A nationwide evaluative study on implant-retained overdentures
Identifieur interne : 009E93 ( Main/Exploration ); précédent : 009E92; suivant : 009E94A nationwide evaluative study on implant-retained overdentures
Auteurs : M. S. Cune [Pays-Bas] ; C. De Putter [Pays-Bas] ; Joh Hoogstraten [Pays-Bas]Source :
- Journal of Dentistry [ 0300-5712 ] ; 1997.
Descripteurs français
- KwdFr :
- MESH :
- rééducation et réadaptation : Mâchoire édentée.
- Adulte d'âge moyen, Assurance dentaire, Enquêtes de santé dentaire, Femelle, Humains, Mâle, Overdenture, Pays-Bas, Prothèse dentaire implanto-portée, Satisfaction du patient, Évaluation de résultat (soins).
- Wicri :
- geographic : Pays-Bas.
English descriptors
- KwdEn :
- Cawood classification, Clinical findings, Cune, Dent, Dental Health Surveys, Dental Prosthesis, Implant-Supported (statistics & numerical data), Dental implants, Dental insurance scheme, Denture, Denture complaints, Denture denture base extension, Denture problems, Denture, Overlay (statistics & numerical data), Edentulous, Edentulous patients, Elsevier science, Female, General dentist, General dentists, Gingival health scores, Humans, Implant, Implant overdenture treatment, Implant patients, Implant site, Implant survival, Implant treatment, Implant-retained overdentures, Independent observers, Insurance, Dental, Interobserver agreement, Jaw, Edentulous (rehabilitation), Large group, Large scale, Lower denture, Male, Many patients, Middle Aged, Nationwide scale, Nationwide study, Netherlands, Objective results, Observation period months, Oral hygiene, Oral implants, Oral surgeons, Osseointegrated implants, Outcome Assessment (Health Care), Overdentures, Patient Satisfaction, Patient satisfaction, Potential overloading, Present study, Prosthetic care, Prosthetic parameters, Qualitative aspects, Quantitative aspects, Retention mechanism, Scale scores, Subjective results, Suboptimal, Suboptimal occlusion, Treatment characteristics, Treatment outcome, Unilateral occlusal contact, Upper denture.
- MESH :
- geographic : Netherlands.
- rehabilitation : Jaw, Edentulous.
- statistics & numerical data : Dental Prosthesis, Implant-Supported, Denture, Overlay.
- Teeft :
- Cawood classification, Clinical findings, Cune, Dent, Dental Health Surveys, Dental implants, Dental insurance scheme, Denture, Denture complaints, Denture denture base extension, Denture problems, Edentulous, Edentulous patients, Elsevier science, Female, General dentist, General dentists, Gingival health scores, Humans, Implant, Implant overdenture treatment, Implant patients, Implant site, Implant survival, Implant treatment, Independent observers, Insurance, Dental, Interobserver agreement, Large group, Large scale, Lower denture, Male, Many patients, Middle Aged, Nationwide scale, Nationwide study, Objective results, Observation period months, Oral hygiene, Oral implants, Oral surgeons, Osseointegrated implants, Outcome Assessment (Health Care), Overdentures, Patient Satisfaction, Patient satisfaction, Potential overloading, Present study, Prosthetic care, Prosthetic parameters, Qualitative aspects, Quantitative aspects, Retention mechanism, Scale scores, Subjective results, Suboptimal, Suboptimal occlusion, Treatment characteristics, Treatment outcome, Unilateral occlusal contact, Upper denture.
