Serveur d'exploration sur le patient édenté

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Oral rehabilitation with implant-supported fixed partial dentures in periodontitis-susceptible subjects. A 5-year prospective study.

Identifieur interne : 002B59 ( PubMed/Curation ); précédent : 002B58; suivant : 002B60

Oral rehabilitation with implant-supported fixed partial dentures in periodontitis-susceptible subjects. A 5-year prospective study.

Auteurs : Jan L. Wennström [Suède] ; Annika Ekestubbe ; Kerstin Gröndahl ; Stig Karlsson ; Jan Lindhe

Source :

RBID : pubmed:15312092

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English descriptors

Abstract

Comparatively few studies with at least 5 years of follow-up are available that describe the use of implants in prosthetic rehabilitation of partially edentulous patients. Randomized, controlled clinical studies that evaluated the effect of different surface designs of screw-shaped implants on the outcome of treatment are also sparse.

DOI: 10.1111/j.1600-051X.2004.00568.x
PubMed: 15312092

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<title xml:lang="en">Oral rehabilitation with implant-supported fixed partial dentures in periodontitis-susceptible subjects. A 5-year prospective study.</title>
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<nlm:affiliation>Department of Periodontology, Faculty of Odontology, The Sahlgrenska Academy of Göteborg University, Göteborg, Sweden. wennstrom@odontologi.gu.se</nlm:affiliation>
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<wicri:regionArea>Department of Periodontology, Faculty of Odontology, The Sahlgrenska Academy of Göteborg University, Göteborg</wicri:regionArea>
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<name sortKey="Karlsson, Stig" sort="Karlsson, Stig" uniqKey="Karlsson S" first="Stig" last="Karlsson">Stig Karlsson</name>
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<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Alveolar Bone Loss (diagnostic imaging)</term>
<term>Alveolar Bone Loss (etiology)</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Implants</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported (adverse effects)</term>
<term>Dental Restoration Failure</term>
<term>Denture, Partial, Fixed</term>
<term>Disease Susceptibility</term>
<term>Female</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (complications)</term>
<term>Jaw, Edentulous, Partially (diagnostic imaging)</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Multivariate Analysis</term>
<term>Periodontitis (complications)</term>
<term>Prospective Studies</term>
<term>Radiography</term>
<term>Smoking (adverse effects)</term>
<term>Surface Properties</term>
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<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse multivariée</term>
<term>Conception de prothèse dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâchoire partiellement édentée (imagerie diagnostique)</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Parodontite ()</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Propriétés de surface</term>
<term>Prothèse dentaire implanto-portée (effets indésirables)</term>
<term>Prothèse partielle fixe</term>
<term>Radiographie</term>
<term>Résorption alvéolaire (imagerie diagnostique)</term>
<term>Résorption alvéolaire (étiologie)</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Susceptibilité à une maladie</term>
<term>Tabagisme (effets indésirables)</term>
<term>Échec de restauration dentaire</term>
<term>Études prospectives</term>
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<term>Dental Implants</term>
</keywords>
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<term>Dental Prosthesis, Implant-Supported</term>
<term>Smoking</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Jaw, Edentulous, Partially</term>
<term>Periodontitis</term>
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<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en">
<term>Alveolar Bone Loss</term>
<term>Jaw, Edentulous, Partially</term>
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<term>Prothèse dentaire implanto-portée</term>
<term>Tabagisme</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Alveolar Bone Loss</term>
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<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr">
<term>Mâchoire partiellement édentée</term>
<term>Résorption alvéolaire</term>
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<term>Jaw, Edentulous, Partially</term>
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<term>Mâchoire partiellement édentée</term>
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<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr">
<term>Résorption alvéolaire</term>
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<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Prosthesis Design</term>
<term>Dental Restoration Failure</term>
<term>Denture, Partial, Fixed</term>
<term>Disease Susceptibility</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Multivariate Analysis</term>
<term>Prospective Studies</term>
<term>Radiography</term>
<term>Surface Properties</term>
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<keywords scheme="MESH" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse multivariée</term>
<term>Conception de prothèse dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Mâchoire partiellement édentée</term>
<term>Mâle</term>
<term>Parodontite</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Propriétés de surface</term>
<term>Prothèse partielle fixe</term>
