Clinical outcomes of three Parkinson's disease patients treated with mandibular implant overdentures
Identifieur interne : 001327 ( Main/Corpus ); précédent : 001326; suivant : 001328Clinical outcomes of three Parkinson's disease patients treated with mandibular implant overdentures
Auteurs : Siegfried Martin Heckmann ; Josef Georg Heckmann ; Hans-Peter WeberSource :
- Clinical Oral Implants Research [ 0905-7161 ] ; 2000-12.
English descriptors
- KwdEn :
Abstract
Parkinson's disease (PD) often affects the oro‐pharyngeal musculature, leading to problems with speaking, chewing and swallowing. The inevitable reduction in food and fluid intake contributes to the further deterioration of neurological symptoms. Parkinson's disease patients have great difficulties in adjusting to the use of complete dentures. It is the purpose of this report to evaluate the benefit of using dental implants combined with overdentures to improve chewing and predigestion capacity in severely handicapped PD patients. Three edentulous PD patients (2 male, 1 female; mean age 75.7 years; mean PD duration 4.3 years; PD severity grade III according to Hoehn and Yahr; mean edentulousness 19.3 years) complaining of poor chewing ability were included in this evaluation. One‐stage dental implants were placed in the interforaminal region of the mandible. After completion of healing, new overdentures were fabricated. Custom‐made non‐rigid (resilient) telescopic attachments were used for retention of the overdentures on the implants. Follow‐up examinations of the 3 patients were made between 28 and 42 months after the completion of treatment, and peri‐implant tissue conditions as well as the patients' self‐assessed satisfaction level were recorded. A modified gastrointestinal symptoms questionnaire, Hoehn and Yahr Scale and body weight measurements were used to monitor gastrointestinal impairment and PD severity. The peri‐implant parameters indicated healthy soft tissue conditions and all Periotest values were in the negative range. The patients judged their chewing abilities to be greatly improved. Since placing the implants, PD severity had deteriorated to grade IV (Hoehn and Yahr scale) in 2 patients and was stable in 1 patient. The body weight had improved slightly in all patients (mean 2.2 kg). On the gastrointestinal scale, all patients had improved from a mean score of 8.7 to 5.7. Non‐rigid telescopic attachments for overdenture stabilization are particularly suitable for PD patients as they are easy to handle and to clean. The patients reported remarkable improvement in their chewing ability, an assessment which would seem to be supported by the improved gastro‐intestinal index. The regimen described appears to be a useful adjunctive treatment in edentulous Parkinson's disease patients and may be considered for patients with diseases similarly affecting motor skills.
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DOI: 10.1034/j.1600-0501.2000.011006566.x
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The inevitable reduction in food and fluid intake contributes to the further deterioration of neurological symptoms. Parkinson's disease patients have great difficulties in adjusting to the use of complete dentures. It is the purpose of this report to evaluate the benefit of using dental implants combined with overdentures to improve chewing and predigestion capacity in severely handicapped PD patients. Three edentulous PD patients (2 male, 1 female; mean age 75.7 years; mean PD duration 4.3 years; PD severity grade III according to Hoehn and Yahr; mean edentulousness 19.3 years) complaining of poor chewing ability were included in this evaluation. One‐stage dental implants were placed in the interforaminal region of the mandible. After completion of healing, new overdentures were fabricated. Custom‐made non‐rigid (resilient) telescopic attachments were used for retention of the overdentures on the implants. Follow‐up examinations of the 3 patients were made between 28 and 42 months after the completion of treatment, and peri‐implant tissue conditions as well as the patients' self‐assessed satisfaction level were recorded. A modified gastrointestinal symptoms questionnaire, Hoehn and Yahr Scale and body weight measurements were used to monitor gastrointestinal impairment and PD severity. The peri‐implant parameters indicated healthy soft tissue conditions and all Periotest values were in the negative range. The patients judged their chewing abilities to be greatly