Serveur d'exploration sur le patient édenté

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Effect of the additional installation of implants in the posterior region on the prognosis of treatment in the edentulous mandibular jaw

Identifieur interne : 007F96 ( Main/Exploration ); précédent : 007F95; suivant : 007F97

Effect of the additional installation of implants in the posterior region on the prognosis of treatment in the edentulous mandibular jaw

Auteurs : Youji Miyamoto [Japon] ; Kenji Fujisawa [Japon] ; Masaaki Takechi [Japon] ; Yukihiro Momota [Japon] ; Tetsuya Yuasa [Japon] ; Seiko Tatehara [Japon] ; Masaru Nagayama [Japon] ; Eiji Yamauchi [Japon]

Source :

RBID : ISTEX:A7C2ED2D3910A51A96F22BD006455EA8B42476D9

Descripteurs français

English descriptors

Abstract

The aim of this study was to elucidate the effect of the additional installation of implants in the posterior region on the prognosis of treatment in the edentulous mandibular jaw. Fifteen patients who had received implants (Brånemark system, Nobel Biocare, Gotebörg, Sweden) in the edentulous mandible and completed a 1‐year follow‐up after the fitting of implant‐anchored fixed prostheses were selected. In seven patients (Group A), four or five implants were installed between the mental foramina, and in eight patients (Group P), one or two implants, one on each side, were installed in the posterior regions in addition to the implants between the foramina. All implants of both groups achieved osseointegration. In Group A, there was no implant loss after loading. Six implants were lost in five patients of Group P within 1 year after loading. All of them were located in the posterior region. To elucidate whether or not the failure rate of the implants in the posterior region of Group P after loading was especially high, the failures were also compared with 89 implants, which were installed in the posterior region of the mandibles to support implant‐anchored fixed partial prosthesis, during the same period (Group C). The cumulative survival rate of the implants of Group P was 60%, while that of the implants of Group C was 100% (P<0.001). When the survival rates of posterior implants with the same length of the two groups were compared, there were significant differences for the 7‐ and 10‐mm‐length implants only. These data demonstrate that the posterior implants in Group P are at greater risk. Deformation of the mandible due to jaw movement was thought to be the most likely cause of the implant loss. Therefore, when such modified treatment is chosen, it should be performed with meticulous attention.

Url:
DOI: 10.1046/j.0905-7161.2003.00958.x


Affiliations:


