Long-term clinical effectiveness of oral implants in the treatment of partial edentulism. Seven-year life table analysis of a prospective study with ITI dental implants system used for single-tooth restorations.
Identifieur interne : 008227 ( Main/Exploration ); précédent : 008226; suivant : 008228Long-term clinical effectiveness of oral implants in the treatment of partial edentulism. Seven-year life table analysis of a prospective study with ITI dental implants system used for single-tooth restorations.
Auteurs : Eugenio Romeo [Italie] ; M. Chiapasco ; M. Ghisolfi ; G. VogelSource :
- Clinical oral implants research [ 0905-7161 ] ; 2002.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Cicatrisation de plaie, Conception de prothèse dentaire, Couronnes, Femelle, Humains, Implants dentaires unitaires (), Indice de plaque dentaire, Indice parodontal, Mandibule (), Maxillaire (), Mâchoire partiellement édentée (), Mâchoire partiellement édentée (rééducation et réadaptation), Mâle, Poche parodontale (), Pose d'implant dentaire endo-osseux, Pronostic, Prothèse dentaire implanto-portée, Reproductibilité des résultats, Résultat thérapeutique, Sujet âgé, Suppuration, Tables de survie, Taux de survie, Échec de restauration dentaire, Études de suivi, Études longitudinales, Études prospectives.
- MESH :
- rééducation et réadaptation : Mâchoire partiellement édentée.
- Adulte, Adulte d'âge moyen, Cicatrisation de plaie, Conception de prothèse dentaire, Couronnes, Femelle, Humains, Implants dentaires unitaires, Indice de plaque dentaire, Indice parodontal, Mandibule, Maxillaire, Mâchoire partiellement édentée, Mâle, Poche parodontale, Pose d'implant dentaire endo-osseux, Pronostic, Prothèse dentaire implanto-portée, Reproductibilité des résultats, Résultat thérapeutique, Sujet âgé, Suppuration, Tables de survie, Taux de survie, Échec de restauration dentaire, Études de suivi, Études longitudinales, Études prospectives.
English descriptors
- KwdEn :
- Adult, Aged, Crowns, Dental Implantation, Endosseous, Dental Implants, Single-Tooth (statistics & numerical data), Dental Plaque Index, Dental Prosthesis Design, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Female, Follow-Up Studies, Humans, Jaw, Edentulous, Partially (rehabilitation), Jaw, Edentulous, Partially (surgery), Life Tables, Longitudinal Studies, Male, Mandible (surgery), Maxilla (surgery), Middle Aged, Periodontal Index, Periodontal Pocket (classification), Prognosis, Prospective Studies, Reproducibility of Results, Suppuration, Survival Rate, Treatment Outcome, Wound Healing.
- MESH :
- classification : Periodontal Pocket.
- rehabilitation : Jaw, Edentulous, Partially.
- statistics & numerical data : Dental Implants, Single-Tooth.
- surgery : Jaw, Edentulous, Partially, Mandible, Maxilla.
- Adult, Aged, Crowns, Dental Implantation, Endosseous, Dental Plaque Index, Dental Prosthesis Design, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Female, Follow-Up Studies, Humans, Life Tables, Longitudinal Studies, Male, Middle Aged, Periodontal Index, Prognosis, Prospective Studies, Reproducibility of Results, Suppuration, Survival Rate, Treatment Outcome, Wound Healing.
Abstract
One hundred and eight-seven ITI implants were prospectively followed from November 1992 to July 2000, in order to evaluate the clinical efficiency and the long-term prognosis in 109 partially edentulous patients (69 women and 40 men; average age 41.3 years). Of these 187 implants, 69.5% were placed in the mandible and 30.5% in the maxilla. After a healing period that ranged from three to six months, the osseointegrated implants (n = 184) were restored with single crowns. Three implants were extracted prior to loading the fixture and were considered early failures. Each implant was reassessed on a yearly basis, both clinically and radiographically. The results of the investigation, which were evaluated according to predefined success criteria, were reviewed in accordance with a life table method. During the follow-up, six cases were deemed to be late failures. In each of these cases, a suppurative infection of the peri-implant tissue was diagnosed: in one implant, the infection could not be eradicated and the implant was removed. When 11 drop-outs were included in the analysis, the cumulative survival and success rates for the whole sample group were 96.77% and 93.6%, respectively. When only prosthetically loaded implants were considered, the results increased to 99.35% for the cumulative survival rate and 96.18% for the cumulative success rate. The analysis on disaggregated data showed better results for maxillary restorations (survival rate 100%) in comparison to mandible restorations (survival rate 95.11%). It was concluded that, under standard anatomic conditions (bone site height > 8 mm, thickness > 6 mm), prosthetic restoration of partially edentulous patients with the ITI system can be described as a reliable and efficient therapy in the long term.
