Open oro-nasal defects resulting after oral tumor resection need structural and functional rehabilitation using dental prostheses. Conventional removable prostheses have usually been indicated and performed for prosth...Open oro-nasal defects resulting after oral tumor resection need structural and functional rehabilitation using dental prostheses. Conventional removable prostheses have usually been indicated and performed for prosthodontics. When the patient has an edentulous maxilla, the unfavorable stability of the prosthesis will cause dysfunction of mastication and pronunciation. To achieve improvement of the impaired functional situation, implant-supported full fixed prostheses (IPSPs) for the edentulous maxilla with a removable obturator offer a reasonable solution. We present herein the case of a 70-year-old Japanese man who has presented with oro-nasal defect due to surgical procedures for oral cancer. He was treated with implant-supported full fixed prostheses in a conventional two-step procedure. After prosthesis treatment, a palatal obturator was set. The patient has shown no clinical or radiological evidence of failure as of 24 months after the end of treatment. Functional evaluation of mastication and pronunciation showed dramatic improvements. For a patient with an edentulous maxilla and palatal fistula, full-arch fixed prostheses supported by a combination of axially and non-axially positioned implants and a removable oro-nasal obturator, using the anterior alveolar bone, without bone transplantation or maxillary sinus elevation, could offer an effective, minimally invasive treatment alternative.展开更多
In order to investigate the influence of radiation therapy after the treatment of maxillary implant-supported prostheses, 27 patients received a total of 131 implants in maxilla after oral cancer treatment and/or reco...In order to investigate the influence of radiation therapy after the treatment of maxillary implant-supported prostheses, 27 patients received a total of 131 implants in maxilla after oral cancer treatment and/or reconstructive surgery. Among them, 25 received maxillary implant-supported prostheses. The cumulative survival rates of implants and prostheses were evaluated by the product-limit-estimates method according to Kaplan-Meier. The cumulative survival rate of implants and prostheses in irradiated patients was compared with that in non-irradiated patients by statistical Log-rank test. The results showed that 112 implants were observed after implant loading. The implants cumulative survival rate was approximately 65 % for overall patients. The cumulative prosthesis successful rate was approximately 88 % for all 25 patients. Log-rank test analysis revealed that there was a significant difference in cumulative implants survival rates between non-irradiated and irradiated maxillary bone (P<0. 01). It was concluded that the implants and prostheses in irradiated patients have significantly lower survival rates than in non-irradiated patients.展开更多
目的:总结基于自我管理支持的口腔健康干预促进2型糖尿病病人预后的证据,并评估此类项目的有效性。方法:系统检索the Cochrane Library、PubMed、EMbase、EBSCO、CINAHL、Web of Science、中国知网、万方数据库、中国生物医学文献数据库...目的:总结基于自我管理支持的口腔健康干预促进2型糖尿病病人预后的证据,并评估此类项目的有效性。方法:系统检索the Cochrane Library、PubMed、EMbase、EBSCO、CINAHL、Web of Science、中国知网、万方数据库、中国生物医学文献数据库,依据纳入与排除标准选取相关原始研究。结果:共纳入7项研究,其干预措施均以自我管理支持理念为核心,有效改善了口腔健康结局、血糖控制结局与一般健康结局。结论:基于自我管理支持的口腔健康干预在促进2型糖尿病病人预后中发挥着重要作用。展开更多
