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Complications in Partially Edentulous Implant Patients: A 5‐Year Retrospective Follow‐up Study of 133 Patients Supplied with Unilateral Maxillary Prostheses

Identifieur interne : 009448 ( Main/Exploration ); précédent : 009447; suivant : 009449

Complications in Partially Edentulous Implant Patients: A 5‐Year Retrospective Follow‐up Study of 133 Patients Supplied with Unilateral Maxillary Prostheses

Auteurs : Ann Wennerberg [Suède] ; Torsten Jemt [Suède]

Source :

RBID : ISTEX:84A825D74B81CC90B1C9C722BDAAB919FBB2BFE8

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English descriptors

Abstract

Background: Numerous studies have reported successful outcomes for restoration of fully endentulous patients with Brånemark implants. However, some studies indicate more mechanical problems in restored partially endentulous situations. Purpose: The objective was to study patients with potential risk for mechanical complications after implant treatment. Materials and Methods: Patients were retrospectively evaluated 5 years after implant treatment in upper jaw Appelgate‐Kennedy Class II situations. Altogether 422 implants ad modum Brånemark were installed in 137 consecutively treated patients. One hundred thirty‐three prostheses were placed and followed‐up for 5 years, according to routine clinical protocols. Results: The overall 5‐year implant cumulative survival rate (CSR) was 94.0%. The corresponding CSR for loaded implants and prostheses was 97.7% and 98.4%, respectively, and the overall marginal bone loss was 0.8 mm (0.6 mm) after 5 years. Sixteen abutment screws fractured in seven patients (5%) and 17 prostheses (13%) presented loose abutment or gold screws during the follow‐up period. Significantly more problems were reported in association with prostheses that included the canine (p <.05), and significantly more gold screws were working loose when only two implants were supporting the frameworks (p<.01). Conclusions: Upper jaw implant treatment in unilateral free‐end situations seems to involve more mechanical problems than other implant treatment groups when only two implants can be installed and when the canine tooth is missing. However, most of these complications are easily adjusted, and the clinical survival of implants and prostheses is the same for these groups compared to other groups of partially edentulous implant patients.

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DOI: 10.1111/j.1708-8208.1999.tb00091.x