PubMed: 11952733
Affiliations:
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Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Crowns</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Implants, Single-Tooth (statistics & numerical data)</term>
<term>Dental Plaque Index</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</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>Life Tables</term>
<term>Longitudinal Studies</term>
<term>Male</term>
<term>Mandible (surgery)</term>
<term>Maxilla (surgery)</term>
<term>Middle Aged</term>
<term>Periodontal Index</term>
<term>Periodontal Pocket (classification)</term>
<term>Prognosis</term>
<term>Prospective Studies</term>
<term>Reproducibility of Results</term>
<term>Suppuration</term>
<term>Survival Rate</term>
<term>Treatment Outcome</term>
<term>Wound Healing</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Cicatrisation de plaie</term>
<term>Conception de prothèse dentaire</term>
<term>Couronnes</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires unitaires ()</term>
<term>Indice de plaque dentaire</term>
<term>Indice parodontal</term>
<term>Mandibule ()</term>
<term>Maxillaire ()</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Poche parodontale ()</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Pronostic</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Reproductibilité des résultats</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Suppuration</term>
<term>Tables de survie</term>
<term>Taux de survie</term>
<term>Échec de restauration dentaire</term>
<term>Études de suivi</term>
<term>Études longitudinales</term>
<term>Études prospectives</term>
</keywords>
<keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Periodontal Pocket</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" qualifier="statistics & numerical data" xml:lang="en"><term>Dental Implants, Single-Tooth</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous, Partially</term>
<term>Mandible</term>
<term>Maxilla</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Crowns</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Plaque Index</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Life Tables</term>
<term>Longitudinal Studies</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Periodontal Index</term>
<term>Prognosis</term>
<term>Prospective Studies</term>
<term>Reproducibility of Results</term>
<term>Suppuration</term>
<term>Survival Rate</term>
<term>Treatment Outcome</term>
<term>Wound Healing</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Cicatrisation de plaie</term>
<term>Conception de prothèse dentaire</term>
<term>Couronnes</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires unitaires</term>
<term>Indice de plaque dentaire</term>
<term>Indice parodontal</term>
<term>Mandibule</term>
<term>Maxillaire</term>
<term>Mâchoire partiellement édentée</term>
<term>Mâle</term>
<term>Poche parodontale</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Pronostic</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Reproductibilité des résultats</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Suppuration</term>
<term>Tables de survie</term>
<term>Taux de survie</term>
<term>Échec de restauration dentaire</term>
<term>Études de suivi</term>
<term>Études longitudinales</term>
<term>Études prospectives</term>
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<front><div type="abstract" xml:lang="en">One hundred and eight-seven ITI implants were prospectively followed from November 1992 to July 2000, in order to evaluate the clinical efficiency and the long-term prognosis in 109 partially edentulous patients (69 women and 40 men; average age 41.3 years). Of these 187 implants, 69.5% were placed in the mandible and 30.5% in the maxilla. After a healing period that ranged from three to six months, the osseointegrated implants (n = 184) were restored with single crowns. Three implants were extracted prior to loading the fixture and were considered early failures. Each implant was reassessed on a yearly basis, both clinically and radiographically. The results of the investigation, which were evaluated according to predefined success criteria, were reviewed in accordance with a life table method. During the follow-up, six cases were deemed to be late failures. In each of these cases, a suppurative infection of the peri-implant tissue was diagnosed: in one implant, the infection could not be eradicated and the implant was removed. When 11 drop-outs were included in the analysis, the cumulative survival and success rates for the whole sample group were 96.77% and 93.6%, respectively. When only prosthetically loaded implants were considered, the results increased to 99.35% for the cumulative survival rate and 96.18% for the cumulative success rate. The analysis on disaggregated data showed better results for maxillary restorations (survival rate 100%) in comparison to mandible restorations (survival rate 95.11%). It was concluded that, under standard anatomic conditions (bone site height > 8 mm, thickness > 6 mm), prosthetic restoration of partially edentulous patients with the ITI system can be described as a reliable and efficient therapy in the long term.</div>
</front>
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<tree><noCountry><name sortKey="Chiapasco, M" sort="Chiapasco, M" uniqKey="Chiapasco M" first="M" last="Chiapasco">M. Chiapasco</name>
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<name sortKey="Vogel, G" sort="Vogel, G" uniqKey="Vogel G" first="G" last="Vogel">G. Vogel</name>
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<country name="Italie"><region name="Lombardie"><name sortKey="Romeo, Eugenio" sort="Romeo, Eugenio" uniqKey="Romeo E" first="Eugenio" last="Romeo">Eugenio Romeo</name>
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