A 5-year randomized trial to compare 1 or 2 implants for implant overdentures.
Identifieur interne : 005587 ( Ncbi/Merge ); précédent : 005586; suivant : 005588A 5-year randomized trial to compare 1 or 2 implants for implant overdentures.
Auteurs : S R Bryant [Canada] ; J N Walton [Canada] ; M I Macentee [Canada]Source :
- Journal of dental research [ 1544-0591 ] ; 2015.
Descripteurs français
- KwdFr :
- Analyse de survie, Arcade dentaire (), Auto-évaluation (psychologie), Femelle, Humains, Implants dentaires, Implants dentaires unitaires, Mandibule (), Mâchoire édentée (), Mâchoire édentée (rééducation et réadaptation), Mâle, Overdenture, Prothèse dentaire complète inférieure, Prothèse dentaire implanto-portée, Rebasage d'appareil de prothèse dentaire, Réparation d'appareil de prothèse dentaire, Résultat thérapeutique, Rétention d'appareil de prothèse dentaire, Satisfaction du patient, Sujet âgé, Échec de restauration dentaire, Échelle visuelle analogique, Études de suivi.
- MESH :
- rééducation et réadaptation : Mâchoire édentée.
- Analyse de survie, Arcade dentaire, Auto-évaluation (psychologie), Femelle, Humains, Implants dentaires, Implants dentaires unitaires, Mandibule, Mâchoire édentée, Mâle, Overdenture, Prothèse dentaire complète inférieure, Prothèse dentaire implanto-portée, Rebasage d'appareil de prothèse dentaire, Réparation d'appareil de prothèse dentaire, Résultat thérapeutique, Rétention d'appareil de prothèse dentaire, Satisfaction du patient, Sujet âgé, Échec de restauration dentaire, Échelle visuelle analogique, Études de suivi.
English descriptors
- KwdEn :
- Aged, Dental Arch (surgery), Dental Implants, Dental Implants, Single-Tooth, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Denture Rebasing, Denture Repair, Denture Retention, Denture, Complete, Lower, Denture, Overlay, Female, Follow-Up Studies, Humans, Jaw, Edentulous (rehabilitation), Jaw, Edentulous (surgery), Male, Mandible (surgery), Patient Satisfaction, Self-Assessment, Survival Analysis, Treatment Outcome, Visual Analog Scale.
- MESH :
- chemical : Dental Implants.
- rehabilitation : Jaw, Edentulous.
- surgery : Dental Arch, Jaw, Edentulous, Mandible.
- Aged, Dental Implants, Single-Tooth, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Denture Rebasing, Denture Repair, Denture Retention, Denture, Complete, Lower, Denture, Overlay, Female, Follow-Up Studies, Humans, Male, Patient Satisfaction, Self-Assessment, Survival Analysis, Treatment Outcome, Visual Analog Scale.
Abstract
The hypothesis of this 5-y randomized clinical trial was that there would be no significant difference in the satisfaction of edentulous participants with removable complete overdentures attached to 1 or 2 mandibular implants. Secondary aims were to test changes in satisfaction between and within the groups from baseline to 5 y and differences between the groups in implant survival and prosthodontic maintenance over 5 y. Each of the 86 participants (mean age, 67 y) was randomly allocated to receive either 1 implant in the midline (group 1) or 2 implants in the canine areas (group 2) attached to a mandibular overdenture opposing a maxillary complete denture. Satisfaction was self-assessed by participants on a visual analog scale at baseline prior to implants, as well as at 2 mo and 1, 3, and 5 y with implant overdentures, whereas implant survival and prosthodontic maintenance were assessed by clinical examination. After 5 y, 29 participants in group 1 and 33 in group 2 were available, with most dropouts due to death. Satisfaction with the implant denture after 5 y was significantly (P < 0.001) higher than at baseline in both groups and remained with no significant difference (P = 0.32) between the groups. No implants failed in group 1 but 5 failed before loading in 4 participants in group 2. Most participants required maintenance or occasionally denture replacement, and although differences between the groups were not statistically significant, group 1 experienced almost twice as many fractured dentures usually adjacent to the implant attachment. We conclude that there were no significant differences after 5 y in satisfaction or survival of implants with mandibular overdentures retained by 1 implant or 2 implants. Additional research is required to confirm long-term treatment effectiveness of single-implant dentures and the implications of prosthetic maintenance with implant overdentures (ClinicalTrials.gov: NCT02117856).
