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SPLIMP : Simultane botsplijting en implantaatplaatsing in de edentate bovenkaak ; Het evalueren van implantaten en prothetiek bij patiënten met een Cawoord IV of V geclassificeerde edentate bovenkaak na plaatsen van implantaten in combinatie met botsplijt

(2016) Bouwman, L. (Loulou)

Objective: To evaluate the long-term outcomes of implant-supported maxillary overdenture, of simultaneous implant placement with the alveolar ridge expansion technique in the maxilla with insufficiency of alveolar ridges (SPLIMP) and the oral health –related quality of life (OHRQoL) of these patients.
Materials and methods: 22 patients of the Spaarne Gasthuis in Haarlem and Hoofddorp and the Red Cross Hospital in Beverwijk with insufficiency of alveolar ridges were treated using the SPLIMP technique participated in this study. The OHRQoL was determined by the patients at home. The clinical examination includes evaluation of implants osseo-integration, a X-ray was made to evaluate the bone loss comparing to the first taken X-ray taken after SPLIMP. Paired samples t-test was used to compare means. Also the effect of different bone augmentation materials and a resorbable membrane was evaluated using an ANOVA test.
Results: All implants were osseointegrated and no implant was lost. Regarding the bone loss, no significant differences were found between additional bone augmentation materials and without additional materials, Also no significant difference was found if a resorbable membrane was used.
Conclusions: Within the limitations of this study, SPLIMP has a high survival rate. The procedure seems to be save and predictable. Patients receiving implant-supported maxillary overdenture after SPLIMP have low scores on the OHIP-NL49.





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