Freestanding and tooth-implant connected prostheses in the treatment of partially edentulous patients Part II: An up to 15-years radiographic evaluation.
Identifieur interne : 003452 ( PubMed/Curation ); précédent : 003451; suivant : 003453Freestanding and tooth-implant connected prostheses in the treatment of partially edentulous patients Part II: An up to 15-years radiographic evaluation.
Auteurs : I E Naert [Belgique] ; J A Duyck ; M M Hosny ; M. Quirynen ; D. Van SteenbergheSource :
- Clinical oral implants research [ 0905-7161 ] ; 2001.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Analyse de variance, Conception de prothèse dentaire, Contrainte mécanique, Facteurs temps, Femelle, Flexibilité, Humains, Implants dentaires, Intervalles de confiance, Modèles linéaires, Mâchoire partiellement édentée (), Mâchoire partiellement édentée (imagerie diagnostique), Mâchoire partiellement édentée (rééducation et réadaptation), Mâle, Piliers dentaires, Pronostic, Propriétés de surface, Prothèse dentaire implanto-portée, Radiographie, Résorption osseuse (imagerie diagnostique), Résultat thérapeutique, Sujet âgé, Élasticité, Études de cohortes, Études de suivi, Études longitudinales.
- MESH :
- imagerie diagnostique : Mâchoire partiellement édentée, Résorption osseuse.
- rééducation et réadaptation : Mâchoire partiellement édentée.
- Adulte, Adulte d'âge moyen, Analyse de variance, Conception de prothèse dentaire, Contrainte mécanique, Facteurs temps, Femelle, Flexibilité, Humains, Implants dentaires, Intervalles de confiance, Modèles linéaires, Mâchoire partiellement édentée, Mâle, Piliers dentaires, Pronostic, Propriétés de surface, Prothèse dentaire implanto-portée, Radiographie, Résultat thérapeutique, Sujet âgé, Élasticité, Études de cohortes, Études de suivi, Études longitudinales.
English descriptors
- KwdEn :
- Adult, Aged, Analysis of Variance, Bone Resorption (diagnostic imaging), Cohort Studies, Confidence Intervals, Dental Abutments, Dental Implants, Dental Prosthesis Design, Dental Prosthesis, Implant-Supported, Elasticity, Female, Follow-Up Studies, Humans, Jaw, Edentulous, Partially (diagnostic imaging), Jaw, Edentulous, Partially (rehabilitation), Jaw, Edentulous, Partially (surgery), Linear Models, Longitudinal Studies, Male, Middle Aged, Pliability, Prognosis, Radiography, Stress, Mechanical, Surface Properties, Time Factors, Treatment Outcome.
- MESH :
- chemical : Dental Implants.
- diagnostic imaging : Bone Resorption, Jaw, Edentulous, Partially.
- rehabilitation : Jaw, Edentulous, Partially.
- surgery : Jaw, Edentulous, Partially.
- Adult, Aged, Analysis of Variance, Cohort Studies, Confidence Intervals, Dental Abutments, Dental Prosthesis Design, Dental Prosthesis, Implant-Supported, Elasticity, Female, Follow-Up Studies, Humans, Linear Models, Longitudinal Studies, Male, Middle Aged, Pliability, Prognosis, Radiography, Stress, Mechanical, Surface Properties, Time Factors, Treatment Outcome.
Abstract
A total of 123 patients were followed between January 1983 and July 1998 with 140 tooth-implant connected prostheses. The age of the patients at prosthesis installation ranged from 20 to 79 years (mean 51.8). 339 (Brånemark(R) system) implants were connected to 313 teeth. The loading time ranged from 1.5 to 15 years (mean: 6.5). 123 patients were randomly selected as a control group with freestanding implant-supported prostheses only. The age of the patients at prosthesis installation ranged from 22 to 78 years (mean 52.3). The loading time for the 329 freestanding (Brånemark(R) system) implants ranged from 1.3 to 14.5 years (mean: 6.2). Evolution of the marginal bone stability around the implant in the tooth-implant connected as well as the freestanding group was studied with respect to the prognosis of the implants. Over the period from 0 to 15 years, there was significantly more marginal bone loss (0.7 mm) in tooth-implant connected versus freestanding prostheses. No significant difference in marginal bone loss was found between the non-rigid tooth-implant connected prostheses versus freestanding prostheses. However, there was a significant difference in marginal bone loss for rigid and multi-connected tooth-implant connected prostheses versus freestanding ones. The results of this study indicate that more bone is lost around implants which are rigidly connected to teeth. This suggests that bending load, which is increased in tooth-implant connected prostheses, might be responsible for this phenomenon. These observations favor the use of freestanding prostheses whenever possible. However, the clinical significance of greater bone loss in rigid versus non-rigid connections might outweigh the annoying phenomenon of tooth intrusion in the case of non-rigid tooth connection, when connection is considered.
