Biologic outcome of implant‐supported restorations in the treatment of partial edentulism
Identifieur interne : 008560 ( Main/Exploration ); précédent : 008559; suivant : 008561Biologic outcome of implant‐supported restorations in the treatment of partial edentulism
Auteurs : Ignace Naert [Belgique] ; George Koutsikakis [Belgique] ; Joke Duyck [Belgique] ; Marc Quirynen [Belgique] ; Reinhilde Jacobs [Belgique] ; Daniel Van Steenberghe [Belgique]Source :
- Clinical Oral Implants Research [ 0905-7161 ] ; 2002-08.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Alliages métal céramique, Analyse de survie, Conception de prothèse dentaire, Couronnes, Facettes dentaires, Facteurs de confusion (épidémiologie), Facteurs de risque, Femelle, Humains, Implants dentaires, Implants dentaires unitaires, Lâchage de suture (étiologie), Mandibule (), Mandibule (imagerie diagnostique), Maxillaire (), Maxillaire (imagerie diagnostique), Membrane artificielle, Modèles de hasards proportionnels, Mâchoire partiellement édentée (), Mâchoire partiellement édentée (imagerie diagnostique), Mâchoire partiellement édentée (rééducation et réadaptation), Mâle, Ostéo-intégration, Piliers dentaires, Processus alvéolaire (imagerie diagnostique), Pronostic, Prothèse dentaire implanto-portée, Prothèse partielle fixe, Radiographie, Reproductibilité des résultats, Résines acryliques, Résorption alvéolaire (imagerie diagnostique), Résorption alvéolaire (étiologie), Résultat thérapeutique, Statistiques comme sujet, Sujet âgé, Sujet âgé de 80 ans ou plus, Tables de survie, Transplantation osseuse, Échec de restauration dentaire, Études de suivi, Études longitudinales.
- MESH :
- imagerie diagnostique : Mandibule, Maxillaire, Mâchoire partiellement édentée, Processus alvéolaire, Résorption alvéolaire.
- rééducation et réadaptation : Mâchoire partiellement édentée.
- étiologie : Lâchage de suture, Résorption alvéolaire.
- Adolescent, Adulte, Adulte d'âge moyen, Alliages métal céramique, Analyse de survie, Conception de prothèse dentaire, Couronnes, Facettes dentaires, Facteurs de confusion (épidémiologie), Facteurs de risque, Femelle, Humains, Implants dentaires, Implants dentaires unitaires, Mandibule, Maxillaire, Membrane artificielle, Modèles de hasards proportionnels, Mâchoire partiellement édentée, Mâle, Ostéo-intégration, Piliers dentaires, Pronostic, Prothèse dentaire implanto-portée, Prothèse partielle fixe, Radiographie, Reproductibilité des résultats, Résines acryliques, Résultat thérapeutique, Statistiques comme sujet, Sujet âgé, Sujet âgé de 80 ans ou plus, Tables de survie, Transplantation osseuse, Échec de restauration dentaire, Études de suivi, Études longitudinales.
English descriptors
- KwdEn :
- Abutment, Abutment connection, Account implant interdependency, Acrylic Resins, Adolescent, Adult, Aged, Aged, 80 and over, Alveolar Bone Loss (diagnostic imaging), Alveolar Bone Loss (etiology), Alveolar Process (diagnostic imaging), Biologic outcome, Bone Transplantation, Clin, Clinical evaluation, Confounding Factors (Epidemiology), Crowns, Cumulative survival rate, Cumulative survival rates, Dental Abutments, Dental Implants, Dental Implants, Single-Tooth, Dental Prosthesis Design, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Dental Veneers, Dentistry, Denture, Partial, Fixed, Edentulism, Edentulous, Edentulous patients, Female, Follow-Up Studies, Frailty, Frailty model, Hazard rate, Hazard ratio, Humans, Impl, Implant, Implant failure, Implant failures, Implant installation, Implant length, Implant research, Implant restorations, Implantate, Implantes, International journal, Jaw, Edentulous, Partially (diagnostic imaging), Jaw, Edentulous, Partially (rehabilitation), Jaw, Edentulous, Partially (surgery), Last control, Lekholm, Leuven, Life Tables, Life table analysis, Longitudinal Studies, Male, Mandible, Mandible (diagnostic imaging), Mandible (surgery), Maxilla, Maxilla (diagnostic imaging), Maxilla (surgery), Maxillofacial, Maxillofacial implants, Membranes, Artificial, Metal Ceramic Alloys, Middle Aged, Naert, Oral impl, Oral implants, Osseointegrated, Osseointegration, Other hand, Partial edentulism, Partial prostheses, Partial prosthesis, Partial restorations table, Periodontology, Prognosis, Proportional Hazards Models, Proportional hazard model, Prosthesis, Prosthetic, Prosthetic dentistry, Quirynen, Radiography, Random effect, Reproducibility of Results, Risk Factors, Single crowns, Statistics as Topic, Steenberghe, Surgical Wound Dehiscence (etiology), Survival Analysis, Survival function, Survival rate, Survival rates, Treatment Outcome, Upper limit, Years years, Zarb.
