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Dental implants in persons with severe epilepsy and multiple disabilities: a long-term retrospective study.

Identifieur interne : 001D30 ( PubMed/Curation ); précédent : 001D29; suivant : 001D31

Dental implants in persons with severe epilepsy and multiple disabilities: a long-term retrospective study.

Auteurs : Marco S. Cune [Pays-Bas] ; Hans Strooker ; Willy A. Van Der Reijden ; Cornelis De Putter ; Maria L. Laine ; Jan Willem Verhoeven

Source :

RBID : pubmed:19587878

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Abstract

A retrospective study on the performance of endosseous implants in a population of patients with severe epilepsy and additional motor and/or intellectual impairments was performed.

PubMed: 19587878

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pubmed:19587878

Le document en format XML

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<title xml:lang="en">Dental implants in persons with severe epilepsy and multiple disabilities: a long-term retrospective study.</title>
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<name sortKey="Cune, Marco S" sort="Cune, Marco S" uniqKey="Cune M" first="Marco S" last="Cune">Marco S. Cune</name>
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<nlm:affiliation>Department of Oral and Maxillofacial Surgery, Prosthodontics and Special Dental Care, University Medical Center Utrecht, Utrecht, the Netherlands. drmscune@planet.nl</nlm:affiliation>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>Department of Oral and Maxillofacial Surgery, Prosthodontics and Special Dental Care, University Medical Center Utrecht, Utrecht</wicri:regionArea>
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<name sortKey="Strooker, Hans" sort="Strooker, Hans" uniqKey="Strooker H" first="Hans" last="Strooker">Hans Strooker</name>
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<name sortKey="Van Der Reijden, Willy A" sort="Van Der Reijden, Willy A" uniqKey="Van Der Reijden W" first="Willy A" last="Van Der Reijden">Willy A. Van Der Reijden</name>
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<name sortKey="De Putter, Cornelis" sort="De Putter, Cornelis" uniqKey="De Putter C" first="Cornelis" last="De Putter">Cornelis De Putter</name>
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<name sortKey="Laine, Maria L" sort="Laine, Maria L" uniqKey="Laine M" first="Maria L" last="Laine">Maria L. Laine</name>
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<name sortKey="Verhoeven, Jan Willem" sort="Verhoeven, Jan Willem" uniqKey="Verhoeven J" first="Jan Willem" last="Verhoeven">Jan Willem Verhoeven</name>
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<term>Adult</term>
<term>Dental Care for Disabled (methods)</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Implants</term>
<term>Dental Plaque (complications)</term>
<term>Dental Restoration Failure</term>
<term>Epilepsy, Tonic-Clonic (complications)</term>
<term>Female</term>
<term>Humans</term>
<term>Intellectual Disability (complications)</term>
<term>Jaw, Edentulous (complications)</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Kaplan-Meier Estimate</term>
<term>Male</term>
<term>Periodontal Index</term>
<term>Psychomotor Disorders (complications)</term>
<term>Retrospective Studies</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte</term>
<term>Déficience intellectuelle ()</term>
<term>Estimation de Kaplan-Meier</term>
<term>Femelle</term>
<term>Grand mal épileptique ()</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Indice parodontal</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Plaque dentaire ()</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Soins dentaires pour personnes handicapées ()</term>
<term>Troubles psychomoteurs ()</term>
<term>Échec de restauration dentaire</term>
<term>Études rétrospectives</term>
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<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Dental Plaque</term>
<term>Epilepsy, Tonic-Clonic</term>
<term>Intellectual Disability</term>
<term>Jaw, Edentulous</term>
<term>Psychomotor Disorders</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Dental Care for Disabled</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Jaw, Edentulous</term>
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<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr">
<term>Mâchoire édentée</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Restoration Failure</term>
<term>Female</term>
<term>Humans</term>
<term>Kaplan-Meier Estimate</term>
<term>Male</term>
<term>Periodontal Index</term>
<term>Retrospective Studies</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adulte</term>
<term>Déficience intellectuelle</term>
<term>Estimation de Kaplan-Meier</term>
<term>Femelle</term>
<term>Grand mal épileptique</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Indice parodontal</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Plaque dentaire</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Soins dentaires pour personnes handicapées</term>
<term>Troubles psychomoteurs</term>
<term>Échec de restauration dentaire</term>
<term>Études rétrospectives</term>
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<front>
<div type="abstract" xml:lang="en">A retrospective study on the performance of endosseous implants in a population of patients with severe epilepsy and additional motor and/or intellectual impairments was performed.</div>
</front>
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<pubmed>
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<PMID Version="1">19587878</PMID>
<DateCompleted>
<Year>2009</Year>
<Month>09</Month>
<Day>28</Day>
</DateCompleted>
<DateRevised>
<Year>2011</Year>
<Month>11</Month>
<Day>17</Day>
</DateRevised>
<Article PubModel="Print">
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<ISSN IssnType="Print">0882-2786</ISSN>
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<Volume>24</Volume>
<Issue>3</Issue>
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<MedlineDate>2009 May-Jun</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>Dental implants in persons with severe epilepsy and multiple disabilities: a long-term retrospective study.</ArticleTitle>
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<MedlinePgn>534-40</MedlinePgn>
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<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">A retrospective study on the performance of endosseous implants in a population of patients with severe epilepsy and additional motor and/or intellectual impairments was performed.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">All residents of an inpatient center for persons affected by severe, refractory epilepsy and multiple disabilities who received endosseous implants between 1991 and April 2007 were included in the study. Implant survival was analyzed using the Kaplan-Meier method. A subset of patients who were treated between 1991 and 2004 was invited to participate in a clinical and radio?graphic evaluation in 2004 and 2005.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 61 patients were treated between 1991 and April 2007 (n=134 implants). Three of these implants in three different patients failed during the observation period, demonstrating an estimated probability of functional implant survival of 97.6% (SE 1.4%) after 16 years. In patients who were seen during the clinical evaluation in 2004 (n=76 implants), only mild inflammation of the peri-implant mucosa was generally observed (Gingival-Bleeding Index=1), despite the fact that the level of oral hygiene was considered inadequate around 55 of 76 implants (72%). Obvious signs of drug-induced gingival hyperplasia in relation to the implants were not observed. Probing depths averaged approximately 2 mm. Stable marginal bone levels were observed on the radiographs.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Dental implant treatment in a population of patients with severe epilepsy and additional disabilities seems to be a viable treatment option. Implant loss is rare. Although adequate plaque control was not feasible in all patients, marginal bone levels remained stable.</AbstractText>
</Abstract>
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<ForeName>Marco S</ForeName>
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<DescriptorName UI="D019232" MajorTopicYN="N">Dental Restoration Failure</DescriptorName>
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<DescriptorName UI="D004830" MajorTopicYN="Y">Epilepsy, Tonic-Clonic</DescriptorName>
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<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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<DescriptorName UI="D008607" MajorTopicYN="N">Intellectual Disability</DescriptorName>
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<DescriptorName UI="D010512" MajorTopicYN="N">Periodontal Index</DescriptorName>
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<DescriptorName UI="D011596" MajorTopicYN="N">Psychomotor Disorders</DescriptorName>
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<Year>2009</Year>
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<Day>10</Day>
<Hour>9</Hour>
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