title: The use of the transmandibular implant system in extreme atrophy of the mandible; a retrospective study of the results in two different hospital situations.
abstract: This retrospective study aims to investigate and compare the results obtained with the transmandibular implant (TMI) in two different hospital situations. Group I were patients treated in a teaching hospital since 1984 by a varying group of surgeons and prosthodontists with a varying degree of experience with the TMI. Group II were patients treated in 1993 and 1994 by experienced surgeons and prosthodontists in the hospital where the TMI was originally developed. In group I, a relatively high frequency of reversible (45.4%) and irreversible--i.e. implant loss--(15.2%) complications occurred. In group II, no implants were lost and reversible complications were reported in 10.8% of the patients. In general, the patients of both groups were quite satisfied with the result of the treatment. In both groups, limited bone loss around the implant posts could be observed. An increase in the height of the mandibular bone distal of the lateral posts was frequently observed, especially in group II. It is concluded that both very favourable and less favourable results can be obtained with the TMI. In this study the best results are found in a highly specialized TMI centre, where patients are treated--with only uncompromised implant-posts--by a small group of experienced surgeons and prosthodontics with accurate application of the existing guidelines.
authors: Department of Oral and Maxillofacial Surgery, Prosthodontics and Special Dental Care, University Medical Centre, Utrecht, The Netherlands. M.S.Cune@med.uu.nl
authors: J W
authors: JW
authors: Verhoeven
authors: M S
authors: MS
authors: Cune
authors: F M
authors: FM
authors: Van Kampen
authors: R
authors: R
authors: Koole
mesh_terms: D001284:Atrophy; D002508:Cephalometry; D016009:Chi-Square Distribution; D003758:Dental Implantation, Endosseous / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D015921:Dental Implants / Q000009:adverse effects; D017267:Dental Prosthesis Design; D019094:Dental Prosthesis, Implant-Supported; D019232:Dental Restoration Failure; D003781:Denture Retention; D005260:Female; D006784:Hospitals, Teaching; D006801:Humans; D008297:Male; D008334:Mandible / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D008340:Mandibular Nerve / Q000502:physiology; D008875:Middle Aged; D017060:Patient Satisfaction; D011862:Radiography, Panoramic; D015203:Reproducibility of Results; D012189:Retrospective Studies; D013223:Statistics as Topic; D018709:Statistics, Nonparametric; D016019:Survival Analysis; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D015921:Dental Implants