DOI: 10.1177/0022034514554224
PubMed: 25348544
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pubmed:25348544Le document en format XML
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<term>Dental Implants, Single-Tooth</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Denture Rebasing</term>
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<term>Humains</term>
<term>Implants dentaires</term>
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<term>Self-Assessment</term>
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<term>Auto-évaluation (psychologie)</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
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<term>Mandibule</term>
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<term>Mâle</term>
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<term>Rebasage d'appareil de prothèse dentaire</term>
<term>Réparation d'appareil de prothèse dentaire</term>
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<term>Rétention d'appareil de prothèse dentaire</term>
<term>Satisfaction du patient</term>
<term>Sujet âgé</term>
<term>Échec de restauration dentaire</term>
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<front><div type="abstract" xml:lang="en">The hypothesis of this 5-y randomized clinical trial was that there would be no significant difference in the satisfaction of edentulous participants with removable complete overdentures attached to 1 or 2 mandibular implants. Secondary aims were to test changes in satisfaction between and within the groups from baseline to 5 y and differences between the groups in implant survival and prosthodontic maintenance over 5 y. Each of the 86 participants (mean age, 67 y) was randomly allocated to receive either 1 implant in the midline (group 1) or 2 implants in the canine areas (group 2) attached to a mandibular overdenture opposing a maxillary complete denture. Satisfaction was self-assessed by participants on a visual analog scale at baseline prior to implants, as well as at 2 mo and 1, 3, and 5 y with implant overdentures, whereas implant survival and prosthodontic maintenance were assessed by clinical examination. After 5 y, 29 participants in group 1 and 33 in group 2 were available, with most dropouts due to death. Satisfaction with the implant denture after 5 y was significantly (P < 0.001) higher than at baseline in both groups and remained with no significant difference (P = 0.32) between the groups. No implants failed in group 1 but 5 failed before loading in 4 participants in group 2. Most participants required maintenance or occasionally denture replacement, and although differences between the groups were not statistically significant, group 1 experienced almost twice as many fractured dentures usually adjacent to the implant attachment. We conclude that there were no significant differences after 5 y in satisfaction or survival of implants with mandibular overdentures retained by 1 implant or 2 implants. Additional research is required to confirm long-term treatment effectiveness of single-implant dentures and the implications of prosthetic maintenance with implant overdentures (ClinicalTrials.gov: NCT02117856).</div>
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<Abstract><AbstractText>The hypothesis of this 5-y randomized clinical trial was that there would be no significant difference in the satisfaction of edentulous participants with removable complete overdentures attached to 1 or 2 mandibular implants. Secondary aims were to test changes in satisfaction between and within the groups from baseline to 5 y and differences between the groups in implant survival and prosthodontic maintenance over 5 y. Each of the 86 participants (mean age, 67 y) was randomly allocated to receive either 1 implant in the midline (group 1) or 2 implants in the canine areas (group 2) attached to a mandibular overdenture opposing a maxillary complete denture. Satisfaction was self-assessed by participants on a visual analog scale at baseline prior to implants, as well as at 2 mo and 1, 3, and 5 y with implant overdentures, whereas implant survival and prosthodontic maintenance were assessed by clinical examination. After 5 y, 29 participants in group 1 and 33 in group 2 were available, with most dropouts due to death. Satisfaction with the implant denture after 5 y was significantly (P < 0.001) higher than at baseline in both groups and remained with no significant difference (P = 0.32) between the groups. No implants failed in group 1 but 5 failed before loading in 4 participants in group 2. Most participants required maintenance or occasionally denture replacement, and although differences between the groups were not statistically significant, group 1 experienced almost twice as many fractured dentures usually adjacent to the implant attachment. We conclude that there were no significant differences after 5 y in satisfaction or survival of implants with mandibular overdentures retained by 1 implant or 2 implants. Additional research is required to confirm long-term treatment effectiveness of single-implant dentures and the implications of prosthetic maintenance with implant overdentures (ClinicalTrials.gov: NCT02117856).</AbstractText>
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