improved. Since placing the implants, PD severity had deteriorated to grade IV (Hoehn and Yahr scale) in 2 patients and was stable in 1 patient. The body weight had improved slightly in all patients (mean 2.2 kg). On the gastrointestinal scale, all patients had improved from a mean score of 8.7 to 5.7. Non‐rigid telescopic attachments for overdenture stabilization are particularly suitable for PD patients as they are easy to handle and to clean. The patients reported remarkable improvement in their chewing ability, an assessment which would seem to be supported by the improved gastro‐intestinal index. The regimen described appears to be a useful adjunctive treatment in edentulous Parkinson's disease patients and may be considered for patients with diseases similarly affecting motor skills.</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>Siegfried Martin Heckmann</name><affiliations><json:string>School of Dental Medicine and</json:string></affiliations></json:item><json:item><name>Josef Georg Heckmann</name><affiliations><json:string>Department of Neurology, University of Erlangen‐Nuremberg;</json:string></affiliations></json:item><json:item><name>Hans‐Peter Weber</name><affiliations><json:string>Department of Restorative Dentistry, Harvard School of Dental Medicine, Boston, Massachusetts, USA</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>endosseous implant</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>chewing ability</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Parkinson's disease</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>telescopic coping</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>improved nutrition</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>digestion</value></json:item></subject><articleId><json:string>clr9o546</json:string></articleId><language><json:string>eng</json:string></language><abstract>Parkinson's disease (PD) often affects the oro‐pharyngeal musculature, leading to problems with speaking, chewing and swallowing. The inevitable reduction in food and fluid intake contributes to the further deterioration of neurological symptoms. Parkinson's disease patients have great difficulties in adjusting to the use of complete dentures. It is the purpose of this report to evaluate the benefit of using dental implants combined with overdentures to improve chewing and predigestion capacity in severely handicapped PD patients. Three edentulous PD patients (2 male, 1 female; mean age 75.7 years; mean PD duration 4.3 years; PD severity grade III according to Hoehn and Yahr; mean edentulousness 19.3 years) complaining of poor chewing ability were included in this evaluation. One‐stage dental implants were placed in the interforaminal region of the mandible. After completion of healing, new overdentures were fabricated. Custom‐made non‐rigid (resilient) telescopic attachments were used for retention of the overdentures on the implants. Follow‐up examinations of the 3 patients were made between 28 and 42 months after the completion of treatment, and peri‐implant tissue conditions as well as the patients' self‐assessed satisfaction level were recorded. A modified gastrointestinal symptoms questionnaire, Hoehn and Yahr Scale and body weight measurements were used to monitor gastrointestinal impairment and PD severity. The peri‐implant parameters indicated healthy soft tissue conditions and all Periotest values were in the negative range. The patients judged their chewing abilities to be greatly improved. Since placing the implants, PD severity had deteriorated to grade IV (Hoehn and Yahr scale) in 2 patients and was stable in 1 patient. The body weight had improved slightly in all patients (mean 2.2 kg). On the gastrointestinal scale, all patients had improved from a mean score of 8.7 to 5.7. Non‐rigid telescopic attachments for overdenture stabilization are particularly suitable for PD patients as they are easy to handle and to clean. The patients reported remarkable improvement in their chewing ability, an assessment which would seem to be supported by the improved gastro‐intestinal index. The regimen described appears to be a useful adjunctive treatment in edentulous Parkinson's disease patients and may be considered for patients with diseases similarly affecting motor skills.