Abstract
Abstract: Objectives: In the Netherlands, dental implants have been included in the National Dental Insurance Scheme (NDIS) since 1989. Nowadays. out-of-pocket expenditure is low, making implant treatment financially feasible for a large group of edentulous, potential implant candidates. Treatment can be performed by both oral surgeons and general dentists. Results of implant treatment in the literature are usually obtained in academic and specialized centers. In contrast to this, the present study evaluates the quantitative and qualitative aspects of rehabilitation with oral implants in combination with an overdenture when applied on a nationwide scale.Methods: For this purpose all patients (n=5410) treated between January 1989 and July 1992 were extensively documented pre-operatively implant patients (n=429) were clinically investigated by two independent observers and the effect of treatment on denture complaints was assessed by means of a questionnaire (n=460).Results: Only a small proportion of the potential pool of implant candidates is actually bemg treated, to a constant number of approximately 2000 patients a year. The selected patients have major denture problems and have received relatively high levels of prosthetic care during the last decade. Clinical results are comparable to those reported in the literature, implant survival after 3 years for the lower jaw being 96.3% and for the upper jaw 70.4%. Oral hygiene was frequently considered suboptimal and seen in conjunction with marginal inflammation of the peri-implant mucosa. Subjective results were excellent, patients were quite satisfied with the improvements in the comfort and esthetics of their lower denture.Conclusions: Implant overclenture treatment, within the guidelines and regulations set by the Dutch NDIS, is a safe and effective treatment alternative, in particular for the rehabilitation of the lower jaw.
Url:
DOI: 10.1016/S0300-5712(97)87695-6
Affiliations:
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De Putter</name></author><author><name sortKey="Hoogstraten, Joh" sort="Hoogstraten, Joh" uniqKey="Hoogstraten J" first="Joh" last="Hoogstraten">Joh Hoogstraten</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:9CECEF48F07F8A12BF2179BE3F7B1E8B5EDF4BAE</idno><date when="1997" year="1997">1997</date><idno type="doi">10.1016/S0300-5712(97)87695-6</idno><idno type="url">https://api.istex.fr/document/9CECEF48F07F8A12BF2179BE3F7B1E8B5EDF4BAE/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">004E55</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">004E55</idno><idno type="wicri:Area/Istex/Curation">004E55</idno><idno type="wicri:Area/Istex/Checkpoint">004925</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Checkpoint">004925</idno><idno type="wicri:doubleKey">0300-5712:1997:Cune M:a:nationwide:evaluative</idno><idno type="wicri:Area/Main/Merge">00A419</idno><idno type="wicri:source">PubMed</idno><idno type="RBID">pubmed:9080747</idno><idno type="wicri:Area/PubMed/Corpus">003F11</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">003F11</idno><idno type="wicri:Area/PubMed/Curation">003F11</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">003F11</idno><idno type="wicri:Area/PubMed/Checkpoint">003F11</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">003F11</idno><idno type="wicri:Area/Ncbi/Merge">009881</idno><idno type="wicri:Area/Ncbi/Curation">009881</idno><idno type="wicri:Area/Ncbi/Checkpoint">009881</idno><idno type="wicri:doubleKey">0300-5712:1997:Cune M:a:nationwide:evaluative</idno><idno type="wicri:Area/Main/Merge">00A179</idno><idno type="wicri:Area/Main/Curation">009E93</idno><idno type="wicri:Area/Main/Exploration">009E93</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">A nationwide evaluative study on implant-retained overdentures</title><author><name sortKey="Cune, M S" sort="Cune, M S" uniqKey="Cune M" first="M. S." last="Cune">M. S. Cune</name><affiliation wicri:level="1"><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Prosthodontics and Special Dental Care, University of Utrecht, P.O. Box 80.037, 3508 TA Utrecht</wicri:regionArea><wicri:noRegion>3508 TA Utrecht</wicri:noRegion></affiliation><affiliation wicri:level="1"><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Correspondence should be addressed to: Dr M.S. Cune, Department of Oral and Maxillofacial Surgery, Prosthodontics and Special Dental Care, University of Utrecht P.O. Box 8003</wicri:regionArea><wicri:noRegion>University of Utrecht