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An eight-year follow-up to a randomized clinical trial of aftercare and cost-analysis with three types of mandibular implant-retained overdentures.

Identifieur interne : 001B93 ( Ncbi/Checkpoint ); précédent : 001B92; suivant : 001B94

An eight-year follow-up to a randomized clinical trial of aftercare and cost-analysis with three types of mandibular implant-retained overdentures.

Auteurs : G T Stoker [Pays-Bas] ; D. Wismeijer ; M A J. Van Waas

Source :

RBID : pubmed:17314262

Descripteurs français

English descriptors

Abstract

Mandibular implant overdentures increase satisfaction and the quality of life of edentulous individuals. Long-term aftercare and costs may depend on the type of overdentures. One hundred and ten individuals received one of 3 types of implant-retained overdentures, randomly assigned, and were evaluated with respect to aftercare and costs. The follow-up time was 8 years, with only seven drop-outs. No significant differences (Kruskal-Wallis test) were observed for direct costs of aftercare (p = 0.94). The initial costs constituted 75% of the total costs and were significantly higher in the group with a bar on 4 implants, compared with the group with a bar on 2 implants and the group with ball attachments on 2 implants (p = 0.018). The last group needed a significantly higher number of prosthodontist-patient aftercare contacts, mostly for re-adjustment of the retentive system. It can be concluded that an overdenture with a bar on 2 implants might be the most efficient in the long term.

DOI: 10.1177/154405910708600315
PubMed: 17314262


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pubmed:17314262

Le document en format XML

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<term>Cost-Benefit Analysis</term>
<term>Dental Implantation, Endosseous (economics)</term>
<term>Dental Prosthesis, Implant-Supported (economics)</term>
<term>Denture Design (economics)</term>
<term>Denture Retention (economics)</term>
<term>Denture Retention (instrumentation)</term>
<term>Denture, Complete, Lower (economics)</term>
<term>Denture, Overlay (economics)</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Patient Satisfaction</term>
<term>Postoperative Care (economics)</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse coût-bénéfice</term>
<term>Conception d'appareil de prothèse dentaire (économie)</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Overdenture (économie)</term>
<term>Pose d'implant dentaire endo-osseux (économie)</term>
<term>Prothèse dentaire complète inférieure (économie)</term>
<term>Prothèse dentaire implanto-portée (économie)</term>
<term>Rétention d'appareil de prothèse dentaire (instrumentation)</term>
<term>Rétention d'appareil de prothèse dentaire (économie)</term>
<term>Satisfaction du patient</term>
<term>Soins postopératoires (économie)</term>
<term>Sujet âgé</term>
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<term>Conception d'appareil de prothèse dentaire</term>
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<term>Prothèse dentaire complète inférieure</term>
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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Cost-Benefit Analysis</term>
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<term>Follow-Up Studies</term>
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<div type="abstract" xml:lang="en">Mandibular implant overdentures increase satisfaction and the quality of life of edentulous individuals. Long-term aftercare and costs may depend on the type of overdentures. One hundred and ten individuals received one of 3 types of implant-retained overdentures, randomly assigned, and were evaluated with respect to aftercare and costs. The follow-up time was 8 years, with only seven drop-outs. No significant differences (Kruskal-Wallis test) were observed for direct costs of aftercare (p = 0.94). The initial costs constituted 75% of the total costs and were significantly higher in the group with a bar on 4 implants, compared with the group with a bar on 2 implants and the group with ball attachments on 2 implants (p = 0.018). The last group needed a significantly higher number of prosthodontist-patient aftercare contacts, mostly for re-adjustment of the retentive system. It can be concluded that an overdenture with a bar on 2 implants might be the most efficient in the long term.</div>
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