PubMed: 11359482
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<term>Cohort Studies</term>
<term>Confidence Intervals</term>
<term>Dental Abutments</term>
<term>Dental Implants</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Elasticity</term>
<term>Female</term>
<term>Follow-Up Studies</term>
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<term>Analyse de variance</term>
<term>Conception de prothèse dentaire</term>
<term>Contrainte mécanique</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Flexibilité</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Intervalles de confiance</term>
<term>Modèles linéaires</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>Piliers dentaires</term>
<term>Pronostic</term>
<term>Propriétés de surface</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Radiographie</term>
<term>Résorption osseuse (imagerie diagnostique)</term>
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<term>Aged</term>
<term>Analysis of Variance</term>
<term>Cohort Studies</term>
<term>Confidence Intervals</term>
<term>Dental Abutments</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Elasticity</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Linear Models</term>
<term>Longitudinal Studies</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Pliability</term>
<term>Prognosis</term>
<term>Radiography</term>
<term>Stress, Mechanical</term>
<term>Surface Properties</term>
<term>Time Factors</term>
<term>Treatment Outcome</term>
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<term>Adulte d'âge moyen</term>
<term>Analyse de variance</term>
<term>Conception de prothèse dentaire</term>
<term>Contrainte mécanique</term>
<term>Facteurs temps</term>
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<term>Flexibilité</term>
<term>Humains</term>
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<term>Mâchoire partiellement édentée</term>
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<term>Propriétés de surface</term>
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<term>Sujet âgé</term>
<term>Élasticité</term>
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<front><div type="abstract" xml:lang="en">A total of 123 patients were followed between January 1983 and July 1998 with 140 tooth-implant connected prostheses. The age of the patients at prosthesis installation ranged from 20 to 79 years (mean 51.8). 339 (Brånemark(R) system) implants were connected to 313 teeth. The loading time ranged from 1.5 to 15 years (mean: 6.5). 123 patients were randomly selected as a control group with freestanding implant-supported prostheses only. The age of the patients at prosthesis installation ranged from 22 to 78 years (mean 52.3). The loading time for the 329 freestanding (Brånemark(R) system) implants ranged from 1.3 to 14.5 years (mean: 6.2). Evolution of the marginal bone stability around the implant in the tooth-implant connected as well as the freestanding group was studied with respect to the prognosis of the implants. Over the period from 0 to 15 years, there was significantly more marginal bone loss (0.7 mm) in tooth-implant connected versus freestanding prostheses. No significant difference in marginal bone loss was found between the non-rigid tooth-implant connected prostheses versus freestanding prostheses. However, there was a significant difference in marginal bone loss for rigid and multi-connected tooth-implant connected prostheses versus freestanding ones. The results of this study indicate that more bone is lost around implants which are rigidly connected to teeth. This suggests that bending load, which is increased in tooth-implant connected prostheses, might be responsible for this phenomenon. These observations favor the use of freestanding prostheses whenever possible. However, the clinical significance of greater bone loss in rigid versus non-rigid connections might outweigh the annoying phenomenon of tooth intrusion in the case of non-rigid tooth connection, when connection is considered.</div>
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<Abstract><AbstractText>A total of 123 patients were followed between January 1983 and July 1998 with 140 tooth-implant connected prostheses. The age of the patients at prosthesis installation ranged from 20 to 79 years (mean 51.8). 339 (Brånemark(R) system) implants were connected to 313 teeth. The loading time ranged from 1.5 to 15 years (mean: 6.5). 123 patients were randomly selected as a control group with freestanding implant-supported prostheses only. The age of the patients at prosthesis installation ranged from 22 to 78 years (mean 52.3). The loading time for the 329 freestanding (Brånemark(R) system) implants ranged from 1.3 to 14.5 years (mean: 6.2). Evolution of the marginal bone stability around the implant in the tooth-implant connected as well as the freestanding group was studied with respect to the prognosis of the implants. Over the period from 0 to 15 years, there was significantly more marginal bone loss (0.7 mm) in tooth-implant connected versus freestanding prostheses. No significant difference in marginal bone loss was found between the non-rigid tooth-implant connected prostheses versus freestanding prostheses. However, there was a significant difference in marginal bone loss for rigid and multi-connected tooth-implant connected prostheses versus freestanding ones. The results of this study indicate that more bone is lost around implants which are rigidly connected to teeth. This suggests that bending load, which is increased in tooth-implant connected prostheses, might be responsible for this phenomenon. These observations favor the use of freestanding prostheses whenever possible. However, the clinical significance of greater bone loss in rigid versus non-rigid connections might outweigh the annoying phenomenon of tooth intrusion in the case of non-rigid tooth connection, when connection is considered.</AbstractText>
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