Serveur d'exploration sur le patient édenté

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Dental rehabilitation in 101 primarily reconstructed jaws after segmental resections--possibilities and problems. An 18-year study.

Identifieur interne : 001F71 ( PubMed/Curation ); précédent : 001F70; suivant : 001F72

Dental rehabilitation in 101 primarily reconstructed jaws after segmental resections--possibilities and problems. An 18-year study.

Auteurs : Ragnar Adell [Suède] ; Börje Svensson ; Torun B Genholm

Source :

RBID : pubmed:18515129

Descripteurs français

English descriptors

Abstract

To evaluate the possibility of providing every patient with dental rehabilitation after segmental resections and primary jaw reconstructions.

DOI: 10.1016/j.jcms.2007.11.006
PubMed: 18515129

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pubmed:18515129

Le document en format XML

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<title xml:lang="en">Dental rehabilitation in 101 primarily reconstructed jaws after segmental resections--possibilities and problems. An 18-year study.</title>
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<name sortKey="Adell, Ragnar" sort="Adell, Ragnar" uniqKey="Adell R" first="Ragnar" last="Adell">Ragnar Adell</name>
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<nlm:affiliation>Centre for Head and Neck Oncology, Orebro University Hospital, Orebro, Sweden. ragnar.adell@orebroll.se</nlm:affiliation>
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Centre for Head and Neck Oncology, Orebro University Hospital, Orebro</wicri:regionArea>
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<name sortKey="Svensson, Borje" sort="Svensson, Borje" uniqKey="Svensson B" first="Börje" last="Svensson">Börje Svensson</name>
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<name sortKey="B Genholm, Torun" sort="B Genholm, Torun" uniqKey="B Genholm T" first="Torun" last="B Genholm">Torun B Genholm</name>
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<title xml:lang="en">Dental rehabilitation in 101 primarily reconstructed jaws after segmental resections--possibilities and problems. An 18-year study.</title>
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<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Bone Plates</term>
<term>Bone Transplantation</term>
<term>Cohort Studies</term>
<term>Dental Implants</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture, Complete</term>
<term>Denture, Partial, Fixed</term>
<term>Denture, Partial, Removable</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Jaw (surgery)</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Male</term>
<term>Mandible (surgery)</term>
<term>Middle Aged</term>
<term>Mouth Rehabilitation</term>
<term>Radiotherapy, Adjuvant</term>
<term>Reconstructive Surgical Procedures</term>
<term>Retrospective Studies</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>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Jeune adulte</term>
<term>Mandibule ()</term>
<term>Mâchoire ()</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Plaques orthopédiques</term>
<term>Procédures de chirurgie reconstructive</term>
<term>Prothèse dentaire complète</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse dentaire partielle amovible</term>
<term>Prothèse partielle fixe</term>
<term>Radiothérapie adjuvante</term>
<term>Résultat thérapeutique</term>
<term>Rééducation buccale</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Transplantation osseuse</term>
<term>Études de cohortes</term>
<term>Études de suivi</term>
<term>Études rétrospectives</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Jaw, Edentulous</term>
<term>Jaw, Edentulous, Partially</term>
</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr">
<term>Mâchoire partiellement édentée</term>
<term>Mâchoire édentée</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Jaw</term>
<term>Jaw, Edentulous</term>
<term>Jaw, Edentulous, Partially</term>
<term>Mandible</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Bone Plates</term>
<term>Bone Transplantation</term>
<term>Cohort Studies</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture, Complete</term>
<term>Denture, Partial, Fixed</term>
<term>Denture, Partial, Removable</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Mouth Rehabilitation</term>
<term>Radiotherapy, Adjuvant</term>
<term>Reconstructive Surgical Procedures</term>
<term>Retrospective Studies</term>
<term>Survival Analysis</term>
<term>Treatment Outcome</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse de survie</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Jeune adulte</term>
<term>Mandibule</term>
<term>Mâchoire</term>
<term>Mâchoire partiellement édentée</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Plaques orthopédiques</term>
<term>Procédures de chirurgie reconstructive</term>
<term>Prothèse dentaire complète</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse dentaire partielle amovible</term>
<term>Prothèse partielle fixe</term>
<term>Radiothérapie adjuvante</term>
