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Mandibular overdentures supported by two Brånemark, IMZ or ITI implants. A prospective comparative preliminary study: one-year results.

Identifieur interne : 009708 ( Main/Exploration ); précédent : 009707; suivant : 009709

Mandibular overdentures supported by two Brånemark, IMZ or ITI implants. A prospective comparative preliminary study: one-year results.

Auteurs : R H Batenburg [Pays-Bas] ; H J Meijer ; G M Raghoebar ; R P Van Oort ; G. Boering

Source :

RBID : pubmed:11429939

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English descriptors

Abstract

The aim of this prospective comparative study was to evaluate the condition of the peri-implant tissues of three different implant systems supporting a mandibular overdenture. Ninety edentulous patients (Cawood class V-VI) participated in this study. After randomization, 30 patients were treated with 2 Brånemark implants, 30 patients with 2 IMZ implants and 30 patients with 2 ITI implants. The implants were inserted in the canine region of the mandible. After 3 months overdentures were fabricated supported by a round bar and clip attachment. A standardized clinical and radiographic evaluation was performed 0,6 and 12 months after insertion of the denture. The intraoral radiographs were made, using the long-cone technique with an aiming device. Two implants were lost (1 Brånemark, 1 IMZ) during the healing period. None of the patients showed any sensory change in lip or chin region. The pocket depth in the Brånemark group decreased significantly whereas the mucosa recession increased significantly in both the Brånemark as well as in the IMZ group. After 12 months, there was significantly less bone loss in the ITI group. From our study it was concluded that 2 (Brånemark, IMZ or ITI) implants placed in the interforaminal region connected with a bar supply a proper base for the support of a mandibular overdenture in the (Cawood V-VI) edentulous patient. The ITI implant appears to be the implant of choice for mandibular overdenture therapy, because only one operation is required for a comparable result.

PubMed: 11429939


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Le document en format XML

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<name sortKey="Raghoebar, G M" sort="Raghoebar, G M" uniqKey="Raghoebar G" first="G M" last="Raghoebar">G M Raghoebar</name>
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<term>Aged</term>
<term>Analysis of Variance</term>
<term>Bone Resorption (classification)</term>
<term>Chin</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants (classification)</term>
<term>Dental Plaque Index</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Denture Retention</term>
<term>Denture, Overlay</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Gingival Recession (classification)</term>
<term>Humans</term>
<term>Jaw, Edentulous (diagnostic imaging)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Lip Diseases (classification)</term>
<term>Male</term>
<term>Mandible (diagnostic imaging)</term>
<term>Mandible (surgery)</term>
<term>Middle Aged</term>
<term>Periodontal Diseases (classification)</term>
<term>Periodontal Diseases (diagnostic imaging)</term>
<term>Periodontal Pocket (classification)</term>
<term>Prospective Studies</term>
<term>Radiography</term>
<term>Sensation Disorders (classification)</term>
<term>Statistics, Nonparametric</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse de variance</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires ()</term>
<term>Indice de plaque dentaire</term>
<term>Maladies de la lèvre ()</term>
<term>Maladies parodontales ()</term>
<term>Maladies parodontales (imagerie diagnostique)</term>
<term>Mandibule ()</term>
<term>Mandibule (imagerie diagnostique)</term>
<term>Menton</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (imagerie diagnostique)</term>
<term>Mâle</term>
<term>Overdenture</term>
<term>Poche parodontale ()</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Radiographie</term>
<term>Récession gingivale ()</term>
<term>Résorption osseuse ()</term>
<term>Rétention d'appareil de prothèse dentaire</term>
<term>Statistique non paramétrique</term>
<term>Sujet âgé</term>
<term>Troubles sensitifs ()</term>
<term>Échec de restauration dentaire</term>
<term>Études de suivi</term>
<term>Études prospectives</term>
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<term>Dental Implants</term>
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<keywords scheme="MESH" qualifier="classification" xml:lang="en">
<term>Bone Resorption</term>
<term>Gingival Recession</term>
<term>Lip Diseases</term>
<term>Periodontal Diseases</term>
<term>Periodontal Pocket</term>
<term>Sensation Disorders</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en">
<term>Jaw, Edentulous</term>
<term>Mandible</term>
<term>Periodontal Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr">
<term>Maladies parodontales</term>
<term>Mandibule</term>
<term>Mâchoire édentée</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Dental Implantation, Endosseous</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Jaw, Edentulous</term>
<term>Mandible</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Analysis of Variance</term>
<term>Chin</term>
<term>Dental Plaque Index</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Denture Retention</term>
<term>Denture, Overlay</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
<term>Radiography</term>
<term>Statistics, Nonparametric</term>
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<keywords scheme="MESH" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse de variance</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Indice de plaque dentaire</term>
<term>Maladies de la lèvre</term>
<term>Maladies parodontales</term>
<term>Mandibule</term>
<term>Menton</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Overdenture</term>
<term>Poche parodontale</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Radiographie</term>
<term>Récession gingivale</term>
<term>Résorption osseuse</term>
<term>Rétention d'appareil de prothèse dentaire</term>
<term>Statistique non paramétrique</term>
<term>Sujet âgé</term>
<term>Troubles sensitifs</term>
<term>Échec de restauration dentaire</term>
<term>Études de suivi</term>
<term>Études prospectives</term>
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<front>
<div type="abstract" xml:lang="en">The aim of this prospective comparative study was to evaluate the condition of the peri-implant tissues of three different implant systems supporting a mandibular overdenture. Ninety edentulous patients (Cawood class V-VI) participated in this study. After randomization, 30 patients were treated with 2 Brånemark implants, 30 patients with 2 IMZ implants and 30 patients with 2 ITI implants. The implants were inserted in the canine region of the mandible. After 3 months overdentures were fabricated supported by a round bar and clip attachment. A standardized clinical and radiographic evaluation was performed 0,6 and 12 months after insertion of the denture. The intraoral radiographs were made, using the long-cone technique with an aiming device. Two implants were lost (1 Brånemark, 1 IMZ) during the healing period. None of the patients showed any sensory change in lip or chin region. The pocket depth in the Brånemark group decreased significantly whereas the mucosa recession increased significantly in both the Brånemark as well as in the IMZ group. After 12 months, there was significantly less bone loss in the ITI group. From our study it was concluded that 2 (Brånemark, IMZ or ITI) implants placed in the interforaminal region connected with a bar supply a proper base for the support of a mandibular overdenture in the (Cawood V-VI) edentulous patient. The ITI implant appears to be the implant of choice for mandibular overdenture therapy, because only one operation is required for a comparable result.</div>
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