Oral rehabilitation with implant-supported fixed partial dentures in periodontitis-susceptible subjects. A 5-year prospective study.
Identifieur interne : 002B59 ( PubMed/Corpus ); précédent : 002B58; suivant : 002B60Oral rehabilitation with implant-supported fixed partial dentures in periodontitis-susceptible subjects. A 5-year prospective study.
Auteurs : Jan L. Wennström ; Annika Ekestubbe ; Kerstin Gröndahl ; Stig Karlsson ; Jan LindheSource :
- Journal of clinical periodontology [ 0303-6979 ] ; 2004.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Alveolar Bone Loss (diagnostic imaging), Alveolar Bone Loss (etiology), Dental Implantation, Endosseous, Dental Implants, Dental Prosthesis Design, Dental Prosthesis, Implant-Supported (adverse effects), Dental Restoration Failure, Denture, Partial, Fixed, Disease Susceptibility, Female, Humans, Jaw, Edentulous, Partially (complications), Jaw, Edentulous, Partially (diagnostic imaging), Jaw, Edentulous, Partially (rehabilitation), Male, Middle Aged, Multivariate Analysis, Periodontitis (complications), Prospective Studies, Radiography, Smoking (adverse effects), Surface Properties.
- MESH :
- chemical : Dental Implants.
- adverse effects : Dental Prosthesis, Implant-Supported, Smoking.
- complications : Jaw, Edentulous, Partially, Periodontitis.
- diagnostic imaging : Alveolar Bone Loss, Jaw, Edentulous, Partially.
- etiology : Alveolar Bone Loss.
- rehabilitation : Jaw, Edentulous, Partially.
- Adult, Aged, Aged, 80 and over, Dental Implantation, Endosseous, Dental Prosthesis Design, Dental Restoration Failure, Denture, Partial, Fixed, Disease Susceptibility, Female, Humans, Male, Middle Aged, Multivariate Analysis, Prospective Studies, Radiography, Surface Properties.
Abstract
Comparatively few studies with at least 5 years of follow-up are available that describe the use of implants in prosthetic rehabilitation of partially edentulous patients. Randomized, controlled clinical studies that evaluated the effect of different surface designs of screw-shaped implants on the outcome of treatment are also sparse.
DOI: 10.1111/j.1600-051X.2004.00568.x
PubMed: 15312092
Links to Exploration step
pubmed:15312092Le document en format XML
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<author><name sortKey="Wennstrom, Jan L" sort="Wennstrom, Jan L" uniqKey="Wennstrom J" first="Jan L" last="Wennström">Jan L. Wennström</name>
<affiliation><nlm:affiliation>Department of Periodontology, Faculty of Odontology, The Sahlgrenska Academy of Göteborg University, Göteborg, Sweden. wennstrom@odontologi.gu.se</nlm:affiliation>
</affiliation>
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<author><name sortKey="Ekestubbe, Annika" sort="Ekestubbe, Annika" uniqKey="Ekestubbe A" first="Annika" last="Ekestubbe">Annika Ekestubbe</name>
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<author><name sortKey="Grondahl, Kerstin" sort="Grondahl, Kerstin" uniqKey="Grondahl K" first="Kerstin" last="Gröndahl">Kerstin Gröndahl</name>
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<author><name sortKey="Karlsson, Stig" sort="Karlsson, Stig" uniqKey="Karlsson S" first="Stig" last="Karlsson">Stig Karlsson</name>
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<author><name sortKey="Lindhe, Jan" sort="Lindhe, Jan" uniqKey="Lindhe J" first="Jan" last="Lindhe">Jan Lindhe</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Oral rehabilitation with implant-supported fixed partial dentures in periodontitis-susceptible subjects. A 5-year prospective study.</title>
<author><name sortKey="Wennstrom, Jan L" sort="Wennstrom, Jan L" uniqKey="Wennstrom J" first="Jan L" last="Wennström">Jan L. Wennström</name>
<affiliation><nlm:affiliation>Department of Periodontology, Faculty of Odontology, The Sahlgrenska Academy of Göteborg University, Göteborg, Sweden. wennstrom@odontologi.gu.se</nlm:affiliation>
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<author><name sortKey="Ekestubbe, Annika" sort="Ekestubbe, Annika" uniqKey="Ekestubbe A" first="Annika" last="Ekestubbe">Annika Ekestubbe</name>
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<author><name sortKey="Grondahl, Kerstin" sort="Grondahl, Kerstin" uniqKey="Grondahl K" first="Kerstin" last="Gröndahl">Kerstin Gröndahl</name>
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<author><name sortKey="Karlsson, Stig" sort="Karlsson, Stig" uniqKey="Karlsson S" first="Stig" last="Karlsson">Stig Karlsson</name>
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<author><name sortKey="Lindhe, Jan" sort="Lindhe, Jan" uniqKey="Lindhe J" first="Jan" last="Lindhe">Jan Lindhe</name>
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<series><title level="j">Journal of clinical periodontology</title>
