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Long-term treatment outcomes in edentulous patients with implant overdentures: the Toronto study.

Identifieur interne : 002C03 ( PubMed/Corpus ); précédent : 002C02; suivant : 002C04

Long-term treatment outcomes in edentulous patients with implant overdentures: the Toronto study.

Auteurs : Nikolai J. Attard ; George A. Zarb

Source :

RBID : pubmed:15382778

English descriptors

Abstract

Few long-term studies on overdentures report both implant and prosthodontic outcomes. The aim of this prospective study was to report long-term prosthodontic- and implant-related treatment outcomes of patients treated with design-specific implant-supported overdentures.

PubMed: 15382778

Links to Exploration step

pubmed:15382778

Le document en format XML

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<nlm:affiliation>Faculty of Dentistry, University of Toronto, Ontario, Canada. nik.attard@utoronto.ca</nlm:affiliation>
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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>
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<term>Adult</term>
<term>Aged</term>
<term>Alveolar Bone Loss (etiology)</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Prosthesis Repair</term>
<term>Dental Prosthesis, Implant-Supported (adverse effects)</term>
<term>Dental Restoration Failure</term>
<term>Denture, Overlay</term>
<term>Female</term>
<term>Humans</term>
<term>Linear Models</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Mouth, Edentulous (rehabilitation)</term>
<term>Ontario</term>
<term>Prospective Studies</term>
<term>Statistics, Nonparametric</term>
<term>Survival Analysis</term>
<term>Treatment Outcome</term>
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<term>Ontario</term>
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<term>Dental Prosthesis, Implant-Supported</term>
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<term>Alveolar Bone Loss</term>
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<term>Mouth, Edentulous</term>
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<term>Adult</term>
<term>Aged</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Prosthesis Repair</term>
<term>Dental Restoration Failure</term>
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<term>Female</term>
<term>Humans</term>
<term>Linear Models</term>
<term>Male</term>
<term>Middle Aged</term>
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<div type="abstract" xml:lang="en">Few long-term studies on overdentures report both implant and prosthodontic outcomes. The aim of this prospective study was to report long-term prosthodontic- and implant-related treatment outcomes of patients treated with design-specific implant-supported overdentures.</div>
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<Day>26</Day>
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<Year>2004</Year>
<Month>09</Month>
<Day>22</Day>
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<Volume>17</Volume>
<Issue>4</Issue>
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<MedlineDate>2004 Jul-Aug</MedlineDate>
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<Title>The International journal of prosthodontics</Title>
<ISOAbbreviation>Int J Prosthodont</ISOAbbreviation>
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<ArticleTitle>Long-term treatment outcomes in edentulous patients with implant overdentures: the Toronto study.</ArticleTitle>
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<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Few long-term studies on overdentures report both implant and prosthodontic outcomes. The aim of this prospective study was to report long-term prosthodontic- and implant-related treatment outcomes of patients treated with design-specific implant-supported overdentures.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Between 1982 and 1992, 45 consecutively treated patients received a total of 47 overdentures (42 mandibular and 5 maxillary) supported by Brånemark implants. Prospective clinical and radiographic data were collected over the observation period; this study presents the most recent treatment outcomes.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Thirty patients (mean age 70 years) with 32 prostheses attended the final recall visit, with 67% of patients followed for 15.53 years (range 10 to 19 years). Six implants failed, and the prosthetic plan and implant cumulative survival rates were both in excess of 90%. Mean marginal bone loss around implants after the first year of loading was small (0.05 mm/year), although the individual variation was high. Linear regression analysis of bone loss indicated that gender, bicortical stabilization, bone quality, and healing time were predictors of bone loss for the first year of loading but not for the ensuing years. Prosthetic maintenance included fractured components, denture relining, and replacement of prostheses. On average, the longevity of overdenture prostheses was 12 years, and laboratory relining was necessary every 4 years.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">This study confirmed the long-term outcome success of patients treated with design-specific overdenture prostheses supported by Brånemark implants. However, prosthetic maintenance was required, a fact that should be discussed with patients prior to treatment.</AbstractText>
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