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A comparison of hydroxylapatite coated implant retained fixed and removable mandibular prostheses over 4 to 6 years

Identifieur interne : 008B04 ( Main/Exploration ); précédent : 008B03; suivant : 008B05

A comparison of hydroxylapatite coated implant retained fixed and removable mandibular prostheses over 4 to 6 years

Auteurs : David Tinsley [Royaume-Uni] ; Christopher J. Watson [Royaume-Uni] ; John L. Russell [Royaume-Uni]

Source :

RBID : ISTEX:C6D78FE3F70FD851FE8C086E9971BAB8EC6C0A7A

English descriptors

Abstract

Abstract: In a 6‐year prospective clinical study, 181 hydroxylapatite coated endosseous dental implants were placed into the anterior mandible of 48 patients. Twenty‐one patients were treated with fixed prostheses and 27 patients with an overdenture. When the implants were exposed all 181 had integrated. To date, there is 100% survival of all implants and they all retain a functioning prostheses. The initial results were very promising, in both groups the interval success was over 95% in the first 4 years of the study. However, by year 6, the interval success rates had fallen to 83% for both the fixed and removable groups. This study also compares the construction and maintenance complications for the two types of restorations. The clinical time taken, after implant exposure, to construct the prostheses was similar whether the fixed (mean of 8 visits) or removable option (mean of 7 visits) was chosen. However, the removable restoration cost less than half the price of the fixed when both technical time and implant component costs were evaluated. Maintenance for both groups was higher than expected, but patients required more appointments in the removable group both in the first year and beyond. Regarding the prostheses itself, the incidence of remakes, relines and general adjustments was higher in the removable group. This study has shown that the overdenture offers an effective and initially a more economical alternative to the fixed prostheses, in the treatment of the edentulous mandible. However, long‐term maintenance of such a prosthesis can be significant.

Url:
DOI: 10.1034/j.1600-0501.2001.012002159.x


Affiliations:


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Le document en format XML

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<term>Annual bone loss</term>
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<term>Bone resorption</term>
<term>Calcitek</term>
<term>Cervical bone loss</term>
<term>Clin</term>
<term>Clinical evaluation</term>
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<term>Cumulative bone loss</term>
<term>Cumulative success</term>
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<term>Edentulous mandible</term>
<term>Este estudio</term>
<term>Extensive bone loss</term>
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<term>Removable group</term>
<term>Removable groups</term>
<term>Removable mandibular prostheses</term>
<term>Removable overdenture</term>
<term>Removable prostheses</term>
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<term>Review appointments</term>
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<term>Study period</term>
<term>Success rate</term>
<term>Success rates</term>
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<term>Clinical evaluation</term>
<term>Complete dentures</term>
<term>Cumulative bone loss</term>
<term>Cumulative success</term>
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<term>Edentulous mandible</term>
<term>Este estudio</term>
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<term>International journal</term>
<term>Interval success rate</term>
<term>Interval success rates</term>
<term>Maintenance appointments</term>
<term>Maintenance requirements</term>
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<term>Maxillofacial implants</term>
<term>Maxillofacial surgery</term>
<term>Metal frameworks</term>
<term>More appointments</term>
<term>Natural teeth</term>
<term>Oral impl</term>
<term>Oral implantology</term>
<term>Osseointegrated implants</term>
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<term>Prosthetic dentistry</term>
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<term>Removable prostheses</term>
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<term>Study period</term>
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<front>
<div type="abstract">Abstract: In a 6‐year prospective clinical study, 181 hydroxylapatite coated endosseous dental implants were placed into the anterior mandible of 48 patients. Twenty‐one patients were treated with fixed prostheses and 27 patients with an overdenture. When the implants were exposed all 181 had integrated. To date, there is 100% survival of all implants and they all retain a functioning prostheses. The initial results were very promising, in both groups the interval success was over 95% in the first 4 years of the study. However, by year 6, the interval success rates had fallen to 83% for both the fixed and removable groups. This study also compares the construction and maintenance complications for the two types of restorations. The clinical time taken, after implant exposure, to construct the prostheses was similar whether the fixed (mean of 8 visits) or removable option (mean of 7 visits) was chosen. However, the removable restoration cost less than half the price of the fixed when both technical time and implant component costs were evaluated. Maintenance for both groups was higher than expected, but patients required more appointments in the removable group both in the first year and beyond. Regarding the prostheses itself, the incidence of remakes, relines and general adjustments was higher in the removable group. This study has shown that the overdenture offers an effective and initially a more economical alternative to the fixed prostheses, in the treatment of the edentulous mandible. However, long‐term maintenance of such a prosthesis can be significant.</div>
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