Serveur d'exploration sur le patient édenté

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Treatment outcomes of fixed or removable implant-supported prostheses in the edentulous maxilla. Part I: Patients’ assessments

Identifieur interne : 008D42 ( Main/Exploration ); précédent : 008D41; suivant : 008D43

Treatment outcomes of fixed or removable implant-supported prostheses in the edentulous maxilla. Part I: Patients’ assessments

Auteurs : Nicola U. Zitzmann [Suisse] ; Carlo P. Marinello [Suisse]

Source :

RBID : ISTEX:6E959DA06478C3D98547F4A1A7D8F0156B2A31AC

Descripteurs français

English descriptors

Abstract

Abstract: Statement of problem: Distinct clinical parameters determine whether fixed or removable implant-supported prostheses are indicated to restore the edentulous maxilla. However, there is a strong belief that fixed implant prostheses meet with greater patient acceptance and satisfaction, but this may differ from the patients’ perceptions, their psychological responses to treatment, and their assessments of the treatment outcome. Purpose: This prospective clinical study compared the treatment outcomes of fixed and removable implant-supported restorations in the edentulous maxilla with the main emphasis on the patient’s point of view. Material and methods: Twenty patients who requested an implant-supported superstructure to restore the edentulous maxilla were asked to complete a questionnaire measuring their satisfaction with the present situation and the psychologic impact of their oral health status with their responses marked on a Visual Analog Scale (VAS). Ten patients were treated with a fixed, screw-retained implant prosthesis (group 1), and 10 were treated with a removable, implant-supported and bar-retained overdenture (group 2). Six months after prosthetic rehabilitation, patients were again given the questionnaire to assess their psychologic well-being and satisfaction with the implant-supported restoration. Results: Both prosthesis designs were associated with significant improvements in comfort and retention, function, esthetics and appearance, taste, speech, and self-esteem. No difference was found between the 2 groups with respect to how the patients assessed the implant therapy. However, the results indicated that patients in group 2 experienced greater differences between pretreatment and posttreatment scores for the parameters esthetics, taste, and speech. Treatment costs per unit were significantly higher in group 1 than in group 2. Conclusion: Patients in groups 1 and 2 were similarly satisfied with their implant-supported prostheses in the edentulous maxilla with regard to their well-being and the cost-utility, irrespective of whether the restoration was fixed or removable. (J Prosthet Dent 2000;83:424-33.)

