A telescopic crown concept for the restoration of partially edentulous patients with aggressive generalized periodontitis: a 3-year prospective longitudinal study.
Identifieur interne : 001D71 ( Ncbi/Curation ); précédent : 001D70; suivant : 001D72A telescopic crown concept for the restoration of partially edentulous patients with aggressive generalized periodontitis: a 3-year prospective longitudinal study.
Auteurs : Reiner Mengel [Allemagne] ; Gerd Kreuzer ; Klaus M. Lehmann ; Lavin Flores-De-JacobySource :
- The International journal of periodontics & restorative dentistry [ 0198-7569 ] ; 2007.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Analyse multivariée, Couronnes, Estimation de Kaplan-Meier, Femelle, Humains, Mâchoire partiellement édentée (), Mâchoire partiellement édentée (rééducation et réadaptation), Mâle, Overdenture, Parodontite (), Parodontite (rééducation et réadaptation), Poche parodontale (microbiologie), Pose d'implant dentaire endo-osseux, Prothèse dentaire implanto-portée, Radiographie, Résorption alvéolaire (imagerie diagnostique), Rétention de prothèse dentaire (instrumentation), Statistique non paramétrique, Échec de restauration dentaire, Études prospectives.
- MESH :
- imagerie diagnostique : Résorption alvéolaire.
- microbiologie : Poche parodontale.
- rééducation et réadaptation : Mâchoire partiellement édentée, Parodontite.
- Adulte, Adulte d'âge moyen, Analyse multivariée, Couronnes, Estimation de Kaplan-Meier, Femelle, Humains, Mâchoire partiellement édentée, Mâle, Overdenture, Parodontite, Pose d'implant dentaire endo-osseux, Prothèse dentaire implanto-portée, Radiographie, Rétention de prothèse dentaire, Statistique non paramétrique, Échec de restauration dentaire, Études prospectives.
English descriptors
- KwdEn :
- Adult, Alveolar Bone Loss (diagnostic imaging), Crowns, Dental Implantation, Endosseous, Dental Prosthesis Retention (instrumentation), Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Denture, Overlay, Female, Humans, Jaw, Edentulous, Partially (complications), Jaw, Edentulous, Partially (rehabilitation), Kaplan-Meier Estimate, Male, Middle Aged, Multivariate Analysis, Periodontal Pocket (microbiology), Periodontitis (complications), Periodontitis (rehabilitation), Prospective Studies, Radiography, Statistics, Nonparametric.
- MESH :
- complications : Jaw, Edentulous, Partially, Periodontitis.
- diagnostic imaging : Alveolar Bone Loss.
- instrumentation : Dental Prosthesis Retention.
- microbiology : Periodontal Pocket.
- rehabilitation : Jaw, Edentulous, Partially, Periodontitis.
- Adult, Crowns, Dental Implantation, Endosseous, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Denture, Overlay, Female, Humans, Kaplan-Meier Estimate, Male, Middle Aged, Multivariate Analysis, Prospective Studies, Radiography, Statistics, Nonparametric.
Abstract
This prospective longitudinal 3-year study compared clinical parameters and implant success rates of removable superstructures supported by both teeth and implants in patients with treated generalized aggressive periodontitis (GAP) and of cemented, implant-retained fixed superstructures in periodontally healthy patients. A total of 17 partially edentulous patients with 54 implants took part in the study. Nine patients with treated GAP received removable superstructures according to the Marburg double crown system, and eight periodontally healthy patients received fixed superstructures. Teeth were examined 2 to 4 weeks before extraction of the nonretainable teeth (baseline) and 3 weeks after insertion of the definitive abutments. Every 3 months over a 3-year period, clinical parameters were recorded and the composition of the subgingival microflora was determined. Intraoral radiographs were obtained at baseline, just after insertion of the superstructure, and 1 and 3 years later. Both groups showed mean plaque and gingival indices below 0.43 at implants and teeth. Mean probing depths around implants increased by approximately 0.7 mm and remained virtually constant for the teeth. Mean attachment loss at implants was 0.9 mm in GAP patients and 0.5 mm in healthy patients. The morphologic distribution of microorganisms in both groups showed healthy conditions. Moderate bone loss at teeth and implants was registered. Implant success rates were 100% in the healthy patients and 97.6% in the GAP patients. No significant differences were seen in the results between the groups.
