Implant-supported overdenture therapy: a retrospective study.
Identifieur interne : 009B47 ( Ncbi/Curation ); précédent : 009B46; suivant : 009B48Implant-supported overdenture therapy: a retrospective study.
Auteurs : A. Ekfeldt [Suède] ; L A Johansson ; S. IsakssonSource :
- The International journal of prosthodontics [ 0893-2174 ]
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Conception d'appareil de prothèse dentaire, Enquêtes et questionnaires, Femelle, Humains, Mâchoire édentée (rééducation et réadaptation), Mâle, Overdenture, Prothèse dentaire implanto-portée, Reprise du traitement, Rétention d'appareil de prothèse dentaire (instrumentation), Satisfaction du patient, Sujet âgé, Sélection de patients, Échec de restauration dentaire, Études rétrospectives, Évaluation des résultats et des processus en soins de santé.
- MESH :
- rééducation et réadaptation : Mâchoire édentée.
- instrumentation : Adulte d'âge moyen, Conception d'appareil de prothèse dentaire, Enquêtes et questionnaires, Femelle, Humains, Mâle, Overdenture, Prothèse dentaire implanto-portée, Reprise du traitement, Rétention d'appareil de prothèse dentaire, Satisfaction du patient, Sujet âgé, Sélection de patients, Échec de restauration dentaire, Études rétrospectives, Évaluation des résultats et des processus en soins de santé.
English descriptors
- KwdEn :
- Aged, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Denture Design, Denture Retention (instrumentation), Denture, Overlay, Female, Humans, Jaw, Edentulous (rehabilitation), Male, Middle Aged, Outcome and Process Assessment (Health Care), Patient Satisfaction, Patient Selection, Retreatment, Retrospective Studies, Surveys and Questionnaires.
- MESH :
- instrumentation : Denture Retention.
- rehabilitation : Jaw, Edentulous.
- Aged, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Denture Design, Denture, Overlay, Female, Humans, Male, Middle Aged, Outcome and Process Assessment (Health Care), Patient Satisfaction, Patient Selection, Retreatment, Retrospective Studies, Surveys and Questionnaires.
Abstract
All patients (n = 46) treated with implant-supported overdentures at the Department of Prosthetic Dentistry, Dental and Medical Health Centre, Halmstad, Sweden, from 1986 to 1993 were studied. The clinical examination was completed in 1994. The material was divided into two subgroups: Group A had been initially treatment planned for an implant-supported overdenture, and Group B had been planned for fixed prostheses but because of loss of implants before loading, treatment with a fixed prosthesis was not possible. The authors present their experience and patient reactions to overdenture therapy in two defined groups of patients. The implant failure rate before loading for Group A (n = 12) was 15% (six implants out of 39), and the rate before loading for Group B (n = 29) was 43.6% (68 implants out of 156). After prosthodontic treatment in Group A, the implant success rate after loading was 87.9%, and the overdenture stability was 84.6%. In group B, 17 implants placed in the maxillae were lost after overdenture therapy, which resulted in an implant success rate of 79.3%. A total of eight overdentures, all of which had been placed in the maxillae, were lost, resulting in an overdenture stability of 73.3%. In this study "change of retentive clips" was the predominant prosthodontic complication related to the overdentures, especially in Group B. Most of these complications (62%) occurred in patients with clinical signs of bruxism. Patient reactions to treatment with an overdenture were positive regarding esthetics for both groups. More negative views were recorded in Group B than in Group A in response to function and retention of the overdenture.
PubMed: 9484047
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<term>Femelle</term>
<term>Humains</term>
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<term>Rétention d'appareil de prothèse dentaire (instrumentation)</term>
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<term>Études rétrospectives</term>
<term>Évaluation des résultats et des processus en soins de santé</term>
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<front><div type="abstract" xml:lang="en">All patients (n = 46) treated with implant-supported overdentures at the Department of Prosthetic Dentistry, Dental and Medical Health Centre, Halmstad, Sweden, from 1986 to 1993 were studied. The clinical examination was completed in 1994. The material was divided into two subgroups: Group A had been initially treatment planned for an implant-supported overdenture, and Group B had been planned for fixed prostheses but because of loss of implants before loading, treatment with a fixed prosthesis was not possible. The authors present their experience and patient reactions to overdenture therapy in two defined groups of patients. The implant failure rate before loading for Group A (n = 12) was 15% (six implants out of 39), and the rate before loading for Group B (n = 29) was 43.6% (68 implants out of 156). After prosthodontic treatment in Group A, the implant success rate after loading was 87.9%, and the overdenture stability was 84.6%. In group B, 17 implants placed in the maxillae were lost after overdenture therapy, which resulted in an implant success rate of 79.3%. A total of eight overdentures, all of which had been placed in the maxillae, were lost, resulting in an overdenture stability of 73.3%. In this study "change of retentive clips" was the predominant prosthodontic complication related to the overdentures, especially in Group B. Most of these complications (62%) occurred in patients with clinical signs of bruxism. Patient reactions to treatment with an overdenture were positive regarding esthetics for both groups. More negative views were recorded in Group B than in Group A in response to function and retention of the overdenture.</div>
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