Url:
DOI: 10.1016/S0022-3913(00)70037-0


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<term>Abutment screw</term>
<term>Adult</term>
<term>Aged</term>
<term>Alveolar Process (diagnostic imaging)</term>
<term>Atrophic maxilla</term>
<term>Attachment level</term>
<term>Attitude to Health</term>
<term>Average score changes</term>
<term>Average score increases</term>
<term>Biologic</term>
<term>Bone level</term>
<term>Bone loss</term>
<term>Bone quality</term>
<term>Bone quantities</term>
<term>Clin</term>
<term>Clin periodontol</term>
<term>Clinical parameters</term>
<term>Complete dentures</term>
<term>Complication</term>
<term>Dent</term>
<term>Dental Plaque Index</term>
<term>Dental Prosthesis, Implant-Supported (economics)</term>
<term>Dental Prosthesis, Implant-Supported (psychology)</term>
<term>Dental Restoration Failure</term>
<term>Dentistry</term>
<term>Denture</term>
<term>Denture Design (economics)</term>
<term>Denture Retention</term>
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<term>Denture, Complete, Upper (psychology)</term>
<term>Denture, Overlay (economics)</term>
<term>Direct costs</term>
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<term>Edentulous maxilla</term>
<term>Esthetics</term>
<term>Esthetics, Dental</term>
<term>Female</term>
<term>First year</term>
<term>Follow-Up Studies</term>
<term>Fracture</term>
<term>Full maxillary denture</term>
<term>Gingival index</term>
<term>Gold screws</term>
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<term>Health Care Costs</term>
<term>Health Status</term>
<term>Humans</term>
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<term>Implant length</term>
<term>Implant placement</term>
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<term>Months group</term>
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<term>Mucosal hyperplasia</term>
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<term>Oral Hygiene</term>
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<term>Oral maxillofac implants</term>
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<term>Osseointegrated implants</term>
<term>Overall satisfaction</term>
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<term>Overdenture prostheses</term>
<term>Overdentures</term>
<term>Palatal coverage</term>
<term>Partial denture</term>
<term>Partial dentures</term>
<term>Patient Satisfaction</term>
<term>Patient satisfaction</term>
<term>Periodontal</term>
<term>Periodontal Index</term>
<term>Periodontal Ligament (pathology)</term>
<term>Plaque index</term>
<term>Pretreatment questionnaire</term>
<term>Prospective Studies</term>
<term>Prospective study</term>
<term>Prosthesis</term>
<term>Prosthesis design</term>
<term>Prosthesis designs</term>
<term>Prosthesis insertion</term>
<term>Prosthesis placement</term>
<term>Prosthesis survival</term>
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<term>Prosthet dent</term>
<term>Prosthetic</term>
<term>Prosthetic dentistry</term>
<term>Prosthetic dentistry zitzmann</term>
<term>Prosthetic rehabilitation</term>
<term>Prosthetic treatment</term>
<term>Psychologic impact</term>
<term>Radiograph</term>
<term>Radiography</term>
<term>Removable</term>
<term>Removable implant prostheses</term>
<term>Removable overdenture</term>
<term>Removable overdenture prostheses</term>
<term>Removable overdenture prosthesis</term>
<term>Removable overdentures</term>
<term>Removable prostheses</term>
<term>Removable prosthodontics</term>
<term>Resorbed maxilla</term>
<term>Resorptive process</term>
<term>Retreatment</term>
<term>Same treatment</term>
<term>Score changes</term>
<term>Self Concept</term>
<term>Significant differences</term>
<term>Significant improvements</term>
<term>Speech (physiology)</term>
<term>Speech disruption</term>
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<term>Surveys and Questionnaires</term>
<term>Survival Analysis</term>
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<term>Time group</term>
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<term>Treatment Outcome</term>
<term>Treatment costs</term>
<term>Treatment option</term>
<term>Treatment options</term>
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<term>Wald test</term>
<term>Wilcoxon</term>
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<term>Analyse de survie</term>
<term>Attitude envers la santé</term>
<term>Concept du soi</term>
<term>Conception d'appareil de prothèse dentaire (économie)</term>
<term>Coûts des soins de santé</term>
<term>Dentisterie esthétique</term>
<term>Desmodonte (anatomopathologie)</term>
<term>Enquêtes et questionnaires</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Goût (physiologie)</term>
<term>Humains</term>
<term>Hygiène buccodentaire</term>
<term>Indice de plaque dentaire</term>
<term>Indice parodontal</term>
<term>Maxillaire</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Overdenture (économie)</term>
<term>Parole (physiologie)</term>
<term>Processus alvéolaire (imagerie diagnostique)</term>
