PMID- 11203648 OWN - NLM STAT- MEDLINE DCOM- 20010222 LR - 20041117 IS - 0893-2174 (Print) IS - 0893-2174 (Linking) VI - 13 IP - 4 DP - 2000 Jul-Aug TI - Changes in the provision of implant-supported prostheses at the Academic Centre for Dentistry Amsterdam (ACTA) from 1989 to 1995. PG - 316-20 AB - PURPOSE: Over the last decade, oral implantology has become a major treatment modality to aid the restoration of reduced dentitions. The present study monitored and quantified changes within a 5-year interval (1989-1991 [denoted as 1990*] to 1995) in the provision of different types of implant-supported superstructures and characteristics of recipient patients at the Academic Centre for Dentistry Amsterdam (ACTA). MATERIALS AND METHODS: All patients who received oral implants in 1990* and in 1995 were selected, and their files (95 and 105, respectively) were consulted. Data of interest were retrieved retrospectively, compared, and statistically analyzed using Chi-squared tests. RESULTS: A number of statistically significant differences was apparent between these 2 periods. By 1995 there was a threefold increase in both the number of patients and the number of implants placed per year. The patient group of < or = 40 years of age had significantly increased, from 7% to 23%. Also, in 1995 more maxillae were implanted than in 1990* (44% vs 26%). Whereas the majority of implanted patients was edentulous in 1990* (64%), the majority in 1995 was partially edentulous (60%). By 1995, the new technique of guided bone regeneration (GBR) using membranes was evidenced (no GBR in 1990* vs 33% of all patients in 1995 receiving some form of local GBR therapy). With respect to the type of superstructures, there was a strong increase in the number of single-tooth replacements (from 4% to 23%). In the edentulous group, the majority of superstructures in 1990 was fixed prostheses (64%), whereas in 1995 the majority was overdentures (71%). CONCLUSION: Major changes in oral implantology treatments were noticed between the 1990* and 1995 periods at ACTA. There is a trend toward implanting younger patients for partial implant-supported reconstructions using more regenerative procedures and with a more equal distribution in the maxilla and mandible. FAU - Van der Zee, E AU - Van der Zee E AD - Oral Implantology Group, Department of Oral Function, Academic Centre for Dentistry Amsterdam (ACTA), Louwesweg 1, 1068 EA Amsterdam, The Netherlands. E.vd.Zee@acta.nl FAU - Van Waas, M AU - Van Waas M FAU - Broek, M AU - Broek M FAU - Van der Mieden van Opmeer, R AU - Van der Mieden van Opmeer R LA - eng PT - Journal Article PL - United States TA - Int J Prosthodont JT - The International journal of prosthodontics JID - 8900938 RN - 0 (Dental Implants) MH - Academic Medical Centers/statistics & numerical data MH - Adult MH - Age Distribution MH - Alveolar Ridge Augmentation/statistics & numerical data MH - Chi-Square Distribution MH - Dental Implants/*statistics & numerical data MH - Dental Implants, Single-Tooth/statistics & numerical data MH - Dental Prosthesis Design/*statistics & numerical data MH - Dental Prosthesis, Implant-Supported/*statistics & numerical data MH - Denture, Partial/statistics & numerical data MH - Female MH - Guided Tissue Regeneration, Periodontal/statistics & numerical data MH - Humans MH - Jaw, Edentulous, Partially/*epidemiology/rehabilitation MH - Male MH - Mandible MH - Maxilla MH - Middle Aged MH - Netherlands/epidemiology MH - Retrospective Studies MH - Sex Distribution EDAT- 2001/02/24 12:00 MHDA- 2001/03/03 10:01 CRDT- 2001/02/24 12:00 PHST- 2001/02/24 12:00 [pubmed] PHST- 2001/03/03 10:01 [medline] PHST- 2001/02/24 12:00 [entrez] PST - ppublish SO - Int J Prosthodont. 2000 Jul-Aug;13(4):316-20.