- MESH :
- chemical : Acrylic Resins, Dental Implants, Membranes, Artificial, Metal Ceramic Alloys.
- diagnostic imaging : Alveolar Bone Loss, Alveolar Process, Jaw, Edentulous, Partially, Mandible, Maxilla.
- etiology : Alveolar Bone Loss, Surgical Wound Dehiscence.
- rehabilitation : Jaw, Edentulous, Partially.
- surgery : Jaw, Edentulous, Partially, Mandible, Maxilla.
- Teeft :
- Abutment, Abutment connection, Account implant interdependency, Adolescent, Adult, Aged, Aged, 80 and over, Biologic outcome, Bone Transplantation, Clin, Clinical evaluation, Confounding Factors (Epidemiology), Crowns, Cumulative survival rate, Cumulative survival rates, Dental Abutments, Dental Implants, Single-Tooth, Dental Prosthesis Design, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Dental Veneers, Dentistry, Denture, Partial, Fixed, Edentulism, Edentulous, Edentulous patients, Female, Follow-Up Studies, Frailty, Frailty model, Hazard rate, Hazard ratio, Humans, Impl, Implant, Implant failure, Implant failures, Implant installation, Implant length, Implant research, Implant restorations, Implantate, Implantes, International journal, Last control, Lekholm, Leuven, Life Tables, Life table analysis, Longitudinal Studies, Male, Mandible, Maxilla, Maxillofacial, Maxillofacial implants, Middle Aged, Naert, Oral impl, Oral implants, Osseointegrated, Osseointegration, Other hand, Partial edentulism, Partial prostheses, Partial prosthesis, Partial restorations table, Periodontology, Prognosis, Proportional Hazards Models, Proportional hazard model, Prosthesis, Prosthetic, Prosthetic dentistry, Quirynen, Radiography, Random effect, Reproducibility of Results, Risk Factors, Single crowns, Statistics as Topic, Steenberghe, Survival Analysis, Survival function, Survival rate, Survival rates, Treatment Outcome, Upper limit, Years years, Zarb.
Abstract
Abstract: The purpose of this study was to predict the outcome of implant restorations in the treatment of partial edentulism, taking into account implant interdependency and the effect of several confounding variables. Between December 1982 and June 1998, 1956 Brånemark system® implants (1212 and 744 in the maxilla and mandible, respectively, 846 distal to first premolars) were installed in 660 patients (248 males) at the Department of Periodontology of the University Hospitals of the Catholic University of Leuven. Of the 810 restorations installed at the Department of Prosthetic Dentistry of the same hospital, 235 were single crowns, 166 were supported by implants and teeth and 409 were free‐standing fixed partial prostheses. An additional 87 restorations was placed in private dental offices and were not included. The patients were followed from implant installation until June 1999. The estimated cumulative survival rates were 91.4% for all implants and 95.8% for all restorations over a period of 16 years. Estimated cumulative survival rates from loading for implant‐tooth connected and free‐standing implants were, respectively, 93.6% and 97.2%. Neither jaw site nor implant position (anterior–posterior) had any significant effect on the outcome. Short implant length, high number of implants per patient, low number of implants per prosthesis, implants loaded by acrylic‐veneered restorations and implants combined with bone grafting present a higher risk hazard for implant failure. The idea of not splinting the implants in a fixed partial prosthesis is promising but needs replication before accepting it.
