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Reparaturanfälligkeit von steg-, teleskop- und kugelkopfretinierten Implantat-Suprastrukturen bei der Versorgung zahnloser Unterkiefer – eine vergleichende Literaturstudie (German Edition) Pdf

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Book Description:

Wissenschaftlicher Aufsatz aus dem Jahr 2011 im Fachbereich Medizin – Zahnmedizin, Discover: keine, , Sprache: Deutsch, Abstract: In einer Literaturrecherche wurden die Ergebnisse bei der Versorgung des Unterkiefers mit steg-, kugelkopf- und konuskronenretinierten Suprastrukturen auf Implantaten ausgewertet. Es wurden 35 klinische Studien ausgewertet, von denen eighty % der Evidenzstufe IIb und 20 % der Evidenzstufe IIIb entsprachen. Als Zielkriterium wurde das Retentionsvermögen gewählt.

Der Reparaturaufwand ist im Mittel am geringsten bei Stegen, gefolgt von Kugelköpfen und Konuskronen. Bei Stegen stellen die Aktivierung der Stegreiter und bei Kugelköpfen der Austausch der Matrizen häufige Maßnahmen dar, die unkompliziert und schnell durchgeführt werden können. Bei Konuskronen sind weniger häufig Reparaturen erforderlich. Allerdings ist eine Aktivierung bei Retentionsverlust nur durch vergleichsweise aufwändige Maßnahmen bis hin zur Neuanfertigung der Krone möglich, und es kommt gelegentlich zu einem Implantatbruch.

Insgesamt ist die Literaturdatenlage als nicht zufriedenstellend zu bezeichnen. Es fehlen – besonders für Konuskronen – Langzeitstudien mit größeren Fallzahlen und definierten Erfolgskriterien.




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