Management of shortened dental arches and periodontal health: 5-year results of a randomised trial.
Identifieur interne : 004F59 ( Ncbi/Merge ); précédent : 004F58; suivant : 004F60Management of shortened dental arches and periodontal health: 5-year results of a randomised trial.
Auteurs : M H Walter [Allemagne] ; B. Marré ; K. Vach ; J. Strub ; T. Mundt ; H. Stark ; P. Pospiech ; B. Wöstmann ; G. Heydecke ; M. Kern ; S. Hartmann ; R. Luthardt ; J. Huppertz ; S. Wolfart ; W. HannakSource :
- Journal of oral rehabilitation [ 1365-2842 ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Arcade dentaire (anatomie et histologie), Arcade dentaire (physiopathologie), Femelle, Humains, Indice parodontal, Molaire, Mâchoire partiellement édentée (rééducation et réadaptation), Mâle, Perte dentaire (rééducation et réadaptation), Prothèse dentaire partielle amovible (effets indésirables), Résultat thérapeutique, Sujet âgé.
- MESH :
- anatomie et histologie : Arcade dentaire.
- effets indésirables : Prothèse dentaire partielle amovible.
- physiopathologie : Arcade dentaire.
- rééducation et réadaptation : Mâchoire partiellement édentée, Perte dentaire.
- Adulte d'âge moyen, Femelle, Humains, Indice parodontal, Molaire, Mâle, Résultat thérapeutique, Sujet âgé.
English descriptors
- KwdEn :
- MESH :
- adverse effects : Denture, Partial, Removable.
- anatomy & histology : Dental Arch.
- physiopathology : Dental Arch.
- rehabilitation : Jaw, Edentulous, Partially, Tooth Loss.
- Aged, Female, Humans, Male, Middle Aged, Molar, Periodontal Index, Treatment Outcome.
Abstract
In a multicentre randomised trial (German Research Association, grants DFG WA 831/2-1 to 2-6, WO 677/2-1.1 to 2-2.1.; controlled-trials.com ISRCTN97265367), patients with complete molar loss in one jaw received either a partial removable dental prosthesis (PRDP) with precision attachments or treatment according to the SDA concept aiming at pre-molar occlusion. The objective of this current analysis was to evaluate the influence of different treatments on periodontal health. Linear mixed regression models were fitted to quantify the differences between the treatment groups. The assessment at 5 years encompassed 59 patients (PRDP group) and 46 patients (SDA group). For the distal measuring sites of the posterior-most teeth of the study jaw, significant differences were found for the plaque index according to Silness and Löe, vertical clinical attachment loss (CAL-V), probing pocket depth (PPD) and bleeding on probing. These differences were small and showed a slightly more unfavourable course in the PRDP group. With CAL-V and PPD, significant differences were also found for the study jaw as a whole. For CAL-V, the estimated group differences over 5 years amounted to 0.27 mm (95% CI 0.05; 0.48; P = 0.016) for the study jaw and 0.25 mm (95% CI 0.05; 0.45; P = 0.014) for the distal sites of the posterior-most teeth. The respective values for PPD were 0.22 mm (95% CI 0.03; 0.41; P = 0.023) and 0.32 mm (95% CI 0.13; 0.5; P = 0.001). It can be concluded that even in a well-maintained.patient group statistically significant although minor detrimental effects of PRDPs on periodontal health are measurable.
