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A prospective study on immediate loading of implants with mandibular overdentures: patient-mediated and economic outcomes.

Identifieur interne : 002829 ( PubMed/Corpus ); précédent : 002828; suivant : 002830

A prospective study on immediate loading of implants with mandibular overdentures: patient-mediated and economic outcomes.

Auteurs : Nikolai J. Attard ; Audrey Laporte ; David Locker ; George A. Zarb

Source :

RBID : pubmed:16479763

English descriptors

Abstract

The aims of this report are to present the patient-based outcomes and associated clinical costs of an immediate loading protocol for mandibular overdentures in edentulous patients.

PubMed: 16479763

Links to Exploration step

pubmed:16479763

Le document en format XML

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<title xml:lang="en">A prospective study on immediate loading of implants with mandibular overdentures: patient-mediated and economic outcomes.</title>
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<name sortKey="Attard, Nikolai J" sort="Attard, Nikolai J" uniqKey="Attard N" first="Nikolai J" last="Attard">Nikolai J. Attard</name>
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<nlm:affiliation>Department of Prosthodontics, Faculty of Dental Surgery, University of Malta, The Medical School, G'Mangia, Malta. njattard@maltanet.net</nlm:affiliation>
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<author>
<name sortKey="Laporte, Audrey" sort="Laporte, Audrey" uniqKey="Laporte A" first="Audrey" last="Laporte">Audrey Laporte</name>
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<name sortKey="Locker, David" sort="Locker, David" uniqKey="Locker D" first="David" last="Locker">David Locker</name>
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<name sortKey="Zarb, George A" sort="Zarb, George A" uniqKey="Zarb G" first="George A" last="Zarb">George A. Zarb</name>
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<title xml:lang="en">A prospective study on immediate loading of implants with mandibular overdentures: patient-mediated and economic outcomes.</title>
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<name sortKey="Attard, Nikolai J" sort="Attard, Nikolai J" uniqKey="Attard N" first="Nikolai J" last="Attard">Nikolai J. Attard</name>
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<nlm:affiliation>Department of Prosthodontics, Faculty of Dental Surgery, University of Malta, The Medical School, G'Mangia, Malta. njattard@maltanet.net</nlm:affiliation>
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<name sortKey="Laporte, Audrey" sort="Laporte, Audrey" uniqKey="Laporte A" first="Audrey" last="Laporte">Audrey Laporte</name>
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<name sortKey="Locker, David" sort="Locker, David" uniqKey="Locker D" first="David" last="Locker">David Locker</name>
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<name sortKey="Zarb, George A" sort="Zarb, George A" uniqKey="Zarb G" first="George A" last="Zarb">George A. Zarb</name>
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<title level="j">The International journal of prosthodontics</title>
<idno type="ISSN">0893-2174</idno>
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<term>Cohort Studies</term>
<term>Cost of Illness</term>
<term>Cost-Benefit Analysis</term>
<term>Dental Abutments (economics)</term>
<term>Dental Abutments (psychology)</term>
<term>Dental Implants (economics)</term>
<term>Dental Implants (psychology)</term>
<term>Dental Prosthesis, Implant-Supported (economics)</term>
<term>Dental Prosthesis, Implant-Supported (psychology)</term>
<term>Denture, Complete, Lower (economics)</term>
<term>Denture, Complete, Lower (psychology)</term>
<term>Denture, Overlay (economics)</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Health Care Costs</term>
<term>Humans</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Male</term>
<term>Mandible (surgery)</term>
<term>Patient Satisfaction</term>
<term>Prospective Studies</term>
<term>Quality of Life</term>
<term>Time Factors</term>
<term>Treatment Outcome</term>
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<keywords scheme="MESH" type="chemical" qualifier="economics" xml:lang="en">
<term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="economics" xml:lang="en">
<term>Dental Abutments</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture, Complete, Lower</term>
<term>Denture, Overlay</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en">
<term>Dental Abutments</term>
<term>Dental Implants</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture, Complete, Lower</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Jaw, Edentulous</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Jaw, Edentulous</term>
<term>Mandible</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Cohort Studies</term>
<term>Cost of Illness</term>
<term>Cost-Benefit Analysis</term>
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<term>Follow-Up Studies</term>
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<term>Male</term>
<term>Patient Satisfaction</term>
<term>Prospective Studies</term>
<term>Quality of Life</term>
<term>Time Factors</term>
<term>Treatment Outcome</term>
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<front>
<div type="abstract" xml:lang="en">The aims of this report are to present the patient-based outcomes and associated clinical costs of an immediate loading protocol for mandibular overdentures in edentulous patients.</div>
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<DateCompleted>
<Year>2006</Year>
<Month>05</Month>
<Day>17</Day>
</DateCompleted>
<DateRevised>
<Year>2006</Year>
<Month>11</Month>
<Day>15</Day>
</DateRevised>
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<ISSN IssnType="Print">0893-2174</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>19</Volume>
<Issue>1</Issue>
<PubDate>
<MedlineDate>2006 Jan-Feb</MedlineDate>
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</JournalIssue>
<Title>The International journal of prosthodontics</Title>
<ISOAbbreviation>Int J Prosthodont</ISOAbbreviation>
</Journal>
<ArticleTitle>A prospective study on immediate loading of implants with mandibular overdentures: patient-mediated and economic outcomes.</ArticleTitle>
<Pagination>
<MedlinePgn>67-73</MedlinePgn>
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<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">The aims of this report are to present the patient-based outcomes and associated clinical costs of an immediate loading protocol for mandibular overdentures in edentulous patients.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Two groups of patients were selected. Thirty-five consecutively treated patients received an immediate protocol, while 42 patients treated with a conventional protocol served as a historical control. Patient-based concerns for patients in the immediate group were measured at various stages of treatment with 2 questionnaires: the Denture Satisfaction Scale and the Oral Health Impact Profile. Direct clinical and time costs over a 1-year period were estimated and deflated to 2002 Canadian dollars. Salary rates by occupation, age, and gender were used to evaluate the patients' time costs. Treatment costs were compared between the 2 groups. Additionally, incremental cost-effectiveness ratios for various stages with the immediate protocol were calculated.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Significant improvements posttreatment were observed with both the Denture Satisfaction Scale (Wilcoxon signed rank test, P < .05) and the Oral Health Impact Profile (Friedman test, P < .05). The immediate protocol was associated with higher maintenance costs, with resultant higher total costs (Mann-Whitney U test, P < .05). No difference was observed in the time costs associated with the 2 protocols. Within-group analysis of costs at various stages of the immediate protocol suggested that treatment with implant-supported overdentures was more cost-effective than treatment with conventional dentures.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This study suggests that implants in 1 jawbone lead to a substantial improvement in perceived oral health status. Furthermore, the immediate loading protocol was not cheaper than a conventional protocol.</AbstractText>
</Abstract>
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<LastName>Attard</LastName>
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