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Five years of aftercare of implant-retained mandibular overdentures and conventional dentures.

Identifieur interne : 003263 ( PubMed/Curation ); précédent : 003262; suivant : 003264

Five years of aftercare of implant-retained mandibular overdentures and conventional dentures.

Auteurs : A. Visser [Pays-Bas] ; M E Geertman ; H J A. Meijer ; G M Raghoebar ; J M Kwakman ; N H J. Creugers ; R P Van Oort

Source :

RBID : pubmed:11856388

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English descriptors

Abstract

The purpose of this multicentre randomized clinical trial was to analyse surgical and prosthetic aftercare and clinical implant performance of edentulous patients with implant-retained mandibular overdentures and of patients with conventional dentures, either or not after pre-prosthetic vestibuloplasty and deepening of the floor of the mouth. The evaluation period was 5 years. The implant systems evaluated were the IMZ implant system, the Brånemark implant system and the Transmandibular Implant system. The centre in Groningen had five groups (n=149) and the centre in Nijmegen had three groups (n=86). The evaluation comprised of surgical and prosthetic aftercare, together with clinical implant performance (CIP). The highest implant loss (29%) is found in the Transmandibular Implant group. All groups had prosthetic revisions and complications according to the CIP-scale. The majority of the patients in the endosseous implant groups were subject to minor complications. The CIP-score of the Transmandibular Implant group is significantly higher than the scores of the other groups, because of the high number of lost posts. In 26;1% of the patients in this group score 4 is given, which means failure of the implant system. From this study it can be concluded that the endosseous implant systems used in this study have less surgical aftercare and a better clinical implant performance than the Transmandibular Implant system and are therefore the systems of choice for the edentulous mandible.

PubMed: 11856388

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<nlm:affiliation>Department of Oral-Maxillofacial Surgery and Maxillofacial Prosthodontics, University Hospital Groningen, Groningen, The Netherlands.</nlm:affiliation>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Department of Oral-Maxillofacial Surgery and Maxillofacial Prosthodontics, University Hospital Groningen, Groningen</wicri:regionArea>
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<term>Alveolar Bone Loss (surgery)</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Implants (adverse effects)</term>
<term>Dental Prosthesis Retention</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Denture, Complete, Lower</term>
<term>Denture, Overlay</term>
<term>Female</term>
<term>Gingiva (transplantation)</term>
<term>Gingival Hyperplasia (surgery)</term>
<term>Humans</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Male</term>
<term>Mandible</term>
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<term>Treatment Outcome</term>
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<term>Femelle</term>
<term>Gencive (transplantation)</term>
<term>Humains</term>
<term>Hyperplasie gingivale ()</term>
<term>Implants dentaires (effets indésirables)</term>
<term>Mandibule</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Overdenture</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Post-cure</term>
<term>Prothèse dentaire complète inférieure</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Reprise du traitement</term>
<term>Résorption alvéolaire ()</term>
<term>Résorption alvéolaire (étiologie)</term>
<term>Résultat thérapeutique</term>
<term>Rétention de prothèse dentaire</term>
<term>Vestibuloplastie</term>
<term>Échec de restauration dentaire</term>
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<term>Alveolar Bone Loss</term>
<term>Gingival Hyperplasia</term>
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<term>Denture, Overlay</term>
<term>Female</term>
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<div type="abstract" xml:lang="en">The purpose of this multicentre randomized clinical trial was to analyse surgical and prosthetic aftercare and clinical implant performance of edentulous patients with implant-retained mandibular overdentures and of patients with conventional dentures, either or not after pre-prosthetic vestibuloplasty and deepening of the floor of the mouth. The evaluation period was 5 years. The implant systems evaluated were the IMZ implant system, the Brånemark implant system and the Transmandibular Implant system. The centre in Groningen had five groups (n=149) and the centre in Nijmegen had three groups (n=86). The evaluation comprised of surgical and prosthetic aftercare, together with clinical implant performance (CIP). The highest implant loss (29%) is found in the Transmandibular Implant group. All groups had prosthetic revisions and complications according to the CIP-scale. The majority of the patients in the endosseous implant groups were subject to minor complications. The CIP-score of the Transmandibular Implant group is significantly higher than the scores of the other groups, because of the high number of lost posts. In 26;1% of the patients in this group score 4 is given, which means failure of the implant system. From this study it can be concluded that the endosseous implant systems used in this study have less surgical aftercare and a better clinical implant performance than the Transmandibular Implant system and are therefore the systems of choice for the edentulous mandible.</div>
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