PubMed · 6267716
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J F Reverzy. 1980. [Intermediate structures, provisions for the sector].. https://pubmed.ncbi.nlm.nih.gov/6267716/
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The purpose of this multicentre randomized clinical trial was to analyse surgical and prosthetic aftercare and clinical implant performance of edentulous patients with implant-retained mandibular overdentures and of patients with conventional dentures, either or not after pre-prosthetic vestibuloplasty and deepening of the floor of the mouth. The evaluation period was 5 years. The implant systems evaluated were the IMZ implant system, the Brånemark implant system and the Transmandibular Implant system. The centre in Groningen had five groups (n=149) and the centre in Nijmegen had three groups (n=86). The evaluation comprised of surgical and prosthetic aftercare, together with clinical implant performance (CIP). The highest implant loss (29%) is found in the Transmandibular Implant group. All groups had prosthetic revisions and complications according to the CIP-scale. The majority of the patients in the endosseous implant groups were subject to minor complications. The CIP-score of the Transmandibular Implant group is significantly higher than the scores of the other groups, because of the high number of lost posts. In 26;1% of the patients in this group score 4 is given, which means failure of the implant system. From this study it can be concluded that the endosseous implant systems used in this study have less surgical aftercare and a better clinical implant performance than the Transmandibular Implant system and are therefore the systems of choice for the edentulous mandible.
The forthcoming introduction of a DRG system in Germany has entailed numerous uncertainties for the agencies involved, for medical and care staff as well as all others having to do with the health care system, the patients included. As had previously been the case in other countries, this innovation is going to effect major changes in Germany as well. Notwithstanding, efforts to enhance specific, efficient and quality-assured medical care can, and are intended to, be undertaken in the future as well. This short report summarizes the impact introduction of a DRG system has had at the interface between acute care and subsequent rehabilitation in Sydney, New South Wales; concluding, future developments are outlined.