Geriatric slim implants for complete denture wearers: clinical aspects and perspectives
Identifieur interne : 002B01 ( Pmc/Curation ); précédent : 002B00; suivant : 002B02Geriatric slim implants for complete denture wearers: clinical aspects and perspectives
Auteurs : Cedric Huard [France] ; Marion Bessadet [France] ; Emmanuel Nicolas [France] ; Jean-Luc Veyrune [France]Source :
- Clinical, Cosmetic and Investigational Dentistry [ 1179-1357 ] ; 2013.
Abstract
Advances made in prevention have helped postpone complete edentulism in older patients. However, in the elderly, the physiological state reduces patients’ ability to adapt to oral rehabilitation and degrades the patient’s oral condition. Consequently, elderly edentulous subjects avoid many types of foods, which can lead to substantial nutritional consequences. Complete dentures retained by implants are, currently, the treatment of reference in prosthodontic mandibular rehabilitation. Indeed, the mandibular symphysis generally tolerates implantation, even when the mandible is strongly resorbed. However, in the elderly, implant rehabilitation is compromised by the complexity of the surgical protocol and possible postoperative complications. In this context, the use of geriatric “slim implants” (GSI) offers an interesting alternative.
In the present study, the surgical and prosthetic procedures for the use of GSI in a French dental hospital are presented. The objective was the stabilization of a complete mandibular denture in an elderly person, with the immediate implantation of four GSI.
The operating procedure was found to be less invasive, less expensive, simpler, and more efficient than the conventional procedure.
The result strongly suggests that this protocol could be used systematically to treat complete edentulism in very elderly patients. Long-term monitoring and the evaluation of the reliability of this type of rehabilitation should be undertaken.
Url:
DOI: 10.2147/CCIDE.S47743
PubMed: 24009432
PubMed Central: 3762673
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Advances made in prevention have helped postpone complete edentulism in older patients. However, in the elderly, the physiological state reduces patients’ ability to adapt to oral rehabilitation and degrades the patient’s oral condition. Consequently, elderly edentulous subjects avoid many types of foods, which can lead to substantial nutritional consequences. Complete dentures retained by implants are, currently, the treatment of reference in prosthodontic mandibular rehabilitation. Indeed, the mandibular symphysis generally tolerates implantation, even when the mandible is strongly resorbed. However, in the elderly, implant rehabilitation is compromised by the complexity of the surgical protocol and possible postoperative complications. In this context, the use of geriatric “slim implants” (GSI) offers an interesting alternative.</p>
</sec>
<sec><title>Methods</title>
<p>In the present study, the surgical and prosthetic procedures for the use of GSI in a French dental hospital are presented. The objective was the stabilization of a complete mandibular denture in an elderly person, with the immediate implantation of four GSI.</p>
</sec>
<sec><title>Results</title>
<p>The operating procedure was found to be less invasive, less expensive, simpler, and more efficient than the conventional procedure.</p>
</sec>
<sec><title>Conclusion</title>
<p>The result strongly suggests that this protocol could be used systematically to treat complete edentulism in very elderly patients. Long-term monitoring and the evaluation of the reliability of this type of rehabilitation should be undertaken.</p>
</sec>
</div>
</front>
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<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Clin Cosmet Investig Dent</journal-id>
<journal-id journal-id-type="iso-abbrev">Clin Cosmet Investig Dent</journal-id>
<journal-title-group><journal-title>Clinical, Cosmetic and Investigational Dentistry</journal-title>
</journal-title-group>
<issn pub-type="epub">1179-1357</issn>
<publisher><publisher-name>Dove Medical Press</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">24009432</article-id>
<article-id pub-id-type="pmc">3762673</article-id>
<article-id pub-id-type="doi">10.2147/CCIDE.S47743</article-id>
<article-id pub-id-type="publisher-id">ccide-5-063</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Perspectives</subject>
</subj-group>
</article-categories>
<title-group><article-title>Geriatric slim implants for complete denture wearers: clinical aspects and perspectives</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Huard</surname>
<given-names>Cedric</given-names>
</name>
<xref ref-type="aff" rid="af2-ccide-5-063">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bessadet</surname>
<given-names>Marion</given-names>
</name>
<xref ref-type="aff" rid="af1-ccide-5-063">1</xref>
<xref ref-type="aff" rid="af2-ccide-5-063">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Nicolas</surname>
<given-names>Emmanuel</given-names>
</name>
<xref ref-type="aff" rid="af1-ccide-5-063">1</xref>
<xref ref-type="aff" rid="af2-ccide-5-063">2</xref>
<xref ref-type="corresp" rid="c1-ccide-5-063"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Veyrune</surname>
<given-names>Jean-Luc</given-names>
</name>
<xref ref-type="aff" rid="af1-ccide-5-063">1</xref>
<xref ref-type="aff" rid="af2-ccide-5-063">2</xref>
</contrib>
</contrib-group>
<aff id="af1-ccide-5-063"><label>1</label>
Clermont Université, Université d’Auvergne, Centre de Recherche en Odontologie Clinique, Clermont-Ferrand, France</aff>
<aff id="af2-ccide-5-063"><label>2</label>
CHU Clermont-Ferrand, Service d’Odontologie, Clermont-Ferrand, France</aff>
