Systematic review of the survival rate and the biological, technical, and aesthetic complications of fixed dental prostheses with cantilevers on implants reported in longitudinal studies with a mean of 5 years follow‐up
Identifieur interne : 003F26 ( Istex/Corpus ); précédent : 003F25; suivant : 003F27Systematic review of the survival rate and the biological, technical, and aesthetic complications of fixed dental prostheses with cantilevers on implants reported in longitudinal studies with a mean of 5 years follow‐up
Auteurs : E. Romeo ; S. StorelliSource :
- Clinical Oral Implants Research [ 0905-7161 ] ; 2012-10.
English descriptors
- KwdEn :
- Abutment, Aesthetic complications, Aesthetic outcome, Biological complications, Bone loss, Bragger, Cantilever, Cantilever extension, Cantilever extensions, Cantilever prostheses, Cantilever prostheses table, Cantilever prosthesis, Clin, Clinical periodontology, Cohort, Complete rehabilitations, Complication, Complication rates, Cumulative estimate, Dental implants, Dental prostheses, Dentistry, Denture, Edentulous, Eliasson, Event rates, Fpd, Fracture, Halg, Heterogeneity, Icfdp, Icfdps, Implant, Implant fracture, Implant fractures, Implant years, Implants research, International journal, John wiley sons, John wiley sons romeo storelli, Kreissl, Lang, Longitudinal studies, Mandible, Marginal bone loss, Maxillofacial, Mechanical complications, Mesial, Natural teeth, Observation period, Oral implants, Oral maxillofacial implants, Partial dentures, Periodontology, Pjetursson, Poisson, Poisson regression, Posterior areas, Present review, Private practice, Prospective study, Prosthesis, Prosthetic, Prosthetic complications, Prosthetic dentistry, Prosthetic rehabilitations, Radiographic bone loss, Retrospective, Retrospective studies, Romeo, Romeo storelli, Screw fractures, Standard poisson regression, Standard poisson regression analysis, Storelli, Summary estimate, Survival rate, Survival rates, Systematic review, Technical complications, Total number, Universita degli studi, Veneer, Veneer fractures, Veneers fractures, Wennstrom.
- Teeft :
- Abutment, Aesthetic complications, Aesthetic outcome, Biological complications, Bone loss, Bragger, Cantilever, Cantilever extension, Cantilever extensions, Cantilever prostheses, Cantilever prostheses table, Cantilever prosthesis, Clin, Clinical periodontology, Cohort, Complete rehabilitations, Complication, Complication rates, Cumulative estimate, Dental implants, Dental prostheses, Dentistry, Denture, Edentulous, Eliasson, Event rates, Fpd, Fracture, Halg, Heterogeneity, Icfdp, Icfdps, Implant, Implant fracture, Implant fractures, Implant years, Implants research, International journal, John wiley sons, John wiley sons romeo storelli, Kreissl, Lang, Longitudinal studies, Mandible, Marginal bone loss, Maxillofacial, Mechanical complications, Mesial, Natural teeth, Observation period, Oral implants, Oral maxillofacial implants, Partial dentures, Periodontology, Pjetursson, Poisson, Poisson regression, Posterior areas, Present review, Private practice, Prospective study, Prosthesis, Prosthetic, Prosthetic complications, Prosthetic dentistry, Prosthetic rehabilitations, Radiographic bone loss, Retrospective, Retrospective studies, Romeo, Romeo storelli, Screw fractures, Standard poisson regression, Standard poisson regression analysis, Storelli, Summary estimate, Survival rate, Survival rates, Systematic review, Technical complications, Total number, Universita degli studi, Veneer, Veneer fractures, Veneers fractures, Wennstrom.
Abstract
A systematic review was carried out to evaluate the success and survival rate of implants supporting cantilever prosthesis, as well as the incidence of technical and biological complications.
