alexa Does the type of implant prosthesis affect outcomes for the completely edentulous arch?



Author(s): Bryant SR, MacDonaldJankowski D, Kim K

Abstract Share this page

Abstract PURPOSE: A systematic review, including meta-analysis, was conducted to answer the question "Does the type of implant prosthesis affect outcomes for the completely edentulous arch?" The current paper was to assess the impact of fixed or removable prosthesis type on implant survival and success outcomes. MATERIALS AND METHODS: Pertinent literature was identified through December 31, 2005 using a PubMed search strategy and hand-searching of relevant journals, a personal library, and reference lists from included studies. Inclusion and exclusion criteria were applied to the titles and abstracts and subsequently to the full text of included references. The 72 included studies reported oral implant survival or success, crestal bone levels or loss, and/or prosthesis success or maintenance differentiated by arch and by prosthesis type (fixed or removable, splinted or nonsplinted) established either in 1-year randomized clinical trials or 5-year observational studies. RESULTS: Statistical analysis revealed only a site-specific rather than a design-specific finding that implant survival for mandibular fixed prosthesis groups had a 6.6\% greater implant survival than maxillary fixed prostheses groups (P < .001). The observation of greater implant failure for removable over fixed protheses groups in the maxilla appeared likely due to deficient preoperative bone volume in the removable prosthesis groups. DISCUSSION: There is little evidence that implant survival or success is affected directly by prosthesis type based on current designs studied for at least 5 years. Prosthesis maintenance does appear to vary with different prosthesis designs. CONCLUSION: While this study suggests implant survival and success may not be affected by variation across the established types of implant prostheses, maintenance demands can vary with implant prosthesis type, especially with overdenture attachments. Clinicians should remain diligent in basing implant prosthodontic technique on established protocols.
This article was published in Int J Oral Maxillofac Implants and referenced in Dentistry

Relevant Expert PPTs

Relevant Speaker PPTs

Recommended Conferences

Relevant Topics

Peer Reviewed Journals
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version