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Biologic outcome of implant-supported restorations in the treatment of partial edentulism. part I: a longitudinal clinical evaluation.

Identifieur interne : 000A05 ( Ncbi/Curation ); précédent : 000A04; suivant : 000A06

Biologic outcome of implant-supported restorations in the treatment of partial edentulism. part I: a longitudinal clinical evaluation.

Auteurs : Ignace Naert [Belgique] ; George Koutsikakis ; Joke Duyck ; Marc Quirynen ; Reinhilde Jacobs ; Daniel Van Steenberghe

Source :

Clinical oral implants research [ 0905-7161 ] ; 2002.

RBID : pubmed:12175375

Descripteurs français

English descriptors

KwdEn :
- Acrylic Resins, Adolescent, Adult, Aged, Aged, 80 and over, Bone Transplantation, Confounding Factors (Epidemiology), Crowns, Dental Implants, Dental Prosthesis Design, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Dental Veneers, Denture, Partial, Fixed, Female, Follow-Up Studies, Humans, Jaw, Edentulous, Partially (rehabilitation), Jaw, Edentulous, Partially (surgery), Life Tables, Longitudinal Studies, Male, Mandible (surgery), Maxilla (surgery), Middle Aged, Osseointegration, Proportional Hazards Models, Risk Factors, Survival Analysis, Treatment Outcome.
MESH :
- chemical : Acrylic Resins, Dental Implants.
- rehabilitation : Jaw, Edentulous, Partially.
- surgery : Jaw, Edentulous, Partially, Mandible, Maxilla.
- Adolescent, Adult, Aged, Aged, 80 and over, Bone Transplantation, Confounding Factors (Epidemiology), Crowns, Dental Prosthesis Design, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Dental Veneers, Denture, Partial, Fixed, Female, Follow-Up Studies, Humans, Life Tables, Longitudinal Studies, Male, Middle Aged, Osseointegration, Proportional Hazards Models, Risk Factors, Survival Analysis, Treatment Outcome.

Abstract

The purpose of this study was to predict the outcome of implant restorations in the treatment of partial edentulism, taking into account implant interdependency and the effect of several confounding variables. Between December 1982 and June 1998, 1956 Brånemark system implants (1212 and 744 in the maxilla and mandible, respectively, 846 distal to first premolars) were installed in 660 patients (248 males) at the Department of Periodontology of the University Hospitals of the Catholic University of Leuven. Of the 810 restorations installed at the Department of Prosthetic Dentistry of the same hospital, 235 were single crowns, 166 were supported by implants and teeth and 409 were free-standing fixed partial prostheses. An additional 87 restorations was placed in private dental offices and were not included. The patients were followed from implant installation until June 1999. The estimated cumulative survival rates were 91.4% for all implants and 95.8% for all restorations over a period of 16 years. Estimated cumulative survival rates from loading for implant-tooth connected and free-standing implants were, respectively, 93.6% and 97.2%. Neither jaw site nor implant position (anterior-posterior) had any significant effect on the outcome. Short implant length, high number of implants per patient, low number of implants per prosthesis, implants loaded by acrylic-veneered restorations and implants combined with bone grafting present a higher risk hazard for implant failure. The idea of not splinting the implants in a fixed partial prosthesis is promising but needs replication before accepting it.

PubMed: 12175375

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Le document en format XML

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<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Bone Transplantation</term>
<term>Confounding Factors (Epidemiology)</term>
<term>Crowns</term>
<term>Dental Implants</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Dental Veneers</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>Mandible (surgery)</term>
<term>Maxilla (surgery)</term>
<term>Middle Aged</term>
<term>Osseointegration</term>
<term>Proportional Hazards Models</term>
<term>Risk Factors</term>
<term>Survival Analysis</term>
<term>Treatment Outcome</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse de survie</term>
<term>Conception de prothèse dentaire</term>
<term>Couronnes</term>
<term>Facettes dentaires</term>
<term>Facteurs de confusion (épidémiologie)</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Mandibule ()</term>
<term>Maxillaire ()</term>
<term>Modèles de hasards proportionnels</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Ostéo-intégration</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse partielle fixe</term>
<term>Résines acryliques</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tables de survie</term>
<term>Transplantation osseuse</term>
<term>Échec de restauration dentaire</term>
<term>Études de suivi</term>
<term>Études longitudinales</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Acrylic Resins</term>
<term>Dental Implants</term>
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<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire partiellement édentée</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous, Partially</term>
<term>Mandible</term>
<term>Maxilla</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Bone Transplantation</term>
<term>Confounding Factors (Epidemiology)</term>
<term>Crowns</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Dental Veneers</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>Osseointegration</term>
<term>Proportional Hazards Models</term>
<term>Risk Factors</term>
<term>Survival Analysis</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse de survie</term>
<term>Conception de prothèse dentaire</term>
<term>Couronnes</term>
<term>Facettes dentaires</term>
<term>Facteurs de confusion (épidémiologie)</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Mandibule</term>
<term>Maxillaire</term>
<term>Modèles de hasards proportionnels</term>
<term>Mâchoire partiellement édentée</term>
<term>Mâle</term>
<term>Ostéo-intégration</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse partielle fixe</term>
<term>Résines acryliques</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tables de survie</term>
<term>Transplantation osseuse</term>
<term>Échec de restauration dentaire</term>
<term>Études de suivi</term>
<term>Études longitudinales</term>
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<front><div type="abstract" xml:lang="en">The purpose of this study was to predict the outcome of implant restorations in the treatment of partial edentulism, taking into account implant interdependency and the effect of several confounding variables. Between December 1982 and June 1998, 1956 Brånemark system implants (1212 and 744 in the maxilla and mandible, respectively, 846 distal to first premolars) were installed in 660 patients (248 males) at the Department of Periodontology of the University Hospitals of the Catholic University of Leuven. Of the 810 restorations installed at the Department of Prosthetic Dentistry of the same hospital, 235 were single crowns, 166 were supported by implants and teeth and 409 were free-standing fixed partial prostheses. An additional 87 restorations was placed in private dental offices and were not included. The patients were followed from implant installation until June 1999. The estimated cumulative survival rates were 91.4% for all implants and 95.8% for all restorations over a period of 16 years. Estimated cumulative survival rates from loading for implant-tooth connected and free-standing implants were, respectively, 93.6% and 97.2%. Neither jaw site nor implant position (anterior-posterior) had any significant effect on the outcome. Short implant length, high number of implants per patient, low number of implants per prosthesis, implants loaded by acrylic-veneered restorations and implants combined with bone grafting present a higher risk hazard for implant failure. The idea of not splinting the implants in a fixed partial prosthesis is promising but needs replication before accepting it.</div>
</front>
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Biologic outcome of implant-supported restorations in the treatment of partial edentulism. part I: a longitudinal clinical evaluation.

Biologic outcome of implant-supported restorations in the treatment of partial edentulism. part I: a longitudinal clinical evaluation.

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Links to Exploration step

Le document en format XML

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