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Effectiveness of three treatment modalities for the edentulous mandible. A five-year randomized clinical trial.

Identifieur interne : 003693 ( PubMed/Corpus ); précédent : 003692; suivant : 003694

Effectiveness of three treatment modalities for the edentulous mandible. A five-year randomized clinical trial.

Auteurs : G M Raghoebar ; H J Meijer ; B. Stegenga ; M A Van'T Hof ; R P Van Oort ; A. Vissink

Source :

Clinical oral implants research [ 0905-7161 ] ; 2000.

RBID : pubmed:11168210

English descriptors

KwdEn :
- Analysis of Variance, Dental Implantation, Endosseous, Dental Prosthesis, Implant-Supported, Denture, Complete, Lower, Denture, Overlay, Female, Humans, Jaw, Edentulous (rehabilitation), Male, Mastication, Middle Aged, Patient Satisfaction, Prospective Studies, Statistics, Nonparametric, Surveys and Questionnaires, Treatment Outcome, Vestibuloplasty.
MESH :
- rehabilitation : Jaw, Edentulous.
- Analysis of Variance, Dental Implantation, Endosseous, Dental Prosthesis, Implant-Supported, Denture, Complete, Lower, Denture, Overlay, Female, Humans, Male, Mastication, Middle Aged, Patient Satisfaction, Prospective Studies, Statistics, Nonparametric, Surveys and Questionnaires, Treatment Outcome, Vestibuloplasty.

Abstract

Currently, 3 treatment options are available for patients with denture complaints and an edentulous mandible with a height of at least 15 mm: meticulous construction of a new set of dentures (CD), construction of a new set of dentures following preprosthetic surgery to enlarge the denture-bearing area (PPS), and construction of an implant-retained mandibular overdenture (IRO). The aim of this study was to evaluate patient satisfaction and subjective chewing ability of edentulous patients treated with one of these treatment modalities. Ninety edentulous patients (Cawood class IV and V, mean mandibular height 20.7 mm) were randomly assigned to receive 1 of these 3 groups. Denture satisfaction and chewing ability were assessed using questionnaires focusing on denture-related complaints and problems chewing different types of food were assessed before treatment, and 1- and 5-years after treatment. At the 1-year evaluation, significantly better scores were observed in the 2 surgical groups (IRO, PPS) than in the CD group. At 5-year evaluation the "complaints of the lower denture" showed a significantly better score in the IRO group when compared to the PPS and CD groups. No significant differences were observed between the PPS and CD group. From this study it is concluded that both in the short and long term denture satisfaction appears most favourable in the IRO group when compared to the PPS and CD groups. Implant-retained overdentures are therefore a satisfactory treatment modality for edentulous patients with problems with their lower denture, even in cases of not severely resorbed mandibles.

PubMed: 11168210

Links to Exploration step

pubmed:11168210

Le document en format XML

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<author><name sortKey="Raghoebar, G M" sort="Raghoebar, G M" uniqKey="Raghoebar G" first="G M" last="Raghoebar">G M Raghoebar</name>
<affiliation><nlm:affiliation>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthodontics, University Hospital Groningen, PO Box 30.001, 9700 RB Groningen, The Netherlands. g.m.raghoebar@kchir.azg.nl</nlm:affiliation>
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<author><name sortKey="Meijer, H J" sort="Meijer, H J" uniqKey="Meijer H" first="H J" last="Meijer">H J Meijer</name>
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<author><name sortKey="Stegenga, B" sort="Stegenga, B" uniqKey="Stegenga B" first="B" last="Stegenga">B. Stegenga</name>
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<author><name sortKey="Van T Hof, M A" sort="Van T Hof, M A" uniqKey="Van T Hof M" first="M A" last="Van'T Hof">M A Van'T Hof</name>
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<author><name sortKey="Van Oort, R P" sort="Van Oort, R P" uniqKey="Van Oort R" first="R P" last="Van Oort">R P Van Oort</name>
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<author><name sortKey="Vissink, A" sort="Vissink, A" uniqKey="Vissink A" first="A" last="Vissink">A. Vissink</name>
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<term>Denture, Overlay</term>
<term>Female</term>
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<front><div type="abstract" xml:lang="en">Currently, 3 treatment options are available for patients with denture complaints and an edentulous mandible with a height of at least 15 mm: meticulous construction of a new set of dentures (CD), construction of a new set of dentures following preprosthetic surgery to enlarge the denture-bearing area (PPS), and construction of an implant-retained mandibular overdenture (IRO). The aim of this study was to evaluate patient satisfaction and subjective chewing ability of edentulous patients treated with one of these treatment modalities. Ninety edentulous patients (Cawood class IV and V, mean mandibular height 20.7 mm) were randomly assigned to receive 1 of these 3 groups. Denture satisfaction and chewing ability were assessed using questionnaires focusing on denture-related complaints and problems chewing different types of food were assessed before treatment, and 1- and 5-years after treatment. At the 1-year evaluation, significantly better scores were observed in the 2 surgical groups (IRO, PPS) than in the CD group. At 5-year evaluation the "complaints of the lower denture" showed a significantly better score in the IRO group when compared to the PPS and CD groups. No significant differences were observed between the PPS and CD group. From this study it is concluded that both in the short and long term denture satisfaction appears most favourable in the IRO group when compared to the PPS and CD groups. Implant-retained overdentures are therefore a satisfactory treatment modality for edentulous patients with problems with their lower denture, even in cases of not severely resorbed mandibles.</div>
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<Title>Clinical oral implants research</Title>
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<Abstract><AbstractText>Currently, 3 treatment options are available for patients with denture complaints and an edentulous mandible with a height of at least 15 mm: meticulous construction of a new set of dentures (CD), construction of a new set of dentures following preprosthetic surgery to enlarge the denture-bearing area (PPS), and construction of an implant-retained mandibular overdenture (IRO). The aim of this study was to evaluate patient satisfaction and subjective chewing ability of edentulous patients treated with one of these treatment modalities. Ninety edentulous patients (Cawood class IV and V, mean mandibular height 20.7 mm) were randomly assigned to receive 1 of these 3 groups. Denture satisfaction and chewing ability were assessed using questionnaires focusing on denture-related complaints and problems chewing different types of food were assessed before treatment, and 1- and 5-years after treatment. At the 1-year evaluation, significantly better scores were observed in the 2 surgical groups (IRO, PPS) than in the CD group. At 5-year evaluation the "complaints of the lower denture" showed a significantly better score in the IRO group when compared to the PPS and CD groups. No significant differences were observed between the PPS and CD group. From this study it is concluded that both in the short and long term denture satisfaction appears most favourable in the IRO group when compared to the PPS and CD groups. Implant-retained overdentures are therefore a satisfactory treatment modality for edentulous patients with problems with their lower denture, even in cases of not severely resorbed mandibles.</AbstractText>
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Effectiveness of three treatment modalities for the edentulous mandible. A five-year randomized clinical trial.

Effectiveness of three treatment modalities for the edentulous mandible. A five-year randomized clinical trial.

Source :

English descriptors

Abstract

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki