TY  - JOUR
A1  - Ramanauskaite, Ausra
A1  - Becker, Kathrin
A1  - Wolfart, Stefan
A1  - Lukman, Fanya
A1  - Schwarz, Frank
T1  - Efficacy of rehabilitation with different approaches of implant-supported full-arch prosthetic designs: A systematic review
T2  - Journal of clinical periodontology
N2  - Aim: To evaluate the efficacy of different types of rehabilitation with fixed or removable full-arch implant-supported prosthesis designs in terms of implant loss and success in patients with at least one edentulous jaw, with tooth loss mainly due to periodontitis.
Materials and methods: Clinical studies with at least 12 months reporting on implant loss and implant success were searched. Meta-analysis was conducted to estimate cumulative implant loss considering different prostheses designs.
Results: A total of 11 studies with unclear to low risk of bias were included in the analysis. Estimated cumulative implant loss for fixed prostheses within 1 year and 5 years was 0.64% (95% confidence interval [CI]: 0.31%–1.31%) and 1.85% (95% CI: 0.85%–3.95%), respectively. The corresponding values for removable prostheses amounted to 0.71% (95% CI: 0.22%–2.28%) and 4.45% (95% CI: 2.48%–7.85%). Peri-implantitis affected 10%–50% of the patients restored with implant-supported fixed prostheses.
Conclusions: Based on the limited low-quality data, the present analysis points to a low and similar cumulative implant loss within 1 year for patients with tooth loss mainly due to stage IV periodontitis restored with either removable or fixed implant-supported full-arch prosthesis. At 5 years of functioning, there was a tendency for better outcomes using fixed designs.
KW  - edentulous
KW  - full-arch restoration
KW  - peri-implant disease
KW  - prevalence
KW  - systematic review
Y1  - 2021
UR  - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/75044
UR  - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-750442
SN  - 1600-051X
VL  - 49
IS  - S24
SP  - 272
EP  - 290
PB  - Wiley-Blackwell
CY  - Oxford [u.a.]
ER  -