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 |
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URN: | urn:nbn:de:hebis:30:3-750442 |
DOI: | https://doi.org/https://doi.org/10.1111/jcpe.13540 |
ISSN: | 1600-051X |
Parent Title (English): | Journal of clinical periodontology |
Publisher: | Wiley-Blackwell |
Place of publication: | Oxford [u.a.] |
Document Type: | Article |
Language: | English |
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 |
Volume: | 49 |
Issue: | S24 |
Page Number: | 19 |
First Page: | 272 |
Last Page: | 290 |
HeBIS-PPN: | 512572933 |
Institutes: | Medizin |
Dewey Decimal Classification: | 6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit |
Sammlungen: | Universitätspublikationen |
Licence (German): | Creative Commons - CC BY-NC - Namensnennung - Nicht kommerziell 4.0 International |