An eight-year follow-up to a randomized clinical trial of aftercare and cost-analysis with three types of mandibular implant-retained overdentures

An eight-year follow-up to a randomized clinical trial of aftercare and cost-analysis with three types of mandibular implant-retained overdentures
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DOI:
10.1177/154405910708600315
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发表时间:
2007-03-01
影响因子:
7.6
通讯作者:
van Waas, M. A. J.
van Waas, M. A. J.
中科院分区:
医学1区
文献类型:
--
作者:
Stoker, G. T.;Wismeijer, D.;van Waas, M. A. J.

文献摘要

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下颌种植覆盖义齿提高了无牙个体的满意度和生活质量。长期的护理和费用可能取决于覆盖义齿的类型。110人接受了3种类型的种植体固位覆盖义齿,随机分配,并进行评价方面的善后和成本。随访时间为8年,仅7例脱落。术后护理的直接成本无显著差异(Kruskal-Wallis检验)(p = 0.94)。初始成本占总成本的75%,与2个种植体上有一个杆的组和2个种植体上有球附着体的组相比,4个种植体上有一个杆的组的初始成本显著更高(p = 0.018)。最后一组需要更多的修复师与患者的后续护理联系,主要是为了重新调整固位系统。可以得出结论,覆盖义齿与酒吧2种植体可能是最有效的长期。
Mandibular implant overdentures increase satisfaction and the quality of life of edentulous individuals. Long-term aftercare and costs may depend on the type of overdentures. One hundred and ten individuals received one of 3 types of implant-retained overdentures, randomly assigned, and were evaluated with respect to aftercare and costs. The follow-up time was 8 years, with only seven drop-outs. No significant differences (Kruskal-Wallis test) were observed for direct costs of aftercare (p = 0.94). The initial costs constituted 75% of the total costs and were significantly higher in the group with a bar on 4 implants, compared with the group with a bar on 2 implants and the group with ball attachments on 2 implants (p = 0.018). The last group needed a significantly higher number of prosthodontistpatient aftercare contacts, mostly for re-adjustment of the retentive system. It can be concluded that an overdenture with a bar on 2 implants might be the most efficient in the long term.