Serveur d'exploration sur le patient édenté

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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 : 008228

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.

Auteurs : Eugenio Romeo [Italie] ; M. Chiapasco ; M. Ghisolfi ; G. Vogel

Source :

RBID : pubmed:11952733

Descripteurs français

English descriptors

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


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Le document en format XML

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<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>
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<term>Longitudinal Studies</term>
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<term>Middle Aged</term>
<term>Periodontal Index</term>
<term>Periodontal Pocket (classification)</term>
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<term>Prospective Studies</term>
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<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>
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<term>Aged</term>
<term>Crowns</term>
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<term>Follow-Up Studies</term>
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<term>Prospective Studies</term>
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<term>Cicatrisation de plaie</term>
<term>Conception de prothèse dentaire</term>
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<term>Humains</term>
<term>Implants dentaires unitaires</term>
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<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>
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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>
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