Efficacy of rehabilitation with different approaches of implant-supported full-arch prosthetic designs: A systematic review

  • 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.
Author:Ausra RamanauskaiteORCiDGND, Kathrin BeckerORCiDGND, Stefan WolfartORCiDGND, Fanya Lukman, Frank SchwarzORCiDGND
Parent Title (English):Journal of clinical periodontology
Place of publication:Oxford [u.a.]
Document Type:Article
Date of Publication (online):2021/11/10
Date of first Publication:2021/11/10
Publishing Institution:Universitätsbibliothek Johann Christian Senckenberg
Release Date:2023/08/11
Tag:edentulous; full-arch restoration; peri-implant disease; prevalence; systematic review
Page Number:19
First Page:272
Last Page:290
Dewey Decimal Classification:6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit
Licence (German):License LogoCreative Commons - CC BY-NC - Namensnennung - Nicht kommerziell 4.0 International