种植保留下颌覆盖义齿:7年后患者功能相关的结果测量

IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE
Jan D'haese, C. Matthys, H. Sahak, Jos Besseler, H. De Bruyn
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引用次数: 1

摘要

假牙佩戴者经常抱怨由于缺乏义齿固位而损害功能和降低生活质量。种植体保留下颌覆盖假牙,在两个非连接种植体上(2IOD)是克服这些问题的行之有效的解决方案。我们前瞻性地评估了69例患者,并仔细检查了临床记录,直到至少7年的功能。36只保留在Locator®基台(LA)上,30只保留在Ball基台(BA)上。对两种系统的类型、数量和所需维护的总成本进行了比较。一颗植入物丢失,7年后存活率为98.7%。总共发生了438个技术问题:BA有121个(27.35%),LA有317个(72.4%)。其中,343例(78%)在椅子旁得到解决:191例(43.6%)更换固定帽,113例(25.8%)进行小型丙烯酸修复,26例(5.9%)必须缓解压疮,13例(3%)与基台有关。LA组需要179个插入物更换,而BA组只需要12个。总体初始治疗费用为3850欧元(分析基准年:2003年)。LA组和BA组的平均总维护成本相对于初始成本分别为19.11%(范围0-82.24%)和18.91%(范围0-113.26%)(p = 0.540)。结论:在定期检查和专业维护的情况下,2IOD的7年维护费用是可以接受的。大多数事件都很容易解决,但少数患者需要更昂贵的干预措施,无论使用哪种附件。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Implant-Retained Mandibular Overdentures: Patient-Related Outcome Measurements after Seven Years of Function
Denture wearers often complain about jeopardized function and reduced quality of life due to lack of prosthesis’ retention. Implant-retained mandibular overdentures, on two non-connected implants (2IOD) are well-proven solutions to overcome these issues. We prospectively assessed 69 patients and scrutinized clinical records until at least seven years of function. Thirty-six were retained on Locator® Abutments (LA) and thirty-tree on Ball Abutments (BA). Both systems were compared regarding the type, amount, and total cost of required maintenance. One implant was lost, yielding 98.7% survival after seven years. In total, 438 technical issues occurred: 121 (27.35%) in BA and 317 (72.4%) in LA. Out of these, 343 events (78%) were solved chairside: 191 (43.6%) were replacements of retention caps, 113 (25.8%) were minor acrylic repairs, 26 (5.9%) pressure ulcers had to be relieved, and 13 (3%) were related to abutments. LA required 179 insert replacements compared to 12 in the BA group. The overall initial treatment cost was EUR 3850 (base year of the analysis: 2003). The average total maintenance cost in relation to the initial cost for the LA and BA groups was 19.11 (range 0–82.24%) and 18.91% (range 0–113.26%) respectively (p = 0.540). Conclusions: The seven-year maintenance costs for a 2IOD is acceptable when the patient is regularly checked and professionally maintained. Most events are easily solvable chairside, but a few patients required more expensive interventions, regardless of the type of attachment used.
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来源期刊
Open Dentistry Journal
Open Dentistry Journal DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
2.00
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