Url:
DOI: 10.1034/j.1600-0501.2002.130406.x
Affiliations:
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xml:lang="fr">Belgique</country><wicri:regionArea>Ignace Naert, George Koutsikakis, Joke Duyck,Department of Prosthetic Dentistry.Marc Quirynen, Reinhilde Jacobs, Daniel van Steenberghe,Department of Periodontology, School of Dentistry, Oral Pathology and Maxillofacial Surgery, Faculty of Medicine, Catholic University Leuven</wicri:regionArea><wicri:noRegion>Catholic University Leuven</wicri:noRegion></affiliation></author><author><name sortKey="Koutsikakis, George" sort="Koutsikakis, George" uniqKey="Koutsikakis G" first="George" last="Koutsikakis">George Koutsikakis</name><affiliation wicri:level="1"><country xml:lang="fr">Belgique</country><wicri:regionArea>Ignace Naert, George Koutsikakis, Joke Duyck,Department of Prosthetic Dentistry.Marc Quirynen, Reinhilde Jacobs, Daniel van Steenberghe,Department of Periodontology, School of Dentistry, Oral Pathology and Maxillofacial Surgery, Faculty of Medicine, Catholic University Leuven</wicri:regionArea><wicri:noRegion>Catholic University 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Steenberghe</name><affiliation wicri:level="1"><country xml:lang="fr">Belgique</country><wicri:regionArea>Ignace Naert, George Koutsikakis, Joke Duyck,Department of Prosthetic Dentistry.Marc Quirynen, Reinhilde Jacobs, Daniel van Steenberghe,Department of Periodontology, School of Dentistry, Oral Pathology and Maxillofacial Surgery, Faculty of Medicine, Catholic University Leuven</wicri:regionArea><wicri:noRegion>Catholic University Leuven</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Clinical Oral Implants Research</title><title level="j" type="alt">CLINICAL ORAL IMPLANTS RESEARCH</title><idno type="ISSN">0905-7161</idno><idno type="eISSN">1600-0501</idno><imprint><biblScope unit="vol">13</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="381">381</biblScope><biblScope unit="page" to="389">389</biblScope><biblScope unit="page-count">9</biblScope><publisher>Blackwell Science, Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2002-08">2002-08</date></imprint><idno type="ISSN">0905-7161</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0905-7161</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Abutment</term><term>Abutment connection</term><term>Account implant interdependency</term><term>Acrylic Resins</term><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Alveolar Bone Loss (diagnostic imaging)</term><term>Alveolar Bone Loss (etiology)</term><term>Alveolar Process (diagnostic imaging)</term><term>Biologic outcome</term><term>Bone Transplantation</term><term>Clin</term><term>Clinical evaluation</term><term>Confounding Factors (Epidemiology)</term><term>Crowns</term><term>Cumulative survival rate</term><term>Cumulative survival rates</term><term>Dental Abutments</term><term>Dental Implants</term><term>Dental Implants, Single-Tooth</term><term>Dental Prosthesis Design</term><term>Dental Prosthesis, Implant-Supported</term><term>Dental Restoration Failure</term><term>Dental Veneers</term><term>Dentistry</term><term>Denture, Partial, Fixed</term><term>Edentulism</term><term>Edentulous</term><term>Edentulous patients</term><term>Female</term><term>Follow-Up Studies</term><term>Frailty</term><term>Frailty model</term><term>Hazard rate</term><term>Hazard ratio</term><term>Humans</term><term>Impl</term><term>Implant</term><term>Implant failure</term><term>Implant failures</term><term>Implant installation</term><term>Implant length</term><term>Implant research</term><term>Implant restorations</term><term>Implantate</term><term>Implantes</term><term>International journal</term><term>Jaw, Edentulous, Partially (diagnostic imaging)</term><term>Jaw, Edentulous, Partially (rehabilitation)</term><term>Jaw, Edentulous, Partially (surgery)</term><term>Last control</term><term>Lekholm</term><term>Leuven</term><term>Life Tables</term><term>Life table analysis</term><term>Longitudinal Studies</term><term>Male</term><term>Mandible</term><term>Mandible (diagnostic imaging)</term><term>Mandible (surgery)</term><term>Maxilla</term><term>Maxilla (diagnostic imaging)</term><term>Maxilla (surgery)</term><term>Maxillofacial</term><term>Maxillofacial implants</term><term>Membranes, Artificial</term><term>Metal Ceramic Alloys</term><term>Middle Aged</term><term>Naert</term><term>Oral impl</term><term>Oral implants</term><term>Osseointegrated</term><term>Osseointegration</term><term>Other hand</term><term>Partial edentulism</term><term>Partial prostheses</term><term>Partial prosthesis</term><term>Partial restorations table</term><term>Periodontology</term><term>Prognosis</term><term>Proportional