Serveur d'exploration sur le patient édenté

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The extremely resorbed mandible: a comparative prospective study of 2-year results with 3 treatment strategies.

Identifieur interne : 006523 ( PubMed/Checkpoint ); précédent : 006522; suivant : 006524

The extremely resorbed mandible: a comparative prospective study of 2-year results with 3 treatment strategies.

Auteurs : Kees Stellingsma [Pays-Bas] ; Gerry M. Raghoebar ; Henny J A. Meijer ; Boudewijn Stegenga

Source :

RBID : pubmed:15346755

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English descriptors

Abstract

The aim of this prospective clinical study was to compare the clinical and radiographic results of 3 modes of implant treatment in combination with an overdenture in patients with extremely resorbed mandibles. The 3 treatment strategies used were a transmandibular implant, augmentation of the mandible with an autologous bone graft followed by placement of 4 endosseous implants, and the placement of 4 endosseous implants only.

PubMed: 15346755


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pubmed:15346755

Le document en format XML

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<term>Alveolar Ridge Augmentation (methods)</term>
<term>Analysis of Variance</term>
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<term>Dental Implantation, Endosseous (methods)</term>
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<term>Dental Prosthesis Design</term>
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<term>Humains</term>
<term>Implants dentaires</term>
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<term>Maladies mandibulaires (imagerie diagnostique)</term>
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<term>Reconstruction de crête alvéolaire ()</term>
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<term>Dental Prosthesis Design</term>
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<term>Reconstruction de crête alvéolaire</term>
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<front>
<div type="abstract" xml:lang="en">The aim of this prospective clinical study was to compare the clinical and radiographic results of 3 modes of implant treatment in combination with an overdenture in patients with extremely resorbed mandibles. The 3 treatment strategies used were a transmandibular implant, augmentation of the mandible with an autologous bone graft followed by placement of 4 endosseous implants, and the placement of 4 endosseous implants only.</div>
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<Title>The International journal of oral & maxillofacial implants</Title>
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<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">The aim of this prospective clinical study was to compare the clinical and radiographic results of 3 modes of implant treatment in combination with an overdenture in patients with extremely resorbed mandibles. The 3 treatment strategies used were a transmandibular implant, augmentation of the mandible with an autologous bone graft followed by placement of 4 endosseous implants, and the placement of 4 endosseous implants only.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Sixty edentulous patients met the inclusion criteria and were assigned according to a balanced allocation method to 1 of the 3 groups. Postoperative complications, implant survival, periodontal indices, change in mandibular bone height, and prosthetic complications were assessed during a 2-year evaluation period.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">During the evaluation period significantly more implants were lost in the transmandibular implant and the augmentation groups compared to the group with endosseous implants only. Except for the Bleeding Index and the Periotest values, the periodontal parameters did not differ significantly among the groups. In all 3 groups, there was no significant bone loss at most locations. Minimal prosthetic retreatment was necessary.</AbstractText>
<AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">Although implant loss is a frequently used outcome measure for success, the necessity of retreatment seems to be of more relevance for both the patient and the clinician.</AbstractText>
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