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Le document en format XML

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<term>Additional implants</term>
<term>Additional installation</term>
<term>Adult</term>
<term>Aged</term>
<term>Bite Force</term>
<term>Clin</term>
<term>Cumulative implant survival rates</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants</term>
<term>Dental Prosthesis, Implant-Supported (methods)</term>
<term>Dental Restoration Failure</term>
<term>Dentistry</term>
<term>Denture</term>
<term>Denture, Complete, Lower</term>
<term>Distal implant</term>
<term>Edentulous</term>
<term>Edentulous mandible</term>
<term>Edentulous mandibular</term>
<term>Failure rate</term>
<term>Female</term>
<term>Foramen</term>
<term>Full prostheses</term>
<term>Full prosthesis</term>
<term>Gion poste</term>
<term>Groupe</term>
<term>Grupo</term>
<term>Gruppe</term>
<term>Humans</term>
<term>Impl</term>
<term>Implant</term>
<term>Implant installation</term>
<term>Implant loss</term>
<term>Implantate</term>
<term>Implantes</term>
<term>Interforaminal area</term>
<term>International journal</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Komiyama</term>
<term>Likely cause</term>
<term>Male</term>
<term>Mandible</term>
<term>Mandibular</term>
<term>Mandibular deformation</term>
<term>Maxillary dentition</term>
<term>Medial convergence</term>
<term>Mental foramen</term>
<term>Mental foramina</term>
<term>Middle Aged</term>
<term>Miyamoto</term>
<term>Molar</term>
<term>Molar region</term>
<term>Mouth opening</term>
<term>Multiple implants</term>
<term>Nemark</term>
<term>Nobel biocare</term>
<term>Oral impl</term>
<term>Oral maxillofacial implants</term>
<term>Osseointegrated</term>
<term>Osseointegrated implants</term>
<term>Partial prostheses</term>
<term>Poste</term>
<term>Posterior</term>
<term>Posterior implants</term>
<term>Posterior region</term>
<term>Posterior regions</term>
<term>Posterioren</term>
<term>Posterioren region</term>
<term>Premolar regions</term>
<term>Prognosis</term>
<term>Prosthesis</term>
<term>Same period</term>
<term>Stress, Mechanical</term>
<term>Superstructure</term>
<term>Survival rate</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Contrainte mécanique</term>
<term>Femelle</term>
<term>Force occlusale</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Mandibule</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Pronostic</term>
<term>Prothèse dentaire complète inférieure</term>
<term>Prothèse dentaire implanto-portée ()</term>
<term>Sujet âgé</term>
<term>Échec de restauration dentaire</term>
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<term>Dental Prosthesis, Implant-Supported</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Jaw, Edentulous</term>
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<term>Additional implants</term>
<term>Additional installation</term>
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<term>Aged</term>
<term>Bite Force</term>
<term>Clin</term>
<term>Cumulative implant survival rates</term>
<term>Dental Restoration Failure</term>
<term>Dentistry</term>
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<term>Edentulous mandibular</term>
<term>Failure rate</term>
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<term>Foramen</term>
<term>Full prostheses</term>
<term>Full prosthesis</term>
<term>Gion poste</term>
<term>Groupe</term>
<term>Grupo</term>
<term>Gruppe</term>
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<term>Implant</term>
<term>Implant installation</term>
<term>Implant loss</term>
<term>Implantate</term>
<term>Implantes</term>
<term>Interforaminal area</term>
<term>International journal</term>
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<term>Middle Aged</term>
<term>Miyamoto</term>
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<term>Multiple implants</term>
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<term>Nobel biocare</term>
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<term>Oral maxillofacial implants</term>
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<term>Posterioren region</term>
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<term>Prosthesis</term>
<term>Same period</term>
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<term>Adulte d'âge moyen</term>
<term>Contrainte mécanique</term>
<term>Femelle</term>
<term>Force occlusale</term>
<term>Humains</term>
<term>Implants dentaires</term>
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<term>Mâle</term>
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<term>Pronostic</term>
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<term>Prothèse dentaire implanto-portée</term>
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<front>
<div type="abstract" xml:lang="en">The aim of this study was to elucidate the effect of the additional installation of implants in the posterior region on the prognosis of treatment in the edentulous mandibular jaw. Fifteen patients who had received implants (Brånemark system, Nobel Biocare, Gotebörg, Sweden) in the edentulous mandible and completed a 1‐year follow‐up after the fitting of implant‐anchored fixed prostheses were selected. In seven patients (Group A), four or five implants were installed between the mental foramina, and in eight patients (Group P), one or two implants, one on each side, were installed in the posterior regions in addition to the implants between the foramina. All implants of both groups achieved osseointegration. In Group A, there was no implant loss after loading. Six implants were lost in five patients of Group P within 1 year after loading. All of them were located in the posterior region. To elucidate whether or not the failure rate of the implants in the posterior region of Group P after loading was especially high, the failures were also compared with 89 implants, which were installed in the posterior region of the mandibles to support implant‐anchored fixed partial prosthesis, during the same period (Group C). The cumulative survival rate of the implants of Group P was 60%, while that of the implants of Group C was 100% (P<0.001). When the survival rates of posterior implants with the same length of the two groups were compared, there were significant differences for the 7‐ and 10‐mm‐length implants only. These data demonstrate that the posterior implants in Group P are at greater risk. Deformation of the mandible due to jaw movement was thought to be the most likely cause of the implant loss. Therefore, when such modified treatment is chosen, it should be performed with meticulous attention.</div>
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