<term>Résultat thérapeutique</term>
<term>Rééducation buccale</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Transplantation osseuse</term>
<term>Études de cohortes</term>
<term>Études de suivi</term>
<term>Études rétrospectives</term>
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<front>
<div type="abstract" xml:lang="en">To evaluate the possibility of providing every patient with dental rehabilitation after segmental resections and primary jaw reconstructions.</div>
</front>
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<DateCompleted>
<Year>2008</Year>
<Month>12</Month>
<Day>16</Day>
</DateCompleted>
<DateRevised>
<Year>2008</Year>
<Month>09</Month>
<Day>08</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Print">1010-5182</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>36</Volume>
<Issue>7</Issue>
<PubDate>
<Year>2008</Year>
<Month>Oct</Month>
</PubDate>
</JournalIssue>
<Title>Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery</Title>
<ISOAbbreviation>J Craniomaxillofac Surg</ISOAbbreviation>
</Journal>
<ArticleTitle>Dental rehabilitation in 101 primarily reconstructed jaws after segmental resections--possibilities and problems. An 18-year study.</ArticleTitle>
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<Abstract>
<AbstractText Label="AIMS" NlmCategory="OBJECTIVE">To evaluate the possibility of providing every patient with dental rehabilitation after segmental resections and primary jaw reconstructions.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Ninety-five consecutive patients, followed for more than 1 year, were retrospectively evaluated without any exclusions, using the patients' records.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">1) Forty percent received dental substitutes after a mean of 32 months for implant bridges and 20 months for removable dentures. Thirty-one percent were implant bridges and 9% removable dentures. 2) Of patients with mandibles, reconstructed with bone, 48% were dentally rehabilitated. 3) Seventeen percent decided against dental rehabilitation, either because they could manage with their remaining teeth or--in edentulous cases--because they could not cope with the additional treatment thought-to-be necessary for dental rehabilitation. 4) Jaws, reconstructed without bone, did not receive any dental rehabilitation. 5) The overall survival rate of the dental reconstructions was 92% with a mean observation time of 36 months (0-129). For implant-supported bridges, the survival ratio was 90% with a mean observation time of 39 months (0-129). 6) The overall survival rate of dental implants was 90% with a mean observation time of 53 months (12-149).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">When all patients were accounted for, less than 50% had their dentitions restored. This took more than 2 years to accomplish. Edentulous jaws, reconstructed without bone, never became rehabilitated. Several patients could not cope with the additional treatment necessary to restore their dentitions. The overall survival rate of dental reconstructions and implants was at least 90%.</AbstractText>
</Abstract>
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<LastName>Adell</LastName>
<ForeName>Ragnar</ForeName>
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<Affiliation>Centre for Head and Neck Oncology, Orebro University Hospital, Orebro, Sweden. ragnar.adell@orebroll.se</Affiliation>
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<LastName>Svensson</LastName>
<ForeName>Börje</ForeName>
<Initials>B</Initials>
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<Author ValidYN="Y">
<LastName>Bågenholm</LastName>
<ForeName>Torun</ForeName>
<Initials>T</Initials>
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<Language>eng</Language>
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<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
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<Year>2008</Year>
<Month>06</Month>
<Day>02</Day>
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<Country>Scotland</Country>
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<RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D015921">Dental Implants</NameOfSubstance>
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<DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName>
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<DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
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<DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
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<DescriptorName UI="D015331" MajorTopicYN="N">Cohort Studies</DescriptorName>
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<DescriptorName UI="D008334" MajorTopicYN="N">Mandible</DescriptorName>
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<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<DescriptorName UI="D009065" MajorTopicYN="Y">Mouth Rehabilitation</DescriptorName>
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