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Within-subject comparison of two rigid bar designs connecting two interforaminal implants: patients' satisfaction and prosthetic results.

Identifieur interne : 001633 ( PubMed/Checkpoint ); précédent : 001632; suivant : 001634

Within-subject comparison of two rigid bar designs connecting two interforaminal implants: patients' satisfaction and prosthetic results.

Auteurs : Regina Mericske-Stern [Suisse] ; Dieter Probst ; Fritz Fahrl Nder ; Marc Schellenberg

Source :

RBID : pubmed:18783424

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English descriptors

Abstract

There is evidence for the superiority of two-implant overdentures over complete dentures in the mandible. Various anchorage devices were used to provide stability to overdentures. The aim of the present study was to compare two designs of a rigid bar connecting two mandibular implants.

DOI: 10.1111/j.1708-8208.2008.00109.x
PubMed: 18783424


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pubmed:18783424

Le document en format XML

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<title xml:lang="en">Within-subject comparison of two rigid bar designs connecting two interforaminal implants: patients' satisfaction and prosthetic results.</title>
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<name sortKey="Mericske Stern, Regina" sort="Mericske Stern, Regina" uniqKey="Mericske Stern R" first="Regina" last="Mericske-Stern">Regina Mericske-Stern</name>
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<nlm:affiliation>Department of Prosthodontics, School of Dental Medicine, University of Bern, Bern 3010, Switzerland. regina.mericske@zmk.unibe.ch</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>Department of Prosthodontics, School of Dental Medicine, University of Bern, Bern 3010</wicri:regionArea>
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<orgName type="university">Université de Berne</orgName>
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<name sortKey="Probst, Dieter" sort="Probst, Dieter" uniqKey="Probst D" first="Dieter" last="Probst">Dieter Probst</name>
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<name sortKey="Fahrl Nder, Fritz" sort="Fahrl Nder, Fritz" uniqKey="Fahrl Nder F" first="Fritz" last="Fahrl Nder">Fritz Fahrl Nder</name>
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<name sortKey="Schellenberg, Marc" sort="Schellenberg, Marc" uniqKey="Schellenberg M" first="Marc" last="Schellenberg">Marc Schellenberg</name>
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<term>Aged</term>
<term>Bite Force</term>
<term>Cross-Over Studies</term>
<term>Dental Implants</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis Retention (instrumentation)</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Stress Analysis</term>
<term>Denture, Overlay</term>
<term>Female</term>
<term>Health Care Costs</term>
<term>Humans</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Male</term>
<term>Mandible</term>
<term>Middle Aged</term>
<term>Patient Satisfaction</term>
<term>Surveys and Questionnaires</term>
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<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte d'âge moyen</term>
<term>Analyse du stress dentaire</term>
<term>Conception de prothèse dentaire</term>
<term>Coûts des soins de santé</term>
<term>Enquêtes et questionnaires</term>
<term>Femelle</term>
<term>Force occlusale</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Mandibule</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Overdenture</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Rétention de prothèse dentaire (instrumentation)</term>
<term>Satisfaction du patient</term>
<term>Sujet âgé</term>
<term>Études croisées</term>
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<term>Dental Implants</term>
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<term>Dental Prosthesis Retention</term>
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<term>Mâchoire édentée</term>
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<term>Aged</term>
<term>Bite Force</term>
<term>Cross-Over Studies</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Stress Analysis</term>
<term>Denture, Overlay</term>
<term>Female</term>
<term>Health Care Costs</term>
<term>Humans</term>
<term>Male</term>
<term>Mandible</term>
<term>Middle Aged</term>
<term>Patient Satisfaction</term>
<term>Surveys and Questionnaires</term>
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<keywords scheme="MESH" xml:lang="fr">
<term>Adulte d'âge moyen</term>
<term>Analyse du stress dentaire</term>
<term>Conception de prothèse dentaire</term>
<term>Coûts des soins de santé</term>
<term>Enquêtes et questionnaires</term>
<term>Femelle</term>
<term>Force occlusale</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Mandibule</term>
<term>Mâle</term>
<term>Overdenture</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Rétention de prothèse dentaire</term>
<term>Satisfaction du patient</term>
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<div type="abstract" xml:lang="en">There is evidence for the superiority of two-implant overdentures over complete dentures in the mandible. Various anchorage devices were used to provide stability to overdentures. The aim of the present study was to compare two designs of a rigid bar connecting two mandibular implants.</div>
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<Month>11</Month>
<Day>16</Day>
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<DateRevised>
<Year>2015</Year>
<Month>11</Month>
<Day>19</Day>
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<Article PubModel="Print-Electronic">
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<ISSN IssnType="Electronic">1708-8208</ISSN>
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<Volume>11</Volume>
<Issue>3</Issue>
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<Year>2009</Year>
<Month>Sep</Month>
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<Title>Clinical implant dentistry and related research</Title>
<ISOAbbreviation>Clin Implant Dent Relat Res</ISOAbbreviation>
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<ArticleTitle>Within-subject comparison of two rigid bar designs connecting two interforaminal implants: patients' satisfaction and prosthetic results.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">There is evidence for the superiority of two-implant overdentures over complete dentures in the mandible. Various anchorage devices were used to provide stability to overdentures. The aim of the present study was to compare two designs of a rigid bar connecting two mandibular implants.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Completely edentulous patients received a new denture in the maxilla and an implant-supported overdenture in the mandible. They were randomly allocated to two groups (A or B) with regard to the bar design. A standard U-shaped bar (Dolder bar) was used connecting the two implants in a straight line. For comparison, precision attachments were soldered distal to the bar copings. Group A started the study with the standard bar (S-bar), while group B started with the attachment-bar (A-bar). After 3 months, they had to answer a questionnaire (visual analogue scale [VAS]); then the bar design was changed in both groups. After a period of another 3 months, the patients had to answer the same questions; then they had the choice to keep their preferred bar. Now the study period was extended to another year of observation, and the patients answered again the same questionnaire. In vivo force measurements were carried out with both bar types at the end of the test periods. The prosthetic maintenance service carried out during the 6-month period was recorded for both bar types in both groups. Statistical analysis as performed with the SPSS statistical package (SPSS Inc., Chicago, IL, USA).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Satisfaction was high in both groups. Group B, who had entered the study with the attachment bar, gave slightly better ratings to this type for four items, while in group A, no differences were found. At the end of the 6-month comparison period, all but one patient wished to continue to wear the attachment bar. Prosthetic service was equal in groups A and B, but the total number of interventions is significantly higher in the attachment bar. Force patterns of maximum biting were similar in both bar designs, but exhibited significantly higher axial forces in the attachment bar.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Both bar designs provide good retention and functional comfort. High stability appears to be an important factor for the patients' satisfaction and oral comfort. Rigid retention results in a higher force impact and appears to evoke the need for the retightening of occlusal screws, resulting in more maintenance service.</AbstractText>
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<Affiliation>Department of Prosthodontics, School of Dental Medicine, University of Bern, Bern 3010, Switzerland. regina.mericske@zmk.unibe.ch</Affiliation>
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<DescriptorName UI="D019094" MajorTopicYN="Y">Dental Prosthesis, Implant-Supported</DescriptorName>
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