Five years of aftercare of implant-retained mandibular overdentures and conventional dentures.
Identifieur interne : 000814 ( Ncbi/Curation ); précédent : 000813; suivant : 000815Five years of aftercare of implant-retained mandibular overdentures and conventional dentures.
Auteurs : A. Visser [Pays-Bas] ; M E Geertman ; H J A. Meijer ; G M Raghoebar ; J M Kwakman ; N H J. Creugers ; R P Van OortSource :
- Journal of oral rehabilitation [ 0305-182X ] ; 2002.
Descripteurs français
- KwdFr :
- Femelle, Gencive (transplantation), Humains, Hyperplasie gingivale (), Implants dentaires (effets indésirables), Mandibule, Mâchoire édentée (rééducation et réadaptation), Mâle, Overdenture, Pose d'implant dentaire endo-osseux, Post-cure, Prothèse dentaire complète inférieure, Prothèse dentaire implanto-portée, Reprise du traitement, Résorption alvéolaire (), Résorption alvéolaire (étiologie), Résultat thérapeutique, Rétention de prothèse dentaire, Vestibuloplastie, Échec de restauration dentaire.
- MESH :
- effets indésirables : Implants dentaires.
- rééducation et réadaptation : Mâchoire édentée.
- étiologie : Gencive, Résorption alvéolaire.
- Femelle, Humains, Hyperplasie gingivale, Mandibule, Mâle, Overdenture, Pose d'implant dentaire endo-osseux, Post-cure, Prothèse dentaire complète inférieure, Prothèse dentaire implanto-portée, Reprise du traitement, Résorption alvéolaire, Résultat thérapeutique, Rétention de prothèse dentaire, Vestibuloplastie, Échec de restauration dentaire.
English descriptors
- KwdEn :
- Aftercare, Alveolar Bone Loss (etiology), Alveolar Bone Loss (surgery), Dental Implantation, Endosseous, Dental Implants (adverse effects), Dental Prosthesis Retention, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Denture, Complete, Lower, Denture, Overlay, Female, Gingiva (transplantation), Gingival Hyperplasia (surgery), Humans, Jaw, Edentulous (rehabilitation), Male, Mandible, Retreatment, Treatment Outcome, Vestibuloplasty.
- MESH :
- chemical , adverse effects : Dental Implants.
- etiology : Alveolar Bone Loss.
- rehabilitation : Jaw, Edentulous.
- surgery : Alveolar Bone Loss, Gingival Hyperplasia.
- transplantation : Gingiva.
- Aftercare, Dental Implantation, Endosseous, Dental Prosthesis Retention, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Denture, Complete, Lower, Denture, Overlay, Female, Humans, Male, Mandible, Retreatment, Treatment Outcome, Vestibuloplasty.
Abstract
The purpose of this multicentre randomized clinical trial was to analyse surgical and prosthetic aftercare and clinical implant performance of edentulous patients with implant-retained mandibular overdentures and of patients with conventional dentures, either or not after pre-prosthetic vestibuloplasty and deepening of the floor of the mouth. The evaluation period was 5 years. The implant systems evaluated were the IMZ implant system, the Brånemark implant system and the Transmandibular Implant system. The centre in Groningen had five groups (n=149) and the centre in Nijmegen had three groups (n=86). The evaluation comprised of surgical and prosthetic aftercare, together with clinical implant performance (CIP). The highest implant loss (29%) is found in the Transmandibular Implant group. All groups had prosthetic revisions and complications according to the CIP-scale. The majority of the patients in the endosseous implant groups were subject to minor complications. The CIP-score of the Transmandibular Implant group is significantly higher than the scores of the other groups, because of the high number of lost posts. In 26;1% of the patients in this group score 4 is given, which means failure of the implant system. From this study it can be concluded that the endosseous implant systems used in this study have less surgical aftercare and a better clinical implant performance than the Transmandibular Implant system and are therefore the systems of choice for the edentulous mandible.
PubMed: 11856388
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pubmed:11856388Le document en format XML
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<affiliation wicri:level="3"><nlm:affiliation>Department of Oral-Maxillofacial Surgery and Maxillofacial Prosthodontics, University Hospital Groningen, Groningen, The Netherlands.</nlm:affiliation>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aftercare</term>
<term>Alveolar Bone Loss (etiology)</term>
<term>Alveolar Bone Loss (surgery)</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Implants (adverse effects)</term>
<term>Dental Prosthesis Retention</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Denture, Complete, Lower</term>
<term>Denture, Overlay</term>
<term>Female</term>
<term>Gingiva (transplantation)</term>
<term>Gingival Hyperplasia (surgery)</term>
<term>Humans</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Male</term>
<term>Mandible</term>
<term>Retreatment</term>
<term>Treatment Outcome</term>
<term>Vestibuloplasty</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Femelle</term>
<term>Gencive (transplantation)</term>
<term>Humains</term>
<term>Hyperplasie gingivale ()</term>
<term>Implants dentaires (effets indésirables)</term>
<term>Mandibule</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Overdenture</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Post-cure</term>
<term>Prothèse dentaire complète inférieure</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Reprise du traitement</term>
<term>Résorption alvéolaire ()</term>
<term>Résorption alvéolaire (étiologie)</term>
<term>Résultat thérapeutique</term>
<term>Rétention de prothèse dentaire</term>
<term>Vestibuloplastie</term>
<term>Échec de restauration dentaire</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en"><term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Implants dentaires</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Alveolar Bone Loss</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>Alveolar Bone Loss</term>
<term>Gingival Hyperplasia</term>
</keywords>
<keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Gingiva</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Gencive</term>
<term>Résorption alvéolaire</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Aftercare</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Prosthesis Retention</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Denture, Complete, Lower</term>
<term>Denture, Overlay</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Mandible</term>
<term>Retreatment</term>
<term>Treatment Outcome</term>
<term>Vestibuloplasty</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Femelle</term>
<term>Humains</term>
<term>Hyperplasie gingivale</term>
<term>Mandibule</term>
<term>Mâle</term>
<term>Overdenture</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Post-cure</term>
<term>Prothèse dentaire complète inférieure</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Reprise du traitement</term>
<term>Résorption alvéolaire</term>
<term>Résultat thérapeutique</term>
<term>Rétention de prothèse dentaire</term>
<term>Vestibuloplastie</term>
<term>Échec de restauration dentaire</term>
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<front><div type="abstract" xml:lang="en">The purpose of this multicentre randomized clinical trial was to analyse surgical and prosthetic aftercare and clinical implant performance of edentulous patients with implant-retained mandibular overdentures and of patients with conventional dentures, either or not after pre-prosthetic vestibuloplasty and deepening of the floor of the mouth. The evaluation period was 5 years. The implant systems evaluated were the IMZ implant system, the Brånemark implant system and the Transmandibular Implant system. The centre in Groningen had five groups (n=149) and the centre in Nijmegen had three groups (n=86). The evaluation comprised of surgical and prosthetic aftercare, together with clinical implant performance (CIP). The highest implant loss (29%) is found in the Transmandibular Implant group. All groups had prosthetic revisions and complications according to the CIP-scale. The majority of the patients in the endosseous implant groups were subject to minor complications. The CIP-score of the Transmandibular Implant group is significantly higher than the scores of the other groups, because of the high number of lost posts. In 26;1% of the patients in this group score 4 is given, which means failure of the implant system. From this study it can be concluded that the endosseous implant systems used in this study have less surgical aftercare and a better clinical implant performance than the Transmandibular Implant system and are therefore the systems of choice for the edentulous mandible.</div>
</front>
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