<author-notes><corresp id="c1-ccide-5-063">Correspondence: Emmanuel Nicolas, University of Auvergne, Dental Faculty, 11 bd Charles de Gaulle, 630000 Clermont-Ferrand, France, Tel +33 047 317 7382, Fax +33 047 317 7388, Email <email>emmanuel.nicolas@udamail.fr</email>
</corresp>
</author-notes>
<pub-date pub-type="collection"><year>2013</year>
</pub-date>
<pub-date pub-type="epub"><day>28</day>
<month>8</month>
<year>2013</year>
</pub-date>
<volume>5</volume>
<fpage>63</fpage>
<lpage>68</lpage>
<permissions><copyright-statement>© 2013 Huard et al. This work is published by Dove Medical Press Ltd, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License</copyright-statement>
<copyright-year>2013</copyright-year>
<license><license-p>The full terms of the License are available at <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>
. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Ltd, provided the work is properly attributed.</license-p>
</license>
</permissions>
<abstract><sec><title>Background</title>
<p>Advances made in prevention have helped postpone complete edentulism in older patients. However, in the elderly, the physiological state reduces patients’ ability to adapt to oral rehabilitation and degrades the patient’s oral condition. Consequently, elderly edentulous subjects avoid many types of foods, which can lead to substantial nutritional consequences. Complete dentures retained by implants are, currently, the treatment of reference in prosthodontic mandibular rehabilitation. Indeed, the mandibular symphysis generally tolerates implantation, even when the mandible is strongly resorbed. However, in the elderly, implant rehabilitation is compromised by the complexity of the surgical protocol and possible postoperative complications. In this context, the use of geriatric “slim implants” (GSI) offers an interesting alternative.</p>
</sec>
<sec><title>Methods</title>
<p>In the present study, the surgical and prosthetic procedures for the use of GSI in a French dental hospital are presented. The objective was the stabilization of a complete mandibular denture in an elderly person, with the immediate implantation of four GSI.</p>
</sec>
<sec><title>Results</title>
<p>The operating procedure was found to be less invasive, less expensive, simpler, and more efficient than the conventional procedure.</p>
</sec>
<sec><title>Conclusion</title>
<p>The result strongly suggests that this protocol could be used systematically to treat complete edentulism in very elderly patients. Long-term monitoring and the evaluation of the reliability of this type of rehabilitation should be undertaken.</p>
</sec>
</abstract>
<kwd-group><title>Keywords</title>
<kwd>gerodontology</kwd>
<kwd>oral health</kwd>
<kwd>prostheses</kwd>
<kwd>mini-implant</kwd>
</kwd-group>
</article-meta>
</front>
<floats-group><fig id="f1-ccide-5-063" position="float"><label>Figure 1</label>
<caption><p>A preoperative panoramic radiograph was performed to mark the two most posterior implant placement sites with respect to the mandibular foramen.</p>
</caption>
<graphic xlink:href="ccide-5-063Fig1"></graphic>
</fig>
<fig id="f2-ccide-5-063" position="float"><label>Figure 2</label>
<caption><p>Intrabone drilling directly through the mucosa.</p>
</caption>
<graphic xlink:href="ccide-5-063Fig2"></graphic>
</fig>
<fig id="f3-ccide-5-063" position="float"><label>Figure 3</label>
<caption><p>Insertion of implants.</p>
</caption>
<graphic xlink:href="ccide-5-063Fig3"></graphic>
</fig>
<fig id="f4-ccide-5-063" position="float"><label>Figure 4</label>
<caption><p>Connection of the female-portion attachments to the impression surface of the denture.</p>
</caption>
<graphic xlink:href="ccide-5-063Fig4"></graphic>
</fig>
<fig id="f5-ccide-5-063" position="float"><label>Figure 5</label>
<caption><p>Immediate loading of the implant/denture complex.</p>
</caption>
<graphic xlink:href="ccide-5-063Fig5"></graphic>
</fig>
<fig id="f6-ccide-5-063" position="float"><label>Figure 6</label>
<caption><p>Radiographic control.</p>
</caption>
<graphic xlink:href="ccide-5-063Fig6"></graphic>
</fig>
<table-wrap id="t1-ccide-5-063" position="float"><label>Table 1</label>
<caption><p>Advantages and disadvantages of the GSI</p>
</caption>
<table frame="hsides" rules="groups"><thead><tr><th align="left" valign="top" rowspan="1" colspan="1"></th>
<th align="left" valign="top" rowspan="1" colspan="1">Advantage</th>
<th align="left" valign="top" rowspan="1" colspan="1">Disadvantage</th>
</tr>
</thead>
<tbody><tr><td align="left" valign="top" rowspan="1" colspan="1">Surgical procedure</td>
<td align="left" valign="top" rowspan="1" colspan="1">Transmucosal, single drill; few postoperative reactions</td>
<td align="left" valign="top" rowspan="1" colspan="1">Solid experience in conventional implant-setting needed</td>
</tr>
<tr><td align="left" valign="top" rowspan="1" colspan="1">Prosthetic aspect</td>
<td align="left" valign="top" rowspan="1" colspan="1">Immediate loading; no removable abutment; one implant loss does not compromise prosthesis retention</td>
<td align="left" valign="top" rowspan="1" colspan="1">Abutment cannot be changed, implant-prostheses connection not easy to perform</td>
</tr>
<tr><td align="left" valign="top" rowspan="1" colspan="1">Social aspect</td>
<td align="left" valign="top" rowspan="1" colspan="1">Less expensive than conventional implant procedure and adequate for the elderly</td>
<td align="left" valign="top" rowspan="1" colspan="1">GSI is not recommended in very young patients</td>
</tr>
</tbody>
</table>
<table-wrap-foot><fn id="tfn1-ccide-5-063"><p><bold>Abbreviation:</bold>
GSI, geriatric slim implant.</p>
</fn>
</table-wrap-foot>
</table-wrap>
</floats-group>
</pmc>
</record>
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