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Peri-implant mucosal aspects of ITI implants supporting overdentures. A five-year longitudinal study.

Identifieur interne : 00AF65 ( Main/Merge ); précédent : 00AF64; suivant : 00AF66

Peri-implant mucosal aspects of ITI implants supporting overdentures. A five-year longitudinal study.

Auteurs : R. Mericske-Stern [Suisse] ; T. Steinlin Schaffner ; P. Marti ; A H Geering

Source :

RBID : pubmed:8038345

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English descriptors

Abstract

Sixty-six ITI implants placed in the mandible of 33 edentulous elderly patients (mean age: 69 years) were observed longitudinally for 5 years. The implants served as overdenture anchorage either by means of a connecting bar or single spherical attachments. During the study period, 2 implants failed (one because of a peri-implant lesion and one because of a fracture) and had to be removed. At the beginning of the study, all implants were osseointegrated and had successfully been in function for 3-5 months. Oral hygiene practices and the peri-implant mucosal status were assessed according to the criteria of conventional periodontal parameters. Approximately 50% of the implants had been installed into lining mucosa and hence were to surrounded by keratinized mucosa. The peri-implant mucosal tissue was maintained healthy during the whole observation period, and no or only minimal loss of attachment was observed. The probing depths averaged approximately 3 mm. At the end of the study, orthopantomographic radiographs were obtained from all patients to assess the peri-implant bony structures. Small local angular bony defects were detected on 16 implants (22%) in 12 patients. Slightly increased probing depths were observed when angular bony defects were present. Loss of attachment was significantly less frequent when the implants had been placed following a prolonged period of edentulousness (> 5 years). This study demonstrated that advanced age, reduced dexterity of elderly patients and environmental conditions of overdentures do not represent a higher risk for the development of peri-implant lesions.

PubMed: 8038345

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Le document en format XML

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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Alveolar Bone Loss (etiology)</term>
<term>Dental Implants (adverse effects)</term>
<term>Dental Plaque Index</term>
<term>Denture, Overlay</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Mouth Mucosa (pathology)</term>
<term>Mouth, Edentulous (rehabilitation)</term>
<term>Periodontal Attachment Loss (etiology)</term>
<term>Periodontal Index</term>
<term>Prospective Studies</term>
<term>Time Factors</term>
<term>Treatment Outcome</term>
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<term>Adulte d'âge moyen</term>
<term>Bouche édentée (rééducation et réadaptation)</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires (effets indésirables)</term>
<term>Indice de plaque dentaire</term>
<term>Indice parodontal</term>
<term>Muqueuse de la bouche (anatomopathologie)</term>
<term>Mâle</term>
<term>Overdenture</term>
<term>Perte d'attache parodontale (étiologie)</term>
<term>Résorption alvéolaire (étiologie)</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Études prospectives</term>
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<term>Muqueuse de la bouche</term>
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<term>Implants dentaires</term>
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<term>Alveolar Bone Loss</term>
<term>Periodontal Attachment Loss</term>
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<term>Mouth Mucosa</term>
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<term>Mouth, Edentulous</term>
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<term>Bouche édentée</term>
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<term>Perte d'attache parodontale</term>
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<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Periodontal Index</term>
<term>Prospective Studies</term>
<term>Time Factors</term>
<term>Treatment Outcome</term>
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<term>Overdenture</term>
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<div type="abstract" xml:lang="en">Sixty-six ITI implants placed in the mandible of 33 edentulous elderly patients (mean age: 69 years) were observed longitudinally for 5 years. The implants served as overdenture anchorage either by means of a connecting bar or single spherical attachments. During the study period, 2 implants failed (one because of a peri-implant lesion and one because of a fracture) and had to be removed. At the beginning of the study, all implants were osseointegrated and had successfully been in function for 3-5 months. Oral hygiene practices and the peri-implant mucosal status were assessed according to the criteria of conventional periodontal parameters. Approximately 50% of the implants had been installed into lining mucosa and hence were to surrounded by keratinized mucosa. The peri-implant mucosal tissue was maintained healthy during the whole observation period, and no or only minimal loss of attachment was observed. The probing depths averaged approximately 3 mm. At the end of the study, orthopantomographic radiographs were obtained from all patients to assess the peri-implant bony structures. Small local angular bony defects were detected on 16 implants (22%) in 12 patients. Slightly increased probing depths were observed when angular bony defects were present. Loss of attachment was significantly less frequent when the implants had been placed following a prolonged period of edentulousness (> 5 years). This study demonstrated that advanced age, reduced dexterity of elderly patients and environmental conditions of overdentures do not represent a higher risk for the development of peri-implant lesions.</div>
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