Implant-Assisted Removable Partial Denture Prostheses: A Critical Review of Selected Literature
| Autor: | Mario Bassetti, Renzo Bassetti, Johannes Kuttenberger |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Dental Implants
Rehabilitation business.industry medicine.medical_treatment MEDLINE Dentistry 030206 dentistry 02 engineering and technology General Medicine Cochrane Library 021001 nanoscience & nanotechnology Prosthesis 03 medical and health sciences 0302 clinical medicine Patient satisfaction medicine Denture Partial Removable Humans Implant Oral Surgery Dentures 0210 nano-technology business Removable partial denture |
| Zdroj: | The International Journal of Prosthodontics. 31:287-302 |
| ISSN: | 0893-2174 |
| DOI: | 10.11607/ijp.5227 |
| Popis: | PURPOSE A critical review of selected relevant publications assessed clinical efficacy and effectiveness of implant-assisted removable partial dentures (IARPDs) with implant survival and failure rates, biologic and technical complications, and maintenance and patient satisfaction after rehabilitation as outcomes. MATERIALS AND METHODS Screening of three databases (Medline [PubMed], Embase [OVID], and the Cochrane Library [CENTRAL]) and a manual search of related articles were performed. Reports on outcomes from human studies conducted between 1 January 1980 and 31 May 2016 were considered. A quality assessment of the identified full-text articles was performed to assess risk of bias and to evaluate heterogeneity. RESULTS Only nine studies were included, and all nine demonstrated high risk of bias. The mean observation period ranged from 1 to 10 years, and only four studies included at least one control group. The studies reported implant survival rates of 91.7% to 100%, abutment tooth survival rates of 79.2% to 100%, and prosthesis survival rates of 90% to 100%. Approximal peri-implant crestal bone level changes (ΔCBL) ranged from -0.17 to -2.2 mm. IARPDs were associated with a higher frequency of technical complications and maintenance interventions than biologic complications. Only two question-based studies assessed patient satisfaction before and after treatment, and both reported marked improvement. A meta-analysis was not possible because of substantial heterogeneity in study design. CONCLUSION Limited availability of robust publications related to the selected review topic precluded significant conclusions. Nonetheless, the preliminary assessment suggests that IARPDs are a simple and cost-effective approach to providing symmetric prosthesis support and stability, plus improved patient satisfaction. |
| Databáze: | OpenAIRE |
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