Within-subject comparisons of maxillary fixed and removable implant prostheses: Patient satisfaction and choice of prosthesis.
Identifieur interne : 007D85 ( Main/Merge ); précédent : 007D84; suivant : 007D86Within-subject comparisons of maxillary fixed and removable implant prostheses: Patient satisfaction and choice of prosthesis.
Auteurs : Guido Heydecke [Canada] ; Pierre Boudrias ; Manal A. Awad ; Rubens F. De Albuquerque ; James P. Lund ; Jocelyne S. FeineSource :
- Clinical oral implants research [ 0905-7161 ] ; 2003.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Analyse appariée, Attitude envers la santé, Conception d'appareil de prothèse dentaire, Dentisterie esthétique, Femelle, Humains, Hygiène buccodentaire, Implants dentaires, Mandibule (), Mastication (physiologie), Maxillaire (), Mâchoire édentée (), Mâchoire édentée (rééducation et réadaptation), Mâle, Occlusion dentaire, Overdenture, Parole (physiologie), Prothèse dentaire complète, Prothèse dentaire implanto-portée, Psychométrie, Satisfaction du patient, Statistique non paramétrique, Études croisées.
- MESH :
- physiologie : Mastication, Parole.
- rééducation et réadaptation : Mâchoire édentée.
- Adulte d'âge moyen, Analyse appariée, Attitude envers la santé, Conception d'appareil de prothèse dentaire, Dentisterie esthétique, Femelle, Humains, Hygiène buccodentaire, Implants dentaires, Mandibule, Maxillaire, Mâchoire édentée, Mâle, Occlusion dentaire, Overdenture, Prothèse dentaire complète, Prothèse dentaire implanto-portée, Psychométrie, Satisfaction du patient, Statistique non paramétrique, Études croisées.
English descriptors
- KwdEn :
- Attitude to Health, Cross-Over Studies, Dental Implants, Dental Occlusion, Dental Prosthesis, Implant-Supported, Denture Design, Denture, Complete, Denture, Overlay, Esthetics, Dental, Female, Humans, Jaw, Edentulous (rehabilitation), Jaw, Edentulous (surgery), Male, Mandible (surgery), Mastication (physiology), Matched-Pair Analysis, Maxilla (surgery), Middle Aged, Oral Hygiene, Patient Satisfaction, Psychometrics, Speech (physiology), Statistics, Nonparametric.
- MESH :
- chemical : Dental Implants.
- physiology : Mastication, Speech.
- rehabilitation : Jaw, Edentulous.
- surgery : Jaw, Edentulous, Mandible, Maxilla.
- Attitude to Health, Cross-Over Studies, Dental Occlusion, Dental Prosthesis, Implant-Supported, Denture Design, Denture, Complete, Denture, Overlay, Esthetics, Dental, Female, Humans, Male, Matched-Pair Analysis, Middle Aged, Oral Hygiene, Patient Satisfaction, Psychometrics, Statistics, Nonparametric.
Abstract
Dental implants provide patients with restorative options for the edentulous maxilla. Both fixed and removable prostheses can be attached to the edentulous maxilla, but the efficacy of different designs has not been determined. In this two-session within-subject crossover trial we compared maxillary implant retained fixed prostheses with removable implant overdentures opposed by mandibular implant-supported overdentures. Sixteen patients, who had previously received mandibular implants, entered the study and received four to six maxillary implants. After dropouts as a consequence of a lack of osseointegration and general health problems, 13 remained. Of these, five received the removable prosthesis first and eight the fixed prosthesis. After 2 months, the prostheses were exchanged and the second was also worn for 2 months. Psychometric measurements of general satisfaction with the prostheses as well as comfort, ability to speak, stability, esthetics, ease of cleaning and occlusion were obtained once each prosthesis had been worn for 2 months. Chewing ability was assessed for seven types of food. Removable long-bar overdentures received significantly higher ratings of general satisfaction than fixed prostheses (P = 0.003). Patients also rated their ability to speak and ease of cleaning significantly better with the removable overdentures. Nine patients chose to keep the removable prosthesis and four preferred to keep the fixed prosthesis. The results suggest that maxillary removable overdentures on multiple implants may provide patients with better function than fixed prostheses.