目的对老年痴呆患者使用口服营养补充剂(ONS)的最佳证据进行评价及总结。方法以循证“6S”证据模型为基础,通过计算机检索UpToDate数据库、BMJ Best Practice数据库、国际实践指南注册平台网站、英国卫生与临床优化研究所网站、国际指...目的对老年痴呆患者使用口服营养补充剂(ONS)的最佳证据进行评价及总结。方法以循证“6S”证据模型为基础,通过计算机检索UpToDate数据库、BMJ Best Practice数据库、国际实践指南注册平台网站、英国卫生与临床优化研究所网站、国际指南网、加拿大安大略注册护士协会网、苏格兰学院间指南网、欧洲肠内肠外营养协会网、美国肠内肠外营养协会网、澳大利亚乔安娜布里格斯研究所循证卫生保健中心数据库、Cochrane Library数据库、PubMed数据库、中国生物医学文献数据库中有关老年痴呆患者使用ONS的相关证据,包括临床指南、临床决策、证据总结、系统评价、专家共识和意见、随机对照试验。进行文献质量评价后,提取相关证据,并确定证据分级和推荐级别。结果共纳入12篇文献,包括证据总结1篇、临床指南2篇、系统评价7篇、随机对照试验2篇,总结涉及老年痴呆患者营养风险筛查与评估、ONS的使用原则、ONS的使用方法、ONS制剂的选择、使用ONS的依从性、ONS的应用效果评估方法、ONS的疗效与评价7个方面共19条最佳证据,其中A级推荐证据11条(57.9%)。结论总结老年痴呆患者使用ONS的最佳证据,可为营养不良或存在营养不良风险的老年痴呆患者的营养支持干预提供科学可靠的循证依据。展开更多
文摘Open oro-nasal defects resulting after oral tumor resection need structural and functional rehabilitation using dental prostheses. Conventional removable prostheses have usually been indicated and performed for prosthodontics. When the patient has an edentulous maxilla, the unfavorable stability of the prosthesis will cause dysfunction of mastication and pronunciation. To achieve improvement of the impaired functional situation, implant-supported full fixed prostheses (IPSPs) for the edentulous maxilla with a removable obturator offer a reasonable solution. We present herein the case of a 70-year-old Japanese man who has presented with oro-nasal defect due to surgical procedures for oral cancer. He was treated with implant-supported full fixed prostheses in a conventional two-step procedure. After prosthesis treatment, a palatal obturator was set. The patient has shown no clinical or radiological evidence of failure as of 24 months after the end of treatment. Functional evaluation of mastication and pronunciation showed dramatic improvements. For a patient with an edentulous maxilla and palatal fistula, full-arch fixed prostheses supported by a combination of axially and non-axially positioned implants and a removable oro-nasal obturator, using the anterior alveolar bone, without bone transplantation or maxillary sinus elevation, could offer an effective, minimally invasive treatment alternative.
文摘In order to investigate the influence of radiation therapy after the treatment of maxillary implant-supported prostheses, 27 patients received a total of 131 implants in maxilla after oral cancer treatment and/or reconstructive surgery. Among them, 25 received maxillary implant-supported prostheses. The cumulative survival rates of implants and prostheses were evaluated by the product-limit-estimates method according to Kaplan-Meier. The cumulative survival rate of implants and prostheses in irradiated patients was compared with that in non-irradiated patients by statistical Log-rank test. The results showed that 112 implants were observed after implant loading. The implants cumulative survival rate was approximately 65 % for overall patients. The cumulative prosthesis successful rate was approximately 88 % for all 25 patients. Log-rank test analysis revealed that there was a significant difference in cumulative implants survival rates between non-irradiated and irradiated maxillary bone (P<0. 01). It was concluded that the implants and prostheses in irradiated patients have significantly lower survival rates than in non-irradiated patients.
文摘目的:总结基于自我管理支持的口腔健康干预促进2型糖尿病病人预后的证据,并评估此类项目的有效性。方法:系统检索the Cochrane Library、PubMed、EMbase、EBSCO、CINAHL、Web of Science、中国知网、万方数据库、中国生物医学文献数据库,依据纳入与排除标准选取相关原始研究。结果:共纳入7项研究,其干预措施均以自我管理支持理念为核心,有效改善了口腔健康结局、血糖控制结局与一般健康结局。结论:基于自我管理支持的口腔健康干预在促进2型糖尿病病人预后中发挥着重要作用。
文摘目的对老年痴呆患者使用口服营养补充剂(ONS)的最佳证据进行评价及总结。方法以循证“6S”证据模型为基础,通过计算机检索UpToDate数据库、BMJ Best Practice数据库、国际实践指南注册平台网站、英国卫生与临床优化研究所网站、国际指南网、加拿大安大略注册护士协会网、苏格兰学院间指南网、欧洲肠内肠外营养协会网、美国肠内肠外营养协会网、澳大利亚乔安娜布里格斯研究所循证卫生保健中心数据库、Cochrane Library数据库、PubMed数据库、中国生物医学文献数据库中有关老年痴呆患者使用ONS的相关证据,包括临床指南、临床决策、证据总结、系统评价、专家共识和意见、随机对照试验。进行文献质量评价后,提取相关证据,并确定证据分级和推荐级别。结果共纳入12篇文献,包括证据总结1篇、临床指南2篇、系统评价7篇、随机对照试验2篇,总结涉及老年痴呆患者营养风险筛查与评估、ONS的使用原则、ONS的使用方法、ONS制剂的选择、使用ONS的依从性、ONS的应用效果评估方法、ONS的疗效与评价7个方面共19条最佳证据,其中A级推荐证据11条(57.9%)。结论总结老年痴呆患者使用ONS的最佳证据,可为营养不良或存在营养不良风险的老年痴呆患者的营养支持干预提供科学可靠的循证依据。