<term>Prothèse dentaire complète supérieure (psychologie)</term>
<term>Prothèse dentaire complète supérieure (économie)</term>
<term>Prothèse dentaire implanto-portée (psychologie)</term>
<term>Prothèse dentaire implanto-portée (économie)</term>
<term>Radiographie</term>
<term>Reprise du traitement</term>
<term>Résultat thérapeutique</term>
<term>Rétention d'appareil de prothèse dentaire</term>
<term>Santé buccodentaire</term>
<term>Satisfaction du patient</term>
<term>Statistiques comme sujet</term>
<term>Sujet âgé</term>
<term>Échec de restauration dentaire</term>
<term>État de santé</term>
<term>Études de suivi</term>
<term>Études prospectives</term>
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<term>Desmodonte</term>
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<term>Alveolar Process</term>
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<keywords scheme="MESH" qualifier="economics" xml:lang="en">
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture Design</term>
<term>Denture, Complete, Upper</term>
<term>Denture, Overlay</term>
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<term>Processus alvéolaire</term>
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<term>Periodontal Ligament</term>
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<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr">
<term>Goût</term>
<term>Parole</term>
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<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Speech</term>
<term>Taste</term>
</keywords>
<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr">
<term>Prothèse dentaire complète supérieure</term>
<term>Prothèse dentaire implanto-portée</term>
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<keywords scheme="MESH" qualifier="psychology" xml:lang="en">
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture, Complete, Upper</term>
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<term>Jaw, Edentulous</term>
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<term>Mâchoire édentée</term>
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<term>Conception d'appareil de prothèse dentaire</term>
<term>Overdenture</term>
<term>Prothèse dentaire complète supérieure</term>
<term>Prothèse dentaire implanto-portée</term>
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<term>Abutment screw</term>
<term>Adult</term>
<term>Aged</term>
<term>Atrophic maxilla</term>
<term>Attachment level</term>
<term>Attitude to Health</term>
<term>Average score changes</term>
<term>Average score increases</term>
<term>Biologic</term>
<term>Bone level</term>
<term>Bone loss</term>
<term>Bone quality</term>
<term>Bone quantities</term>
<term>Clin</term>
<term>Clin periodontol</term>
<term>Clinical parameters</term>
<term>Complete dentures</term>
<term>Complication</term>
<term>Dent</term>
<term>Dental Plaque Index</term>
<term>Dental Restoration Failure</term>
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<term>Denture</term>
<term>Denture Retention</term>
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<term>Edentulous</term>
<term>Edentulous maxilla</term>
<term>Esthetics</term>
<term>Esthetics, Dental</term>
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<term>First year</term>
<term>Follow-Up Studies</term>
<term>Fracture</term>
<term>Full maxillary denture</term>
<term>Gingival index</term>
<term>Gold screws</term>
<term>Healing period</term>
<term>Health Care Costs</term>
<term>Health Status</term>
<term>Humans</term>
<term>Implant</term>
<term>Implant failure</term>
<term>Implant length</term>
<term>Implant placement</term>
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<term>Implant prosthesis</term>
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<term>Implant survival</term>
<term>Implant therapy</term>
<term>Implant treatment</term>
<term>Insertion</term>
<term>Larger number</term>
<term>Male</term>
<term>Marginal bone level</term>
<term>Marinello</term>
<term>Maxilla</term>
<term>Maxillary</term>
<term>Maxillary edentulism</term>
<term>Maxillary implants</term>
<term>Mechanical complications</term>
<term>Middle Aged</term>
<term>Months group</term>
<term>Mucosal</term>
<term>Mucosal hyperplasia</term>
<term>Oral Health</term>
<term>Oral Hygiene</term>
<term>Oral health</term>
<term>Oral implant therapy</term>
<term>Oral maxillofac implants</term>
<term>Oral rehabilitation</term>
<term>Osseointegrated implants</term>
<term>Overall satisfaction</term>
<term>Overdenture</term>
<term>Overdenture prostheses</term>
<term>Overdentures</term>
<term>Palatal coverage</term>
<term>Partial denture</term>
<term>Partial dentures</term>
<term>Patient Satisfaction</term>
<term>Patient satisfaction</term>
<term>Periodontal</term>
<term>Periodontal Index</term>
<term>Plaque index</term>
<term>Pretreatment questionnaire</term>
<term>Prospective Studies</term>
<term>Prospective study</term>
<term>Prosthesis</term>
<term>Prosthesis design</term>
<term>Prosthesis designs</term>
<term>Prosthesis insertion</term>
<term>Prosthesis placement</term>