DOI: 10.1111/joor.12160
PubMed: 24673467
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Marré</name></author><author><name sortKey="Vach, K" sort="Vach, K" uniqKey="Vach K" first="K" last="Vach">K. Vach</name></author><author><name sortKey="Strub, J" sort="Strub, J" uniqKey="Strub J" first="J" last="Strub">J. Strub</name></author><author><name sortKey="Mundt, T" sort="Mundt, T" uniqKey="Mundt T" first="T" last="Mundt">T. Mundt</name></author><author><name sortKey="Stark, H" sort="Stark, H" uniqKey="Stark H" first="H" last="Stark">H. Stark</name></author><author><name sortKey="Pospiech, P" sort="Pospiech, P" uniqKey="Pospiech P" first="P" last="Pospiech">P. Pospiech</name></author><author><name sortKey="Wostmann, B" sort="Wostmann, B" uniqKey="Wostmann B" first="B" last="Wöstmann">B. Wöstmann</name></author><author><name sortKey="Heydecke, G" sort="Heydecke, G" uniqKey="Heydecke G" first="G" last="Heydecke">G. Heydecke</name></author><author><name sortKey="Kern, M" sort="Kern, M" uniqKey="Kern M" first="M" last="Kern">M. Kern</name></author><author><name sortKey="Hartmann, S" sort="Hartmann, S" uniqKey="Hartmann S" first="S" last="Hartmann">S. Hartmann</name></author><author><name sortKey="Luthardt, R" sort="Luthardt, R" uniqKey="Luthardt R" first="R" last="Luthardt">R. Luthardt</name></author><author><name sortKey="Huppertz, J" sort="Huppertz, J" uniqKey="Huppertz J" first="J" last="Huppertz">J. Huppertz</name></author><author><name sortKey="Wolfart, S" sort="Wolfart, S" uniqKey="Wolfart S" first="S" last="Wolfart">S. Wolfart</name></author><author><name sortKey="Hannak, W" sort="Hannak, W" uniqKey="Hannak W" first="W" last="Hannak">W. Hannak</name></author></analytic><series><title level="j">Journal of oral rehabilitation</title><idno type="eISSN">1365-2842</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Dental Arch (anatomy & histology)</term><term>Dental Arch (physiopathology)</term><term>Denture, Partial, Removable (adverse effects)</term><term>Female</term><term>Humans</term><term>Jaw, Edentulous, Partially (rehabilitation)</term><term>Male</term><term>Middle Aged</term><term>Molar</term><term>Periodontal Index</term><term>Tooth Loss (rehabilitation)</term><term>Treatment Outcome</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Arcade dentaire (anatomie et histologie)</term><term>Arcade dentaire (physiopathologie)</term><term>Femelle</term><term>Humains</term><term>Indice parodontal</term><term>Molaire</term><term>Mâchoire partiellement édentée (rééducation et réadaptation)</term><term>Mâle</term><term>Perte dentaire (rééducation et réadaptation)</term><term>Prothèse dentaire partielle amovible (effets indésirables)</term><term>Résultat thérapeutique</term><term>Sujet âgé</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Denture, Partial, Removable</term></keywords><keywords scheme="MESH" qualifier="anatomie et histologie" xml:lang="fr"><term>Arcade dentaire</term></keywords><keywords scheme="MESH" qualifier="anatomy & histology" xml:lang="en"><term>Dental Arch</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Prothèse dentaire partielle amovible</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Arcade dentaire</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Dental Arch</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous, Partially</term><term>Tooth Loss</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire partiellement édentée</term><term>Perte dentaire</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Molar</term><term>Periodontal Index</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Indice parodontal</term><term>Molaire</term><term>Mâle</term><term>Résultat thérapeutique</term><term>Sujet âgé</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">In a multicentre randomised trial (German Research Association, grants DFG WA 831/2-1 to 2-6, WO 677/2-1.1 to 2-2.1.; controlled-trials.com ISRCTN97265367), patients with complete molar loss in one jaw received either a partial removable dental prosthesis (PRDP) with precision attachments or treatment according to the SDA concept aiming at pre-molar occlusion. The objective of this current analysis was to evaluate the influence of different treatments on periodontal health. Linear mixed regression models were fitted to quantify the differences between the treatment groups. The assessment at 5 years encompassed 59 patients (PRDP