P.O. Box 8003</wicri:noRegion></affiliation></author><author><name sortKey="De Putter, C" sort="De Putter, C" uniqKey="De Putter C" first="C." last="De Putter">C. De Putter</name><affiliation wicri:level="1"><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Prosthodontics and Special Dental Care, University of Utrecht, P.O. Box 80.037, 3508 TA Utrecht</wicri:regionArea><wicri:noRegion>3508 TA Utrecht</wicri:noRegion></affiliation></author><author><name sortKey="Hoogstraten, Joh" sort="Hoogstraten, Joh" uniqKey="Hoogstraten J" first="Joh" last="Hoogstraten">Joh Hoogstraten</name><affiliation wicri:level="3"><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Social Dentistry and Dental Health Education, Academic Center for Dentistry, Amsterdam</wicri:regionArea><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author></analytic><monogr></monogr><series><title level="j">Journal of Dentistry</title><title level="j" type="abbrev">JJOD</title><idno type="ISSN">0300-5712</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1997">1997</date><biblScope unit="volume">25</biblScope><biblScope unit="supplement">I1</biblScope><biblScope unit="page" from="S13">S13</biblScope><biblScope unit="page" to="S19">S19</biblScope></imprint><idno type="ISSN">0300-5712</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0300-5712</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cawood classification</term><term>Clinical findings</term><term>Cune</term><term>Dent</term><term>Dental Health Surveys</term><term>Dental Prosthesis, Implant-Supported (statistics & numerical data)</term><term>Dental implants</term><term>Dental insurance scheme</term><term>Denture</term><term>Denture complaints</term><term>Denture denture base extension</term><term>Denture problems</term><term>Denture, Overlay (statistics & numerical data)</term><term>Edentulous</term><term>Edentulous patients</term><term>Elsevier science</term><term>Female</term><term>General dentist</term><term>General dentists</term><term>Gingival health scores</term><term>Humans</term><term>Implant</term><term>Implant overdenture treatment</term><term>Implant patients</term><term>Implant site</term><term>Implant survival</term><term>Implant treatment</term><term>Implant-retained overdentures</term><term>Independent observers</term><term>Insurance, Dental</term><term>Interobserver agreement</term><term>Jaw, Edentulous (rehabilitation)</term><term>Large group</term><term>Large scale</term><term>Lower denture</term><term>Male</term><term>Many patients</term><term>Middle Aged</term><term>Nationwide scale</term><term>Nationwide study</term><term>Netherlands</term><term>Objective results</term><term>Observation period months</term><term>Oral hygiene</term><term>Oral implants</term><term>Oral surgeons</term><term>Osseointegrated implants</term><term>Outcome Assessment (Health Care)</term><term>Overdentures</term><term>Patient Satisfaction</term><term>Patient satisfaction</term><term>Potential overloading</term><term>Present study</term><term>Prosthetic care</term><term>Prosthetic parameters</term><term>Qualitative aspects</term><term>Quantitative aspects</term><term>Retention mechanism</term><term>Scale scores</term><term>Subjective results</term><term>Suboptimal</term><term>Suboptimal occlusion</term><term>Treatment characteristics</term><term>Treatment outcome</term><term>Unilateral occlusal contact</term><term>Upper denture</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Assurance dentaire</term><term>Enquêtes de santé dentaire</term><term>Femelle</term><term>Humains</term><term>Mâchoire édentée (rééducation et réadaptation)</term><term>Mâle</term><term>Overdenture ()</term><term>Pays-Bas</term><term>Prothèse dentaire implanto-portée ()</term><term>Satisfaction du patient</term><term>Évaluation de résultat (soins)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Netherlands</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire édentée</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Dental Prosthesis, Implant-Supported</term><term>Denture, Overlay</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Cawood classification</term><term>Clinical findings</term><term>Cune</term><term>Dent</term><term>Dental Health Surveys</term><term>Dental implants</term><term>Dental insurance scheme</term><term>Denture</term><term>Denture complaints</term><term>Denture denture base extension</term><term>Denture problems</term><term>Edentulous</term><term>Edentulous patients</term><term>Elsevier