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A prospective study of single stage surgery for implant supported overdentures.

Identifieur interne : 000A03 ( Ncbi/Merge ); précédent : 000A02; suivant : 000A04

A prospective study of single stage surgery for implant supported overdentures.

Auteurs : Michael R. Fenlon [Royaume-Uni] ; Richard M. Palmer ; Paul Palmer ; Jonathan T. Newton ; Martyn Sherriff

Source :

RBID : pubmed:12175373

Descripteurs français

English descriptors

Abstract

To investigate the clinical and psychological outcomes with ball attachment supported mandibular overdentures on Branemark implants placed in a single stage surgical approach. MATERIAL AND METHODS Sixteen edentulous patients aged 32-74, with atrophic (flat) mandibular residual alveolar ridges, and a history of having difficulty coping with technically adequate mandibular dentures made within the last 2 years were recruited. Mark II Branemark implants were placed using a single stage surgical technique with healing abutments placed at time of surgery. Mandibular complete dentures were modified by relieving the areas over the abutments and a resilient liner was placed. After a period of 3 months, healing abutments were replaced with ball abutments and new complete dentures were made and the patients followed for a period of 2 years. Patients completed the General Health Questionnaire (GHQ) and answered further questions relating to the functional and psychological impact of complete denture wearing before treatment and 3 months after the dentures were provided. Patients additionally completed the GHQ 2 years after overdenture insertion.

PubMed: 12175373

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pubmed:12175373

Le document en format XML

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<term>Aged</term>
<term>Atrophy</term>
<term>Attitude to Health</term>
<term>Chi-Square Distribution</term>
<term>Dental Abutments</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Denture Liners</term>
<term>Denture, Complete, Lower (psychology)</term>
<term>Denture, Overlay</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Jaw, Edentulous (pathology)</term>
<term>Jaw, Edentulous (psychology)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Male</term>
<term>Mandible (pathology)</term>
<term>Mandible (surgery)</term>
<term>Middle Aged</term>
<term>Osseointegration</term>
<term>Patient Satisfaction</term>
<term>Prospective Studies</term>
<term>Statistics as Topic</term>
<term>Statistics, Nonparametric</term>
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<term>Adaptation psychologique</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Atrophie</term>
<term>Attitude envers la santé</term>
<term>Conception de prothèse dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Loi du khi-deux</term>
<term>Mandibule ()</term>
<term>Mandibule (anatomopathologie)</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (anatomopathologie)</term>
<term>Mâchoire édentée (psychologie)</term>
<term>Mâle</term>
<term>Ostéo-intégration</term>
<term>Overdenture</term>
<term>Piliers dentaires</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Prothèse dentaire complète inférieure (psychologie)</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Satisfaction du patient</term>
<term>Statistique non paramétrique</term>
<term>Statistiques comme sujet</term>
<term>Sujet âgé</term>
<term>Vernis protecteurs d'appareil de prothèse dentaire</term>
<term>Échec de restauration dentaire</term>
<term>Études de suivi</term>
<term>Études prospectives</term>
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<term>Mandibule</term>
<term>Mâchoire édentée</term>
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<term>Dental Implantation, Endosseous</term>
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<term>Mâchoire édentée</term>
<term>Prothèse dentaire complète inférieure</term>
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<term>Denture, Complete, Lower</term>
<term>Jaw, Edentulous</term>
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<term>Jaw, Edentulous</term>
<term>Mandible</term>
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<term>Adaptation, Psychological</term>
<term>Adult</term>
<term>Aged</term>
<term>Atrophy</term>
<term>Attitude to Health</term>
<term>Chi-Square Distribution</term>
<term>Dental Abutments</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Denture Liners</term>
<term>Denture, Overlay</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Osseointegration</term>
<term>Patient Satisfaction</term>
<term>Prospective Studies</term>
<term>Statistics as Topic</term>
<term>Statistics, Nonparametric</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adaptation psychologique</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Atrophie</term>
<term>Attitude envers la santé</term>
<term>Conception de prothèse dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Loi du khi-deux</term>
<term>Mandibule</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Ostéo-intégration</term>
<term>Overdenture</term>
<term>Piliers dentaires</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Satisfaction du patient</term>
<term>Statistique non paramétrique</term>
<term>Statistiques comme sujet</term>
<term>Sujet âgé</term>
<term>Vernis protecteurs d'appareil de prothèse dentaire</term>
<term>Échec de restauration dentaire</term>
<term>Études de suivi</term>
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<front>
<div type="abstract" xml:lang="en">To investigate the clinical and psychological outcomes with ball attachment supported mandibular overdentures on Branemark implants placed in a single stage surgical approach. MATERIAL AND METHODS Sixteen edentulous patients aged 32-74, with atrophic (flat) mandibular residual alveolar ridges, and a history of having difficulty coping with technically adequate mandibular dentures made within the last 2 years were recruited. Mark II Branemark implants were placed using a single stage surgical technique with healing abutments placed at time of surgery. Mandibular complete dentures were modified by relieving the areas over the abutments and a resilient liner was placed. After a period of 3 months, healing abutments were replaced with ball abutments and new complete dentures were made and the patients followed for a period of 2 years. Patients completed the General Health Questionnaire (GHQ) and answered further questions relating to the functional and psychological impact of complete denture wearing before treatment and 3 months after the dentures were provided. Patients additionally completed the GHQ 2 years after overdenture insertion.</div>
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<Title>Clinical oral implants research</Title>
<ISOAbbreviation>Clin Oral Implants Res</ISOAbbreviation>
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<ArticleTitle>A prospective study of single stage surgery for implant supported overdentures.</ArticleTitle>
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<Abstract>
<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To investigate the clinical and psychological outcomes with ball attachment supported mandibular overdentures on Branemark implants placed in a single stage surgical approach. MATERIAL AND METHODS Sixteen edentulous patients aged 32-74, with atrophic (flat) mandibular residual alveolar ridges, and a history of having difficulty coping with technically adequate mandibular dentures made within the last 2 years were recruited. Mark II Branemark implants were placed using a single stage surgical technique with healing abutments placed at time of surgery. Mandibular complete dentures were modified by relieving the areas over the abutments and a resilient liner was placed. After a period of 3 months, healing abutments were replaced with ball abutments and new complete dentures were made and the patients followed for a period of 2 years. Patients completed the General Health Questionnaire (GHQ) and answered further questions relating to the functional and psychological impact of complete denture wearing before treatment and 3 months after the dentures were provided. Patients additionally completed the GHQ 2 years after overdenture insertion.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Six patients suffered from loss of one of their two implants in the first 2 years after placement. Three of the implants had failed to osseointegrate, which was detected at initial loading 3 months after placement. General Health Questionnaire scores were statistically significantly reduced after treatment and the improvement was maintained over 2 years. Responses to the functional and psychological questions were similarly improved.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Single stage surgery led to a higher rate of implant failure than expected. Patients showed significant psychological health benefits from the treatment provided.</AbstractText>
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