group) and 46 patients (SDA group). For the distal measuring sites of the posterior-most teeth of the study jaw, significant differences were found for the plaque index according to Silness and Löe, vertical clinical attachment loss (CAL-V), probing pocket depth (PPD) and bleeding on probing. These differences were small and showed a slightly more unfavourable course in the PRDP group. With CAL-V and PPD, significant differences were also found for the study jaw as a whole. For CAL-V, the estimated group differences over 5 years amounted to 0.27 mm (95% CI 0.05; 0.48; P = 0.016) for the study jaw and 0.25 mm (95% CI 0.05; 0.45; P = 0.014) for the distal sites of the posterior-most teeth. The respective values for PPD were 0.22 mm (95% CI 0.03; 0.41; P = 0.023) and 0.32 mm (95% CI 0.13; 0.5; P = 0.001). It can be concluded that even in a well-maintained.patient group statistically significant although minor detrimental effects of PRDPs on periodontal health are measurable.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24673467</PMID><DateCompleted><Year>2015</Year><Month>01</Month><Day>26</Day></DateCompleted><DateRevised><Year>2014</Year><Month>06</Month><Day>12</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1365-2842</ISSN><JournalIssue CitedMedium="Internet"><Volume>41</Volume><Issue>7</Issue><PubDate><Year>2014</Year><Month>Jul</Month></PubDate></JournalIssue><Title>Journal of oral rehabilitation</Title><ISOAbbreviation>J Oral Rehabil</ISOAbbreviation></Journal><ArticleTitle>Management of shortened dental arches and periodontal health: 5-year results of a randomised trial.</ArticleTitle><Pagination><MedlinePgn>515-22</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1111/joor.12160</ELocationID><Abstract><AbstractText>In a multicentre randomised trial (German Research Association, grants DFG WA 831/2-1 to 2-6, WO 677/2-1.1 to 2-2.1.; controlled-trials.com ISRCTN97265367), patients with complete molar loss in one jaw received either a partial removable dental prosthesis (PRDP) with precision attachments or treatment according to the SDA concept aiming at pre-molar occlusion. The objective of this current analysis was to evaluate the influence of different treatments on periodontal health. Linear mixed regression models were fitted to quantify the differences between the treatment groups. The assessment at 5 years encompassed 59 patients (PRDP group) and 46 patients (SDA group). For the distal measuring sites of the posterior-most teeth of the study jaw, significant differences were found for the plaque index according to Silness and Löe, vertical clinical attachment loss (CAL-V), probing pocket depth (PPD) and bleeding on probing. These differences were small and showed a slightly more unfavourable course in the PRDP group. With CAL-V and PPD, significant differences were also found for the study jaw as a whole. For CAL-V, the estimated group differences over 5 years amounted to 0.27 mm (95% CI 0.05; 0.48; P = 0.016) for the study jaw and 0.25 mm (95% CI 0.05; 0.45; P = 0.014) for the distal sites of the posterior-most teeth. The respective values for PPD were 0.22 mm (95% CI 0.03; 0.41; P = 0.023) and 0.32 mm (95% CI 0.13; 0.5; P = 0.001). It can be concluded that even in a well-maintained.patient group statistically significant although minor detrimental effects of PRDPs on periodontal health are measurable.</AbstractText><CopyrightInformation>© 2014 John Wiley & Sons Ltd.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Walter</LastName><ForeName>M H</ForeName><Initials>MH</Initials><AffiliationInfo><Affiliation>Department of Prosthetic Dentistry, Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Marré</LastName><ForeName>B</ForeName><Initials>B</Initials></Author><Author ValidYN="Y"><LastName>Vach</LastName><ForeName>K</ForeName><Initials>K</Initials></Author><Author ValidYN="Y"><LastName>Strub</LastName><ForeName>J</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Mundt</LastName><ForeName>T</ForeName><Initials>T</Initials></Author><Author ValidYN="Y"><LastName>Stark</LastName><ForeName>H</ForeName><Initials>H</Initials></Author><Author ValidYN="Y"><LastName>Pospiech</LastName><ForeName>P</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Wöstmann</LastName><ForeName>B</ForeName><Initials>B</Initials></Author><Author