Advertisement

Stellenwert oraler Implantate im Rahmen der Gesundheitsversorgung

  • F. Schwarz
  • H. Terheyden
Leitthema

Zusammenfassung

Enossale zahnärztliche Implantate stellen heutzutage eine wissenschaftlich dokumentierte Therapiemethode zum Ersatz fehlender Zähne dar. Zahlreiche Untersuchungen belegen, dass die Patientenakzeptanz und mundgesundheitsbezogene Lebensqualität durch einen implantatgetragenen Zahnersatz im zahnlosen Kieferbereich, auch unter Berücksichtigung ökonomischer Aspekte, im Vergleich zur konventionellen prothetischen Versorgung verbessert werden kann. Den sehr hohen Überlebensraten zahnärztlicher Implantate steht eine ansteigende Prävalenz periimplantärer Erkrankungen gegenüber. Konzepte zur Qualitätssicherung im Bereich der Aus- und Weiterbildung sowie zur Stärkung eines fachübergreifenden Forschungs- und Versorgungskonzeptes sind zur weiteren Verbesserung der Gesundheitsversorgung mit zahnärztlichen Implantaten von fundamentaler Bedeutung.

Schlüsselwörter

Zahnärztliche Implantate Mundgesundheitsbezogene Lebensqualität Ökonomische Aspekte Periimplantäre Erkrankungen 

Significance of dental implants for health care

Abstract

Nowadays, endosseous titanium implants must be considered as an evidence-based treatment concept for the replacement of missing teeth. The economic evaluation of scientific evidence suggests that patient satisfaction and oral health-related quality of life may be improved by mandibular implant-retained overdentures over conventional dentures. However, despite promising survival rates reported for dental implants, an increase in the prevalence of peri-implant diseases is emerging. Accordingly, concepts for quality management in education, research, and practice are essential to further improve medical care in implant dentistry.

Keywords

Dental implants Oral health-related quality of life Economic aspects Peri-implant diseases 

Notes

Interessenkonflikt

Der korrespondierende Autor weist auf folgende Beziehung hin: Beide Autoren sind Vorstandsmitglieder der Deutschen Gesellschaft für Implantologie im Zahn-, Mund- und Kieferbereich e.V.