<term>Radiographie</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Susceptibilité à une maladie</term>
<term>Échec de restauration dentaire</term>
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<front>
<div type="abstract" xml:lang="en">Comparatively few studies with at least 5 years of follow-up are available that describe the use of implants in prosthetic rehabilitation of partially edentulous patients. Randomized, controlled clinical studies that evaluated the effect of different surface designs of screw-shaped implants on the outcome of treatment are also sparse.</div>
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<DateCompleted>
<Year>2004</Year>
<Month>11</Month>
<Day>22</Day>
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<DateRevised>
<Year>2016</Year>
<Month>11</Month>
<Day>24</Day>
</DateRevised>
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<ISSN IssnType="Print">0303-6979</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>31</Volume>
<Issue>9</Issue>
<PubDate>
<Year>2004</Year>
<Month>Sep</Month>
</PubDate>
</JournalIssue>
<Title>Journal of clinical periodontology</Title>
<ISOAbbreviation>J. Clin. Periodontol.</ISOAbbreviation>
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<ArticleTitle>Oral rehabilitation with implant-supported fixed partial dentures in periodontitis-susceptible subjects. A 5-year prospective study.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Comparatively few studies with at least 5 years of follow-up are available that describe the use of implants in prosthetic rehabilitation of partially edentulous patients. Randomized, controlled clinical studies that evaluated the effect of different surface designs of screw-shaped implants on the outcome of treatment are also sparse.</AbstractText>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To determine, in a prospective randomized, controlled clinical trial, the outcome of restorative therapy in periodontitis-susceptible patients who, following basic periodontal therapy, had been restored with implants with either a machined- or a rough-surface topography.</AbstractText>
<AbstractText Label="MATERIAL AND METHODS" NlmCategory="METHODS">Fifty-one subjects (mean age, 59.5 years), 20 males and 31 females who, following treatment of moderate-to-advanced chronic periodontitis, required implant therapy for prosthetic rehabilitation were recruited. Seventeen of the patients were current smokers. Following the active treatment, all subjects were included in an individually designed maintenance program. A total of 56 fixed partial dentures (FPDs) and a total of 149 screw-shaped, and self-tapping implants (Astra Tech implants) -- 83 in the maxilla and 66 in the mandible -- were installed in a two-stage procedure. Each patient received a minimum of two implants and by randomization every second implant that was installed had been designed with a machined surface and the remaining with a roughened Tioblast surface. Abutment connection was performed 3-6 months after implant installation. Clinical and radiographical examinations were performed following FPD connection and once a year during a 5-year follow-up period. The analysis of peri-implant bone-level alterations was performed on subject, FPD and implant levels.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Four patients and four FPDs were lost to the 5 years of monitoring. One implant (machined surface) did not properly integrate (early failure), and was removed at the time of abutment connection. Three implants were lost during function and a further eight implants could not be accounted for at the 5-year follow-up examination. The overall failure rate at 5 years was 5.9% (subject level), 5.3% (FPD level) and 2.7% (implant level). Radiographic signs of loss of osseointegration were not found at any of the implants during the 5-year observation period. During the first year in function there was on average 0.33 (SD, 0.61) mm loss of peri-implant marginal bone on the subject and FPD levels and 0.31 (0.81) mm on the implant level. During the subsequent 4 years, the peri-implant bone-level alterations were small. The calculated annual change in peri-implant bone level was -0.02 (0.15) on subject and FPD levels and -0.03 (0.20) on the implant level. Thus, the mean total bone-level change over the 5-year interval amounted to 0.41 mm on all three levels of analysis. In the interval between baseline and 5 years, the machined and the Tioblast implants lost on average 0.33 and 0.48 mm, respectively (p>0.05).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The present randomized, controlled clinical trial that included partially edentulous periodontitis-susceptible subjects demonstrated that bone loss (i) during the first year of function as well as annually thereafter was small and (ii) did not vary between implants with machined- or rough-surface designs.</AbstractText>
</Abstract>
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<LastName>Wennström</LastName>
<ForeName>Jan L</ForeName>
<Initials>JL</Initials>
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<Affiliation>Department of Periodontology, Faculty of Odontology, The Sahlgrenska Academy of Göteborg University, Göteborg, Sweden. wennstrom@odontologi.gu.se</Affiliation>
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<Language>eng</Language>
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<DescriptorName UI="D004198" MajorTopicYN="N">Disease Susceptibility</DescriptorName>
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<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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