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Practice-based evidence from 29-year outcome analysis of management of the edentulous jaw using osseointegrated dental implants.

Identifieur interne : 000920 ( PubMed/Curation ); précédent : 000919; suivant : 000921

Practice-based evidence from 29-year outcome analysis of management of the edentulous jaw using osseointegrated dental implants.

Auteurs : Matilda Dhima [États-Unis] ; Vladimira Paulusova ; Christine Lohse ; Thomas J. Salinas ; Alan B. Carr

Source :

Journal of prosthodontics : official journal of the American College of Prosthodontists [ 1532-849X ] ; 2014.

RBID : pubmed:23889912

Descripteurs français

English descriptors

KwdEn :
- Adolescent, Adult, Aged, Aged, 80 and over, Child, Cohort Studies, Dental Implants (statistics & numerical data), Dental Prosthesis, Implant-Supported, Dental Restoration Failure (statistics & numerical data), Denture Design (statistics & numerical data), Evidence-Based Dentistry (statistics & numerical data), Female, Follow-Up Studies, Humans, Jaw, Edentulous (rehabilitation), Jaw, Edentulous (surgery), Longitudinal Studies, Male, Middle Aged, Quality Assurance, Health Care (statistics & numerical data), Retrospective Studies, Survival Analysis, Treatment Outcome, Young Adult.
MESH :
- chemical , statistics & numerical data : Dental Implants.
- rehabilitation : Jaw, Edentulous.
- statistics & numerical data : Dental Restoration Failure, Denture Design, Evidence-Based Dentistry, Quality Assurance, Health Care.
- surgery : Jaw, Edentulous.
- Adolescent, Adult, Aged, Aged, 80 and over, Child, Cohort Studies, Dental Prosthesis, Implant-Supported, Female, Follow-Up Studies, Humans, Longitudinal Studies, Male, Middle Aged, Retrospective Studies, Survival Analysis, Treatment Outcome, Young Adult.

Abstract

The aim of this retrospective study was to summarize practice-based evidence associated with long-term outcomes (>20 years) in the management of edentulous patients. The patient population was managed with implant-supported prostheses, following the original osseointegration protocol, provided over the period from 1983 to 1991 in the group prosthodontics practice at the Mayo Clinic. The data are an example of practice quality assurance monitoring and are used to refine care delivery when needed and to provide information regarding expected outcomes in a shared decision-making interaction with prospective patients.

