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Evaluation of the effectiveness of dental implant therapy in a practice-based network (FOCUS).

Identifieur interne : 001A27 ( PubMed/Curation ); précédent : 001A26; suivant : 001A28

Evaluation of the effectiveness of dental implant therapy in a practice-based network (FOCUS).

Auteurs : Clark M. Stanford [États-Unis] ; Wilfried Wagner ; Ruggero Rodriguez Y Baena ; Michael Norton ; Edwin Mcglumphy ; Joseph Schmidt

Source :

RBID : pubmed:20369097

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Abstract

Evaluations of multicenter clinical trials are needed to determine the effectiveness of care in routine implant therapy in clinical practice.

PubMed: 20369097

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pubmed:20369097

Le document en format XML

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<title xml:lang="en">Evaluation of the effectiveness of dental implant therapy in a practice-based network (FOCUS).</title>
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<name sortKey="Stanford, Clark M" sort="Stanford, Clark M" uniqKey="Stanford C" first="Clark M" last="Stanford">Clark M. Stanford</name>
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<nlm:affiliation>Dows Institute for Dental Research College of Dentistry, University of Iowa, Iowa city, Iowa 52242, USA. Clark-Stanford@uiowa.edu</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
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<name sortKey="Wagner, Wilfried" sort="Wagner, Wilfried" uniqKey="Wagner W" first="Wilfried" last="Wagner">Wilfried Wagner</name>
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<name sortKey="Rodriguez Y Baena, Ruggero" sort="Rodriguez Y Baena, Ruggero" uniqKey="Rodriguez Y Baena R" first="Ruggero" last="Rodriguez Y Baena">Ruggero Rodriguez Y Baena</name>
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<name sortKey="Norton, Michael" sort="Norton, Michael" uniqKey="Norton M" first="Michael" last="Norton">Michael Norton</name>
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<name sortKey="Mcglumphy, Edwin" sort="Mcglumphy, Edwin" uniqKey="Mcglumphy E" first="Edwin" last="Mcglumphy">Edwin Mcglumphy</name>
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<name sortKey="Wagner, Wilfried" sort="Wagner, Wilfried" uniqKey="Wagner W" first="Wilfried" last="Wagner">Wilfried Wagner</name>
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<name sortKey="Rodriguez Y Baena, Ruggero" sort="Rodriguez Y Baena, Ruggero" uniqKey="Rodriguez Y Baena R" first="Ruggero" last="Rodriguez Y Baena">Ruggero Rodriguez Y Baena</name>
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<name sortKey="Norton, Michael" sort="Norton, Michael" uniqKey="Norton M" first="Michael" last="Norton">Michael Norton</name>
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<title level="j">The International journal of oral & maxillofacial implants</title>
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<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Alveolar Bone Loss (surgery)</term>
<term>Alveolar Ridge Augmentation (statistics & numerical data)</term>
<term>Cohort Studies</term>
<term>Dental Implants (statistics & numerical data)</term>
<term>Dental Prosthesis Design</term>
<term>Dental Records</term>
<term>Dental Restoration Failure</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Internet</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Male</term>
<term>Mandible (surgery)</term>
<term>Maxilla (surgery)</term>
<term>Middle Aged</term>
<term>Risk Factors</term>
<term>Survival Analysis</term>
<term>Treatment Outcome</term>
<term>Young Adult</term>
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<term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse de survie</term>
<term>Conception de prothèse dentaire</term>
<term>Dossiers dentaires</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires ()</term>
<term>Internet</term>
<term>Jeune adulte</term>
<term>Mandibule ()</term>
<term>Maxillaire ()</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Reconstruction de crête alvéolaire ()</term>
<term>Résorption alvéolaire ()</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Échec de restauration dentaire</term>
<term>Études de cohortes</term>
<term>Études de suivi</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="statistics & numerical data" xml:lang="en">
<term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Jaw, Edentulous, Partially</term>
</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr">
<term>Mâchoire partiellement édentée</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en">
<term>Alveolar Ridge Augmentation</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Alveolar Bone Loss</term>
<term>Jaw, Edentulous, Partially</term>
<term>Mandible</term>
<term>Maxilla</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Cohort Studies</term>
<term>Dental Prosthesis Design</term>
<term>Dental Records</term>
<term>Dental Restoration Failure</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Internet</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Risk Factors</term>
<term>Survival Analysis</term>
<term>Treatment Outcome</term>
<term>Young Adult</term>
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<keywords scheme="MESH" xml:lang="fr">
<term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse de survie</term>
<term>Conception de prothèse dentaire</term>
