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/Curation ); précédent : 001B92; suivant : 001B94An 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 WaasSource :
- Journal of dental research [ 0022-0345 ] ; 2007.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Analyse coût-bénéfice, Conception d'appareil de prothèse dentaire (économie), Femelle, Humains, Mâchoire édentée (rééducation et réadaptation), Mâle, Overdenture (économie), Pose d'implant dentaire endo-osseux (économie), Prothèse dentaire complète inférieure (économie), Prothèse dentaire implanto-portée (économie), Rétention d'appareil de prothèse dentaire (instrumentation), Rétention d'appareil de prothèse dentaire (économie), Satisfaction du patient, Soins postopératoires (économie), Sujet âgé, Sujet âgé de 80 ans ou plus, Études de suivi.
- MESH :
- rééducation et réadaptation : Mâchoire édentée.
- économie : Conception d'appareil de prothèse dentaire, Overdenture, Pose d'implant dentaire endo-osseux, Prothèse dentaire complète inférieure, Prothèse dentaire implanto-portée, Rétention d'appareil de prothèse dentaire, Soins postopératoires.
- Adulte, Adulte d'âge moyen, Analyse coût-bénéfice, Femelle, Humains, Mâle, Satisfaction du patient, Sujet âgé, Sujet âgé de 80 ans ou plus, Études de suivi.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Cost-Benefit Analysis, Dental Implantation, Endosseous (economics), Dental Prosthesis, Implant-Supported (economics), Denture Design (economics), Denture Retention (economics), Denture Retention (instrumentation), Denture, Complete, Lower (economics), Denture, Overlay (economics), Female, Follow-Up Studies, Humans, Jaw, Edentulous (rehabilitation), Male, Middle Aged, Patient Satisfaction, Postoperative Care (economics).
- MESH :
- economics : Dental Implantation, Endosseous, Dental Prosthesis, Implant-Supported, Denture Design, Denture Retention, Denture, Complete, Lower, Denture, Overlay, Postoperative Care.
- instrumentation : Denture Retention.
- rehabilitation : Jaw, Edentulous.
- Adult, Aged, Aged, 80 and over, Cost-Benefit Analysis, Female, Follow-Up Studies, Humans, Male, Middle Aged, Patient Satisfaction.
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:17314262Le document en format XML
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<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>
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<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Jaw, Edentulous (rehabilitation)</term>
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<term>Conception d'appareil de prothèse dentaire (économie)</term>
<term>Femelle</term>
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<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>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Études de suivi</term>
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<keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Dental Implantation, Endosseous</term>
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<term>Denture Retention</term>
<term>Denture, Complete, Lower</term>
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<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire complète inférieure</term>
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<term>Rétention d'appareil de prothèse dentaire</term>
<term>Soins postopératoires</term>
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<term>Aged, 80 and over</term>
<term>Cost-Benefit Analysis</term>
<term>Female</term>
<term>Follow-Up Studies</term>
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<term>Male</term>
<term>Middle Aged</term>
<term>Patient Satisfaction</term>
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<term>Adulte d'âge moyen</term>
<term>Analyse coût-bénéfice</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
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<front><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>
</front>
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