Hazards Models</term><term>Proportional hazard model</term><term>Prosthesis</term><term>Prosthetic</term><term>Prosthetic dentistry</term><term>Quirynen</term><term>Radiography</term><term>Random effect</term><term>Reproducibility of Results</term><term>Risk Factors</term><term>Single crowns</term><term>Statistics as Topic</term><term>Steenberghe</term><term>Surgical Wound Dehiscence (etiology)</term><term>Survival Analysis</term><term>Survival function</term><term>Survival rate</term><term>Survival rates</term><term>Treatment Outcome</term><term>Upper limit</term><term>Years years</term><term>Zarb</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Alliages métal céramique</term><term>Analyse de survie</term><term>Conception de prothèse dentaire</term><term>Couronnes</term><term>Facettes dentaires</term><term>Facteurs de confusion (épidémiologie)</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Implants dentaires</term><term>Implants dentaires unitaires</term><term>Lâchage de suture (étiologie)</term><term>Mandibule ()</term><term>Mandibule (imagerie diagnostique)</term><term>Maxillaire ()</term><term>Maxillaire (imagerie diagnostique)</term><term>Membrane artificielle</term><term>Modèles de hasards proportionnels</term><term>Mâchoire partiellement édentée ()</term><term>Mâchoire partiellement édentée (imagerie diagnostique)</term><term>Mâchoire partiellement édentée (rééducation et réadaptation)</term><term>Mâle</term><term>Ostéo-intégration</term><term>Piliers dentaires</term><term>Processus alvéolaire (imagerie diagnostique)</term><term>Pronostic</term><term>Prothèse dentaire implanto-portée</term><term>Prothèse partielle fixe</term><term>Radiographie</term><term>Reproductibilité des résultats</term><term>Résines acryliques</term><term>Résorption alvéolaire (imagerie diagnostique)</term><term>Résorption alvéolaire (étiologie)</term><term>Résultat thérapeutique</term><term>Statistiques comme sujet</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tables de survie</term><term>Transplantation osseuse</term><term>Échec de restauration dentaire</term><term>Études de suivi</term><term>Études longitudinales</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Acrylic Resins</term><term>Dental Implants</term><term>Membranes, Artificial</term><term>Metal Ceramic Alloys</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Alveolar Bone Loss</term><term>Alveolar Process</term><term>Jaw, Edentulous, Partially</term><term>Mandible</term><term>Maxilla</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Alveolar Bone Loss</term><term>Surgical Wound Dehiscence</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Mandibule</term><term>Maxillaire</term><term>Mâchoire partiellement édentée</term><term>Processus alvéolaire</term><term>Résorption alvéolaire</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous, Partially</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire partiellement édentée</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous, Partially</term><term>Mandible</term><term>Maxilla</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lâchage de suture</term><term>Résorption alvéolaire</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Abutment</term><term>Abutment connection</term><term>Account implant interdependency</term><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Biologic outcome</term><term>Bone Transplantation</term><term>Clin</term><term>Clinical evaluation</term><term>Confounding Factors (Epidemiology)</term><term>Crowns</term><term>Cumulative survival rate</term><term>Cumulative survival rates</term><term>Dental Abutments</term><term>Dental Implants, Single-Tooth</term><term>Dental Prosthesis Design</term><term>Dental Prosthesis, Implant-Supported</term><term>Dental Restoration Failure</term><term>Dental Veneers</term><term>Dentistry</term><term>Denture, Partial, Fixed</term><term>Edentulism</term><term>Edentulous</term><term>Edentulous patients</term><term>Female</term><term>Follow-Up Studies</term><term>Frailty</term><term>Frailty model</term><term>Hazard rate</term><term>Hazard ratio</term><term>Humans</term><term>Impl</term><term>Implant</term><term>Implant failure</term><term>Implant failures</term><term>Implant installation</term><term>Implant length</term><term>Implant research</term><term>Implant restorations</term><term>Implantate</term><term>Implantes</term><term>International journal</term><term>Last control</term><term>Lekholm</term><term>Leuven</term><term>Life Tables</term><term>Life table analysis</term><term>Longitudinal Studies</term><term>Male</term><term>Mandible</term><term>Maxilla</term><term>Maxillofacial</term><term>Maxillofacial implants</term><term>Middle