Rehabilitation of patients with severely resorbed maxillae by means of implants with or without bone grafts: a 3- to 5-year follow-up clinical report.
Identifieur interne : 000536 ( Ncbi/Curation ); précédent : 000535; suivant : 000537Rehabilitation of patients with severely resorbed maxillae by means of implants with or without bone grafts: a 3- to 5-year follow-up clinical report.
Auteurs : G. Widmark [Suède] ; B. Andersson ; G E Carlsson ; A M Lindvall ; C J IvanoffSource :
- The International journal of oral & maxillofacial implants [ 0882-2786 ]
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Femelle, Humains, Implants dentaires, Maladies du maxillaire supérieur (), Maxillaire (), Mâchoire édentée (), Mâchoire édentée (rééducation et réadaptation), Mâle, Ostéo-intégration, Pose d'implant dentaire endo-osseux, Prothèse dentaire complète supérieure, Prothèse dentaire implanto-portée, Reconstruction de crête alvéolaire (), Résorption alvéolaire (étiologie), Résorption osseuse (), Résultat thérapeutique, Sujet âgé, Tabagisme (effets indésirables), Tables de survie, Transplantation osseuse, Échec de restauration dentaire, Études de suivi.
- MESH :
- effets indésirables : Tabagisme.
- rééducation et réadaptation : Mâchoire édentée.
- étiologie : Résorption alvéolaire.
- Adulte d'âge moyen, Femelle, Humains, Implants dentaires, Maladies du maxillaire supérieur, Maxillaire, Mâchoire édentée, Mâle, Ostéo-intégration, Pose d'implant dentaire endo-osseux, Prothèse dentaire complète supérieure, Prothèse dentaire implanto-portée, Reconstruction de crête alvéolaire, Résorption osseuse, Résultat thérapeutique, Sujet âgé, Tables de survie, Transplantation osseuse, Échec de restauration dentaire, Études de suivi.
English descriptors
- KwdEn :
- Aged, Alveolar Bone Loss (etiology), Alveolar Ridge Augmentation (methods), Bone Resorption (surgery), Bone Transplantation, Dental Implantation, Endosseous, Dental Implants, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Denture, Complete, Upper, Female, Follow-Up Studies, Humans, Jaw, Edentulous (rehabilitation), Jaw, Edentulous (surgery), Life Tables, Male, Maxilla (surgery), Maxillary Diseases (surgery), Middle Aged, Osseointegration, Smoking (adverse effects), Treatment Outcome.
- MESH :
- chemical : Dental Implants.
- adverse effects : Smoking.
- etiology : Alveolar Bone Loss.
- methods : Alveolar Ridge Augmentation.
- rehabilitation : Jaw, Edentulous.
- surgery : Bone Resorption, Jaw, Edentulous, Maxilla, Maxillary Diseases.
- Aged, Bone Transplantation, Dental Implantation, Endosseous, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Denture, Complete, Upper, Female, Follow-Up Studies, Humans, Life Tables, Male, Middle Aged, Osseointegration, Treatment Outcome.
Abstract
Forty three patients with severely resorbed maxillae who had been referred for implant treatment were assigned to 1 of 3 treatment options: bone grafting and implant placement (graft group), modified implant placement with no bone grafting (trial group), or optimized complete dentures (no-implant group). Sixteen, 20, and 7 patients, respectively, were assigned to the 3 groups. The patients have been examined annually, and at the time of this report they had been followed for 3 to 5 years after treatment. At the 1-year follow-up, 10% (22 of 221) of the implants had been lost, and at the 2-year follow-up, 18% of the implants had been lost (40 of 221; 25% in the graft and 13% in the trial group); after that time, no further losses occurred. Life table analysis showed cumulative success rates of 82% in the graft group and 96% in the trial group after 1 year, and 74% and 87%, respectively, at the final examination after 3 to 5 years. The failure rate was higher in smokers than in non-smokers. A substantial reduction of the grafted bone, especially of onlay grafts, occurred early after grafting surgery in many patients. Mean marginal peri-implant bone loss was 0.6 mm during the period from prosthesis connection to the 1-year follow-up, and from the 1-year to the 3-year follow-up, average peri-implant bone loss was 0.3 mm in the graft group and 0.5 mm in the trial group. The results corroborated previous findings that patients with severely resorbed maxillae have an increased risk of implant failure in comparison to patients with good bone quantity and quality. However, in this investigation, practically all implant losses occurred during the first 2 years, whereupon a steady state seemed to follow for up to 5 years after loading.