Url:
DOI: 10.1111/j.1600-0501.2012.02551.x
Links to Exploration step
ISTEX:7F989CF7DFF8564860633779FA358DFB9911957ALe document en format XML
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Storelli</name><affiliation><mods:affiliation>Dipartimento di Medicina, Università degli Studi di Milano, Odontoiatria, Chirurgia, AO San Paolo</mods:affiliation></affiliation><affiliation><mods:affiliation>Dipartimento di Medicina, Università degli Studi di Milano, Chirurgia, Odontoiatria, AO San Paolo, ItalyTel.: +39 0250319003Fax: +39 0250319040e‐mail:</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: stefano.storelli@studioplinio.it</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:7F989CF7DFF8564860633779FA358DFB9911957A</idno><date when="2012" year="2012">2012</date><idno type="doi">10.1111/j.1600-0501.2012.02551.x</idno><idno type="url">https://api.istex.fr/document/7F989CF7DFF8564860633779FA358DFB9911957A/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">003F26</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">003F26</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main">Systematic review of the survival rate and the biological, technical, and aesthetic complications of fixed dental prostheses with cantilevers on implants reported in longitudinal studies with a mean of 5 years follow‐up</title><author><name sortKey="Romeo, E" sort="Romeo, E" uniqKey="Romeo E" first="E." last="Romeo">E. 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(2009)</json:string><json:string>Pjetursson 2004</json:string><json:string>Bragger et al.</json:string><json:string>Salvi & Bragger 2009</json:string><json:string>Romeo (2009)</json:string><json:string>Blanes 2007</json:string><json:string>Pjetursson et al.</json:string><json:string>Halg 2007</json:string><json:string>Bragger et al. (2005)</json:string><json:string>Jung et al.</json:string><json:string>Pjetursson et al. (2004)</json:string><json:string>Pjetursson et al. 2004</json:string><json:string>Isidor 1996, 1997</json:string><json:string>Halg et al. (2008)</json:string><json:string>Eliasson 2006</json:string><json:string>Romeo 2009</json:string><json:string>Kreissl et al. 2007</json:string><json:string>Kreissl (2007)</json:string><json:string>Annibali et al. 2012</json:string><json:string>Wennstrom 2004b</json:string><json:string>Klinge et al. 2009</json:string><json:string>Chiapasco et al. 2009</json:string><json:string>Halg (2007)</json:string><json:string>Kreissl et al. (2007)</json:string><json:string>Esposito et al. 2009, 2010</json:string><json:string>Zurdo et al. 2009</json:string><json:string>Zitzman et al. (2008)</json:string><json:string>Albrektsson et al. (1986)</json:string><json:string>Duyck et al. 2000</json:string><json:string>Pjetursson 2007</json:string><json:string>Halg et al. 2008</json:string><json:string>Kirkwood & Sterne 2003a, 2003b</json:string><json:string>Wennstrom et al. 2004</json:string><json:string>Kreissl et al.</json:string><json:string>Halg (2008)</json:string><json:string>Halg et al.</json:string><json:string>Bragger et al. 2005</json:string><json:string>Tan et al. 2004</json:string><json:string>Wennstrom 2004</json:string><json:string>Romeo et al. 2009</json:string><json:string>Pjetursson et al. 2004a</json:string><json:string>Eliasson et al. 2006</json:string></ref_bibl><bibl></bibl></unitex></namedEntities><ark><json:string>ark:/67375/WNG-P4PWVBQL-6</json:string></ark><categories><wos><json:string>1 - science</json:string><json:string>2 - engineering, biomedical</json:string><json:string>2 - dentistry, oral surgery & medicine</json:string></wos><scienceMetrix><json:string>1 - health sciences</json:string><json:string>2 - clinical medicine</json:string><json:string>3 - dentistry</json:string></scienceMetrix><scopus><json:string>1 - Health Sciences</json:string><json:string>2 - Dentistry</json:string><json:string>3 - Oral Surgery</json:string></scopus></categories><publicationDate>2012</publicationDate><copyrightDate>2012</copyrightDate><doi><json:string>10.1111/j.1600-0501.2012.02551.x</json:string></doi><id>7F989CF7DFF8564860633779FA358DFB9911957A</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/7F989CF7DFF8564860633779FA358DFB9911957A/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/7F989CF7DFF8564860633779FA358DFB9911957A/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/7F989CF7DFF8564860633779FA358DFB9911957A/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main">Systematic review of the survival rate and the biological, technical, and aesthetic complications of fixed dental prostheses with cantilevers on implants reported in longitudinal studies with a mean of 5 years follow‐up</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Wiley Publishing Ltd</publisher><availability><licence>© 2012 John Wiley & Sons A/S</licence></availability><date type="published" when="2012-10"></date></publicationStmt><notesStmt><note type="content-type" subtype="article" source="article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="article"><analytic><title level="a" type="main">Systematic review of the survival rate and the biological, technical, and aesthetic complications of fixed dental prostheses with cantilevers on implants reported in longitudinal studies with a mean of 5 years follow‐up</title><author xml:id="author-0000"><persName><forename type="first">E.