Effectiveness of three treatment modalities for the edentulous mandible. A five-year randomized clinical trial.
Identifieur interne : 000471 ( Ncbi/Merge ); précédent : 000470; suivant : 000472Effectiveness of three treatment modalities for the edentulous mandible. A five-year randomized clinical trial.
Auteurs : G M Raghoebar [Pays-Bas] ; H J Meijer ; B. Stegenga ; M A Van'T Hof ; R P Van Oort ; A. VissinkSource :
- Clinical oral implants research [ 0905-7161 ] ; 2000.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Analyse de variance, Enquêtes et questionnaires, Femelle, Humains, Mastication, Mâchoire édentée (rééducation et réadaptation), Mâle, Overdenture, Pose d'implant dentaire endo-osseux, Prothèse dentaire complète inférieure, Prothèse dentaire implanto-portée, Résultat thérapeutique, Satisfaction du patient, Statistique non paramétrique, Vestibuloplastie, Études prospectives.
- MESH :
- rééducation et réadaptation : Mâchoire édentée.
- Adulte d'âge moyen, Analyse de variance, Enquêtes et questionnaires, Femelle, Humains, Mastication, Mâle, Overdenture, Pose d'implant dentaire endo-osseux, Prothèse dentaire complète inférieure, Prothèse dentaire implanto-portée, Résultat thérapeutique, Satisfaction du patient, Statistique non paramétrique, Vestibuloplastie, Études prospectives.
English descriptors
- KwdEn :
- Analysis of Variance, Dental Implantation, Endosseous, Dental Prosthesis, Implant-Supported, Denture, Complete, Lower, Denture, Overlay, Female, Humans, Jaw, Edentulous (rehabilitation), Male, Mastication, Middle Aged, Patient Satisfaction, Prospective Studies, Statistics, Nonparametric, Surveys and Questionnaires, Treatment Outcome, Vestibuloplasty.
- MESH :
- rehabilitation : Jaw, Edentulous.
- Analysis of Variance, Dental Implantation, Endosseous, Dental Prosthesis, Implant-Supported, Denture, Complete, Lower, Denture, Overlay, Female, Humans, Male, Mastication, Middle Aged, Patient Satisfaction, Prospective Studies, Statistics, Nonparametric, Surveys and Questionnaires, Treatment Outcome, Vestibuloplasty.
Abstract
Currently, 3 treatment options are available for patients with denture complaints and an edentulous mandible with a height of at least 15 mm: meticulous construction of a new set of dentures (CD), construction of a new set of dentures following preprosthetic surgery to enlarge the denture-bearing area (PPS), and construction of an implant-retained mandibular overdenture (IRO). The aim of this study was to evaluate patient satisfaction and subjective chewing ability of edentulous patients treated with one of these treatment modalities. Ninety edentulous patients (Cawood class IV and V, mean mandibular height 20.7 mm) were randomly assigned to receive 1 of these 3 groups. Denture satisfaction and chewing ability were assessed using questionnaires focusing on denture-related complaints and problems chewing different types of food were assessed before treatment, and 1- and 5-years after treatment. At the 1-year evaluation, significantly better scores were observed in the 2 surgical groups (IRO, PPS) than in the CD group. At 5-year evaluation the "complaints of the lower denture" showed a significantly better score in the IRO group when compared to the PPS and CD groups. No significant differences were observed between the PPS and CD group. From this study it is concluded that both in the short and long term denture satisfaction appears most favourable in the IRO group when compared to the PPS and CD groups. Implant-retained overdentures are therefore a satisfactory treatment modality for edentulous patients with problems with their lower denture, even in cases of not severely resorbed mandibles.
PubMed: 11168210
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pubmed:11168210Le document en format XML
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<term>Denture, Overlay</term>
<term>Female</term>
<term>Humans</term>
<term>Jaw, Edentulous (rehabilitation)</term>
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<term>Analyse de variance</term>
<term>Enquêtes et questionnaires</term>
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<term>Humains</term>
<term>Mastication</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
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<term>Statistique non paramétrique</term>
<term>Vestibuloplastie</term>
<term>Études prospectives</term>
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<front><div type="abstract" xml:lang="en">Currently, 3 treatment options are available for patients with denture complaints and an edentulous mandible with a height of at least 15 mm: meticulous construction of a new set of dentures (CD), construction of a new set of dentures following preprosthetic surgery to enlarge the denture-bearing area (PPS), and construction of an implant-retained mandibular overdenture (IRO). The aim of this study was to evaluate patient satisfaction and subjective chewing ability of edentulous patients treated with one of these treatment modalities. Ninety edentulous patients (Cawood class IV and V, mean mandibular height 20.7 mm) were randomly assigned to receive 1 of these 3 groups. Denture satisfaction and chewing ability were assessed using questionnaires focusing on denture-related complaints and problems chewing different types of food were assessed before treatment, and 1- and 5-years after treatment. At the 1-year evaluation, significantly better scores were observed in the 2 surgical groups (IRO, PPS) than in the CD group. At 5-year evaluation the "complaints of the lower denture" showed a significantly better score in the IRO group when compared to the PPS and CD groups. No significant differences were observed between the PPS and CD group. From this study it is concluded that both in the short and long term denture satisfaction appears most favourable in the IRO group when compared to the PPS and CD groups. Implant-retained overdentures are therefore a satisfactory treatment modality for edentulous patients with problems with their lower denture, even in cases of not severely resorbed mandibles.</div>
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<Abstract><AbstractText>Currently, 3 treatment options are available for patients with denture complaints and an edentulous mandible with a height of at least 15 mm: meticulous construction of a new set of dentures (CD), construction of a new set of dentures following preprosthetic surgery to enlarge the denture-bearing area (PPS), and construction of an implant-retained mandibular overdenture (IRO). The aim of this study was to evaluate patient satisfaction and subjective chewing ability of edentulous patients treated with one of these treatment modalities. Ninety edentulous patients (Cawood class IV and V, mean mandibular height 20.7 mm) were randomly assigned to receive 1 of these 3 groups. Denture satisfaction and chewing ability were assessed using questionnaires focusing on denture-related complaints and problems chewing different types of food were assessed before treatment, and 1- and 5-years after treatment. At the 1-year evaluation, significantly better scores were observed in the 2 surgical groups (IRO, PPS) than in the CD group. At 5-year evaluation the "complaints of the lower denture" showed a significantly better score in the IRO group when compared to the PPS and CD groups. No significant differences were observed between the PPS and CD group. From this study it is concluded that both in the short and long term denture satisfaction appears most favourable in the IRO group when compared to the PPS and CD groups. Implant-retained overdentures are therefore a satisfactory treatment modality for edentulous patients with problems with their lower denture, even in cases of not severely resorbed mandibles.</AbstractText>
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<country name="Pays-Bas"><noRegion><name sortKey="Raghoebar, G M" sort="Raghoebar, G M" uniqKey="Raghoebar G" first="G M" last="Raghoebar">G M Raghoebar</name>
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