</abstract><qualityIndicators><score>6.287</score><pdfVersion>1.2</pdfVersion><pdfPageSize>595 x 794 pts</pdfPageSize><refBibsNative>false</refBibsNative><keywordCount>6</keywordCount><abstractCharCount>2419</abstractCharCount><pdfWordCount>3287</pdfWordCount><pdfCharCount>21954</pdfCharCount><pdfPageCount>6</pdfPageCount><abstractWordCount>353</abstractWordCount></qualityIndicators><title>Clinical outcomes of three Parkinson's disease patients treated with mandibular implant overdentures</title><genre><json:string>article</json:string></genre><host><volume>11</volume><publisherId><json:string>CLR</json:string></publisherId><pages><total>6</total><last>571</last><first>566</first></pages><issn><json:string>0905-7161</json:string></issn><issue>6</issue><genre><json:string>Journal</json:string></genre><language><json:string>unknown</json:string></language><eissn><json:string>1600-0501</json:string></eissn><title>Clinical Oral Implants Research</title><doi><json:string>10.1111/(ISSN)1600-0501</json:string></doi></host><publicationDate>2000</publicationDate><copyrightDate>2000</copyrightDate><doi><json:string>10.1034/j.1600-0501.2000.011006566.x</json:string></doi><id>98563C64B66396765B0B0DF0E1B343820D110D81</id><fulltext><json:item><original>true</original><mimetype>application/pdf</mimetype><extension>pdf</extension><uri>https://api.istex.fr/document/98563C64B66396765B0B0DF0E1B343820D110D81/fulltext/pdf</uri></json:item><json:item><original>false</original><mimetype>application/zip</mimetype><extension>zip</extension><uri>https://api.istex.fr/document/98563C64B66396765B0B0DF0E1B343820D110D81/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/98563C64B66396765B0B0DF0E1B343820D110D81/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main" xml:lang="en">Clinical outcomes of three Parkinson's disease patients treated with mandibular implant overdentures</title><respStmt xml:id="ISTEX-API" resp="Références bibliographiques récupérées via GROBID" name="ISTEX-API (INIST-CNRS)"></respStmt></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Munksgaard International Publishers</publisher><pubPlace>Copenhagen</pubPlace><availability><p>WILEY</p></availability><date>2000</date></publicationStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">Clinical outcomes of three Parkinson's disease patients treated with mandibular implant overdentures</title><author><persName><forename type="first">Siegfried Martin</forename><surname>Heckmann</surname></persName><affiliation>School of Dental Medicine and</affiliation></author><author><persName><forename type="first">Josef Georg</forename><surname>Heckmann</surname></persName><affiliation>Department of Neurology, University of Erlangen‐Nuremberg;</affiliation></author><author><persName><forename type="first">Hans‐Peter</forename><surname>Weber</surname></persName><affiliation>Department of Restorative Dentistry, Harvard School of Dental Medicine, Boston, Massachusetts, USA</affiliation></author></analytic><monogr><title level="j">Clinical Oral Implants Research</title><idno type="pISSN">0905-7161</idno><idno type="eISSN">1600-0501</idno><idno type="DOI">10.1111/(ISSN)1600-0501</idno><imprint><publisher>Munksgaard International Publishers</publisher><pubPlace>Copenhagen</pubPlace><date type="published" when="2000-12"></date><biblScope unit="volume">11</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="566">566</biblScope><biblScope unit="page" to="571">571</biblScope></imprint></monogr><idno type="istex">98563C64B66396765B0B0DF0E1B343820D110D81</idno><idno type="DOI">10.1034/j.1600-0501.2000.011006566.x</idno><idno type="ArticleID">clr9o546</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2000</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>Parkinson's disease (PD) often affects the oro‐pharyngeal musculature, leading to problems with speaking, chewing and swallowing. The inevitable reduction in food and fluid intake contributes to the further deterioration of neurological symptoms. Parkinson's disease patients have great difficulties in adjusting to the use of complete dentures. It is the purpose of this report to evaluate the benefit of using dental implants combined with overdentures to improve chewing and predigestion capacity in severely handicapped PD patients. Three edentulous PD patients (2 male, 1 female; mean age 75.7 years; mean PD duration 4.3 years; PD severity grade III according to Hoehn and Yahr; mean edentulousness 19.3 years) complaining of poor chewing ability were included in this evaluation. One‐stage dental implants were placed in the interforaminal region of the mandible. After completion of healing, new overdentures were fabricated. Custom‐made non‐rigid (resilient) telescopic attachments were used for retention of the overdentures on the implants. Follow‐up examinations of the 3 patients were made between 28 and 42 months after the completion of treatment, and peri‐implant tissue conditions as well as the patients' self‐assessed satisfaction level were recorded. A modified gastrointestinal symptoms questionnaire, Hoehn and Yahr Scale and body weight measurements were used to monitor gastrointestinal impairment and PD severity. The peri‐implant parameters indicated healthy soft tissue conditions and all Periotest values were in the negative range. The patients judged their chewing abilities to be greatly improved. Since placing the implants, PD severity had deteriorated to grade IV (Hoehn and Yahr scale) in 2 patients and was stable in 1 patient. The body weight had improved slightly in all patients (mean 2.2 kg). On the gastrointestinal scale, all patients had improved from a mean score of 8.7 to 5.7. Non‐rigid telescopic attachments for overdenture stabilization are particularly suitable for PD patients as they are easy to handle and to clean. The patients reported remarkable improvement in their chewing ability, an assessment which would seem to be supported by the improved gastro‐intestinal index. The regimen described appears to be a useful adjunctive treatment in edentulous Parkinson's disease patients and may be considered for patients with diseases similarly affecting motor skills.</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>Keywords</head><item><term>endosseous implant</term></item><item><term>chewing ability</term></item><item><term>Parkinson's disease</term></item><item><term>telescopic coping</term></item><item><term>improved nutrition</term></item><item><term>digestion</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2000-12">Published</change><change xml:id="refBibs-istex" who="#ISTEX-API" when="2016-3-3">References added</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><original>false</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/98563C64B66396765B0B0DF0E1B343820D110D81/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley component found"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Munksgaard International Publishers</publisherName><publisherLoc>Copenhagen</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1600-0501</doi><issn type="print">0905-7161</issn><issn type="electronic">1600-0501</issn><idGroup><id type="product" value="CLR"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="CLINICAL ORAL IMPLANTS RESEARCH">Clinical Oral Implants Research</title></titleGroup></publicationMeta><publicationMeta level="part" position="12006"><doi origin="wiley">10.1111/clr.2000.11.issue-6</doi><numberingGroup><numbering type="journalVolume" number="11">11</numbering><numbering type="journalIssue" number="6">6</numbering></numberingGroup><coverDate startDate="2000-12">December 2000</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="0056600" status="forIssue"><doi origin="wiley">10.1034/j.1600-0501.2000.011006566.x</doi><idGroup><id type="supplier" value="clr9o546"></id><id type="unit" value="CLR11006566"></id></idGroup><countGroup><count type="pageTotal" number="6"></count></countGroup><titleGroup><title type="tocHeading1">Original Article</title></titleGroup><eventGroup><event type="firstOnline" date="2001-12-25"></event><event type="publishedOnlineFinalForm" date="2001-12-25"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.2 mode:FullText source:Header result:Header" date="2010-03-15"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:4.0.1" date="2014-03-12"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-16"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="566">566</numbering><numbering type="pageLast" number="571">571</numbering></numberingGroup><correspondenceTo>Dr. S. M. Heckmann, School of Dental Medicine, University of Erlangen‐Nuremberg, Glückstr. 11, 91054 Erlangen, Germany
Tel.: +49 9131 853 5807