PubMed: 12562375
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pubmed:12562375Le document en format XML
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Awad</name></author><author><name sortKey="De Albuquerque, Rubens F" sort="De Albuquerque, Rubens F" uniqKey="De Albuquerque R" first="Rubens F" last="De Albuquerque">Rubens F. De Albuquerque</name></author><author><name sortKey="Lund, James P" sort="Lund, James P" uniqKey="Lund J" first="James P" last="Lund">James P. Lund</name></author><author><name sortKey="Feine, Jocelyne S" sort="Feine, Jocelyne S" uniqKey="Feine J" first="Jocelyne S" last="Feine">Jocelyne S. 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Awad</name></author><author><name sortKey="De Albuquerque, Rubens F" sort="De Albuquerque, Rubens F" uniqKey="De Albuquerque R" first="Rubens F" last="De Albuquerque">Rubens F. De Albuquerque</name></author><author><name sortKey="Lund, James P" sort="Lund, James P" uniqKey="Lund J" first="James P" last="Lund">James P. Lund</name></author><author><name sortKey="Feine, Jocelyne S" sort="Feine, Jocelyne S" uniqKey="Feine J" first="Jocelyne S" last="Feine">Jocelyne S. Feine</name></author></analytic><series><title level="j">Clinical oral implants research</title><idno type="ISSN">0905-7161</idno><imprint><date when="2003" type="published">2003</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Attitude to Health</term><term>Cross-Over Studies</term><term>Dental Implants</term><term>Dental Occlusion</term><term>Dental Prosthesis, Implant-Supported</term><term>Denture Design</term><term>Denture, Complete</term><term>Denture, Overlay</term><term>Esthetics, Dental</term><term>Female</term><term>Humans</term><term>Jaw, Edentulous (rehabilitation)</term><term>Jaw, Edentulous (surgery)</term><term>Male</term><term>Mandible (surgery)</term><term>Mastication (physiology)</term><term>Matched-Pair Analysis</term><term>Maxilla (surgery)</term><term>Middle Aged</term><term>Oral Hygiene</term><term>Patient Satisfaction</term><term>Psychometrics</term><term>Speech (physiology)</term><term>Statistics, Nonparametric</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Analyse appariée</term><term>Attitude envers la santé</term><term>Conception d'appareil de prothèse dentaire</term><term>Dentisterie esthétique</term><term>Femelle</term><term>Humains</term><term>Hygiène buccodentaire</term><term>Implants dentaires</term><term>Mandibule ()</term><term>Mastication (physiologie)</term><term>Maxillaire ()</term><term>Mâchoire édentée ()</term><term>Mâchoire édentée (rééducation et réadaptation)</term><term>Mâle</term><term>Occlusion dentaire</term><term>Overdenture</term><term>Parole (physiologie)</term><term>Prothèse dentaire complète</term><term>Prothèse dentaire implanto-portée</term><term>Psychométrie</term><term>Satisfaction du patient</term><term>Statistique non paramétrique</term><term>Études croisées</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Mastication</term><term>Parole</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Mastication</term><term>Speech</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire édentée</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous</term><term>Mandible</term><term>Maxilla</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Attitude to Health</term><term>Cross-Over Studies</term><term>Dental Occlusion</term><term>Dental Prosthesis, Implant-Supported</term><term>Denture Design</term><term>Denture, Complete</term><term>Denture, Overlay</term><term>Esthetics, Dental</term><term>Female</term><term>Humans</term><term>Male</term><term>Matched-Pair Analysis</term><term>Middle Aged</term><term>Oral Hygiene</term><term>Patient Satisfaction</term><term>Psychometrics</term><term>Statistics, Nonparametric</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Analyse appariée</term><term>Attitude envers la santé</term><term>Conception d'appareil de prothèse dentaire</term><term>Dentisterie esthétique</term><term>Femelle</term><term>Humains</term><term>Hygiène buccodentaire</term><term>Implants dentaires</term><term>Mandibule</term><term>Maxillaire</term><term>Mâchoire édentée</term><term>Mâle</term><term>Occlusion dentaire</term><term>Overdenture</term><term>Prothèse dentaire complète</term><term>Prothèse dentaire implanto-portée</term><term>Psychométrie</term><term>Satisfaction du patient</term><term>Statistique non paramétrique</term><term>Études croisées</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Dental implants provide patients with restorative options for the edentulous maxilla. Both fixed and removable prostheses can be attached to the edentulous maxilla, but the efficacy of different designs has not been determined. In this two-session within-subject crossover trial we compared maxillary implant retained fixed prostheses with removable implant overdentures opposed by mandibular implant-supported overdentures. Sixteen patients, who had previously received mandibular implants, entered the study and received four to six maxillary implants. After dropouts as a consequence of a lack of osseointegration and general health problems, 13 remained. Of these, five received the removable prosthesis first and eight the fixed prosthesis. After 2 months, the prostheses were exchanged and the second was also worn for 2 months. Psychometric measurements of general satisfaction with the prostheses as well as comfort, ability to speak, stability, esthetics, ease of cleaning and occlusion were obtained once each prosthesis had been worn for 2 months. Chewing ability was assessed for seven types of food. Removable long-bar overdentures received significantly higher ratings of general satisfaction than fixed prostheses (P = 0.003). Patients also rated their ability to speak and ease of cleaning significantly better with the removable overdentures. Nine patients chose to keep the removable prosthesis and four preferred to keep the fixed prosthesis. The results suggest that maxillary removable overdentures on multiple implants may provide patients with better function than fixed prostheses.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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