Serveur d'exploration sur le patient édenté

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Rehabilitation of patients with severely resorbed maxillae by means of implants with or without bone grafts. A 1-year follow-up study.

Identifieur interne : 010E96 ( Main/Exploration ); précédent : 010E95; suivant : 010E97

Rehabilitation of patients with severely resorbed maxillae by means of implants with or without bone grafts. A 1-year follow-up study.

Auteurs : G. Widmark [Suède] ; B. Andersson ; B. Andrup ; G E Carlsson ; C J Ivanoff ; A M Lindvall

Source :

RBID : pubmed:9714953

Descripteurs français

English descriptors

Abstract

Forty-three patients with severely resorbed maxillae who had been referred for implant treatment were assigned to one of three treatment groups: bone grafting and implant placement (graft group); modified implant placement but no bone grafting (trial group); or optimized complete dentures (no-implant group). Sixteen, 20, and 7 patients, respectively, were assigned to the three groups. At the 1-year follow-up, 10% of the implants had been lost. Only a few of the failures (3/22) occurred after prosthesis placement. The cumulative success rates were 83% in the graft group and 96% in the trial group. A substantial reduction of the grafted bone, especially of the onlay grafts, occurred in many patients. During the period from prosthesis connection to the 1-year follow-up, marginal peri-implant bone loss was on average 0.5 mm. Despite the often demanding procedures involved, all but one patient in each implant group said that they would undergo the treatment again. Most patients were very satisfied with the treatment outcome and their improved masticatory ability. Those who had renounced implant treatment appeared modestly adapted to their optimized dentures, but reported retention problems and less satisfaction with mastication.

PubMed: 9714953


Affiliations:


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Le document en format XML

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<term>Alveolar Bone Loss (etiology)</term>
<term>Alveolar Ridge Augmentation (methods)</term>
<term>Bone Resorption (surgery)</term>
<term>Bone Transplantation</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Implants</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Denture Retention</term>
<term>Denture, Complete, Upper</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Graft Survival</term>
<term>Humans</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Life Tables</term>
<term>Male</term>
<term>Mastication</term>
<term>Maxilla (surgery)</term>
<term>Maxillary Diseases (surgery)</term>
<term>Middle Aged</term>
<term>Osseointegration</term>
<term>Patient Satisfaction</term>
<term>Smoking (adverse effects)</term>
<term>Treatment Outcome</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Maladies du maxillaire supérieur ()</term>
<term>Mastication</term>
<term>Maxillaire ()</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Ostéo-intégration</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire complète supérieure</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Reconstruction de crête alvéolaire ()</term>
<term>Résorption alvéolaire (étiologie)</term>
<term>Résorption osseuse ()</term>
<term>Résultat thérapeutique</term>
<term>Rétention d'appareil de prothèse dentaire</term>
<term>Satisfaction du patient</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Survie du greffon</term>
<term>Tabagisme (effets indésirables)</term>
<term>Tables de survie</term>
<term>Transplantation osseuse</term>
<term>Échec de restauration dentaire</term>
<term>Études de suivi</term>
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<term>Tabagisme</term>
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<term>Alveolar Bone Loss</term>
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<term>Alveolar Ridge Augmentation</term>
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<term>Jaw, Edentulous</term>
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<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr">
<term>Mâchoire édentée</term>
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<term>Bone Resorption</term>
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<term>Aged</term>
<term>Aged, 80 and over</term>
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<term>Dental Prosthesis, Implant-Supported</term>
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<term>Denture Retention</term>
<term>Denture, Complete, Upper</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Graft Survival</term>
<term>Humans</term>
<term>Life Tables</term>
<term>Male</term>
<term>Mastication</term>
<term>Middle Aged</term>
<term>Osseointegration</term>
<term>Patient Satisfaction</term>
<term>Treatment Outcome</term>
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<term>Adulte d'âge moyen</term>
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<term>Humains</term>
<term>Implants dentaires</term>
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<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire complète supérieure</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Résorption osseuse</term>
<term>Résultat thérapeutique</term>
<term>Rétention d'appareil de prothèse dentaire</term>
<term>Satisfaction du patient</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Survie du greffon</term>
<term>Tables de survie</term>
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<front>
<div type="abstract" xml:lang="en">Forty-three patients with severely resorbed maxillae who had been referred for implant treatment were assigned to one of three treatment groups: bone grafting and implant placement (graft group); modified implant placement but no bone grafting (trial group); or optimized complete dentures (no-implant group). Sixteen, 20, and 7 patients, respectively, were assigned to the three groups. At the 1-year follow-up, 10% of the implants had been lost. Only a few of the failures (3/22) occurred after prosthesis placement. The cumulative success rates were 83% in the graft group and 96% in the trial group. A substantial reduction of the grafted bone, especially of the onlay grafts, occurred in many patients. During the period from prosthesis connection to the 1-year follow-up, marginal peri-implant bone loss was on average 0.5 mm. Despite the often demanding procedures involved, all but one patient in each implant group said that they would undergo the treatment again. Most patients were very satisfied with the treatment outcome and their improved masticatory ability. Those who had renounced implant treatment appeared modestly adapted to their optimized dentures, but reported retention problems and less satisfaction with mastication.</div>
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