Serveur d'exploration sur le patient édenté

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Five years of aftercare of implant‐retained mandibular overdentures and conventional dentures

Identifieur interne : 008500 ( Main/Exploration ); précédent : 008499; suivant : 008501

Five years of aftercare of implant‐retained mandibular overdentures and conventional dentures

Auteurs : A. Visser ; M. E. Geertman ; H. J. A. Meijer ; G. M. Raghoebar ; J. M. Kwakman [Pays-Bas] ; N. H. J. Creugers ; R. P. Van Oort

Source :

RBID : ISTEX:C4EE21A6B43D1AD3BB8A755064C816A305098C2C

Descripteurs français

English descriptors

Abstract

The purpose of this multicentre randomized clinical trial was to analyse surgical and prosthetic aftercare and clinical implant performance of edentulous patients with implant‐retained mandibular overdentures and of patients with conventional dentures, either or not after pre‐prosthetic vestibuloplasty and deepening of the floor of the mouth. The evaluation period was 5 years. The implant systems evaluated were the IMZ implant system, the Brånemark implant system and the Transmandibular Implant system. The centre in Groningen had five groups (n=149) and the centre in Nijmegen had three groups (n=86). The evaluation comprised of surgical and prosthetic aftercare, together with clinical implant performance (CIP). The highest implant loss (29%) is found in the Transmandibular Implant group. All groups had prosthetic revisions and complications according to the CIP‐scale. The majority of the patients in the endosseous implant groups were subject to minor complications. The CIP‐score of the Transmandibular Implant group is significantly higher than the scores of the other groups, because of the high number of lost posts. In 26˙1% of the patients in this group score 4 is given, which means failure of the implant system. From this study it can be concluded that the endosseous implant systems used in this study have less surgical aftercare and a better clinical implant performance than the Transmandibular Implant system and are therefore the systems of choice for the edentulous mandible.

Url:
DOI: 10.1046/j.1365-2842.2002.00834.x


Affiliations:


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Le document en format XML

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<term>Aftercare</term>
<term>Alveolar Bone Loss (etiology)</term>
<term>Alveolar Bone Loss (surgery)</term>
<term>Blackwell science</term>
<term>Bone level</term>
<term>Branemark</term>
<term>Branemark implant system</term>
<term>Clinical aspects</term>
<term>Clinical implant performance</term>
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<term>Conventional dentures</term>
<term>Dental Implantation, Endosseous</term>
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<term>Dental Prosthesis Retention</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Denture</term>
<term>Denture, Complete, Lower</term>
<term>Denture, Overlay</term>
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<term>Endosseous</term>
<term>Endosseous implant systems</term>
<term>Endosseous implants</term>
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<term>Gingiva (transplantation)</term>
<term>Gingival Hyperplasia (surgery)</term>
<term>Groningen</term>
<term>High number</term>
<term>Humans</term>
<term>Implant</term>
<term>Implant insertion</term>
<term>Implant loss</term>
<term>Implant system</term>
<term>Implant systems</term>
<term>Implants research</term>
<term>Insertion</term>
<term>International journal</term>
<term>Jaw, Edentulous (rehabilitation)</term>
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<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 prosthodontics</term>
<term>Maxillofacial surgery</term>
<term>Minor complications</term>
<term>Nijmegen</term>
<term>Nijmegen group</term>
<term>Oral implantology</term>
<term>Oral maxillofacial surgery</term>
<term>Oral rehabilitation</term>
<term>Overdenture</term>
<term>Overdenture vestibulumplasty</term>
<term>Overdentures</term>
<term>Prosthetic</term>
<term>Prosthetic aftercare</term>
<term>Prosthetic dentistry</term>
<term>Retreatment</term>
<term>Superstructure</term>
<term>Surgical</term>
<term>Surgical aftercare</term>
<term>Survival rate</term>
<term>Transmandibular</term>
<term>Transmandibular implant</term>
<term>Transmandibular implant group</term>
<term>Transmandibular implant system</term>
<term>Treatment Outcome</term>
<term>University hospital groningen</term>
<term>Upper denture</term>
<term>Vestibuloplasty</term>
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<term>Femelle</term>
<term>Gencive (transplantation)</term>
<term>Humains</term>
<term>Hyperplasie gingivale ()</term>
<term>Implants dentaires (effets indésirables)</term>
<term>Mandibule</term>
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<term>Prothèse dentaire complète inférieure</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Reprise du traitement</term>
<term>Résorption alvéolaire ()</term>
<term>Résorption alvéolaire (étiologie)</term>
<term>Résultat thérapeutique</term>
<term>Rétention de prothèse dentaire</term>
<term>Vestibuloplastie</term>
<term>Échec de restauration dentaire</term>
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<term>Blackwell science</term>
<term>Bone level</term>
<term>Branemark</term>
<term>Branemark implant system</term>
<term>Clinical aspects</term>
<term>Clinical implant performance</term>
<term>Clinical implant performance scale</term>
<term>Clinical trial</term>
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<term>Survival rate</term>
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<term>Transmandibular implant system</term>
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<term>Post-cure</term>
<term>Prothèse dentaire complète inférieure</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Reprise du traitement</term>
<term>Résorption alvéolaire</term>
<term>Résultat thérapeutique</term>
<term>Rétention de prothèse dentaire</term>
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<front>
<div type="abstract" xml:lang="en">The purpose of this multicentre randomized clinical trial was to analyse surgical and prosthetic aftercare and clinical implant performance of edentulous patients with implant‐retained mandibular overdentures and of patients with conventional dentures, either or not after pre‐prosthetic vestibuloplasty and deepening of the floor of the mouth. The evaluation period was 5 years. The implant systems evaluated were the IMZ implant system, the Brånemark implant system and the Transmandibular Implant system. The centre in Groningen had five groups (n=149) and the centre in Nijmegen had three groups (n=86). The evaluation comprised of surgical and prosthetic aftercare, together with clinical implant performance (CIP). The highest implant loss (29%) is found in the Transmandibular Implant group. All groups had prosthetic revisions and complications according to the CIP‐scale. The majority of the patients in the endosseous implant groups were subject to minor complications. The CIP‐score of the Transmandibular Implant group is significantly higher than the scores of the other groups, because of the high number of lost posts. In 26˙1% of the patients in this group score 4 is given, which means failure of the implant system. From this study it can be concluded that the endosseous implant systems used in this study have less surgical aftercare and a better clinical implant performance than the Transmandibular Implant system and are therefore the systems of choice for the edentulous mandible.</div>
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