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Prosthesis misfit and marginal bone loss in edentulous implant patients.

Identifieur interne : 010F54 ( Main/Exploration ); précédent : 010F53; suivant : 010F55

Prosthesis misfit and marginal bone loss in edentulous implant patients.

Auteurs : T. Jemt [Suède] ; K. Book

Source :

RBID : pubmed:8908860

Descripteurs français

English descriptors

Abstract

The objective of this study was to statistically correlate in vivo measurements of prosthesis misfit and change of marginal bone level in implants placed in the edentulous maxilla. Two groups, each comprising seven patients, were followed up either prospectively for 1 year or retrospectively for the last 4 years of the 5-year period after second-stage surgery. Measurements of prosthesis misfit were performed by means of a three-dimensional photogrammetric technique, and marginal bone levels were measured from standard intraoral radiographs. Results showed that none of the prostheses presented a completely passive fit to the implants in vivo. Furthermore, similar distortions of the prostheses were found in the two groups, indicating that the implants seemed to be stable and did not move, even after several years in function. The maximal range of three-dimensional distortion of cylinder center points was about 275 microns for both groups. Mean center point misfit was 111 (SD 59) and 91 (SD 51) microns for the 1-year and 5-year groups, respectively. The corresponding mean marginal bone loss was 0.5 and 0.2 mm for the two follow-up groups. No statistical correlations (P > .05) between change of marginal bone levels and different parameters of prosthesis misfit were observed in the two groups. The study indicated that a certain biologic tolerance for misfit may be present. The degree of misfit reported in the study was clinically acceptable with regard to observed marginal bone loss.

PubMed: 8908860


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Le document en format XML

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<nlm:affiliation>Brånemark Clinic, Public Dental Health, Göteborg, Sweden.</nlm:affiliation>
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<term>Adaptation, Physiological</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Bone Resorption (diagnostic imaging)</term>
<term>Bone Resorption (etiology)</term>
<term>Dental Implants (adverse effects)</term>
<term>Dental Prosthesis Design</term>
<term>Dental Restoration Failure</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Jaw, Edentulous (diagnostic imaging)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Male</term>
<term>Maxilla (diagnostic imaging)</term>
<term>Maxilla (surgery)</term>
<term>Maxillary Diseases (diagnostic imaging)</term>
<term>Maxillary Diseases (etiology)</term>
<term>Middle Aged</term>
<term>Osseointegration</term>
<term>Photogrammetry</term>
<term>Prospective Studies</term>
<term>Prosthesis Fitting</term>
<term>Radiography</term>
<term>Retrospective Studies</term>
<term>Surface Properties</term>
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<keywords scheme="KwdFr" xml:lang="fr">
<term>Adaptation physiologique</term>
<term>Adulte d'âge moyen</term>
<term>Conception de prothèse dentaire</term>
<term>Essayage de prothèse</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires (effets indésirables)</term>
<term>Maladies du maxillaire supérieur (imagerie diagnostique)</term>
<term>Maladies du maxillaire supérieur (étiologie)</term>
<term>Maxillaire ()</term>
<term>Maxillaire (imagerie diagnostique)</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (imagerie diagnostique)</term>
<term>Mâle</term>
<term>Ostéo-intégration</term>
<term>Photogrammétrie</term>
<term>Propriétés de surface</term>
<term>Radiographie</term>
<term>Résorption osseuse (imagerie diagnostique)</term>
<term>Résorption osseuse (étiologie)</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Échec de restauration dentaire</term>
<term>Études de suivi</term>
<term>Études prospectives</term>
<term>Études rétrospectives</term>
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<term>Dental Implants</term>
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<term>Bone Resorption</term>
<term>Jaw, Edentulous</term>
<term>Maxilla</term>
<term>Maxillary Diseases</term>
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<term>Implants dentaires</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Bone Resorption</term>
<term>Maxillary Diseases</term>
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<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr">
<term>Maladies du maxillaire supérieur</term>
<term>Maxillaire</term>
<term>Mâchoire édentée</term>
<term>Résorption osseuse</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Jaw, Edentulous</term>
<term>Maxilla</term>
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<term>Maladies du maxillaire supérieur</term>
<term>Résorption osseuse</term>
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<term>Adaptation, Physiological</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Dental Prosthesis Design</term>
<term>Dental Restoration Failure</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Osseointegration</term>
<term>Photogrammetry</term>
<term>Prospective Studies</term>
<term>Prosthesis Fitting</term>
<term>Radiography</term>
<term>Retrospective Studies</term>
<term>Surface Properties</term>
</keywords>
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<term>Adaptation physiologique</term>
<term>Adulte d'âge moyen</term>
<term>Conception de prothèse dentaire</term>
<term>Essayage de prothèse</term>
<term>Femelle</term>
<term>Humains</term>
<term>Maxillaire</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Ostéo-intégration</term>
<term>Photogrammétrie</term>
<term>Propriétés de surface</term>
<term>Radiographie</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Échec de restauration dentaire</term>
<term>Études de suivi</term>
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<front>
<div type="abstract" xml:lang="en">The objective of this study was to statistically correlate in vivo measurements of prosthesis misfit and change of marginal bone level in implants placed in the edentulous maxilla. Two groups, each comprising seven patients, were followed up either prospectively for 1 year or retrospectively for the last 4 years of the 5-year period after second-stage surgery. Measurements of prosthesis misfit were performed by means of a three-dimensional photogrammetric technique, and marginal bone levels were measured from standard intraoral radiographs. Results showed that none of the prostheses presented a completely passive fit to the implants in vivo. Furthermore, similar distortions of the prostheses were found in the two groups, indicating that the implants seemed to be stable and did not move, even after several years in function. The maximal range of three-dimensional distortion of cylinder center points was about 275 microns for both groups. Mean center point misfit was 111 (SD 59) and 91 (SD 51) microns for the 1-year and 5-year groups, respectively. The corresponding mean marginal bone loss was 0.5 and 0.2 mm for the two follow-up groups. No statistical correlations (P > .05) between change of marginal bone levels and different parameters of prosthesis misfit were observed in the two groups. The study indicated that a certain biologic tolerance for misfit may be present. The degree of misfit reported in the study was clinically acceptable with regard to observed marginal bone loss.</div>
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