The immediate rehabilitation by means of a ready-made final fixed prosthesis in the edentulous mandible: a 1-year follow-up study on 50 consecutive patients.
Identifieur interne : 001353 ( Ncbi/Curation ); précédent : 001352; suivant : 001354The immediate rehabilitation by means of a ready-made final fixed prosthesis in the edentulous mandible: a 1-year follow-up study on 50 consecutive patients.
Auteurs : D. Van Steenberghe [Belgique] ; L. Molly ; R. Jacobs ; B. Vandekerckhove ; M. Quirynen ; I. NaertSource :
- Clinical oral implants research [ 0905-7161 ] ; 2004.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Analyse de survie, Conception d'appareil de prothèse dentaire, Densité osseuse (physiologie), Femelle, Humains, Implants dentaires, Mandibule (), Mâchoire édentée (), Mâchoire édentée (rééducation et réadaptation), Mâle, Pose d'implant dentaire endo-osseux (), Prothèse dentaire complète inférieure, Prothèse dentaire implanto-portée, Résorption alvéolaire (), Résultat thérapeutique, Rétention d'appareil de prothèse dentaire, Statistique non paramétrique, Sujet âgé, Sujet âgé de 80 ans ou plus, Tabagisme, Titane, Échec de restauration dentaire, Études de suivi.
- MESH :
- physiologie : Densité osseuse.
- rééducation et réadaptation : Mâchoire édentée.
- Adulte d'âge moyen, Analyse de survie, Conception d'appareil de prothèse dentaire, Femelle, Humains, Implants dentaires, Mandibule, Mâchoire édentée, Mâle, Pose d'implant dentaire endo-osseux, Prothèse dentaire complète inférieure, Prothèse dentaire implanto-portée, Résorption alvéolaire, Résultat thérapeutique, Rétention d'appareil de prothèse dentaire, Statistique non paramétrique, Sujet âgé, Sujet âgé de 80 ans ou plus, Tabagisme, Titane, Échec de restauration dentaire, Études de suivi.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Alveolar Bone Loss (classification), Bone Density (physiology), Dental Implantation, Endosseous (methods), Dental Implants, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Denture Design, Denture Retention, Denture, Complete, Lower, Female, Follow-Up Studies, Humans, Jaw, Edentulous (rehabilitation), Jaw, Edentulous (surgery), Male, Mandible (surgery), Middle Aged, Smoking, Statistics, Nonparametric, Survival Analysis, Titanium, Treatment Outcome.
- MESH :
- chemical : Dental Implants, Titanium.
- classification : Alveolar Bone Loss.
- methods : Dental Implantation, Endosseous.
- physiology : Bone Density.
- rehabilitation : Jaw, Edentulous.
- surgery : Jaw, Edentulous, Mandible.
- Aged, Aged, 80 and over, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Denture Design, Denture Retention, Denture, Complete, Lower, Female, Follow-Up Studies, Humans, Male, Middle Aged, Smoking, Statistics, Nonparametric, Survival Analysis, Treatment Outcome.
Abstract
Although a two-stage procedure with symphyseal oral implants can lead to a long-term (15 years) 99% cumulative survival rate, a one-stage approach with immediate loading via prefabricated elements seems to offer a short-term acceptable outcome with significantly lower costs. A series of 50 consecutive patients, not eliminated for any systemic or smoking condition, received at the department of periodontology three implants in the symphyseal area, connected by a very rigid horse shoe-shaped titanium bar. A final screw retained prosthetic framework was placed on top of it at the department of prosthetic dentistry within 2 days after surgery (44) or after a delay, due to purely external factors, of up to 10 days (6). Forty-five patients were followed for 1 year. In one patient, all three implants failed and another four patients were lost to follow-up. The cumulative failure rates for implants and prostheses at 1 year were, respectively, 7.3% and 5%. The mean marginal bone loss at 1 year was 1.08 mm (SD: 1.62; range -5.68 to +2.55). This study shows that stable marginal bone levels can be maintained around immediately loaded implants in the lower jaw in an average patient population for at least 1 year. The survival rate is, however, lower than for a staged approach.
DOI: 10.1111/j.1600-0501.2004.01069.x
PubMed: 15142100
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pubmed:15142100Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term>
<term>Aged, 80 and over</term>
<term>Alveolar Bone Loss (classification)</term>
<term>Bone Density (physiology)</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Denture Design</term>
<term>Denture Retention</term>
<term>Denture, Complete, Lower</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Male</term>
<term>Mandible (surgery)</term>
<term>Middle Aged</term>
<term>Smoking</term>
<term>Statistics, Nonparametric</term>
<term>Survival Analysis</term>
<term>Titanium</term>
<term>Treatment Outcome</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Analyse de survie</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Densité osseuse (physiologie)</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Mandibule ()</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Prothèse dentaire complète inférieure</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Résorption alvéolaire ()</term>
<term>Résultat thérapeutique</term>
<term>Rétention d'appareil de prothèse dentaire</term>
<term>Statistique non paramétrique</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tabagisme</term>
<term>Titane</term>
<term>Échec de restauration dentaire</term>
<term>Études de suivi</term>
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<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term>
<term>Titanium</term>
</keywords>
<keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Alveolar Bone Loss</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Dental Implantation, Endosseous</term>
</keywords>
<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Densité osseuse</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Bone Density</term>
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<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous</term>
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<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire édentée</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous</term>
<term>Mandible</term>
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<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Aged, 80 and over</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Denture Design</term>
<term>Denture Retention</term>
<term>Denture, Complete, Lower</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Smoking</term>
<term>Statistics, Nonparametric</term>
<term>Survival Analysis</term>
<term>Treatment Outcome</term>
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<term>Analyse de survie</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Mandibule</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire complète inférieure</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Résorption alvéolaire</term>
<term>Résultat thérapeutique</term>
<term>Rétention d'appareil de prothèse dentaire</term>
<term>Statistique non paramétrique</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tabagisme</term>
<term>Titane</term>
<term>Échec de restauration dentaire</term>
<term>Études de suivi</term>
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<front><div type="abstract" xml:lang="en">Although a two-stage procedure with symphyseal oral implants can lead to a long-term (15 years) 99% cumulative survival rate, a one-stage approach with immediate loading via prefabricated elements seems to offer a short-term acceptable outcome with significantly lower costs. A series of 50 consecutive patients, not eliminated for any systemic or smoking condition, received at the department of periodontology three implants in the symphyseal area, connected by a very rigid horse shoe-shaped titanium bar. A final screw retained prosthetic framework was placed on top of it at the department of prosthetic dentistry within 2 days after surgery (44) or after a delay, due to purely external factors, of up to 10 days (6). Forty-five patients were followed for 1 year. In one patient, all three implants failed and another four patients were lost to follow-up. The cumulative failure rates for implants and prostheses at 1 year were, respectively, 7.3% and 5%. The mean marginal bone loss at 1 year was 1.08 mm (SD: 1.62; range -5.68 to +2.55). This study shows that stable marginal bone levels can be maintained around immediately loaded implants in the lower jaw in an average patient population for at least 1 year. The survival rate is, however, lower than for a staged approach.</div>
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