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<term>Abutment screws</term>
<term>Adult</term>
<term>Aged</term>
<term>Alveolar Bone Loss (etiology)</term>
<term>Bone level</term>
<term>Bone loss</term>
<term>Bone quality</term>
<term>Bone quantity</term>
<term>Branemark</term>
<term>Canine</term>
<term>Canine tooth</term>
<term>Chi-Square Distribution</term>
<term>Clinical appointments</term>
<term>Clinical dentistry</term>
<term>Clinical experiences</term>
<term>Clinical implant dentistry</term>
<term>Clinical survival</term>
<term>Complication</term>
<term>Cumulative survival rate</term>
<term>Cuspid (physiopathology)</term>
<term>Dental Implants (adverse effects)</term>
<term>Dental Prosthesis, Implant-Supported (adverse effects)</term>
<term>Dental Restoration Failure</term>
<term>Dentistry</term>
<term>Denture, Partial, Fixed (adverse effects)</term>
<term>Edentulous</term>
<term>Edentulous implant patients</term>
<term>Edentulous jaws</term>
<term>Edentulous patients</term>
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<term>Female</term>
<term>First year</term>
<term>Follow-Up Studies</term>
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<term>Gold screws</term>
<term>Higher incidence</term>
<term>Humans</term>
<term>Implant</term>
<term>Implant components</term>
<term>Implant insertion</term>
<term>Implant treatment</term>
<term>Insertion</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Jemt</term>
<term>Lekholm</term>
<term>Life Tables</term>
<term>Load distribution</term>
<term>Loose abutment</term>
<term>Loose implants</term>
<term>Male</term>
<term>Marginal bone level</term>
<term>Marginal bone loss</term>
<term>Maxilla</term>
<term>Maxilla (surgery)</term>
<term>Maxillofac</term>
<term>Mechanical complications</term>
<term>Mechanical problems</term>
<term>Middle Aged</term>
<term>Modum branemark</term>
<term>More implants</term>
<term>More problems</term>
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<term>Oral maxillofac implants</term>
<term>Osseointegrated</term>
<term>Osseointegrated implants</term>
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<term>Other implant studies</term>
<term>Other implant treatment groups</term>
<term>Overall implant</term>
<term>Partial edentulism</term>
<term>Partial prostheses</term>
<term>Phonation</term>
<term>Phonation problems</term>
<term>Present study</term>
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<term>Prosthesis insertion</term>
<term>Prosthesis survival rates</term>
<term>Prosthet dent</term>
<term>Resin teeth</term>
<term>Retrospective Studies</term>
<term>Retrospective study</term>
<term>Second year</term>
<term>Significant difference</term>
<term>Smoking habits</term>
<term>Stomatognathic problems</term>
<term>Surgical sciences</term>
<term>Third year</term>
<term>Titanium frameworks</term>
<term>Unilateral situations</term>
<term>Year year year year year</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Canine (physiopathologie)</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires (effets indésirables)</term>
<term>Loi du khi-deux</term>
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<term>Mâchoire partiellement édentée ()</term>
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<term>Résorption alvéolaire (étiologie)</term>
<term>Sujet âgé</term>
<term>Tables de survie</term>
<term>Échec de restauration dentaire</term>
<term>Études de suivi</term>
<term>Études rétrospectives</term>
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<term>Prothèse partielle fixe</term>
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<term>Alveolar Bone Loss</term>
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<term>Canine</term>
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<term>Cuspid</term>
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<term>Jaw, Edentulous, Partially</term>
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<term>Mâchoire partiellement édentée</term>
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<term>Abutment</term>
<term>Abutment screws</term>
<term>Adult</term>
<term>Aged</term>
<term>Bone level</term>
<term>Bone loss</term>
<term>Bone quality</term>
<term>Bone quantity</term>
<term>Branemark</term>
<term>Canine</term>
<term>Canine tooth</term>
<term>Chi-Square Distribution</term>
<term>Clinical appointments</term>
<term>Clinical dentistry</term>
<term>Clinical experiences</term>
<term>Clinical implant dentistry</term>
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<term>Complication</term>
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<term>Dentistry</term>
<term>Edentulous</term>
<term>Edentulous implant patients</term>
<term>Edentulous jaws</term>
<term>Edentulous patients</term>
<term>Endosseous implants</term>
<term>Female</term>
<term>First year</term>
<term>Follow-Up Studies</term>
<term>Fracture</term>
<term>Gold screws</term>
<term>Higher incidence</term>
<term>Humans</term>
<term>Implant</term>
<term>Implant components</term>
<term>Implant insertion</term>
<term>Implant treatment</term>
<term>Insertion</term>
<term>Jemt</term>
<term>Lekholm</term>
<term>Life Tables</term>
<term>Load distribution</term>
<term>Loose abutment</term>
<term>Loose implants</term>
<term>Male</term>
<term>Marginal bone level</term>
<term>Marginal bone loss</term>
<term>Maxilla</term>
<term>Maxillofac</term>
<term>Mechanical complications</term>
<term>Mechanical problems</term>
<term>Middle Aged</term>
<term>Modum branemark</term>
<term>More implants</term>
<term>More problems</term>
<term>Natural teeth</term>
<term>Oral maxillofac implants</term>
<term>Osseointegrated</term>
<term>Osseointegrated implants</term>
<term>Other groups</term>
<term>Other implant studies</term>
<term>Other implant treatment groups</term>
<term>Overall implant</term>
<term>Partial edentulism</term>
<term>Partial prostheses</term>
<term>Phonation</term>
<term>Phonation problems</term>
<term>Present study</term>
<term>Prosthesis</term>
<term>Prosthesis insertion</term>
<term>Prosthesis survival rates</term>
<term>Prosthet dent</term>
<term>Resin teeth</term>
<term>Retrospective Studies</term>
<term>Retrospective study</term>
<term>Second year</term>
<term>Significant difference</term>
<term>Smoking habits</term>
<term>Stomatognathic problems</term>
<term>Surgical sciences</term>
<term>Third year</term>
<term>Titanium frameworks</term>
<term>Unilateral situations</term>
<term>Year year year year year</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Loi du khi-deux</term>
<term>Maxillaire</term>
<term>Mâchoire partiellement édentée</term>
<term>Mâle</term>
<term>Sujet âgé</term>
<term>Tables de survie</term>
<term>Échec de restauration dentaire</term>
<term>Études de suivi</term>
<term>Études rétrospectives</term>
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<div type="abstract" xml:lang="en">Background: Numerous studies have reported successful outcomes for restoration of fully endentulous patients with Brånemark implants. However, some studies indicate more mechanical problems in restored partially endentulous situations. Purpose: The objective was to study patients with potential risk for mechanical complications after implant treatment. Materials and Methods: Patients were retrospectively evaluated 5 years after implant treatment in upper jaw Appelgate‐Kennedy Class II situations. Altogether 422 implants ad modum Brånemark were installed in 137 consecutively treated patients. One hundred thirty‐three prostheses were placed and followed‐up for 5 years, according to routine clinical protocols. Results: The overall 5‐year implant cumulative survival rate (CSR) was 94.0%. The corresponding CSR for loaded implants and prostheses was 97.7% and 98.4%, respectively, and the overall marginal bone loss was 0.8 mm (0.6 mm) after 5 years. Sixteen abutment screws fractured in seven patients (5%) and 17 prostheses (13%) presented loose abutment or gold screws during the follow‐up period. Significantly more problems were reported in association with prostheses that included the canine (p <.05), and significantly more gold screws were working loose when only two implants were supporting the frameworks (p<.01). Conclusions: Upper jaw implant treatment in unilateral free‐end situations seems to involve more mechanical problems than other implant treatment groups when only two implants can be installed and when the canine tooth is missing. However, most of these complications are easily adjusted, and the clinical survival of implants and prostheses is the same for these groups compared to other groups of partially edentulous implant patients.</div>
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