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Implant versus tooth-implant supported prostheses in the posterior maxilla: a 2-year report.

Identifieur interne : 008A20 ( Main/Merge ); précédent : 008A19; suivant : 008A21

Implant versus tooth-implant supported prostheses in the posterior maxilla: a 2-year report.

Auteurs : T. Lindh [Suède] ; T. B Ck ; E. Nyström ; J. Gunne

Source :

RBID : pubmed:11564103

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English descriptors

Abstract

When implants are used for restoration of a jaw with a residual dentition, the possibility of combining implants with natural abutments may be considered. In a longitudinal comparative study, 26 patients (15 women & 11 men, age 49-84 years) with residual anterior dentitions were treated with two different designs of fixed partial dentures bilaterally in the posterior maxilla. On one side the reconstruction was supported by implants only, while on the contralateral side an implant and a tooth in combination were used. The patients were followed at intervals of 3, 6, 12 and 24 months after loading of the implants. 95 implants were placed, of which 11 non-loaded. A total of 10 implants failed, 7 prior to loading and three within the first three months of service (88.0+/-SE 6.7% cumulative survival for tested implants after two years' follow-up). There was no difference in failure rate for the implants in the two different prosthesis designs. The total mean loss of marginal bone height close to the implants was within acceptable standards, but was more pronounced at the implants not combined with teeth. The results indicate a correlation between the prosthesis design and the loss of marginal bone.

PubMed: 11564103

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Le document en format XML

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<nlm:affiliation>Department of Prosthetic Dentistry, Faculty of Medicine and Odontology, Umeå University, SE-901 85 Umeå, Sweden. tomas.lindh@odont.umu.se</nlm:affiliation>
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Department of Prosthetic Dentistry, Faculty of Medicine and Odontology, Umeå University, SE-901 85 Umeå</wicri:regionArea>
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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Bone Resorption (etiology)</term>
<term>Dental Abutments</term>
<term>Dental Implants</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Denture Design</term>
<term>Denture, Partial, Fixed</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Life Tables</term>
<term>Longitudinal Studies</term>
<term>Male</term>
<term>Maxilla (surgery)</term>
<term>Maxillary Diseases (etiology)</term>
<term>Middle Aged</term>
<term>Sample Size</term>
<term>Statistics as Topic</term>
<term>Statistics, Nonparametric</term>
<term>Stress, Mechanical</term>
<term>Survival Analysis</term>
<term>Tooth</term>
<term>Weight-Bearing</term>
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<term>Adulte d'âge moyen</term>
<term>Analyse de survie</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Contrainte mécanique</term>
<term>Dent</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Maladies du maxillaire supérieur (étiologie)</term>
<term>Maxillaire ()</term>
<term>Mise en charge</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Piliers dentaires</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse partielle fixe</term>
<term>Résorption osseuse (étiologie)</term>
<term>Statistique non paramétrique</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>Taille d'échantillon</term>
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<term>Maxillary Diseases</term>
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<term>Mâchoire partiellement édentée</term>
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<term>Maxilla</term>
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<term>Aged, 80 and over</term>
<term>Dental Abutments</term>
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<term>Dental Restoration Failure</term>
<term>Denture Design</term>
<term>Denture, Partial, Fixed</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Life Tables</term>
<term>Longitudinal Studies</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Sample Size</term>
<term>Statistics as Topic</term>
<term>Statistics, Nonparametric</term>
<term>Stress, Mechanical</term>
<term>Survival Analysis</term>
<term>Tooth</term>
<term>Weight-Bearing</term>
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<term>Analyse de survie</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Contrainte mécanique</term>
<term>Dent</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Maxillaire</term>
<term>Mise en charge</term>
<term>Mâchoire partiellement édentée</term>
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<term>Piliers dentaires</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse partielle fixe</term>
<term>Statistique non paramétrique</term>
<term>Statistiques comme sujet</term>
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<term>Sujet âgé de 80 ans ou plus</term>
<term>Tables de survie</term>
<term>Taille d'échantillon</term>
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<div type="abstract" xml:lang="en">When implants are used for restoration of a jaw with a residual dentition, the possibility of combining implants with natural abutments may be considered. In a longitudinal comparative study, 26 patients (15 women & 11 men, age 49-84 years) with residual anterior dentitions were treated with two different designs of fixed partial dentures bilaterally in the posterior maxilla. On one side the reconstruction was supported by implants only, while on the contralateral side an implant and a tooth in combination were used. The patients were followed at intervals of 3, 6, 12 and 24 months after loading of the implants. 95 implants were placed, of which 11 non-loaded. A total of 10 implants failed, 7 prior to loading and three within the first three months of service (88.0+/-SE 6.7% cumulative survival for tested implants after two years' follow-up). There was no difference in failure rate for the implants in the two different prosthesis designs. The total mean loss of marginal bone height close to the implants was within acceptable standards, but was more pronounced at the implants not combined with teeth. The results indicate a correlation between the prosthesis design and the loss of marginal bone.</div>
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