Fax: +49 9131 853 6781 </correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:CLR.CLR11006566.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory>Accepted for publication 28 October 1999</unparsedEditorialHistory><countGroup><count type="figureTotal" number="0"></count><count type="tableTotal" number="0"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="0"></count><count type="wordTotal" number="4103"></count><count type="linksPubMed" number="0"></count><count type="linksCrossRef" number="0"></count></countGroup><titleGroup><title type="main">Clinical outcomes of three Parkinson's disease patients treated with mandibular implant overdentures</title><title type="shortAuthors">Heckmann et al.</title><title type="short">Outcome of 3 PD patients treated with mandibular overdentures</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1"><personName><givenNames>Siegfried Martin</givenNames><familyName>Heckmann</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a2"><personName><givenNames>Josef Georg</givenNames><familyName>Heckmann</familyName></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a3"><personName><givenNames>Hans‐Peter</givenNames><familyName>Weber</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="a1"><unparsedAffiliation>School of Dental Medicine and</unparsedAffiliation></affiliation><affiliation xml:id="a2"><unparsedAffiliation>Department of Neurology, University of Erlangen‐Nuremberg;</unparsedAffiliation></affiliation><affiliation xml:id="a3" countryCode="US"><unparsedAffiliation>Department of Restorative Dentistry, Harvard School of Dental Medicine, Boston, Massachusetts, USA</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">endosseous implant</keyword><keyword xml:id="k2">chewing ability</keyword><keyword xml:id="k3">Parkinson's disease</keyword><keyword xml:id="k4">telescopic coping</keyword><keyword xml:id="k5">improved nutrition</keyword><keyword xml:id="k6">digestion</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><p>Parkinson's disease (PD) often affects the oro‐pharyngeal musculature, leading to problems with speaking, chewing and swallowing. The inevitable reduction in food and fluid intake contributes to the further deterioration of neurological symptoms. Parkinson's disease patients have great difficulties in adjusting to the use of complete dentures. It is the purpose of this report to evaluate the benefit of using dental implants combined with overdentures to improve chewing and predigestion capacity in severely handicapped PD patients. Three edentulous PD patients (2 male, 1 female; mean age 75.7 years; mean PD duration 4.3 years; PD severity grade III according to Hoehn and Yahr; mean edentulousness 19.3 years) complaining of poor chewing ability were included in this evaluation. One‐stage dental implants were placed in the interforaminal region of the mandible. After completion of healing, new overdentures were fabricated. Custom‐made non‐rigid (resilient) telescopic attachments were used for retention of the overdentures on the implants. Follow‐up examinations of the 3 patients were made between 28 and 42 months after the completion of treatment, and peri‐implant tissue conditions as well as the patients' self‐assessed satisfaction level were recorded. A modified gastrointestinal symptoms questionnaire, Hoehn and Yahr Scale and body weight measurements were used to monitor gastrointestinal impairment and PD severity. The peri‐implant parameters indicated healthy soft tissue conditions and all Periotest values were in the negative range. The patients judged their chewing abilities to be greatly improved. Since placing the implants, PD severity had deteriorated to grade IV (Hoehn and Yahr scale) in 2 patients and was stable in 1 patient. The body weight had improved slightly in all patients (mean 2.2 kg). On the gastrointestinal scale, all patients had improved from a mean score of 8.7 to 5.7. Non‐rigid telescopic attachments for overdenture stabilization are particularly suitable for PD patients as they are easy to handle and to clean. The patients reported remarkable improvement in their chewing ability, an assessment which would seem to be supported by the improved gastro‐intestinal index. The regimen described appears to be a useful adjunctive treatment in edentulous Parkinson's disease patients and may be considered for patients with diseases similarly affecting motor skills.