ValidYN="Y"><LastName>Heydecke</LastName><ForeName>G</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Kern</LastName><ForeName>M</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Hartmann</LastName><ForeName>S</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Luthardt</LastName><ForeName>R</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Huppertz</LastName><ForeName>J</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Wolfart</LastName><ForeName>S</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Hannak</LastName><ForeName>W</ForeName><Initials>W</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016448">Multicenter Study</PublicationType><PublicationType UI="D016449">Randomized Controlled Trial</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2014</Year><Month>03</Month><Day>27</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>J Oral Rehabil</MedlineTA><NlmUniqueID>0433604</NlmUniqueID><ISSNLinking>0305-182X</ISSNLinking></MedlineJournalInfo><CitationSubset>D</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003724" MajorTopicYN="N">Dental Arch</DescriptorName><QualifierName UI="Q000033" MajorTopicYN="N">anatomy & histology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003832" MajorTopicYN="N">Denture, Partial, Removable</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007576" MajorTopicYN="N">Jaw, Edentulous, Partially</DescriptorName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008963" MajorTopicYN="N">Molar</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010512" MajorTopicYN="N">Periodontal Index</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016388" MajorTopicYN="N">Tooth Loss</DescriptorName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">dental plaque index</Keyword><Keyword MajorTopicYN="N">dental prosthesis</Keyword><Keyword MajorTopicYN="N">gingival bleeding on probing</Keyword><Keyword MajorTopicYN="N">periodontal attachment loss</Keyword><Keyword MajorTopicYN="N">periodontal diseases</Keyword><Keyword MajorTopicYN="N">periodontal pocket</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="accepted"><Year>2014</Year><Month>02</Month><Day>22</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>3</Month><Day>29</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>3</Month><Day>29</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>1</Month><Day>27</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">24673467</ArticleId><ArticleId IdType="doi">10.1111/joor.12160</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Allemagne</li></country><region><li>District de Dresde</li><li>Saxe (Land)</li></region><settlement><li>Dresde</li></settlement><orgName><li>Université technique de Dresde</li></orgName></list><tree><noCountry><name sortKey="Hannak, W" sort="Hannak, W" uniqKey="Hannak W" first="W" last="Hannak">W. Hannak</name><name sortKey="Hartmann, S" sort="Hartmann, S" uniqKey="Hartmann S" first="S" last="Hartmann">S. Hartmann</name><name sortKey="Heydecke, G" sort="Heydecke, G" uniqKey="Heydecke G" first="G" last="Heydecke">G. Heydecke</name><name sortKey="Huppertz, J" sort="Huppertz, J" uniqKey="Huppertz J" first="J" last="Huppertz">J. Huppertz</name><name sortKey="Kern, M" sort="Kern, M" uniqKey="Kern M" first="M" last="Kern">M. Kern</name><name sortKey="Luthardt, R" sort="Luthardt, R" uniqKey="Luthardt R" first="R" last="Luthardt">R. Luthardt</name><name sortKey="Marre, B" sort="Marre, B" uniqKey="Marre B" first="B" last="Marré">B. Marré</name><name sortKey="Mundt, T" sort="Mundt, T" uniqKey="Mundt T" first="T" last="Mundt">T. Mundt</name><name sortKey="Pospiech, P" sort="Pospiech, P" uniqKey="Pospiech P" first="P" last="Pospiech">P. Pospiech</name><name sortKey="Stark, H" sort="Stark, H" uniqKey="Stark H" first="H" last="Stark">H. Stark</name><name sortKey="Strub, J" sort="Strub, J" uniqKey="Strub J" first="J" last="Strub">J. Strub</name><name sortKey="Vach, K" sort="Vach, K" uniqKey="Vach K" first="K" last="Vach">K. Vach</name><name sortKey="Wolfart, S" sort="Wolfart, S" uniqKey="Wolfart S" first="S" last="Wolfart">S. Wolfart</name><name sortKey="Wostmann, B" sort="Wostmann, B" uniqKey="Wostmann B" first="B" last="Wöstmann">B. Wöstmann</name></noCountry><country name="Allemagne"><region name="Saxe (Land)"><name sortKey="Walter, M H" sort="Walter, M H" uniqKey="Walter M" first="M H" last="Walter">M H Walter</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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