Online-Ressource | |
Verfasst von: | Giannakopoulos, Nikolaos Nikitas [VerfasserIn] |
Eberhard, Lydia [VerfasserIn] | |
Klotz, Anna-Luisa [VerfasserIn] | |
Oh, Keunyoung [VerfasserIn] | |
Kappel, Stefanie [VerfasserIn] | |
Titel: | Immediate and delayed loading of two-piece reduced-diameter implants with locator-analog attachments in edentulous mandibles |
Titelzusatz: | one-year results from a randomized clinical trial examining clinical outcome and patient expectation |
Verf.angabe: | Nikolaos Nikitas Giannakopoulos, PD Dr. med. dent., MSc, Kirsten Ariaans, Lydia Eberhard, Dr. med. dent., Anna‐Luisa Klotz, Dr. med. dent., Keunyoung Oh, Stefanie Kappel, PD Dr. med. dent. |
E-Jahr: | 2017 |
Jahr: | 24 April 2017 |
Umfang: | 11 S. |
Fussnoten: | Gesehen am 08.06.2018 |
Titel Quelle: | Enthalten in: Clinical implant dentistry and related research |
Ort Quelle: | Oxford [u.a.] : Wiley-Blackwell, 1999 |
Jahr Quelle: | 2017 |
Band/Heft Quelle: | 19(2017), 4, Seite 643-653 |
ISSN Quelle: | 1708-8208 |
Abstract: | Background Prosthetic management of thin alveolar ridges in the edentulous mandibles of elderly patients, especially the time of loading, the number of implants needed, and patient expectations and perception, is a challenge in implant dentistry. Purpose Survival of conventionally and immediately loaded 2-piece reduced-diameter implants in the interforaminal region of the edentulous mandible supporting locator-analog attachments was evaluated. Prosthetic complications and peri-implant hygiene were also studied, and patient expectation and subjective evaluation of the treatment were documented. Material and Methods Twenty-five patients with adapted complete dentures received 4 reduced-diameter implants. All anterior implants were immediately loaded. Three months later, patients were allocated by randomization to 1 of 2 treatment groups: 2 locator-analog attachments on the anterior implants (Group A); or 4 locator-analog attachments (Group B). After another 3 months patient allocation was changed (crossover design) for the next 3 months. Questionnaires with Likert scales and numeric rating scales were used to assess patients' expectations and subjective overdenture-related variables, respectively. Results One implant was lost in the immediate-loading group. Survival was 98% and 100% for immediate and delayed loading, respectively. During 12-month observation, 8 complications required aftercare. At the beginning of treatment, patients' expectations were highly positive. Subjective assessment of overdenture-related variables 3 months after immediate loading of 2 implants revealed a statistically significant improvement for most of the variables studied; this was maintained 1 year later. In the subjective assessments, there were no statistically significant differences between Groups A and B. Conclusion Immediate loading of reduced-diameter implants supporting locator-analog attachments resulted in high implant survival, few prosthetic complications, good oral hygiene, and improvement of subjective denture perception in the short-term. It might be a promising treatment option, especially for elderly patients with a narrow mandibular ridge. |
DOI: | doi:10.1111/cid.12489 |
URL: | Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt. Volltext ; Verlag: http://dx.doi.org/10.1111/cid.12489 |
Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1111/cid.12489 | |
DOI: https://doi.org/10.1111/cid.12489 | |
Datenträger: | Online-Ressource |
Sprache: | eng |
Sach-SW: | 2-piece implants |
edentulous mandible | |
immediate loading | |
implant survival | |
Locator® | |
overdentures | |
patient expectation | |
reduced-diameter | |
K10plus-PPN: | 1576175693 |
Verknüpfungen: | → Zeitschrift |