PubMed: 11280365
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Andersson</name></author><author><name sortKey="Carlsson, G E" sort="Carlsson, G E" uniqKey="Carlsson G" first="G E" last="Carlsson">G E Carlsson</name></author><author><name sortKey="Lindvall, A M" sort="Lindvall, A M" uniqKey="Lindvall A" first="A M" last="Lindvall">A M Lindvall</name></author><author><name sortKey="Ivanoff, C J" sort="Ivanoff, C J" uniqKey="Ivanoff C" first="C J" last="Ivanoff">C J Ivanoff</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="????"><PubDate><MedlineDate>2001 Jan-Feb</MedlineDate></PubDate></date><idno type="RBID">pubmed:11280365</idno><idno type="pmid">11280365</idno><idno type="wicri:Area/PubMed/Corpus">003561</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">003561</idno><idno type="wicri:Area/PubMed/Curation">003561</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">003561</idno><idno type="wicri:Area/PubMed/Checkpoint">003561</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">003561</idno><idno type="wicri:Area/Ncbi/Merge">000536</idno><idno type="wicri:Area/Ncbi/Curation">000536</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Rehabilitation of patients with severely resorbed maxillae by means of implants with or without bone grafts: a 3- to 5-year follow-up clinical report.</title><author><name sortKey="Widmark, G" sort="Widmark, G" uniqKey="Widmark G" first="G" last="Widmark">G. Widmark</name><affiliation wicri:level="1"><nlm:affiliation>Department of Oral and Maxillofacial Surgery, Bohus County Public Dental Service , Mölndal Hospital, Sweden. goran.widmark@vgregion.se</nlm:affiliation><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Bohus County Public Dental Service , Mölndal Hospital</wicri:regionArea><wicri:noRegion>Mölndal Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Andersson, B" sort="Andersson, B" uniqKey="Andersson B" first="B" last="Andersson">B. Andersson</name></author><author><name sortKey="Carlsson, G E" sort="Carlsson, G E" uniqKey="Carlsson G" first="G E" last="Carlsson">G E Carlsson</name></author><author><name sortKey="Lindvall, A M" sort="Lindvall, A M" uniqKey="Lindvall A" first="A M" last="Lindvall">A M Lindvall</name></author><author><name sortKey="Ivanoff, C J" sort="Ivanoff, C J" uniqKey="Ivanoff C" first="C J" last="Ivanoff">C J Ivanoff</name></author></analytic><series><title level="j">The International journal of oral & maxillofacial implants</title><idno type="ISSN">0882-2786</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Alveolar Bone Loss (etiology)</term><term>Alveolar Ridge Augmentation (methods)</term><term>Bone Resorption (surgery)</term><term>Bone Transplantation</term><term>Dental Implantation, Endosseous</term><term>Dental Implants</term><term>Dental Prosthesis, Implant-Supported</term><term>Dental Restoration Failure</term><term>Denture, Complete, Upper</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Jaw, Edentulous (rehabilitation)</term><term>Jaw, Edentulous (surgery)</term><term>Life Tables</term><term>Male</term><term>Maxilla (surgery)</term><term>Maxillary Diseases (surgery)</term><term>Middle Aged</term><term>Osseointegration</term><term>Smoking (adverse effects)</term><term>Treatment Outcome</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Implants dentaires</term><term>Maladies du maxillaire supérieur ()</term><term>Maxillaire ()</term><term>Mâchoire édentée ()</term><term>Mâchoire édentée (rééducation et réadaptation)</term><term>Mâle</term><term>Ostéo-intégration</term><term>Pose d'implant dentaire endo-osseux</term><term>Prothèse dentaire complète supérieure</term><term>Prothèse dentaire implanto-portée</term><term>Reconstruction de crête alvéolaire ()</term><term>Résorption alvéolaire (étiologie)</term><term>Résorption osseuse ()</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Tabagisme (effets indésirables)</term><term>Tables de survie</term><term>Transplantation osseuse</term><term>Échec de restauration dentaire</term><term>Études de suivi</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Smoking</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Tabagisme</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Alveolar Bone Loss</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Alveolar Ridge Augmentation</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>Bone Resorption</term><term>Jaw, Edentulous</term><term>Maxilla</term><term>Maxillary Diseases</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Résorption alvéolaire</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Bone Transplantation</term><term>Dental Implantation, Endosseous</term><term>Dental Prosthesis, Implant-Supported</term><term>Dental Restoration Failure</term><term>Denture, Complete, Upper</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Life Tables</term><term>Male</term><term>Middle Aged</term><term>Osseointegration</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Implants dentaires</term><term>Maladies du maxillaire supérieur</term><term>Maxillaire</term><term>Mâchoire édentée</term><term>Mâle</term><term>Ostéo-intégration</term><term>Pose d'implant dentaire endo-osseux</term><term>Prothèse dentaire complète supérieure</term><term>Prothèse dentaire implanto-portée</term><term>Reconstruction de crête alvéolaire</term><term>Résorption osseuse</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Tables de survie</term><term>Transplantation osseuse</term><term>Échec de restauration dentaire</term><term>Études de suivi</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Forty three patients with severely resorbed maxillae who had been referred for implant treatment were assigned to 1 of 3 treatment options: bone grafting and implant placement (graft group), modified implant placement with no bone grafting (trial group), or optimized complete dentures (no-implant group). Sixteen, 20, and 7 patients, respectively, were assigned to the 3 groups. The patients have been examined annually, and at the time of this report they had been followed for 3 to 5 years after treatment. At the 1-year follow-up, 10% (22 of 221) of the implants had been lost, and at the 2-year follow-up, 18% of the implants had been lost (40 of 221; 25% in the graft and 13% in the trial group); after that time, no further losses occurred. Life table analysis showed cumulative success rates of 82% in the graft group and 96% in the trial group after 1 year, and 74% and 87%, respectively, at the final examination after 3 to 5 years. The failure rate was higher in smokers than in non-smokers. A substantial reduction of the grafted bone, especially of onlay grafts, occurred early after grafting surgery in many patients. Mean marginal peri-implant bone loss was 0.6 mm during the period from prosthesis connection to the 1-year follow-up, and from the 1-year to the 3-year follow-up, average peri-implant bone loss was 0.3 mm in the graft group and 0.5 mm in the trial group. The results corroborated previous findings that patients with severely resorbed maxillae have an increased risk of implant failure in comparison to patients with good bone quantity and quality. However, in this investigation, practically all implant losses occurred during the first 2 years, whereupon a steady state seemed to follow for up to 5 years after loading.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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