</forename><surname>Romeo</surname></persName><affiliation><orgName>Dipartimento di Medicina</orgName><orgName>School of Dentistry, Prosthodontics</orgName><orgName>Università degli Studi di Milano</orgName><address><settlement type="city">Chirurgia</settlement><region>Odontoiatria</region><country>AO San Paolo</country></address></affiliation></author><author xml:id="author-0001" role="corresp"><persName><forename type="first">S.</forename><surname>Storelli</surname></persName><affiliation><orgName>Dipartimento di Medicina</orgName><orgName>Università degli Studi di Milano</orgName><address><settlement type="city">Chirurgia</settlement><region>Odontoiatria</region><country>AO San Paolo</country></address></affiliation><affiliation>Corresponding author: S. Storelli Dipartimento di Medicina, Università degli Studi di Milano, Chirurgia, Odontoiatria, AO San Paolo, Italy Tel.: +39 0250319003 Fax: +39 0250319040 e‐mail: stefano.storelli@studioplinio.it</affiliation></author><idno type="istex">7F989CF7DFF8564860633779FA358DFB9911957A</idno><idno type="ark">ark:/67375/WNG-P4PWVBQL-6</idno><idno type="DOI">10.1111/j.1600-0501.2012.02551.x</idno><idno type="unit">CLR2551</idno><idno type="toTypesetVersion">file:CLR.CLR2551.pdf</idno></analytic><monogr><title level="j" type="main">Clinical Oral Implants Research</title><title level="j" type="sub">Proceedings of the 3rd EAO Consensus Conference, 15–18 February 2012, Pfäffikon, Schwyz, Switzerland</title><title level="j" type="alt">CLINICAL ORAL IMPLANTS RESEARCH</title><idno type="pISSN">0905-7161</idno><idno type="eISSN">1600-0501</idno><idno type="book-DOI">10.1111/(ISSN)1600-0501</idno><idno type="book-part-DOI">10.1111/clr.2012.23.issue-s6</idno><idno type="product">CLR</idno><imprint><biblScope unit="vol">23</biblScope><biblScope unit="page" from="39">39</biblScope><biblScope unit="page" to="49">49</biblScope><biblScope unit="page-count">11</biblScope><date type="published" when="2012-10"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract style="main" xml:id="clr2551-abs-0001"><head>Abstract</head>
Objective
<p>A systematic review was carried out to evaluate the success and survival rate of implants supporting cantilever prosthesis, as well as the incidence of technical and biological complications.</p>
Material and Methods
<p>A <hi rend="fc">MEDLINE</hi> search was conducted up to December 2011 for studies with a mean follow‐up of 5 years or more. Two independent reviewers screened the retrieved articles and extracted the data independently. Data on survival, failure, mechanical/technical and biological complications were analyzed.</p>
Results
<p>One‐hundred and sixty articles were selected as abstract. Only 18 underwent a full‐text analysis and only six were included in the study. The estimated cumulative survival rate of implants supporting cantilevered prosthesis was 98.9% (95% <hi rend="fc">CI</hi>: 97.4–99.5%), whereas <hi rend="fc">ICFDP</hi> survival was estimated to be about 97.1% (95% <hi rend="fc">CI</hi>: 90.1–99.2%). Implant failures before prosthetic delivery were not considered.</p><p>Biological complications were estimated to be 5.7% (95% <hi rend="fc">CI</hi>: 4.2–7.6%) at implant level after 5 years.</p><p>Technical complications were analyzed: the most common complications were veneer fractures (5‐year estimate: 10.1%; 95% <hi rend="fc">CI</hi>: 3.7–16.5%) and abutment screw fractures (5‐year estimate: 1.6%; 95% <hi rend="fc">CI</hi>: 0.8–3.5%). Decementation and screw loosening were estimated to be at 5 years 5.9% (95% <hi rend="fc">CI</hi>: 1.7–16.8%) and 7.9% (95% <hi rend="fc">CI</hi>: 3.2–18.2%), respectively. Implant fracture was rare (5‐year estimate: 0.7%; 95% <hi rend="fc">CI</hi>: 0.1–4.7%); no framework fracture was reported. Radiographic bone level changes did not yield statistically significant differences. No aesthetic outcome was reported.</p>
Conclusions
