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Öczakir C, Balmer S et al. Int J Prosthodont 2005; 18: 383–389

Over a period of 12 yrs, a variety of patients with special needs were treated in a Swiss clinic. These included cleft lip and palate (8), Down syndrome (3), Sjögren syndrome and scleroderma, ectodermal dysplasia, and several other conditions. Subjects had to satisfy several inclusion criteria including that of communication.

In 24 patients, 103 implants were placed, with 3 complete fixed prostheses, 8 single crowns or fixed partial prostheses, and 23 removable partial dentures or overdentures. Cumulative survival rate of implants was calculated as 93% at 5 yrs. There were a few special complications related to patients' conditions and compliance. The authors note that continuous professional support is an important factor in success.