Literatur

  1. 1.
    World Health Organization (2001) International classification of functioningGoogle Scholar
  2. 2.
    Guckes AD, MS Scurria, Shugars DA (1996) A conceptual framework for understanding outcomes of oral implant therapy. J Prosthet Dent 75(6):633–639PubMedCrossRefGoogle Scholar
  3. 3.
    Lewis DW (1998) Optimized therapy for the edentulous predicament: cost-effectiveness considerations. J Prosthet Dent 79(1):93–99PubMedCrossRefGoogle Scholar
  4. 4.
    Micheelis W, Schiffner U (2006) Vierte Deutsche Mundgesundheitsstudie (DMS IV). Institut der deutschen Zahnärzte (IDZ),Google Scholar
  5. 5.
    Petersen PE (2003) The World Oral Health Report 2003: continuous improvement of oral health in the 21st century-the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol 31(Suppl 1):3–23PubMedCrossRefGoogle Scholar
  6. 6.
    Wissenschaftliche Stellungnahme der Deutschen Gsellschaft für Zahn- Mund- und Kieferheilkunde und Deutschen Gesellschaft für Implantologie im Zahn- M-uK (2005) Implantologie in der Zahnheilkunde. Dtsch Zahnärztl Z 60(8):915–916Google Scholar
  7. 7.
    Jensen SS, Terheyden H (2009) Bone augmentation procedures in localized defects in the alveolar ridge: clinical results with different bone grafts and bone-substitute materials. Int J Oral Maxillofac Implants 24(Suppl):218–236PubMedGoogle Scholar
  8. 8.
    Donos N, Mardas N, Chadha V (2008) Clinical outcomes of implants following lateral bone augmentation: systematic assessment of available options (barrier membranes, bone grafts, split osteotomy). J Clin Periodontol 35(Suppl 8):173–202PubMedCrossRefGoogle Scholar
  9. 9.
    EDI B (2008) Indikationsklassen für Regelfallversorgungen in der ImplantologieGoogle Scholar
  10. 10.
    Awad MA, Lund JP, Dufresne E et al (2003) Comparing the efficacy of mandibular implant-retained overdentures and conventional dentures among middle-aged edentulous patients: satisfaction and functional assessment. Int J Prosthodont 16(2):117–122PubMedGoogle Scholar
  11. 11.
    Allen PF, McMillan AS, Walshaw D (2001) A patient-based assessment of implant-stabilized and conventional complete dentures. J Prosthet Dent 85(2):141–147PubMedCrossRefGoogle Scholar
  12. 12.
    Awad MA, Lund JP, Shapiro SH et al (2003) Oral health status and treatment satisfaction with mandibular implant overdentures and conventional dentures: a randomized clinical trial in a senior population. Int J Prosthodont 16(4):390–396PubMedGoogle Scholar
  13. 13.
    Slade GD (1997) Derivation and validation of a short-form oral health impact profile. Community Dent Oral Epidemiol 25(4):284–290PubMedCrossRefGoogle Scholar
  14. 14.
    Emami E, Heydecke G, Rompre PH et al (2009) Impact of implant support for mandibular dentures on satisfaction, oral and general health-related quality of life: a meta-analysis of randomized-controlled trials. Clin Oral Implants Res 20(6):533–544PubMedGoogle Scholar
  15. 15.
    Brennan M, Houston F, O’Sullivan M et al (2010) Patient satisfaction and oral health-related quality of life outcomes of implant overdentures and fixed complete dentures. Int J Oral Maxillofac Implants 25(4):791–800PubMedGoogle Scholar
  16. 16.
    Kampen FM van, Bilt A van der, Cune MS et al (2004) Masticatory function with implant-supported overdentures. J Dent Res 83(9):708–711PubMedCrossRefGoogle Scholar
  17. 17.
    Fontijn-Tekamp FA, Slagter AP, Van Der Bilt A et al (2000) Biting and chewing in overdentures, full dentures, and natural dentitions. J Dent Res 79(7):1519–1524PubMedCrossRefGoogle Scholar
  18. 18.
    Wismeijer D, Van Waas MA, Vermeeren JI et al (1997) Patient satisfaction with implant-supported mandibular overdentures. A comparison of three treatment strategies with ITI-dental implants. Int J Oral Maxillofac Surg 26(4):263–267PubMedCrossRefGoogle Scholar
  19. 19.
    Miura H, Yamasaki K, Kariyasu M et al (2003) Relationship between cognitive function and mastication in elderly females. J Oral Rehabil 30(8):808–811PubMedCrossRefGoogle Scholar
  20. 20.
    Kim JM, Stewart R, Prince M et al (2007) Dental health, nutritional status and recent-onset dementia in a Korean community population. Int J Geriatr Psychiatry 22(9):850–855PubMedCrossRefGoogle Scholar
  21. 21.
    Zitzmann NU, Sendi P, Marinello CP (2005) An economic evaluation of implant treatment in edentulous patients-preliminary results. Int J Prosthodont 18(1):20–27PubMedGoogle Scholar
  22. 22.
    Attard NJ, Laporte A, Locker D et al (2006) A prospective study on immediate loading of implants with mandibular overdentures: patient-mediated and economic outcomes. Int J Prosthodont 19(1):67–73PubMedGoogle Scholar
