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Future therapeutic directions for management of the edentulous predicament.

Identifieur interne : 009B36 ( Ncbi/Curation ); précédent : 009B35; suivant : 009B37

Future therapeutic directions for management of the edentulous predicament.

Auteurs : P J Henry [Australie]

Source :

RBID : pubmed:9474549

Descripteurs français

English descriptors

Abstract

The 1982 Toronto Conference on Tissue-Integrated Prostheses introduced the technique of osseointegration to the academic dental community. Subsequently, prosthodontists have played a leading role in the educational and clinical development of implant-supported fixed and removable prostheses for the treatment of the edentulous jaw. The success rates of treatment in the mandible have been replicated in many parts of the world and results are rewarding when compared with conventional complete denture therapy. Unfortunately, treatment results in the maxilla do not parallel those in the mandible and the shortfall requires the development of alternative strategies in diagnosis, treatment planning, surgery, and prosthetic management. As these treatment concepts become an everyday practice reality, osseointegrated implants have predictably found their way into the curriculum of all dental specialties. However, in many localities, the role of the prosthodontist in continuing education and research and development has become diluted as other areas of dentistry realize the enormous potential for treatment with osseointegrated implants. Accordingly, prosthodontists need to reevaluate their clinical mind-set if the specialty is to provide a lead role in future therapeutic endeavors.

PubMed: 9474549

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Le document en format XML

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<name sortKey="Henry, P J" sort="Henry, P J" uniqKey="Henry P" first="P J" last="Henry">P J Henry</name>
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<nlm:affiliation>Princess Margaret Hospital for Children, West Perth, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Princess Margaret Hospital for Children, West Perth</wicri:regionArea>
<wicri:noRegion>West Perth</wicri:noRegion>
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<series>
<title level="j">The Journal of prosthetic dentistry</title>
<idno type="ISSN">0022-3913</idno>
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<date when="1998" type="published">1998</date>
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<term>Computer Communication Networks</term>
<term>Curriculum</term>
<term>Decision Making</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Research</term>
<term>Denture, Complete</term>
<term>Denture, Overlay</term>
<term>Education, Dental, Continuing</term>
<term>Forecasting</term>
<term>Global Health</term>
<term>Humans</term>
<term>Jaw, Edentulous (diagnosis)</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Mandible (surgery)</term>
<term>Maxilla (surgery)</term>
<term>Molecular Biology</term>
<term>Mouth, Edentulous (diagnosis)</term>
<term>Mouth, Edentulous (rehabilitation)</term>
<term>Mouth, Edentulous (surgery)</term>
<term>Patient Care Planning</term>
<term>Philosophy, Dental</term>
<term>Prosthodontics (education)</term>
<term>Research Support as Topic</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Biologie moléculaire</term>
<term>Bouche édentée ()</term>
<term>Bouche édentée (diagnostic)</term>
<term>Bouche édentée (rééducation et réadaptation)</term>
<term>Formation dentaire continue</term>
<term>Humains</term>
<term>Mandibule ()</term>
<term>Maxillaire ()</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (diagnostic)</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Overdenture</term>
<term>Philosophie dentaire</term>
<term>Planification des soins du patient</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prise de décision</term>
<term>Programme d'études</term>
<term>Prosthodontie (enseignement et éducation)</term>
<term>Prothèse dentaire complète</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Prévision</term>
<term>Recherche dentaire</term>
<term>Réseaux de communication entre ordinateurs</term>
<term>Résultat thérapeutique</term>
<term>Santé mondiale</term>
<term>Soutien financier à la recherche comme sujet</term>
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<term>Jaw, Edentulous</term>
<term>Mouth, Edentulous</term>
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<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr">
<term>Bouche édentée</term>
<term>Mâchoire édentée</term>
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<keywords scheme="MESH" qualifier="education" xml:lang="en">
<term>Prosthodontics</term>
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<keywords scheme="MESH" qualifier="enseignement et éducation" xml:lang="fr">
<term>Prosthodontie</term>
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<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Jaw, Edentulous</term>
<term>Mouth, Edentulous</term>
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<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr">
<term>Bouche édentée</term>
<term>Mâchoire édentée</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Jaw, Edentulous</term>
<term>Mandible</term>
<term>Maxilla</term>
<term>Mouth, Edentulous</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Computer Communication Networks</term>
<term>Curriculum</term>
<term>Decision Making</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Research</term>
<term>Denture, Complete</term>
<term>Denture, Overlay</term>
<term>Education, Dental, Continuing</term>
<term>Forecasting</term>
<term>Global Health</term>
<term>Humans</term>
<term>Molecular Biology</term>
<term>Patient Care Planning</term>
<term>Philosophy, Dental</term>
<term>Research Support as Topic</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Biologie moléculaire</term>
<term>Bouche édentée</term>
<term>Formation dentaire continue</term>
<term>Humains</term>
<term>Mandibule</term>
<term>Maxillaire</term>
<term>Mâchoire édentée</term>
<term>Overdenture</term>
<term>Philosophie dentaire</term>
<term>Planification des soins du patient</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prise de décision</term>
<term>Programme d'études</term>
<term>Prothèse dentaire complète</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Prévision</term>
<term>Recherche dentaire</term>
<term>Réseaux de communication entre ordinateurs</term>
<term>Résultat thérapeutique</term>
<term>Santé mondiale</term>
<term>Soutien financier à la recherche comme sujet</term>
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<front>
<div type="abstract" xml:lang="en">The 1982 Toronto Conference on Tissue-Integrated Prostheses introduced the technique of osseointegration to the academic dental community. Subsequently, prosthodontists have played a leading role in the educational and clinical development of implant-supported fixed and removable prostheses for the treatment of the edentulous jaw. The success rates of treatment in the mandible have been replicated in many parts of the world and results are rewarding when compared with conventional complete denture therapy. Unfortunately, treatment results in the maxilla do not parallel those in the mandible and the shortfall requires the development of alternative strategies in diagnosis, treatment planning, surgery, and prosthetic management. As these treatment concepts become an everyday practice reality, osseointegrated implants have predictably found their way into the curriculum of all dental specialties. However, in many localities, the role of the prosthodontist in continuing education and research and development has become diluted as other areas of dentistry realize the enormous potential for treatment with osseointegrated implants. Accordingly, prosthodontists need to reevaluate their clinical mind-set if the specialty is to provide a lead role in future therapeutic endeavors.</div>
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