<idno type="ISSN">0303-6979</idno>
<imprint><date when="2004" type="published">2004</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Alveolar Bone Loss (diagnostic imaging)</term>
<term>Alveolar Bone Loss (etiology)</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Implants</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported (adverse effects)</term>
<term>Dental Restoration Failure</term>
<term>Denture, Partial, Fixed</term>
<term>Disease Susceptibility</term>
<term>Female</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (complications)</term>
<term>Jaw, Edentulous, Partially (diagnostic imaging)</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Multivariate Analysis</term>
<term>Periodontitis (complications)</term>
<term>Prospective Studies</term>
<term>Radiography</term>
<term>Smoking (adverse effects)</term>
<term>Surface Properties</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Dental Prosthesis, Implant-Supported</term>
<term>Smoking</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Jaw, Edentulous, Partially</term>
<term>Periodontitis</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Alveolar Bone Loss</term>
<term>Jaw, Edentulous, Partially</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Alveolar Bone Loss</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous, Partially</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Prosthesis Design</term>
<term>Dental Restoration Failure</term>
<term>Denture, Partial, Fixed</term>
<term>Disease Susceptibility</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Multivariate Analysis</term>
<term>Prospective Studies</term>
<term>Radiography</term>
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<front><div type="abstract" xml:lang="en">Comparatively few studies with at least 5 years of follow-up are available that describe the use of implants in prosthetic rehabilitation of partially edentulous patients. Randomized, controlled clinical studies that evaluated the effect of different surface designs of screw-shaped implants on the outcome of treatment are also sparse.</div>
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<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">15312092</PMID>
<DateCompleted><Year>2004</Year>
<Month>11</Month>
<Day>22</Day>
</DateCompleted>
<DateRevised><Year>2016</Year>
<Month>11</Month>
<Day>24</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Print">0303-6979</ISSN>
<JournalIssue CitedMedium="Print"><Volume>31</Volume>
<Issue>9</Issue>
<PubDate><Year>2004</Year>
<Month>Sep</Month>
</PubDate>
</JournalIssue>
<Title>Journal of clinical periodontology</Title>
<ISOAbbreviation>J. Clin. Periodontol.</ISOAbbreviation>
</Journal>
<ArticleTitle>Oral rehabilitation with implant-supported fixed partial dentures in periodontitis-susceptible subjects. A 5-year prospective study.</ArticleTitle>
<Pagination><MedlinePgn>713-24</MedlinePgn>
</Pagination>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Comparatively few studies with at least 5 years of follow-up are available that describe the use of implants in prosthetic rehabilitation of partially edentulous patients. Randomized, controlled clinical studies that evaluated the effect of different surface designs of screw-shaped implants on the outcome of treatment are also sparse.</AbstractText>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To determine, in a prospective randomized, controlled clinical trial, the outcome of restorative therapy in periodontitis-susceptible patients who, following basic periodontal therapy, had been restored with implants with either a machined- or a rough-surface topography.</AbstractText>
<AbstractText Label="MATERIAL AND METHODS" NlmCategory="METHODS">Fifty-one subjects (mean age, 59.5 years), 20 males and 31 females who, following treatment of moderate-to-advanced chronic periodontitis, required implant therapy for prosthetic rehabilitation were recruited. Seventeen of the patients were current smokers. Following the active treatment, all subjects were included in an individually designed maintenance program. A total of 56 fixed partial dentures (FPDs) and a total of 149 screw-shaped, and self-tapping implants (Astra Tech implants) -- 83 in the maxilla and 66 in the mandible -- were installed in a two-stage procedure. Each patient received a minimum of two implants and by randomization every second implant that was installed had been designed with a machined surface and the remaining with a roughened Tioblast surface. Abutment connection was performed 3-6 months after implant installation. Clinical and radiographical examinations were performed following FPD connection and once a year during a 5-year follow-up period. The analysis of peri-implant bone-level alterations was performed on subject, FPD and implant levels.