Linear Models</term>
<term>Male</term>
<term>Osseointegration</term>
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<term>Proportional Hazards Models</term>
<term>Prospective Studies</term>
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<term>Adulte</term>
<term>Conception de prothèse dentaire</term>
<term>Durapatite</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Indice de plaque dentaire</term>
<term>Indice parodontal</term>
<term>Loi du khi-deux</term>
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<term>Matériaux biocompatibles</term>
<term>Matériaux revêtus, biocompatibles</term>
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<term>Mâchoire partiellement édentée</term>
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<term>Ostéo-intégration</term>
<term>Piliers dentaires</term>
<term>Poche parodontale</term>
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<term>Prothèse partielle fixe</term>
<term>Résorption alvéolaire</term>
<term>Résultat thérapeutique</term>
<term>Statistique non paramétrique</term>
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<front>
<div type="abstract" xml:lang="en">Intramobile cylinder (IMZ) implants with either of two coatings, hydroxyapatite (HA) or titanium plasma-flame (TPF), as distal abutments for combined tooth implant-supported restorations, were compared in 313 partially edentulous mandibles with respect to postprosthetical failure patterns and complication frequencies in a randomized multicenter clinical trial. Within the treatment protocols, the two coatings do not show evidence of different efficacy with respect to occurrence of postprosthetical integration deficiency (ID) or functional deficiency (FD). Statistical equivalence for an absolute effect of +/-15% in event-free survival could only be demonstrated for FD, not for ID, however. Intent-to-treat and per-protocol population analyses gave consistent results. Hazards of occurrence of ID and FD, adjusted for years of follow-up, were estimated for ID as 7% per year (95%CI 4-10% per year) with HA and 5% per year (95%CI 3-7% per year) with TPF, and for FD as 5% per year (95%CI 3-7% per year) with HA and 4% per year (95%CI 2-6% per year) with TPF. The 5-year cumulative success rates for no ID were 69.5% (95%CI 58-81%) with HA and 82.2% (95%CI 74-91%) with TPF. With respect to frequencies of complications, there was no relevant statistically significant difference between the two coatings.</div>
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