Survival analysis of endosseous implants in bone grafts used for the treatment of severe alveolar ridge atrophy. Discussion
Identifieur interne : 000788 ( PascalFrancis/Corpus ); précédent : 000787; suivant : 000789Survival analysis of endosseous implants in bone grafts used for the treatment of severe alveolar ridge atrophy. Discussion
Auteurs : H. Schliephake ; F. W. Neukam ; M. Wichmann ; S. LundgrenSource :
- Journal of oral and maxillofacial surgery [ 0278-2391 ] ; 1997.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
Abstract
Purpose: The aim of the current study was to evaluate the long-term results of endosseous implants placed into autogenous bone grafts in severely atrophic alveolar ridges. Patients and Methods: A total of 871 implants were placed in 137 patients. The success rate was determined using survival analysis, log rank tests, and a cox regression analysis. Results: Seventy-four implant failures were encountered in 23 patients. Most implants were lost because of a lack of osseointegration at the time of abutment connection or by asymptomatic loosening during the first months thereafter. The overall 1-year cumulative survival rate (CSR) was 83.4%, with a decrease to 67.8% after 5 years. The only parameter of prognostic relevance in the multivariate analysis of the whole study population was the patients' gender, with a significantly worse prognosis in female patients (5-year CSR, 62.3%). However, when the patients were divided into edentulous and partially edentulous jaws, a change was observed in the overall significance of the parameters introduced into the analysis. In edentulous patients, the maxilla appeared to overrule all other parameters, with a 5-year cumulative survival rate of 48.8%, whereas the mandible presented a significantly higher rate of implant survival (5-year CSR, 89.3%). Conclusion: This study shows a poorer success rate in females than in males, probably because of differences in the quality of the bone grafts.
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Pour connaître la documentation sur le format Inist Standard.
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Format Inist (serveur)
NO : | PASCAL 98-0024881 INIST |
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ET : | Survival analysis of endosseous implants in bone grafts used for the treatment of severe alveolar ridge atrophy. Discussion |
AU : | SCHLIEPHAKE (H.); NEUKAM (F. W.); WICHMANN (M.); LUNDGREN (S.) |
AF : | Department of Oral and Maxillofacial Surgery, Hannover Medical School, Medizinische Hochschule Hannover/Hannover/Allemagne (1 aut.); Department of Oral and Maxillofacial Surgery, University of Erlangen/Erlangen/Allemagne (2 aut., 3 aut.); Umea University/Umea/Suède (4 aut.); Department of Prosthodontics, Hannover Medical School, Medizinische Hochschule Hannover/Hannover/Allemagne |
DT : | Publication en série; Article; Commentaire; Niveau analytique |
SO : | Journal of oral and maxillofacial surgery; ISSN 0278-2391; Coden JOMSDA; Etats-Unis; Da. 1997; Vol. 55; No. 11; Pp. 1227-1234; Bibl. 27 ref. |
LA : | Anglais |
EA : | Purpose: The aim of the current study was to evaluate the long-term results of endosseous implants placed into autogenous bone grafts in severely atrophic alveolar ridges. Patients and Methods: A total of 871 implants were placed in 137 patients. The success rate was determined using survival analysis, log rank tests, and a cox regression analysis. Results: Seventy-four implant failures were encountered in 23 patients. Most implants were lost because of a lack of osseointegration at the time of abutment connection or by asymptomatic loosening during the first months thereafter. The overall 1-year cumulative survival rate (CSR) was 83.4%, with a decrease to 67.8% after 5 years. The only parameter of prognostic relevance in the multivariate analysis of the whole study population was the patients' gender, with a significantly worse prognosis in female patients (5-year CSR, 62.3%). However, when the patients were divided into edentulous and partially edentulous jaws, a change was observed in the overall significance of the parameters introduced into the analysis. In edentulous patients, the maxilla appeared to overrule all other parameters, with a 5-year cumulative survival rate of 48.8%, whereas the mandible presented a significantly higher rate of implant survival (5-year CSR, 89.3%). Conclusion: This study shows a poorer success rate in females than in males, probably because of differences in the quality of the bone grafts. |
CC : | 002B25C02 |
FD : | Atrophie; Alvéole dentaire; Traitement; Autogreffe; Os; Implant; Edentation; Pronostic; Long terme; Homme |
FG : | Maxillaire pathologie; Dent pathologie; Stomatologie; Chirurgie; Greffe |
ED : | Atrophy; Tooth alveolus; Treatment; Autograft; Bone; Implant; Edentulousness; Prognosis; Long term; Human |