DOI: 10.1111/jopr.12084
PubMed: 23889912

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Le document en format XML

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<author><name sortKey="Dhima, Matilda" sort="Dhima, Matilda" uniqKey="Dhima M" first="Matilda" last="Dhima">Matilda Dhima</name>
<affiliation wicri:level="2"><nlm:affiliation>Assistant Professor, Mayo Clinic College of Medicine and Chief Resident, Prosthodontics and Maxillofacial Prosthetics, Department of Dental Specialties, Division of Prosthetic and Esthetic Dentistry, Mayo Clinic, Rochester, MN.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Minnesota</region>
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<wicri:cityArea>Assistant Professor, Mayo Clinic College of Medicine and Chief Resident, Prosthodontics and Maxillofacial Prosthetics, Department of Dental Specialties, Division of Prosthetic and Esthetic Dentistry, Mayo Clinic, Rochester</wicri:cityArea>
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<author><name sortKey="Paulusova, Vladimira" sort="Paulusova, Vladimira" uniqKey="Paulusova V" first="Vladimira" last="Paulusova">Vladimira Paulusova</name>
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<term>Cohort Studies</term>
<term>Dental Implants (statistics & numerical data)</term>
<term>Dental Prosthesis, Implant-Supported</term>
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<term>Follow-Up Studies</term>
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<term>Survival Analysis</term>
<term>Treatment Outcome</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse de survie</term>
<term>Assurance de la qualité des soins de santé ()</term>
<term>Conception d'appareil de prothèse dentaire ()</term>
<term>Enfant</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires ()</term>
<term>Jeune adulte</term>
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<term>Mâchoire édentée (rééducation et réadaptation)</term>
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<term>Odontologie factuelle ()</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Échec de restauration dentaire ()</term>
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<term>Études de suivi</term>
<term>Études longitudinales</term>
<term>Études rétrospectives</term>
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</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire édentée</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Dental Restoration Failure</term>
<term>Denture Design</term>
<term>Evidence-Based Dentistry</term>
<term>Quality Assurance, Health Care</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous</term>
</keywords>
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<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Child</term>
<term>Cohort Studies</term>
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<term>Follow-Up Studies</term>
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<term>Longitudinal Studies</term>
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<term>Middle Aged</term>
<term>Retrospective Studies</term>
<term>Survival Analysis</term>
<term>Treatment Outcome</term>
<term>Young Adult</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse de survie</term>
<term>Assurance de la qualité des soins de santé</term>
<term>Conception d'appareil de prothèse dentaire</term>
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<term>Femelle</term>
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<term>Échec de restauration dentaire</term>
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<front><div type="abstract" xml:lang="en">The aim of this retrospective study was to summarize practice-based evidence associated with long-term outcomes (>20 years) in the management of edentulous patients. The patient population was managed with implant-supported prostheses, following the original osseointegration protocol, provided over the period from 1983 to 1991 in the group prosthodontics practice at the Mayo Clinic. The data are an example of practice quality assurance monitoring and are used to refine care delivery when needed and to provide information regarding expected outcomes in a shared decision-making interaction with prospective patients.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">23889912</PMID>
<DateCompleted><Year>2016</Year>
<Month>07</Month>
<Day>26</Day>
</DateCompleted>
<DateRevised><Year>2014</Year>
<Month>04</Month>
<Day>17</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1532-849X</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>23</Volume>
<Issue>3</Issue>
<PubDate><Year>2014</Year>
<Month>Apr</Month>
</PubDate>
</JournalIssue>
<Title>Journal of prosthodontics : official journal of the American College of Prosthodontists</Title>
<ISOAbbreviation>J Prosthodont</ISOAbbreviation>
</Journal>
<ArticleTitle>Practice-based evidence from 29-year outcome analysis of management of the edentulous jaw using osseointegrated dental implants.</ArticleTitle>
<Pagination><MedlinePgn>173-81</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1111/jopr.12084</ELocationID>
<Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">The aim of this retrospective study was to summarize practice-based evidence associated with long-term outcomes (>20 years) in the management of edentulous patients. The patient population was managed with implant-supported prostheses, following the original osseointegration protocol, provided over the period from 1983 to 1991 in the group prosthodontics practice at the Mayo Clinic. The data are an example of practice quality assurance monitoring and are used to refine care delivery when needed and to provide information regarding expected outcomes in a shared decision-making interaction with prospective patients.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Two hundred and sixty four patients with at least one edentulous jaw were identified. Of these, 255 completed their care and follow-up at the Mayo Clinic (209 mandible only, 35 maxilla only, 11 mandible and maxilla). Prosthodontic outcomes categorized as anticipated or unanticipated prosthetic and biologic events and the respective interventions required for each were recorded to assess follow-up event dynamics for this care modality.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The mean duration of follow-up for 190 of the 255 patients (65 died at a mean follow-up of 12.6 years) was 13.0 years (median 13.6; range 0.3 to 28). At least one prosthetic event was experienced by 148 patients (58%), and 81 (32%) experienced at least one biologic event. Overall, patients experienced 3.8 times more prosthetic events than biologic events. Twenty-four (9%) patients experienced 35 implant failures. Overall survival rates at 20 years were 86% for prostheses, 15% survived free of any event, and 92% experienced survival free of implant failure (95% confidence interval).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Anticipated and unanticipated prosthetic events occur throughout the life of the hybrid prosthesis. Prosthetic events significantly surpass (four times more) biologic events and occur significantly later in the follow-up. For this patient group, 8.6% (22/255) had implant-supported prostheses remade during follow-up in this patient population. These findings support the recommendation that prosthodontic care for missing teeth be thought of in a "chronic condition" context, recognizing that long-term outcome monitoring to provide realistic care expectations is important for demonstrating care value in oral health promotion.</AbstractText>
<CopyrightInformation>© 2013 by the American College of Prosthodontists.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Dhima</LastName>
<ForeName>Matilda</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Assistant Professor, Mayo Clinic College of Medicine and Chief Resident, Prosthodontics and Maxillofacial Prosthetics, Department of Dental Specialties, Division of Prosthetic and Esthetic Dentistry, Mayo Clinic, Rochester, MN.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Paulusova</LastName>
<ForeName>Vladimira</ForeName>
<Initials>V</Initials>
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<Author ValidYN="Y"><LastName>Lohse</LastName>
<ForeName>Christine</ForeName>
<Initials>C</Initials>
</Author>
<Author ValidYN="Y"><LastName>Salinas</LastName>
<ForeName>Thomas J</ForeName>
<Initials>TJ</Initials>
</Author>
<Author ValidYN="Y"><LastName>Carr</LastName>
<ForeName>Alan B</ForeName>
<Initials>AB</Initials>
</Author>
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<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2013</Year>
<Month>07</Month>
<Day>26</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>J Prosthodont</MedlineTA>
<NlmUniqueID>9301275</NlmUniqueID>
<ISSNLinking>1059-941X</ISSNLinking>
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<ChemicalList><Chemical><RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D015921">Dental Implants</NameOfSubstance>
</Chemical>
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<CitationSubset>D</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
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<MeshHeading><DescriptorName UI="D019094" MajorTopicYN="N">Dental Prosthesis, Implant-Supported</DescriptorName>
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<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Edentulous jaw</Keyword>
<Keyword MajorTopicYN="N">complications</Keyword>
<Keyword MajorTopicYN="N">dental implants</Keyword>
<Keyword MajorTopicYN="N">follow-up</Keyword>
<Keyword MajorTopicYN="N">hybrid</Keyword>
<Keyword MajorTopicYN="N">implant-retained dental prosthesis</Keyword>
<Keyword MajorTopicYN="N">management</Keyword>
<Keyword MajorTopicYN="N">outcome analysis</Keyword>
<Keyword MajorTopicYN="N">practice-based evidence</Keyword>
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Practice-based evidence from 29-year outcome analysis of management of the edentulous jaw using osseointegrated dental implants.

Practice-based evidence from 29-year outcome analysis of management of the edentulous jaw using osseointegrated dental implants.

Source :

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Abstract

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