  23. 23.
    Takanashi Y, Penrod JR, Lund JP et al (2004) A cost comparison of mandibular two-implant overdenture and conventional denture treatment. Int J Prosthodont 17(2):181–186PubMedGoogle Scholar
  24. 24.
    Wijk P van der, Bouma J, Waas MA van et al (1998) The cost of dental implants as compared to that of conventional strategies. Int J Oral Maxillofac Implants 13(4):546–553PubMedGoogle Scholar
  25. 25.
    Heydecke G, Penrod JR, Takanashi Y et al (2005) Cost-effectiveness of mandibular two-implant overdentures and conventional dentures in the edentulous elderly. J Dent Res 84(9):794–799PubMedCrossRefGoogle Scholar
  26. 26.
    Lang NP, Berglundh T, Heitz-Mayfield LJ et al (2004) Consensus statements and recommended clinical procedures regarding implant survival and complications. Int J Oral Maxillofac Implants 19(Suppl):150–154PubMedGoogle Scholar
  27. 27.
    Zurdo J, Romao C, Wennstrom JL (2009) Survival and complication rates of implant-supported fixed partial dentures with cantilevers: a systematic review. Clin Oral Implants Res 20(Suppl 4):59–66PubMedCrossRefGoogle Scholar
  28. 28.
    Gallucci GO, Morton D, Weber HP (2009) Loading protocols for dental implants in edentulous patients. Int J Oral Maxillofac Implants 24(Suppl):132–146PubMedGoogle Scholar
  29. 29.
    Lindhe J, Meyle J (2008) Peri-implant diseases: Consensus Report of the Sixth European Workshop on Periodontology. J Clin Periodontol 35(Suppl 8):282–285PubMedCrossRefGoogle Scholar
  30. 30.
    Heitz-Mayfield LJ (2008) Peri-implant diseases: diagnosis and risk indicators. J Clin Periodontol 35(Suppl 8):292–304PubMedCrossRefGoogle Scholar
  31. 31.
    Mombelli A, Décaillet F (2011) The characteristics of biofilms in peri-implant disease. J Clin Periodontol 38(Suppl 11):203–213PubMedCrossRefGoogle Scholar
  32. 32.
    Berglundh T, Lindhe J, Marinello C et al (1992) Soft tissue reaction to de novo plaque formation on implants and teeth. An experimental study in the dog. Clin Oral Implants Res 3(1):1–8PubMedCrossRefGoogle Scholar
  33. 33.
    Albouy JP, Abrahamsson I, Persson LG et al (2011) Implant surface characteristics influence the outcome of treatment of peri-implantitis: an experimental study in dogs. J Clin Periodontol 38(1):58–64PubMedCrossRefGoogle Scholar
  34. 34.
    Fransson C, Tomasi C, Pikner SS et al (2010) Severity and pattern of peri-implantitis-associated bone loss. J Clin Periodontol 37(5):442–448PubMedCrossRefGoogle Scholar
  35. 35.
    Renvert S, Roos-Jansaker AM, Claffey N (2008) Non-surgical treatment of peri-implant mucositis and peri-implantitis: a literature review. J Clin Periodontol 35(Suppl 8):305–315PubMedCrossRefGoogle Scholar
  36. 36.
    Lang NP, Berglundh T (2011) Peri-implant diseases – Consensus report of the 7th European Workshop on Periodontology. J Clin Periodontol 38(Suppl 11):178–181PubMedCrossRefGoogle Scholar
  37. 37.
    Claffey N, Clarke E, Polyzois I et al (2008) Surgical treatment of peri-implantitis. J Clin Periodontol 35(Suppl 8):316–332PubMedCrossRefGoogle Scholar
  38. 38.
    Schwarz F, Sahm N, Iglhaut G et al (2011) Impact of the method of surface debridement and decontamination on the clinical outcome following combined surgical therapy of peri-implantitis: a randomized controlled clinical study. J Clin Periodontol 38:276–284PubMedCrossRefGoogle Scholar
  39. 39.
    Zitzmann NU, Berglundh T (2008) Definition and prevalence of peri-implant diseases. J Clin Periodontol 35(Suppl 8):286–291PubMedCrossRefGoogle Scholar
  40. 40.
    Bornstein MM, Cionca N, Mombelli A (2009) Systemic conditions and treatments as risks for implant therapy. Int J Oral Maxillofac Implants 24(Suppl):12–27PubMedGoogle Scholar
  41. 41.
    Holtfreter B, Kocher T, Hoffmann T et al (2010) Prevalence of periodontal disease and treatment demands based on a German dental survey (DMS IV). J Clin Periodontol 37(3):211–219PubMedCrossRefGoogle Scholar
  42. 42.
    Bundeszahnärztekammer. Statistisches Jahrbuch 09/10.Google Scholar
  43. 43.
    Bader JD, Shugars DA (1995) Variation, treatment outcomes, and practice guidelines in dental practice. J Dent Educ 59(1):61–95PubMedGoogle Scholar

Copyright information

© Springer Medizin Verlag 2011

Authors and Affiliations

  1. 1.Poliklinik für Zahnärztliche Chirurgie und AufnahmeWestdeutsche Kieferklinik, Heinrich Heine UniversiätDüsseldorfDeutschland
  2. 2.Klinik für Mund-Kiefer-GesichtschirurgieRotes Kreuz KrankenhausKasselDeutschland

Personalised recommendations