Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2009-4-29
pubmed:abstractText
Success rates for both periodontal and implant therapy are often dependent on site and tooth type. For periodontally involved mandibular molars, the decision to hemisect or to extract and place an implant is often complicated. The purpose of the present study was to evaluate the outcomes of the aforementioned treatment modalities for mandibular molars in a private practice setting. A retrospective chart review was performed. In one group of patients (n = 32), 56 mandibular first or first and second molars were treated by hemisection (Group H). A second group (n = 28) received 36 implants in the mandible to replace periodontally involved first or first and second molars (Group I). All patients had been in maintenance for at least 4 years after treatment. The occurrence and timing of posttreatment complications were evaluated. Data were analyzed by parametric and nonparametric statistics, as indicated. The majority of hemisected teeth (68% of Group H) and implants (89% of Group I) remained free of complications for the entire observation period. Group H had a greater incidence of overall complications (P = .027) and nonsalvageable complications (P = .013) than Group I. For both groups, the percent CAL loss per year was greater for the teeth/implants that experienced complications than in the those that remained complication free (p < 0.015). Within the limitations of this study, the results indicated that, in periodontitis patients, hemisected mandibular molars were more prone to complications than implants.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
D
pubmed:status
MEDLINE
pubmed:issn
0160-6972
pubmed:author
pubmed:issnType
Print
pubmed:volume
35
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
52-62
pubmed:meshHeading
pubmed-meshheading:19400059-Adult, pubmed-meshheading:19400059-Aged, pubmed-meshheading:19400059-Dental Implantation, Endosseous, pubmed-meshheading:19400059-Dental Implants, Single-Tooth, pubmed-meshheading:19400059-Dental Restoration, Permanent, pubmed-meshheading:19400059-Dental Restoration Failure, pubmed-meshheading:19400059-Female, pubmed-meshheading:19400059-Furcation Defects, pubmed-meshheading:19400059-Humans, pubmed-meshheading:19400059-Longitudinal Studies, pubmed-meshheading:19400059-Male, pubmed-meshheading:19400059-Mandible, pubmed-meshheading:19400059-Middle Aged, pubmed-meshheading:19400059-Molar, pubmed-meshheading:19400059-Periodontal Attachment Loss, pubmed-meshheading:19400059-Postoperative Complications, pubmed-meshheading:19400059-Retrospective Studies, pubmed-meshheading:19400059-Statistics, Nonparametric, pubmed-meshheading:19400059-Tooth, Nonvital, pubmed-meshheading:19400059-Tooth Extraction, pubmed-meshheading:19400059-Tooth Root, pubmed-meshheading:19400059-Treatment Outcome
pubmed:year
2009
pubmed:articleTitle
Mandibular molar root resection versus implant therapy: a retrospective nonrandomized study.
pubmed:affiliation
Department of Operative Dentistry, University of Mainz, Germany.
pubmed:publicationType
Journal Article, Clinical Trial, Comparative Study