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Four patients and four FPDs were lost to the 5 years of monitoring. One implant (machined surface) did not properly integrate (early failure), and was removed at the time of abutment connection. Three implants were lost during function and a further eight implants could not be accounted for at the 5-year follow-up examination. The overall failure rate at 5 years was 5.9% (subject level), 5.3% (FPD level) and 2.7% (implant level). Radiographic signs of loss of osseointegration were not found at any of the implants during the 5-year observation period. During the first year in function there was on average 0.33 (SD, 0.61) mm loss of peri-implant marginal bone on the subject and FPD levels and 0.31 (0.81) mm on the implant level. During the subsequent 4 years, the peri-implant bone-level alterations were small. The calculated annual change in peri-implant bone level was -0.02 (0.15) on subject and FPD levels and -0.03 (0.20) on the implant level. Thus, the mean total bone-level change over the 5-year interval amounted to 0.41 mm on all three levels of analysis. In the interval between baseline and 5 years, the machined and the Tioblast implants lost on average 0.33 and 0.48 mm, respectively (p>0.05).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The present randomized, controlled clinical trial that included partially edentulous periodontitis-susceptible subjects demonstrated that bone loss (i) during the first year of function as well as annually thereafter was small and (ii) did not vary between implants with machined- or rough-surface designs.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Wennström</LastName>
<ForeName>Jan L</ForeName>
<Initials>JL</Initials>
<AffiliationInfo><Affiliation>Department of Periodontology, Faculty of Odontology, The Sahlgrenska Academy of Göteborg University, Göteborg, Sweden. wennstrom@odontologi.gu.se</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ekestubbe</LastName>
<ForeName>Annika</ForeName>
<Initials>A</Initials>
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<Author ValidYN="Y"><LastName>Gröndahl</LastName>
<ForeName>Kerstin</ForeName>
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<Author ValidYN="Y"><LastName>Karlsson</LastName>
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<Author ValidYN="Y"><LastName>Lindhe</LastName>
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<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016430">Clinical Trial</PublicationType>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016301" MajorTopicYN="N">Alveolar Bone Loss</DescriptorName>
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<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
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<MeshHeading><DescriptorName UI="D003758" MajorTopicYN="N">Dental Implantation, Endosseous</DescriptorName>
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<MeshHeading><DescriptorName UI="D015921" MajorTopicYN="Y">Dental Implants</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D017267" MajorTopicYN="Y">Dental Prosthesis Design</DescriptorName>
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<MeshHeading><DescriptorName UI="D019094" MajorTopicYN="Y">Dental Prosthesis, Implant-Supported</DescriptorName>
<QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName>
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<MeshHeading><DescriptorName UI="D019232" MajorTopicYN="N">Dental Restoration Failure</DescriptorName>
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<MeshHeading><DescriptorName UI="D003830" MajorTopicYN="N">Denture, Partial, Fixed</DescriptorName>
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<MeshHeading><DescriptorName UI="D004198" MajorTopicYN="N">Disease Susceptibility</DescriptorName>
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<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007576" MajorTopicYN="N">Jaw, Edentulous, Partially</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName>
<QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName>
<QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D015999" MajorTopicYN="N">Multivariate Analysis</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D010518" MajorTopicYN="N">Periodontitis</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011859" MajorTopicYN="N">Radiography</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012907" MajorTopicYN="N">Smoking</DescriptorName>
<QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D013499" MajorTopicYN="N">Surface Properties</DescriptorName>
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