The predictive value of radiographic diagnosis of implant instability.
Identifieur interne : 010C79 ( Main/Exploration ); précédent : 010C78; suivant : 010C80The predictive value of radiographic diagnosis of implant instability.
Auteurs : K. Gröndahl [Suède] ; U. LekholmSource :
- The International journal of oral & maxillofacial implants [ 0882-2786 ]
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Femelle, Humains, Implants dentaires (effets indésirables), Mâchoire édentée (imagerie diagnostique), Mâle, Ostéo-intégration, Pose d'implant dentaire endo-osseux, Pronostic, Radiographie dentaire, Reproductibilité des résultats, Résorption alvéolaire (imagerie diagnostique), Résorption alvéolaire (étiologie), Sujet âgé, Sujet âgé de 80 ans ou plus, Valeur prédictive des tests, Échec de restauration dentaire.
- MESH :
- effets indésirables : Implants dentaires.
- imagerie diagnostique : Mâchoire édentée, Résorption alvéolaire.
- étiologie : Résorption alvéolaire.
- Adulte, Adulte d'âge moyen, Femelle, Humains, Mâle, Ostéo-intégration, Pose d'implant dentaire endo-osseux, Pronostic, Radiographie dentaire, Reproductibilité des résultats, Sujet âgé, Sujet âgé de 80 ans ou plus, Valeur prédictive des tests, Échec de restauration dentaire.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Alveolar Bone Loss (diagnostic imaging), Alveolar Bone Loss (etiology), Dental Implantation, Endosseous, Dental Implants (adverse effects), Dental Restoration Failure, Female, Humans, Jaw, Edentulous (diagnostic imaging), Male, Middle Aged, Osseointegration, Predictive Value of Tests, Prognosis, Radiography, Dental, Reproducibility of Results.
- MESH :
- chemical , adverse effects : Dental Implants.
- diagnostic imaging : Alveolar Bone Loss, Jaw, Edentulous.
- etiology : Alveolar Bone Loss.
- Adult, Aged, Aged, 80 and over, Dental Implantation, Endosseous, Dental Restoration Failure, Female, Humans, Male, Middle Aged, Osseointegration, Predictive Value of Tests, Prognosis, Radiography, Dental, Reproducibility of Results.
Abstract
The positive predictive value of radiographic identification of unstable Brånemark implants was evaluated. Based on approximately 2,000 patients with implants followed during a 3-year period, a total of 84 patients were radiographically detected to have suspected failing implants. A total of 481 implants had been placed in these patients, but because of the study design and some patient dropouts, the evaluation was carried out in only 79 of the identified patients, who had 413 implants. Calculations were performed based on the number of occasions the implants were examined (n = 482) because some patients were assessed on more than one occasion. Results indicated a high positive predictive value (83%) to radiographically identify failing implants, and only 5% were clinically found to be failing without having been detected radiographically. In nine jaws (11%), the fixed prosthetic restorations were unnecessarily detached because of inaccurate radiographic diagnosis. The study indicated that radiographic identification of unstable implants is reliable when performed as part of annual examinations and when examining patients on a long-term routine basis. The timing for these assessments should be annual during the first 3 years of follow up for the inexperienced clinician and may thereafter be individualized with more clinical experience.
PubMed: 9048455
Affiliations:
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Gröndahl</name><affiliation wicri:level="4"><nlm:affiliation>Department of Oral Diagnostic Radiology, Göteborg University, Faculty of Odontology, Sweden.</nlm:affiliation><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Oral Diagnostic Radiology, Göteborg University, Faculty of Odontology</wicri:regionArea><orgName type="university">Université de Göteborg</orgName><placeName><settlement type="city">Göteborg</settlement><region nuts="1">Götaland</region><region nuts="1">Suède occidentale</region></placeName></affiliation></author><author><name sortKey="Lekholm, U" sort="Lekholm, U" uniqKey="Lekholm U" first="U" last="Lekholm">U. 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Based on approximately 2,000 patients with implants followed during a 3-year period, a total of 84 patients were radiographically detected to have suspected failing implants. A total of 481 implants had been placed in these patients, but because of the study design and some patient dropouts, the evaluation was carried out in only 79 of the identified patients, who had 413 implants. Calculations were performed based on the number of occasions the implants were examined (n = 482) because some patients were assessed on more than one occasion. Results indicated a high positive predictive value (83%) to radiographically identify failing implants, and only 5% were clinically found to be failing without having been detected radiographically. In nine jaws (11%), the fixed prosthetic restorations were unnecessarily detached because of inaccurate radiographic diagnosis. The study indicated that radiographic identification of unstable implants is reliable when performed as part of annual examinations and when examining patients on a long-term routine basis. The timing for these assessments should be annual during the first 3 years of follow up for the inexperienced clinician and may thereafter be individualized with more clinical experience.</div></front></TEI><affiliations><list><country><li>Suède</li></country><region><li>Götaland</li><li>Suède occidentale</li></region><settlement><li>Göteborg</li></settlement><orgName><li>Université de Göteborg</li></orgName></list><tree><noCountry><name sortKey="Lekholm, U" sort="Lekholm, U" uniqKey="Lekholm U" first="U" last="Lekholm">U. Lekholm</name></noCountry><country name="Suède"><region name="Götaland"><name sortKey="Grondahl, K" sort="Grondahl, K" uniqKey="Grondahl K" first="K" last="Gröndahl">K. Gröndahl</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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