Aged</term><term>Naert</term><term>Oral impl</term><term>Oral implants</term><term>Osseointegrated</term><term>Osseointegration</term><term>Other hand</term><term>Partial edentulism</term><term>Partial prostheses</term><term>Partial prosthesis</term><term>Partial restorations table</term><term>Periodontology</term><term>Prognosis</term><term>Proportional Hazards Models</term><term>Proportional hazard model</term><term>Prosthesis</term><term>Prosthetic</term><term>Prosthetic dentistry</term><term>Quirynen</term><term>Radiography</term><term>Random effect</term><term>Reproducibility of Results</term><term>Risk Factors</term><term>Single crowns</term><term>Statistics as Topic</term><term>Steenberghe</term><term>Survival Analysis</term><term>Survival function</term><term>Survival rate</term><term>Survival rates</term><term>Treatment Outcome</term><term>Upper limit</term><term>Years years</term><term>Zarb</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Alliages métal céramique</term><term>Analyse de survie</term><term>Conception de prothèse dentaire</term><term>Couronnes</term><term>Facettes dentaires</term><term>Facteurs de confusion (épidémiologie)</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Implants dentaires</term><term>Implants dentaires unitaires</term><term>Mandibule</term><term>Maxillaire</term><term>Membrane artificielle</term><term>Modèles de hasards proportionnels</term><term>Mâchoire partiellement édentée</term><term>Mâle</term><term>Ostéo-intégration</term><term>Piliers dentaires</term><term>Pronostic</term><term>Prothèse dentaire implanto-portée</term><term>Prothèse partielle fixe</term><term>Radiographie</term><term>Reproductibilité des résultats</term><term>Résines acryliques</term><term>Résultat thérapeutique</term><term>Statistiques comme sujet</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tables de survie</term><term>Transplantation osseuse</term><term>Échec de restauration dentaire</term><term>Études de suivi</term><term>Études longitudinales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">Abstract: The purpose of this study was to predict the outcome of implant restorations in the treatment of partial edentulism, taking into account implant interdependency and the effect of several confounding variables. Between December 1982 and June 1998, 1956 Brånemark system® implants (1212 and 744 in the maxilla and mandible, respectively, 846 distal to first premolars) were installed in 660 patients (248 males) at the Department of Periodontology of the University Hospitals of the Catholic University of Leuven. Of the 810 restorations installed at the Department of Prosthetic Dentistry of the same hospital, 235 were single crowns, 166 were supported by implants and teeth and 409 were free‐standing fixed partial prostheses. An additional 87 restorations was placed in private dental offices and were not included. The patients were followed from implant installation until June 1999. The estimated cumulative survival rates were 91.4% for all implants and 95.8% for all restorations over a period of 16 years. Estimated cumulative survival rates from loading for implant‐tooth connected and free‐standing implants were, respectively, 93.6% and 97.2%. Neither jaw site nor implant position (anterior–posterior) had any significant effect on the outcome. Short implant length, high number of implants per patient, low number of implants per prosthesis, implants loaded by acrylic‐veneered restorations and implants combined with bone grafting present a higher risk hazard for implant failure. The idea of not splinting the implants in a fixed partial prosthesis is promising but needs replication before accepting it.</div></front></TEI><affiliations><list><country><li>Belgique</li></country></list><tree><country name="Belgique"><noRegion><name sortKey="Naert, Ignace" sort="Naert, Ignace" uniqKey="Naert I" first="Ignace" last="Naert">Ignace Naert</name></noRegion><name sortKey="Duyck, Joke" sort="Duyck, Joke" uniqKey="Duyck J" first="Joke" last="Duyck">Joke Duyck</name><name sortKey="Jacobs, Reinhilde" sort="Jacobs, Reinhilde" uniqKey="Jacobs R" first="Reinhilde" last="Jacobs">Reinhilde Jacobs</name><name sortKey="Koutsikakis, George" sort="Koutsikakis, George" uniqKey="Koutsikakis G" first="George" last="Koutsikakis">George Koutsikakis</name><name sortKey="Quirynen, Marc" sort="Quirynen, Marc" uniqKey="Quirynen M" first="Marc" last="Quirynen">Marc Quirynen</name><name sortKey="Van Steenberghe, Daniel" sort="Van Steenberghe, Daniel" uniqKey="Van Steenberghe D" first="Daniel" last="Van Steenberghe">Daniel Van Steenberghe</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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