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Clinical outcomes of three Parkinson's disease patients treated with mandibular implant overdentures</title></titleInfo><titleInfo type="abbreviated"><title>Outcome of 3 PD patients treated with mandibular overdentures</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Clinical outcomes of three Parkinson's disease patients treated with mandibular implant overdentures</title></titleInfo><name type="personal"><namePart type="given">Siegfried Martin</namePart><namePart type="family">Heckmann</namePart><affiliation>School of Dental Medicine and</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Josef Georg</namePart><namePart type="family">Heckmann</namePart><affiliation>Department of Neurology, University of Erlangen‐Nuremberg;</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Hans‐Peter</namePart><namePart type="family">Weber</namePart><affiliation>Department of Restorative Dentistry, Harvard School of Dental Medicine, Boston, Massachusetts, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article"></genre><originInfo><publisher>Munksgaard International Publishers</publisher><place><placeTerm type="text">Copenhagen</placeTerm></place><dateIssued encoding="w3cdtf">2000-12</dateIssued><edition>Accepted for publication 28 October 1999</edition><copyrightDate encoding="w3cdtf">2000</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="words">4103</extent></physicalDescription><abstract lang="en">Parkinson's disease (PD) often affects the oro‐pharyngeal musculature, leading to problems with speaking, chewing and swallowing. The inevitable reduction in food and fluid intake contributes to the further deterioration of neurological symptoms. Parkinson's disease patients have great difficulties in adjusting to the use of complete dentures. It is the purpose of this report to evaluate the benefit of using dental implants combined with overdentures to improve chewing and predigestion capacity in severely handicapped PD patients. Three edentulous PD patients (2 male, 1 female; mean age 75.7 years; mean PD duration 4.3 years; PD severity grade III according to Hoehn and Yahr; mean edentulousness 19.3 years) complaining of poor chewing ability were included in this evaluation. One‐stage dental implants were placed in the interforaminal region of the mandible. After completion of healing, new overdentures were fabricated. Custom‐made non‐rigid (resilient) telescopic attachments were used for retention of the overdentures on the implants. Follow‐up examinations of the 3 patients were made between 28 and 42 months after the completion of treatment, and peri‐implant tissue conditions as well as the patients' self‐assessed satisfaction level were recorded. A modified gastrointestinal symptoms questionnaire, Hoehn and Yahr Scale and body weight measurements were used to monitor gastrointestinal impairment and PD severity. The peri‐implant parameters indicated healthy soft tissue conditions and all Periotest values were in the negative range. The patients judged their chewing abilities to be greatly improved. Since placing the implants, PD severity had deteriorated to grade IV (Hoehn and Yahr scale) in 2 patients and was stable in 1 patient. The body weight had improved slightly in all patients (mean 2.2 kg). On the gastrointestinal scale, all patients had improved from a mean score of 8.7 to 5.7. Non‐rigid telescopic attachments for overdenture stabilization are particularly suitable for PD patients as they are easy to handle and to clean. The patients reported remarkable improvement in their chewing ability, an assessment which would seem to be supported by the improved gastro‐intestinal index. The regimen described appears to be a useful adjunctive treatment in edentulous Parkinson's disease patients and may be considered for patients with diseases similarly affecting motor skills.</abstract><subject lang="en"><genre>Keywords</genre><topic>endosseous implant</topic><topic>chewing ability</topic><topic>Parkinson's disease</topic><topic>telescopic coping</topic><topic>improved nutrition</topic><topic>digestion</topic></subject><relatedItem type="host"><titleInfo><title>Clinical Oral Implants Research</title></titleInfo><genre type="Journal">journal</genre><identifier type="ISSN">0905-7161</identifier><identifier type="eISSN">1600-0501</identifier><identifier type="DOI">10.1111/(ISSN)1600-0501</identifier><identifier type="PublisherID">CLR</identifier><part><date>2000</date><detail type="volume"><caption>vol.</caption><number>11</number></detail><detail type="issue"><caption>no.</caption><number>6</number></detail><extent unit="pages"><start>566</start><end>571</end><total>6</total></extent></part></relatedItem><identifier type="istex">98563C64B66396765B0B0DF0E1B343820D110D81</identifier><identifier type="DOI">10.1034/j.1600-0501.2000.011006566.x</identifier><identifier type="ArticleID">clr9o546</identifier><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>Munksgaard International Publishers</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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