<term>Dossiers dentaires</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Internet</term>
<term>Jeune adulte</term>
<term>Mandibule</term>
<term>Maxillaire</term>
<term>Mâchoire partiellement édentée</term>
<term>Mâle</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Résorption alvéolaire</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Échec de restauration dentaire</term>
<term>Études de cohortes</term>
<term>Études de suivi</term>
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<front>
<div type="abstract" xml:lang="en">Evaluations of multicenter clinical trials are needed to determine the effectiveness of care in routine implant therapy in clinical practice.</div>
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<DateCompleted>
<Year>2010</Year>
<Month>06</Month>
<Day>10</Day>
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<Year>2010</Year>
<Month>04</Month>
<Day>06</Day>
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<ISSN IssnType="Print">0882-2786</ISSN>
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<Volume>25</Volume>
<Issue>2</Issue>
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<MedlineDate>2010 Mar-Apr</MedlineDate>
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<Title>The International journal of oral & maxillofacial implants</Title>
<ISOAbbreviation>Int J Oral Maxillofac Implants</ISOAbbreviation>
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<ArticleTitle>Evaluation of the effectiveness of dental implant therapy in a practice-based network (FOCUS).</ArticleTitle>
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<MedlinePgn>367-73</MedlinePgn>
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<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Evaluations of multicenter clinical trials are needed to determine the effectiveness of care in routine implant therapy in clinical practice.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Ninety-two clinicians in 75 clinics in 13 countries recruited five subjects per clinic who were in need of a minimum of two dental implants to restore a partially edentulous quadrant and were followed for a minimum of 1 year after loading. A centralized Internet-based case report form was developed to coordinate data recording. Data entry was done by each clinic, with follow-up source verification.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The study recruited 549 subjects in 101 clinics with 1,893 implants placed. Three hundred forty subjects completed the 1-year recall (gender distribution of 56% female, 44% male; mean age of 57 years with a range of 18 to 84 years). In all, 1,246 dental implants were followed; a majority of subjects had two to four implants. Twenty-eight percent of subjects received osseous grafting prior to or coincident with implant placement. In the maxilla, 779 (63%) implants were placed, 256 in the anterior and 523 in the posterior; in the mandible, 467 implants were placed, 85 in the anterior and 382 in the posterior arch. The median edentulous period prior to implant placement was 24 months (range, 0 to 480 months); 46% of all patients received implants within 12 months of tooth loss. At 1 year after prosthesis insertion, 15 subjects had lost a total of 17 implants, for a cumulative implant survival rate of 98.6%. Chi-square and Fisher exact tests indicated a higher risk of implant loss at sites with advanced resorption and for wider-diameter implants (5-mm tapered body). There was no statistical relationship with implant loss relative to implant length or anatomic location within the oral cavity.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The outcomes support the need for ongoing involvement of clinicians in routine practice assessments of patient-based outcomes of implant therapy.</AbstractText>
</Abstract>
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<LastName>Stanford</LastName>
<ForeName>Clark M</ForeName>
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<Affiliation>Dows Institute for Dental Research College of Dentistry, University of Iowa, Iowa city, Iowa 52242, USA. Clark-Stanford@uiowa.edu</Affiliation>
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<LastName>Wagner</LastName>
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<Language>eng</Language>
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<PublicationType UI="D016430">Clinical Trial</PublicationType>
<PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D016448">Multicenter Study</PublicationType>
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<NameOfSubstance UI="D015921">Dental Implants</NameOfSubstance>
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<DescriptorName UI="D017267" MajorTopicYN="N">Dental Prosthesis Design</DescriptorName>
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<DescriptorName UI="D019232" MajorTopicYN="N">Dental Restoration Failure</DescriptorName>
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<DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName>
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<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
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<DescriptorName UI="D008437" MajorTopicYN="N">Maxilla</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
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<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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