<p><hi rend="fc">ICFDPS</hi> can be considered a reliable treatment: the systematic review assessed that there is no increase in complication rate due to the presence of the cantilever.</p></abstract><textClass><keywords rend="articleCategory"><term>Working Group 1: Implant survival and complications</term></keywords><keywords rend="tocHeading1"><term>Working Group 1: Implant survival and complications</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/7F989CF7DFF8564860633779FA358DFB9911957A/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component type="serialArticle" version="2.0" xml:id="clr2551" xml:lang="en"><header><publicationMeta level="product"><doi origin="wiley" registered="yes">10.1111/(ISSN)1600-0501</doi><issn type="print">0905-7161</issn><issn type="electronic">1600-0501</issn><idGroup><id type="product" value="CLR"></id></idGroup><titleGroup><title sort="CLINICAL ORAL IMPLANTS RESEARCH" type="main">Clinical Oral Implants Research</title><title type="short">Clin. Oral Implants Res.</title></titleGroup></publicationMeta><publicationMeta level="part" position="10006"><doi origin="wiley">10.1111/clr.2012.23.issue-s6</doi><titleGroup><title type="specialIssueTitle">Proceedings of the 3rd EAO Consensus Conference, 15–18 February 2012, Pfäffikon, Schwyz, Switzerland</title></titleGroup><copyright ownership="publisher">Copyright © 2012 John Wiley & Sons A/S</copyright><numberingGroup><numbering number="23" type="journalVolume">23</numbering><numbering type="supplement">s6</numbering></numberingGroup><coverDate startDate="2012-10">October 2012</coverDate></publicationMeta><publicationMeta level="unit" position="50" status="forIssue" type="article"><doi>10.1111/j.1600-0501.2012.02551.x</doi><idGroup><id type="unit" value="CLR2551"></id></idGroup><countGroup><count number="11" type="pageTotal"></count></countGroup><titleGroup><title type="articleCategory">Working Group 1: Implant survival and complications</title><title type="tocHeading1">Working Group 1: Implant survival and complications</title></titleGroup><copyright ownership="publisher">© 2012 John Wiley & Sons A/S</copyright><eventGroup><event date="2012-06-09" type="manuscriptAccepted"></event><event agent="SPS" date="2012-06-22" type="xmlCreated"></event><event type="firstOnline" date="2012-10-12"></event><event type="publishedOnlineFinalForm" date="2012-10-12"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:4.0.1" date="2014-03-12"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.3.4 mode:FullText" date="2015-02-25"></event></eventGroup><numberingGroup><numbering type="pageFirst">39</numbering><numbering type="pageLast">49</numbering></numberingGroup><correspondenceTo><lineatedText><line><b>Corresponding author:</b></line><line><i>S. Storelli</i></line><line>Dipartimento di Medicina, Università degli Studi di Milano, Chirurgia, Odontoiatria, AO San Paolo, Italy</line><line>Tel.: +39 0250319003</line><line>Fax: +39 0250319040</line><line>e‐mail: <email>stefano.storelli@studioplinio.it</email></line></lineatedText></correspondenceTo><selfCitationGroup><citation type="self" xml:id="clr2547-cit-1000">Romeo E., Storelli S. Systematic review of the survival rate and the biological, technical and esthetic complications of fixed dental prostheses with cantilevers on implants reported in longitudinal studies with a mean of 5 years follow-up.<journalTitle>Clin. Oral Implants Res.</journalTitle><vol>23</vol> (<issue>Suppl. 6</issue>):<pubYear year="2012">2012</pubYear>;<pageFirst>39</pageFirst>–<pageLast>49</pageLast> 10.1111/j.1600‐0501.2012.02551.x</citation></selfCitationGroup><linkGroup><link type="toTypesetVersion" href="file:CLR.CLR2551.pdf"></link></linkGroup></publicationMeta><contentMeta><titleGroup><title type="main">Systematic review of the survival rate and the biological, technical, and aesthetic complications of fixed dental prostheses with cantilevers on implants reported in longitudinal studies with a mean of 5 years follow‐up</title><title type="shortAuthors">Romeo & Storelli. Systematic review of cantilever prostheses</title></titleGroup><creators><creator affiliationRef="#clr2551-aff-0001" creatorRole="author" xml:id="clr2551-cr-0001"><personName><givenNames>E.</givenNames> <familyName>Romeo</familyName></personName></creator><creator affiliationRef="#clr2551-aff-0002" corresponding="yes" creatorRole="author" xml:id="clr2551-cr-0002"><personName><givenNames>S.