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Freestanding and tooth-implant connected prostheses in the treatment of partially edentulous patients. Part I: An up to 15-years clinical evaluation.

Identifieur interne : 003453 ( PubMed/Curation ); précédent : 003452; suivant : 003454

Freestanding and tooth-implant connected prostheses in the treatment of partially edentulous patients. Part I: An up to 15-years clinical evaluation.

Auteurs : I E Naert ; J A Duyck ; M M Hosny ; D. Van Steenberghe

Source :

Clinical oral implants research [ 0905-7161 ] ; 2001.

RBID : pubmed:11359481

Descripteurs français

English descriptors

KwdEn :
- Adult, Aged, Cohort Studies, Crowns, Dental Abutments, Dental Caries (classification), Dental Cements (chemistry), Dental Implants, Dental Prosthesis Design, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Denture, Partial, Fixed, Female, Follow-Up Studies, Humans, Jaw, Edentulous, Partially (rehabilitation), Jaw, Edentulous, Partially (surgery), Longitudinal Studies, Male, Middle Aged, Multivariate Analysis, Osseointegration, Periapical Diseases (classification), Periodontitis (classification), Proportional Hazards Models, Regression Analysis, Stress, Mechanical, Survival Analysis, Tooth Extraction, Tooth Fractures (classification), Treatment Outcome.
MESH :
- chemical , chemistry : Dental Cements.
- classification : Dental Caries, Periapical Diseases, Periodontitis, Tooth Fractures.
- rehabilitation : Jaw, Edentulous, Partially.
- surgery : Jaw, Edentulous, Partially.
- Adult, Aged, Cohort Studies, Crowns, Dental Abutments, Dental Implants, Dental Prosthesis Design, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Denture, Partial, Fixed, Female, Follow-Up Studies, Humans, Longitudinal Studies, Male, Middle Aged, Multivariate Analysis, Osseointegration, Proportional Hazards Models, Regression Analysis, Stress, Mechanical, Survival Analysis, Tooth Extraction, Treatment Outcome.

Abstract

In 123 patients, 339 implants were connected to 313 teeth by means of fixed partial prostheses (test) and followed up for 1.5-15 years (mean: 6.5). In another ad random selected 123 patients, 329 implants were connected to each other by means of 123 freestanding fixed partial prostheses (control) and were followed up for 1.3-14.5 years (mean: 6.2). The aim of this study was to compare both treatment modalities with each other based on implant, tooth and prosthesis complications. The cumulative implant success, based on implant immobility and/or lack of implant fractures after loading, in the test and control groups amounted to 95% and 98.5%, respectively. Although in the test group 10 implants versus only 1 in the control group failed, a regression analysis of the survival data, based on the cox proportional hazards model, revealed no significant difference. In the test group periapical lesions (3.5%), tooth fracture (0.6%) and tooth extraction due to fatal decay or periodontitis (1%) were observed, besides tooth intrusion (3.4%) and crown cement failure (8%). Framework fracture occurred in 3 patients. In the control group, only 2 abutment screws fractured. The treatment of partial edentulism by means of oral implants was beneficial for our patients. Because of a clear tendency of more implant failures (mobility or fractures) and tooth complications in the tooth-implant connected prostheses, the freestanding solution is the primary option to be considered. To avoid intrusion of abutment teeth, the connection, if made, should be completely rigid.

PubMed: 11359481

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I E Naert

<affiliation><nlm:affiliation>Department of Prosthetic Dentistry/BIOMAT Research Group, Catholic University of Leuven Belgium.</nlm:affiliation>
<wicri:noCountry code="subField">Catholic University of Leuven Belgium</wicri:noCountry>
</affiliation>

