Mucosal Manifestations in the Edentulous Maxilla with Implant Supported Prostheses: Clinical Results from a Well-Maintained Patient Cohort.

Ebinger, Andreas; Katsoulis, Joannis; Hakimi, Mariam; Mazzi, Davide; Mericske, Regina (2016). Mucosal Manifestations in the Edentulous Maxilla with Implant Supported Prostheses: Clinical Results from a Well-Maintained Patient Cohort. Clinical implant dentistry and related research, 18(4), pp. 639-648. Blackwell 10.1111/cid.12345

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BACKGROUND Prostheses in the edentulous maxilla affect the mucosa. PURPOSE To evaluate mucosal alterations with implant supported fixed prostheses (FDP) and overdentures (IOD). MATERIAL AND METHODS Patients receiving prostheses during a time period of 10 years were recruited. Maxillary mucosal conditions in relation to FDPs, IODs were analyzed. Peri-implant parameters were measured and the Oral Health Impact Profile (OHIP) was administered. RESULTS One hundred seven patients wearing 74 IODs and 33 FDPs were identified with a total of 519 implants, the mean observation time was 6.5 ± 2.7. Cumulative implant survival was 93%. Erythema and hyperplastic tissue were identified in 71% of the IOD wearers, but were mostly absent with FDPs. The peri-implant parameters demonstrated healthy peri-implant mucosa. Medication and smoking had no effect on mucosal alteration (OR = 1.065 and 1.568). The average OHIP value was 3.73 ± 4.12. A lower value (p < 0.0048) was found for FDPs and one type of IOD. CONCLUSIONS A rigorous maintenance program did not prevent IOD mucosal alterations in IOD wearers, but the health of the peri-implant mucosa was maintained and was comparable for all types of prostheses.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > School of Dental Medicine > Clinic of Reconstructive Dentistry and Gerodontology

UniBE Contributor:

Katsoulis, Joannis and Mericske, Regina

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1523-0899

Publisher:

Blackwell

Language:

English

Submitter:

Eveline Carmen Schuler

Date Deposited:

23 Jan 2017 09:37

Last Modified:

11 Sep 2017 20:49

Publisher DOI:

10.1111/cid.12345

PubMed ID:

25891301

Uncontrolled Keywords:

denture base, edentulous maxilla, fixed implant prosthesis, implant survival, overdenture

BORIS DOI:

10.7892/boris.91312

URI:

https://boris.unibe.ch/id/eprint/91312

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