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Implant survival in 1- versus 2-implant mandibular overdentures: a systematic review and meta-analysis.

Identifieur interne : 001345 ( Ncbi/Merge ); précédent : 001344; suivant : 001346

Implant survival in 1- versus 2-implant mandibular overdentures: a systematic review and meta-analysis.

Auteurs : Murali Srinivasan [Suisse] ; Nikolay A. Makarov [Suisse] ; François R. Herrmann [Suisse] ; Frauke Müller [Suisse]

Source :

RBID : pubmed:25350235

Abstract

This systematic review was performed to compare the survival of 1- vs. 2-implant overdentures (IODs) in the edentulous mandible.

DOI: 10.1111/clr.12513
PubMed: 25350235

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Le document en format XML

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<name sortKey="Srinivasan, Murali" sort="Srinivasan, Murali" uniqKey="Srinivasan M" first="Murali" last="Srinivasan">Murali Srinivasan</name>
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<nlm:affiliation>Division of Gerodontology and Removable Prosthodontics, University Clinics of Dental Medicine, University of Geneva, Geneva, Switzerland.</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
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<name sortKey="Makarov, Nikolay A" sort="Makarov, Nikolay A" uniqKey="Makarov N" first="Nikolay A" last="Makarov">Nikolay A. Makarov</name>
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<nlm:affiliation>Division of Fixed Prosthodontics and Biomaterials, University Clinics of Dental Medicine, University of Geneva, Geneva, Switzerland.</nlm:affiliation>
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<wicri:regionArea>Division of Fixed Prosthodontics and Biomaterials, University Clinics of Dental Medicine, University of Geneva, Geneva</wicri:regionArea>
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<name sortKey="Herrmann, Francois R" sort="Herrmann, Francois R" uniqKey="Herrmann F" first="François R" last="Herrmann">François R. Herrmann</name>
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<nlm:affiliation>Department of Internal Medicine, Rehabilitation and Geriatrics, University Hospitals of Geneva, Thônex, Switzerland.</nlm:affiliation>
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<name sortKey="Muller, Frauke" sort="Muller, Frauke" uniqKey="Muller F" first="Frauke" last="Müller">Frauke Müller</name>
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<name sortKey="Makarov, Nikolay A" sort="Makarov, Nikolay A" uniqKey="Makarov N" first="Nikolay A" last="Makarov">Nikolay A. Makarov</name>
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<nlm:affiliation>Division of Fixed Prosthodontics and Biomaterials, University Clinics of Dental Medicine, University of Geneva, Geneva, Switzerland.</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>Division of Fixed Prosthodontics and Biomaterials, University Clinics of Dental Medicine, University of Geneva, Geneva</wicri:regionArea>
<wicri:noRegion>Geneva</wicri:noRegion>
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<name sortKey="Herrmann, Francois R" sort="Herrmann, Francois R" uniqKey="Herrmann F" first="François R" last="Herrmann">François R. Herrmann</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Internal Medicine, Rehabilitation and Geriatrics, University Hospitals of Geneva, Thônex, Switzerland.</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>Department of Internal Medicine, Rehabilitation and Geriatrics, University Hospitals of Geneva, Thônex</wicri:regionArea>
<wicri:noRegion>Thônex</wicri:noRegion>
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<name sortKey="Muller, Frauke" sort="Muller, Frauke" uniqKey="Muller F" first="Frauke" last="Müller">Frauke Müller</name>
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<nlm:affiliation>Division of Gerodontology and Removable Prosthodontics, University Clinics of Dental Medicine, University of Geneva, Geneva, Switzerland.</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>Division of Gerodontology and Removable Prosthodontics, University Clinics of Dental Medicine, University of Geneva, Geneva</wicri:regionArea>
<wicri:noRegion>Geneva</wicri:noRegion>
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<title level="j">Clinical oral implants research</title>
<idno type="eISSN">1600-0501</idno>
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<date when="2016" type="published">2016</date>
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<div type="abstract" xml:lang="en">This systematic review was performed to compare the survival of 1- vs. 2-implant overdentures (IODs) in the edentulous mandible.</div>
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<Year>2016</Year>
<Month>01</Month>
<Day>19</Day>
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<ISSN IssnType="Electronic">1600-0501</ISSN>
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<Volume>27</Volume>
<Issue>1</Issue>
<PubDate>
<Year>2016</Year>
<Month>Jan</Month>
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<Title>Clinical oral implants research</Title>
<ISOAbbreviation>Clin Oral Implants Res</ISOAbbreviation>
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<ArticleTitle>Implant survival in 1- versus 2-implant mandibular overdentures: a systematic review and meta-analysis.</ArticleTitle>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">This systematic review was performed to compare the survival of 1- vs. 2-implant overdentures (IODs) in the edentulous mandible.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Manual and electronic database (PubMed, EMBASE and CENTRAL) searches were performed to identify scientific articles, published in English, reporting on mandibular IODs utilizing unsplinted attachments. Studies were included if they were prospective human studies reporting on two-piece microrough surface implants with a diameter ≥3 mm. Data were extracted by two independent investigators, and an overall inter-investigator kappa score was calculated. A meta-analysis was performed on the included comparative studies.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The search shortlisted 30 prospective studies for data extraction and statistical analysis. The included studies comprised of only two randomized controlled trials (RCTs) comparing 1- vs. 2-IODs, and a further 28 prospective studies. The kappa score calculated was between 0.86 and 1 for the various parameters. One RCT favored 1-IODs (RD: 0.08, 95% CI: 0.01, 0.14) while the other favored 2-IODs (RD:-0.04, 95% CI: -0.27, 0.19). However, the overall random effects model did not reveal a significant risk difference (RD) for implant failure between the two interventions (I(2) = 36.6%, P = 0.209; RD: 0.05, 95% CI: -0.07, 0.18).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The results of this meta-analysis conclude that the postloading implant survival of 1-IODs is not significantly different from 2-IODs. However, the existing scientific evidence in the literature in terms of prospective comparative studies is scarce. Hence, before recommending the 1-IOD as a treatment modality, long-term observations are needed and a larger range of functional, prosthodontic, and patient-centered outcome measures should be considered.</AbstractText>
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<Affiliation>Division of Gerodontology and Removable Prosthodontics, University Clinics of Dental Medicine, University of Geneva, Geneva, Switzerland.</Affiliation>
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<Affiliation>Division of Fixed Prosthodontics and Biomaterials, University Clinics of Dental Medicine, University of Geneva, Geneva, Switzerland.</Affiliation>
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<Keyword MajorTopicYN="N">dental implants</Keyword>
<Keyword MajorTopicYN="N">implant-retained overdentures</Keyword>
<Keyword MajorTopicYN="N">meta-analysis</Keyword>
<Keyword MajorTopicYN="N">overdentures</Keyword>
<Keyword MajorTopicYN="N">single implant</Keyword>
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