PubMed: 17694946
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pubmed:17694946Le document en format XML
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<term>Alveolar Bone Loss (diagnostic imaging)</term>
<term>Crowns</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Prosthesis Retention (instrumentation)</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Denture, Overlay</term>
<term>Female</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (complications)</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Kaplan-Meier Estimate</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Multivariate Analysis</term>
<term>Periodontal Pocket (microbiology)</term>
<term>Periodontitis (complications)</term>
<term>Periodontitis (rehabilitation)</term>
<term>Prospective Studies</term>
<term>Radiography</term>
<term>Statistics, Nonparametric</term>
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<term>Adulte d'âge moyen</term>
<term>Analyse multivariée</term>
<term>Couronnes</term>
<term>Estimation de Kaplan-Meier</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Overdenture</term>
<term>Parodontite ()</term>
<term>Parodontite (rééducation et réadaptation)</term>
<term>Poche parodontale (microbiologie)</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Radiographie</term>
<term>Résorption alvéolaire (imagerie diagnostique)</term>
<term>Rétention de prothèse dentaire (instrumentation)</term>
<term>Statistique non paramétrique</term>
<term>Échec de restauration dentaire</term>
<term>Études prospectives</term>
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<term>Periodontitis</term>
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<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous, Partially</term>
<term>Periodontitis</term>
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<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire partiellement édentée</term>
<term>Parodontite</term>
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<term>Crowns</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Denture, Overlay</term>
<term>Female</term>
<term>Humans</term>
<term>Kaplan-Meier Estimate</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Multivariate Analysis</term>
<term>Prospective Studies</term>
<term>Radiography</term>
<term>Statistics, Nonparametric</term>
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<term>Adulte d'âge moyen</term>
<term>Analyse multivariée</term>
<term>Couronnes</term>
<term>Estimation de Kaplan-Meier</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâchoire partiellement édentée</term>
<term>Mâle</term>
<term>Overdenture</term>
<term>Parodontite</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Radiographie</term>
<term>Rétention de prothèse dentaire</term>
<term>Statistique non paramétrique</term>
<term>Échec de restauration dentaire</term>
<term>Études prospectives</term>
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<front><div type="abstract" xml:lang="en">This prospective longitudinal 3-year study compared clinical parameters and implant success rates of removable superstructures supported by both teeth and implants in patients with treated generalized aggressive periodontitis (GAP) and of cemented, implant-retained fixed superstructures in periodontally healthy patients. A total of 17 partially edentulous patients with 54 implants took part in the study. Nine patients with treated GAP received removable superstructures according to the Marburg double crown system, and eight periodontally healthy patients received fixed superstructures. Teeth were examined 2 to 4 weeks before extraction of the nonretainable teeth (baseline) and 3 weeks after insertion of the definitive abutments. Every 3 months over a 3-year period, clinical parameters were recorded and the composition of the subgingival microflora was determined. Intraoral radiographs were obtained at baseline, just after insertion of the superstructure, and 1 and 3 years later. Both groups showed mean plaque and gingival indices below 0.43 at implants and teeth. Mean probing depths around implants increased by approximately 0.7 mm and remained virtually constant for the teeth. Mean attachment loss at implants was 0.9 mm in GAP patients and 0.5 mm in healthy patients. The morphologic distribution of microorganisms in both groups showed healthy conditions. Moderate bone loss at teeth and implants was registered. Implant success rates were 100% in the healthy patients and 97.6% in the GAP patients. No significant differences were seen in the results between the groups.</div>
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