Serveur d'exploration sur le patient édenté

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Early loading of implants with fixed dental prostheses in edentulous mandibles: 4.5-year clinical results from a prospective study.

Identifieur interne : 002B97 ( Ncbi/Merge ); précédent : 002B96; suivant : 002B98

Early loading of implants with fixed dental prostheses in edentulous mandibles: 4.5-year clinical results from a prospective study.

Auteurs : Stefanie Schwarz [Allemagne] ; Olaf Gabbert ; Alexander J. Hassel ; Marc Schmitter ; Christiane Séché ; Peter Rammelsberg

Source :

RBID : pubmed:20074243

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English descriptors

Abstract

The purpose of this study was to evaluate the survival and success of early-loaded implants placed in the intraforaminal area of the edentulous mandible, and the survival of the implant-supported fixed dental prostheses (FDP).

DOI: 10.1111/j.1600-0501.2009.01843.x
PubMed: 20074243

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pubmed:20074243

Le document en format XML

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<nlm:affiliation>Department of Prosthodontics, University of Heidelberg, Heidelberg, Germany. stefanie.schwarz@med.uni-heidelberg.de</nlm:affiliation>
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<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Prosthesis, Implant-Supported (adverse effects)</term>
<term>Dental Restoration Failure</term>
<term>Dental Stress Analysis</term>
<term>Denture, Complete, Immediate (adverse effects)</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Kaplan-Meier Estimate</term>
<term>Logistic Models</term>
<term>Male</term>
<term>Mandible (surgery)</term>
<term>Middle Aged</term>
<term>Periodontitis (etiology)</term>
<term>Prospective Studies</term>
<term>Prosthesis-Related Infections (etiology)</term>
<term>Time Factors</term>
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<term>Adulte d'âge moyen</term>
<term>Analyse du stress dentaire</term>
<term>Estimation de Kaplan-Meier</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Infections dues aux prothèses (étiologie)</term>
<term>Mandibule ()</term>
<term>Modèles logistiques</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Parodontite (étiologie)</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Prothèse dentaire complète immédiate (effets indésirables)</term>
<term>Prothèse dentaire implanto-portée (effets indésirables)</term>
<term>Échec de restauration dentaire</term>
<term>Études de suivi</term>
<term>Études prospectives</term>
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<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture, Complete, Immediate</term>
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<term>Prothèse dentaire complète immédiate</term>
<term>Prothèse dentaire implanto-portée</term>
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<term>Periodontitis</term>
<term>Prosthesis-Related Infections</term>
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<term>Dental Implantation, Endosseous</term>
</keywords>
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<term>Jaw, Edentulous</term>
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<term>Mâchoire édentée</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Mandible</term>
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<term>Infections dues aux prothèses</term>
<term>Parodontite</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Dental Restoration Failure</term>
<term>Dental Stress Analysis</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Kaplan-Meier Estimate</term>
<term>Logistic Models</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
<term>Time Factors</term>
</keywords>
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<term>Adulte d'âge moyen</term>
<term>Analyse du stress dentaire</term>
<term>Estimation de Kaplan-Meier</term>
<term>Facteurs temps</term>
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<term>Modèles logistiques</term>
<term>Mâle</term>
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<term>Échec de restauration dentaire</term>
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<term>Études prospectives</term>
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<div type="abstract" xml:lang="en">The purpose of this study was to evaluate the survival and success of early-loaded implants placed in the intraforaminal area of the edentulous mandible, and the survival of the implant-supported fixed dental prostheses (FDP).</div>
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<Month>07</Month>
<Day>23</Day>
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<Year>2010</Year>
<Month>11</Month>
<Day>18</Day>
</DateRevised>
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<ISSN IssnType="Electronic">1600-0501</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>21</Volume>
<Issue>3</Issue>
<PubDate>
<Year>2010</Year>
<Month>Mar</Month>
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<Title>Clinical oral implants research</Title>
<ISOAbbreviation>Clin Oral Implants Res</ISOAbbreviation>
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<ArticleTitle>Early loading of implants with fixed dental prostheses in edentulous mandibles: 4.5-year clinical results from a prospective study.</ArticleTitle>
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<AbstractText Label="AIM" NlmCategory="OBJECTIVE">The purpose of this study was to evaluate the survival and success of early-loaded implants placed in the intraforaminal area of the edentulous mandible, and the survival of the implant-supported fixed dental prostheses (FDP).</AbstractText>
<AbstractText Label="MATERIAL AND METHODS" NlmCategory="METHODS">Thirty-seven patients (18.9% male, mean age 64.5 years) with edentulous lower jaws were treated with implant-supported FDPs in the mandible. One hundred and eighty-five screw-type implants were placed in the intraforaminal area of the symphysis (five implants per patient). Immediately after implant placement, a framework was fabricated and the FDP was manufactured on the framework. Within 2 weeks, the implants were rigidly connected and loaded with the implant-retained FDP.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">During the 1-8-year observation period (mean 4.5 years), a total of 32 implant-retained complications occurred. Nineteen implants were lost in 10 patients, resulting in a cumulative survival of 89.7%. Nine implants in five patients did not osseointegrate. Although these implants were not removed, because stability within the connective tissue was acceptable and inflammation was absent, they were recorded as unsuccessful. Consequently, the cumulative success declined to 84.9%. Four implants in three patients had clinical signs of periimplantitis (2.2% of all implants). Denture-related complications included one complete failure, when one FDP had to be removed after the last of five implants had been replaced. Furthermore, 10 fractures of the framework occurred in six patients, three FDPs had to be adapted or modified, and the facing of the FDP had to be repaired 16 times in 11 patients.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Although one-stage early-loaded implants functioned well for most patients with edentulous mandibles, immediate loading is associated with a larger number of implant-related complications than in other studies investigating delayed loading. Because of the substantial prosthetic complications and aftercare, this procedure cannot be generally recommended.</AbstractText>
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<Country>Denmark</Country>
<MedlineTA>Clin Oral Implants Res</MedlineTA>
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