science</term><term>Female</term><term>General dentist</term><term>General dentists</term><term>Gingival health scores</term><term>Humans</term><term>Implant</term><term>Implant overdenture treatment</term><term>Implant patients</term><term>Implant site</term><term>Implant survival</term><term>Implant treatment</term><term>Independent observers</term><term>Insurance, Dental</term><term>Interobserver agreement</term><term>Large group</term><term>Large scale</term><term>Lower denture</term><term>Male</term><term>Many patients</term><term>Middle Aged</term><term>Nationwide scale</term><term>Nationwide study</term><term>Objective results</term><term>Observation period months</term><term>Oral hygiene</term><term>Oral implants</term><term>Oral surgeons</term><term>Osseointegrated implants</term><term>Outcome Assessment (Health Care)</term><term>Overdentures</term><term>Patient Satisfaction</term><term>Patient satisfaction</term><term>Potential overloading</term><term>Present study</term><term>Prosthetic care</term><term>Prosthetic parameters</term><term>Qualitative aspects</term><term>Quantitative aspects</term><term>Retention mechanism</term><term>Scale scores</term><term>Subjective results</term><term>Suboptimal</term><term>Suboptimal occlusion</term><term>Treatment characteristics</term><term>Treatment outcome</term><term>Unilateral occlusal contact</term><term>Upper denture</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Assurance dentaire</term><term>Enquêtes de santé dentaire</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Overdenture</term><term>Pays-Bas</term><term>Prothèse dentaire implanto-portée</term><term>Satisfaction du patient</term><term>Évaluation de résultat (soins)</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Pays-Bas</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Abstract: Objectives: In the Netherlands, dental implants have been included in the National Dental Insurance Scheme (NDIS) since 1989. Nowadays. out-of-pocket expenditure is low, making implant treatment financially feasible for a large group of edentulous, potential implant candidates. Treatment can be performed by both oral surgeons and general dentists. Results of implant treatment in the literature are usually obtained in academic and specialized centers. In contrast to this, the present study evaluates the quantitative and qualitative aspects of rehabilitation with oral implants in combination with an overdenture when applied on a nationwide scale.Methods: For this purpose all patients (n=5410) treated between January 1989 and July 1992 were extensively documented pre-operatively implant patients (n=429) were clinically investigated by two independent observers and the effect of treatment on denture complaints was assessed by means of a questionnaire (n=460).Results: Only a small proportion of the potential pool of implant candidates is actually bemg treated, to a constant number of approximately 2000 patients a year. The selected patients have major denture problems and have received relatively high levels of prosthetic care during the last decade. Clinical results are comparable to those reported in the literature, implant survival after 3 years for the lower jaw being 96.3% and for the upper jaw 70.4%. Oral hygiene was frequently considered suboptimal and seen in conjunction with marginal inflammation of the peri-implant mucosa. Subjective results were excellent, patients were quite satisfied with the improvements in the comfort and esthetics of their lower denture.Conclusions: Implant overclenture treatment, within the guidelines and regulations set by the Dutch NDIS, is a safe and effective treatment alternative, in particular for the rehabilitation of the lower jaw.</div></front></TEI><affiliations><list><country><li>Pays-Bas</li></country><region><li>Hollande-Septentrionale</li></region><settlement><li>Amsterdam</li></settlement></list><tree><country name="Pays-Bas"><noRegion><name sortKey="Cune, M S" sort="Cune, M S" uniqKey="Cune M" first="M. S." last="Cune">M. S. Cune</name></noRegion><name sortKey="Cune, M S" sort="Cune, M S" uniqKey="Cune M" first="M. S." last="Cune">M. S. Cune</name><name sortKey="De Putter, C" sort="De Putter, C" uniqKey="De Putter C" first="C." last="De Putter">C. De Putter</name><name sortKey="Hoogstraten, Joh" sort="Hoogstraten, Joh" uniqKey="Hoogstraten J" first="Joh" last="Hoogstraten">Joh Hoogstraten</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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