<term>Prosthesis survival</term>
<term>Prosthet</term>
<term>Prosthet dent</term>
<term>Prosthetic</term>
<term>Prosthetic dentistry</term>
<term>Prosthetic dentistry zitzmann</term>
<term>Prosthetic rehabilitation</term>
<term>Prosthetic treatment</term>
<term>Psychologic impact</term>
<term>Radiograph</term>
<term>Radiography</term>
<term>Removable</term>
<term>Removable implant prostheses</term>
<term>Removable overdenture</term>
<term>Removable overdenture prostheses</term>
<term>Removable overdenture prosthesis</term>
<term>Removable overdentures</term>
<term>Removable prostheses</term>
<term>Removable prosthodontics</term>
<term>Resorbed maxilla</term>
<term>Resorptive process</term>
<term>Retreatment</term>
<term>Same treatment</term>
<term>Score changes</term>
<term>Self Concept</term>
<term>Significant differences</term>
<term>Significant improvements</term>
<term>Speech disruption</term>
<term>Speech problems</term>
<term>Statistics as Topic</term>
<term>Surveys and Questionnaires</term>
<term>Survival Analysis</term>
<term>Time Factors</term>
<term>Time group</term>
<term>Tooth unit</term>
<term>Treatment Outcome</term>
<term>Treatment costs</term>
<term>Treatment option</term>
<term>Treatment options</term>
<term>Treatment outcome</term>
<term>Treatment outcomes</term>
<term>Veneering</term>
<term>Wald test</term>
<term>Wilcoxon</term>
<term>Zitzmann</term>
</keywords>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse de survie</term>
<term>Attitude envers la santé</term>
<term>Concept du soi</term>
<term>Coûts des soins de santé</term>
<term>Dentisterie esthétique</term>
<term>Enquêtes et questionnaires</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Hygiène buccodentaire</term>
<term>Indice de plaque dentaire</term>
<term>Indice parodontal</term>
<term>Maxillaire</term>
<term>Mâle</term>
<term>Radiographie</term>
<term>Reprise du traitement</term>
<term>Résultat thérapeutique</term>
<term>Rétention d'appareil de prothèse dentaire</term>
<term>Santé buccodentaire</term>
<term>Satisfaction du patient</term>
<term>Statistiques comme sujet</term>
<term>Sujet âgé</term>
<term>Échec de restauration dentaire</term>
<term>État de santé</term>
<term>Études de suivi</term>
<term>Études prospectives</term>
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<div type="abstract" xml:lang="en">Abstract: Statement of problem: Distinct clinical parameters determine whether fixed or removable implant-supported prostheses are indicated to restore the edentulous maxilla. However, there is a strong belief that fixed implant prostheses meet with greater patient acceptance and satisfaction, but this may differ from the patients’ perceptions, their psychological responses to treatment, and their assessments of the treatment outcome. Purpose: This prospective clinical study compared the treatment outcomes of fixed and removable implant-supported restorations in the edentulous maxilla with the main emphasis on the patient’s point of view. Material and methods: Twenty patients who requested an implant-supported superstructure to restore the edentulous maxilla were asked to complete a questionnaire measuring their satisfaction with the present situation and the psychologic impact of their oral health status with their responses marked on a Visual Analog Scale (VAS). Ten patients were treated with a fixed, screw-retained implant prosthesis (group 1), and 10 were treated with a removable, implant-supported and bar-retained overdenture (group 2). Six months after prosthetic rehabilitation, patients were again given the questionnaire to assess their psychologic well-being and satisfaction with the implant-supported restoration. Results: Both prosthesis designs were associated with significant improvements in comfort and retention, function, esthetics and appearance, taste, speech, and self-esteem. No difference was found between the 2 groups with respect to how the patients assessed the implant therapy. However, the results indicated that patients in group 2 experienced greater differences between pretreatment and posttreatment scores for the parameters esthetics, taste, and speech. Treatment costs per unit were significantly higher in group 1 than in group 2. Conclusion: Patients in groups 1 and 2 were similarly satisfied with their implant-supported prostheses in the edentulous maxilla with regard to their well-being and the cost-utility, irrespective of whether the restoration was fixed or removable. (J Prosthet Dent 2000;83:424-33.)</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>Suisse</li>
</country>
</list>
<tree>
<country name="Suisse">
<noRegion>
<name sortKey="Zitzmann, Nicola U" sort="Zitzmann, Nicola U" uniqKey="Zitzmann N" first="Nicola U." last="Zitzmann">Nicola U. Zitzmann</name>
</noRegion>
<name sortKey="Marinello, Carlo P" sort="Marinello, Carlo P" uniqKey="Marinello C" first="Carlo P." last="Marinello">Carlo P. Marinello</name>
</country>
</tree>
</affiliations>
</record>

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