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Prosthetic implant treatment of the edentulous maxilla with overdenture.

Identifieur interne : 006D44 ( Main/Merge ); précédent : 006D43; suivant : 006D45

Prosthetic implant treatment of the edentulous maxilla with overdenture.

Auteurs : M. Inversini [Italie]

Source :

RBID : pubmed:17268392

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English descriptors

Abstract

The literature concerning the success of prosthetic implant treatment with maxillary overdenture is reviewed, and variables affecting treatment from the implant and prosthetic standpoint are analysed. Guidelines for the fabrication of maxillary overimplants comparable to those for mandibular overimplants are still lacking, as are evidence-based prosthetic design concepts. Individual methods and techniques have been described, but evaluation standards for the outcome of maxillary prosthetic-implant treatment are lacking or individually interpreted. The biomechanics involved in the proposed system are described, together with the advantages of telescopic crowns for the retention of removable partial prosthesis supported by maxillary implants. The positive influence, in terms of long-term prognosis, of the perio-protective design of removable partial prostheses supported by maxillary overimplants is also discussed. The proposed system not only provides stability, support and retention for removable partial prostheses supported by maxillary implants, but also enables implant survival rates to be improved, both for biomechanical reasons and due to improved oral hygiene. The simplification of fabrication procedures, repair, rebasing and re-operating also reduce the cost of follow-up and improve the cost/benefit ratio. However, additional studies are needed to clarify the number and most appropriate distribution of implants, as well as the most favourable prosthetic designs for maxillary overimplants.

PubMed: 17268392

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Le document en format XML

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<term>Bite Force</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture Design</term>
<term>Denture, Overlay</term>
<term>Denture, Partial, Removable</term>
<term>Esthetics</term>
<term>Humans</term>
<term>Jaw, Edentulous</term>
<term>Jaw, Edentulous, Partially</term>
<term>Male</term>
<term>Maxilla</term>
<term>Middle Aged</term>
<term>Stress, Mechanical</term>
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<term>Adulte d'âge moyen</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Contrainte mécanique</term>
<term>Esthétique</term>
<term>Force occlusale</term>
<term>Humains</term>
<term>Maxillaire</term>
<term>Mâchoire partiellement édentée</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Overdenture</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse dentaire partielle amovible</term>
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<term>Bite Force</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture Design</term>
<term>Denture, Overlay</term>
<term>Denture, Partial, Removable</term>
<term>Esthetics</term>
<term>Humans</term>
<term>Jaw, Edentulous</term>
<term>Jaw, Edentulous, Partially</term>
<term>Male</term>
<term>Maxilla</term>
<term>Middle Aged</term>
<term>Stress, Mechanical</term>
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<term>Adulte d'âge moyen</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Contrainte mécanique</term>
<term>Esthétique</term>
<term>Force occlusale</term>
<term>Humains</term>
<term>Maxillaire</term>
<term>Mâchoire partiellement édentée</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Overdenture</term>
<term>Prothèse dentaire implanto-portée</term>
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<div type="abstract" xml:lang="en">The literature concerning the success of prosthetic implant treatment with maxillary overdenture is reviewed, and variables affecting treatment from the implant and prosthetic standpoint are analysed. Guidelines for the fabrication of maxillary overimplants comparable to those for mandibular overimplants are still lacking, as are evidence-based prosthetic design concepts. Individual methods and techniques have been described, but evaluation standards for the outcome of maxillary prosthetic-implant treatment are lacking or individually interpreted. The biomechanics involved in the proposed system are described, together with the advantages of telescopic crowns for the retention of removable partial prosthesis supported by maxillary implants. The positive influence, in terms of long-term prognosis, of the perio-protective design of removable partial prostheses supported by maxillary overimplants is also discussed. The proposed system not only provides stability, support and retention for removable partial prostheses supported by maxillary implants, but also enables implant survival rates to be improved, both for biomechanical reasons and due to improved oral hygiene. The simplification of fabrication procedures, repair, rebasing and re-operating also reduce the cost of follow-up and improve the cost/benefit ratio. However, additional studies are needed to clarify the number and most appropriate distribution of implants, as well as the most favourable prosthetic designs for maxillary overimplants.</div>
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