Implantaatgedragen gebitsprothesen bij kwetsbare ouderen

Er is nog weinig onderzoek gedaan naar de resultaten van implantaatgedragen partiële en volledige gebitsprothesen bij kwetsbare ouderen (80+). Een zorgvuldig uitgevoerd Zweedse onderzoek voorziet in deze leemte. Ruim 260 kwetsbare ouderen werden na de plaatsing van een implantaatgedragen gebitsprothese 5 jaar lang gevolgd. De resultaten werden vergeleken met de bevindingen van een controlegroep met een volledige gebitsprothese. De klinische en radiologische resultaten van beide groepen laten geen grote verschillen zien.

Knowledge on implant treatment in the partially edentulous patient is low for elderly patients aged 80 years or older at inclusion. The objective of this study was to report and compare the clinical and radiological performance of implant treatment in edentulous and partially edentulous elderly patients during 5 years in function. and: Altogether, 192 edentulous (control) and 72 partially edentulous (study) patients, consecutively treated and provided with 1,091 and 265 Brånemark implants, respectively, were included during a period between January 1986 and December 2003, and followed-up for 5 years. Clinical information was retrospectively retrieved from patient files and intraoral radiographs were analyzed for examinations at prosthesis placement and after 1 and 5 years in function. Altogether, 92 (48%) control and 24 (33%) study patients were lost to follow-up during the 5-year period. In total, 13 (4.9%) and 26 (2.4%) implants were in the study and control groups, respectively, were lost during follow-up, resulting in a comparable 5-year implant cumulative survival rate ranging from 93.9% to 99.3% for upper and lower jaws for study and control groups, respectively. Comparable mean marginal bone loss during 5 years, ranging from 0.4 mm to 0.6 mm, was also observed in the groups. The most common complications for patients in both study and control group were soft tissue inflammation (mucositis). Patients included in the first years of the inclusion (1986-1991) period showed comparable results as patient included at the last part of the inclusion period (1998-2003). Implant treatment in the partially edentulous elderly patients showed comparable clinical and radiographic results as elderly patients treated in the edentulous jaw.

Bron

Kowar J, Eriksson A, Jemt T. Fixed implant-supported prostheses in elderly patients: A 5-year retrospective comparison between partially and completely edentulous patients aged 80 years or older at implant surgery. Clin Implant Dent Relat Res 2013; 15: 37-46. doi: 10.1111/j.1708-8208.2010.00329.x. Epub 2011 Mar 17.