Le document en format XML

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<term>Dental Cements (chemistry)</term>
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<term>Analyse de survie</term>
<term>Analyse multivariée</term>
<term>Caries dentaires ()</term>
<term>Ciments dentaires ()</term>
<term>Conception de prothèse dentaire</term>
<term>Contrainte mécanique</term>
<term>Couronnes</term>
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<term>Fractures dentaires ()</term>
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<term>Implants dentaires</term>
<term>Maladies périapicales ()</term>
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<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Ostéo-intégration</term>
<term>Parodontite ()</term>
<term>Piliers dentaires</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse partielle fixe</term>
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<term>Sujet âgé</term>
<term>Échec de restauration dentaire</term>
<term>Études de cohortes</term>
<term>Études de suivi</term>
<term>Études longitudinales</term>
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<term>Aged</term>
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<term>Dental Abutments</term>
<term>Dental Implants</term>
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<term>Longitudinal Studies</term>
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<term>Middle Aged</term>
<term>Multivariate Analysis</term>
<term>Osseointegration</term>
<term>Proportional Hazards Models</term>
<term>Regression Analysis</term>
<term>Stress, Mechanical</term>
<term>Survival Analysis</term>
<term>Tooth Extraction</term>
<term>Treatment Outcome</term>
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<term>Analyse de régression</term>
<term>Analyse de survie</term>
<term>Analyse multivariée</term>
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<term>Ciments dentaires</term>
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<front><div type="abstract" xml:lang="en">In 123 patients, 339 implants were connected to 313 teeth by means of fixed partial prostheses (test) and followed up for 1.5-15 years (mean: 6.5). In another ad random selected 123 patients, 329 implants were connected to each other by means of 123 freestanding fixed partial prostheses (control) and were followed up for 1.3-14.5 years (mean: 6.2). The aim of this study was to compare both treatment modalities with each other based on implant, tooth and prosthesis complications. The cumulative implant success, based on implant immobility and/or lack of implant fractures after loading, in the test and control groups amounted to 95% and 98.5%, respectively. Although in the test group 10 implants versus only 1 in the control group failed, a regression analysis of the survival data, based on the cox proportional hazards model, revealed no significant difference. In the test group periapical lesions (3.5%), tooth fracture (0.6%) and tooth extraction due to fatal decay or periodontitis (1%) were observed, besides tooth intrusion (3.4%) and crown cement failure (8%). Framework fracture occurred in 3 patients. In the control group, only 2 abutment screws fractured. The treatment of partial edentulism by means of oral implants was beneficial for our patients. Because of a clear tendency of more implant failures (mobility or fractures) and tooth complications in the tooth-implant connected prostheses, the freestanding solution is the primary option to be considered. To avoid intrusion of abutment teeth, the connection, if made, should be completely rigid.</div>
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<Abstract><AbstractText>In 123 patients, 339 implants were connected to 313 teeth by means of fixed partial prostheses (test) and followed up for 1.5-15 years (mean: 6.5). In another ad random selected 123 patients, 329 implants were connected to each other by means of 123 freestanding fixed partial prostheses (control) and were followed up for 1.3-14.5 years (mean: 6.2). The aim of this study was to compare both treatment modalities with each other based on implant, tooth and prosthesis complications. The cumulative implant success, based on implant immobility and/or lack of implant fractures after loading, in the test and control groups amounted to 95% and 98.5%, respectively. Although in the test group 10 implants versus only 1 in the control group failed, a regression analysis of the survival data, based on the cox proportional hazards model, revealed no significant difference. In the test group periapical lesions (3.5%), tooth fracture (0.6%) and tooth extraction due to fatal decay or periodontitis (1%) were observed, besides tooth intrusion (3.4%) and crown cement failure (8%). Framework fracture occurred in 3 patients. In the control group, only 2 abutment screws fractured. The treatment of partial edentulism by means of oral implants was beneficial for our patients. Because of a clear tendency of more implant failures (mobility or fractures) and tooth complications in the tooth-implant connected prostheses, the freestanding solution is the primary option to be considered. To avoid intrusion of abutment teeth, the connection, if made, should be completely rigid.</AbstractText>
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Freestanding and tooth-implant connected prostheses in the treatment of partially edentulous patients. Part I: An up to 15-years clinical evaluation.

Freestanding and tooth-implant connected prostheses in the treatment of partially edentulous patients. Part I: An up to 15-years clinical evaluation.

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