EG : | Maxillary disease; Dental disease; Stomatology; Surgery; Graft |
GD : | Aufbereiten |
SD : | Atrofia; Alvéolo dental; Tratamiento; Autoinjerto; Hueso; Implante; Edentación; Pronóstico; Largo plazo; Hombre |
LO : | INIST-3005.354000079448210060 |
ID : | 98-0024881 |
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Pascal:98-0024881Le document en format XML
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<front><div type="abstract" xml:lang="en">Purpose: The aim of the current study was to evaluate the long-term results of endosseous implants placed into autogenous bone grafts in severely atrophic alveolar ridges. Patients and Methods: A total of 871 implants were placed in 137 patients. The success rate was determined using survival analysis, log rank tests, and a cox regression analysis. Results: Seventy-four implant failures were encountered in 23 patients. Most implants were lost because of a lack of osseointegration at the time of abutment connection or by asymptomatic loosening during the first months thereafter. The overall 1-year cumulative survival rate (CSR) was 83.4%, with a decrease to 67.8% after 5 years. The only parameter of prognostic relevance in the multivariate analysis of the whole study population was the patients' gender, with a significantly worse prognosis in female patients (5-year CSR, 62.3%). However, when the patients were divided into edentulous and partially edentulous jaws, a change was observed in the overall significance of the parameters introduced into the analysis. In edentulous patients, the maxilla appeared to overrule all other parameters, with a 5-year cumulative survival rate of 48.8%, whereas the mandible presented a significantly higher rate of implant survival (5-year CSR, 89.3%). Conclusion: This study shows a poorer success rate in females than in males, probably because of differences in the quality of the bone grafts.</div>
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<server><NO>PASCAL 98-0024881 INIST</NO>
<ET>Survival analysis of endosseous implants in bone grafts used for the treatment of severe alveolar ridge atrophy. Discussion</ET>
<AU>SCHLIEPHAKE (H.); NEUKAM (F. W.); WICHMANN (M.); LUNDGREN (S.)</AU>
<AF>Department of Oral and Maxillofacial Surgery, Hannover Medical School, Medizinische Hochschule Hannover/Hannover/Allemagne (1 aut.); Department of Oral and Maxillofacial Surgery, University of Erlangen/Erlangen/Allemagne (2 aut., 3 aut.); Umea University/Umea/Suède (4 aut.); Department of Prosthodontics, Hannover Medical School, Medizinische Hochschule Hannover/Hannover/Allemagne</AF>
<DT>Publication en série; Article; Commentaire; Niveau analytique</DT>
<SO>Journal of oral and maxillofacial surgery; ISSN 0278-2391; Coden JOMSDA; Etats-Unis; Da. 1997; Vol. 55; No. 11; Pp. 1227-1234; Bibl. 27 ref.</SO>
<LA>Anglais</LA>
<EA>Purpose: The aim of the current study was to evaluate the long-term results of endosseous implants placed into autogenous bone grafts in severely atrophic alveolar ridges. Patients and Methods: A total of 871 implants were placed in 137 patients. The success rate was determined using survival analysis, log rank tests, and a cox regression analysis. Results: Seventy-four implant failures were encountered in 23 patients. Most implants were lost because of a lack of osseointegration at the time of abutment connection or by asymptomatic loosening during the first months thereafter. The overall 1-year cumulative survival rate (CSR) was 83.4%, with a decrease to 67.8% after 5 years. The only parameter of prognostic relevance in the multivariate analysis of the whole study population was the patients' gender, with a significantly worse prognosis in female patients (5-year CSR, 62.3%). However, when the patients were divided into edentulous and partially edentulous jaws, a change was observed in the overall significance of the parameters introduced into the analysis. In edentulous patients, the maxilla appeared to overrule all other parameters, with a 5-year cumulative survival rate of 48.8%, whereas the mandible presented a significantly higher rate of implant survival (5-year CSR, 89.3%). Conclusion: This study shows a poorer success rate in females than in males, probably because of differences in the quality of the bone grafts.</EA>
<CC>002B25C02</CC>
<FD>Atrophie; Alvéole dentaire; Traitement; Autogreffe; Os; Implant; Edentation; Pronostic; Long terme; Homme</FD>
<FG>Maxillaire pathologie; Dent pathologie; Stomatologie; Chirurgie; Greffe</FG>
<ED>Atrophy; Tooth alveolus; Treatment; Autograft; Bone; Implant; Edentulousness; Prognosis; Long term; Human</ED>
<EG>Maxillary disease; Dental disease; Stomatology; Surgery; Graft</EG>
<GD>Aufbereiten</GD>
<SD>Atrofia; Alvéolo dental; Tratamiento; Autoinjerto; Hueso; Implante; Edentación; Pronóstico; Largo plazo; Hombre</SD>
<LO>INIST-3005.354000079448210060</LO>
<ID>98-0024881</ID>
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