</givenNames> <familyName>Storelli</familyName></personName></creator></creators><affiliationGroup><affiliation type="organization" xml:id="clr2551-aff-0001"><orgDiv>Dipartimento di Medicina</orgDiv> <orgName>School of Dentistry, Prosthodontics</orgName> <orgName>Università degli Studi di Milano</orgName> <address><city>Chirurgia</city> <countryPart>Odontoiatria</countryPart> <country>AO San Paolo</country></address></affiliation><affiliation type="organization" xml:id="clr2551-aff-0002"><orgDiv>Dipartimento di Medicina</orgDiv> <orgName>Università degli Studi di Milano</orgName> <address><city>Chirurgia</city> <countryPart>Odontoiatria</countryPart> <country>AO San Paolo</country></address></affiliation></affiliationGroup><abstractGroup><abstract type="main" xml:id="clr2551-abs-0001"><title type="main">Abstract</title><section xml:id="clr2551-sec-0001"><title type="main">Objective</title><p>A systematic review was carried out to evaluate the success and survival rate of implants supporting cantilever prosthesis, as well as the incidence of technical and biological complications.</p></section><section xml:id="clr2551-sec-0002"><title type="main">Material and Methods</title><p>A <fc>MEDLINE</fc> search was conducted up to December 2011 for studies with a mean follow‐up of 5 years or more. Two independent reviewers screened the retrieved articles and extracted the data independently. Data on survival, failure, mechanical/technical and biological complications were analyzed.</p></section><section xml:id="clr2551-sec-0003"><title type="main">Results</title><p>One‐hundred and sixty articles were selected as abstract. Only 18 underwent a full‐text analysis and only six were included in the study. The estimated cumulative survival rate of implants supporting cantilevered prosthesis was 98.9% (95% <fc>CI</fc>: 97.4–99.5%), whereas <fc>ICFDP</fc> survival was estimated to be about 97.1% (95% <fc>CI</fc>: 90.1–99.2%). Implant failures before prosthetic delivery were not considered.</p><p>Biological complications were estimated to be 5.7% (95% <fc>CI</fc>: 4.2–7.6%) at implant level after 5 years.</p><p>Technical complications were analyzed: the most common complications were veneer fractures (5‐year estimate: 10.1%; 95% <fc>CI</fc>: 3.7–16.5%) and abutment screw fractures (5‐year estimate: 1.6%; 95% <fc>CI</fc>: 0.8–3.5%). Decementation and screw loosening were estimated to be at 5 years 5.9% (95% <fc>CI</fc>: 1.7–16.8%) and 7.9% (95% <fc>CI</fc>: 3.2–18.2%), respectively. Implant fracture was rare (5‐year estimate: 0.7%; 95% <fc>CI</fc>: 0.1–4.7%); no framework fracture was reported. Radiographic bone level changes did not yield statistically significant differences. No aesthetic outcome was reported.</p></section><section xml:id="clr2551-sec-0004"><title type="main">Conclusions</title><p><fc>ICFDPS</fc> can be considered a reliable treatment: the systematic review assessed that there is no increase in complication rate due to the presence of the cantilever.</p></section></abstract></abstractGroup></contentMeta><noteGroup xml:id="clr2551-ntgp-0001"><note numbered="no" xml:id="clr2551-note-0001"><b>Conflicts of interest:</b> The authors declare that they have no potential conflicts.</note></noteGroup></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Systematic review of the survival rate and the biological, technical, and aesthetic complications of fixed dental prostheses with cantilevers on implants reported in longitudinal studies with a mean of 5 years follow‐up</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Systematic review of the survival rate and the biological, technical, and aesthetic complications of fixed dental prostheses with cantilevers on implants reported in longitudinal studies with a mean of 5 years follow‐up</title></titleInfo><name type="personal"><namePart type="given">E.</namePart><namePart type="family">Romeo</namePart><affiliation>Dipartimento di Medicina, School of Dentistry, Prosthodontics, Università degli Studi di Milano, Odontoiatria, Chirurgia, AO San Paolo</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">S.</namePart><namePart type="family">Storelli</namePart><affiliation>Dipartimento di Medicina, Università degli Studi di Milano, Odontoiatria, Chirurgia, AO San Paolo</affiliation><affiliation>Dipartimento di Medicina, Università degli Studi di Milano, Chirurgia, Odontoiatria, AO San Paolo, ItalyTel.: +39 0250319003Fax: +39 0250319040e‐mail:</affiliation><affiliation>E-mail: stefano.storelli@studioplinio.it</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><dateIssued encoding="w3cdtf">2012-10</dateIssued><dateCreated encoding="w3cdtf">2012-06-22</dateCreated><dateValid encoding="w3cdtf">2012-06-09</dateValid><edition>Romeo E., Storelli S. Systematic review of the survival rate and the biological, technical and esthetic complications of fixed dental prostheses with cantilevers on implants reported in longitudinal studies with a mean of 5 years follow-up.Clin. Oral Implants Res.23 (Suppl. 6):2012;39–49 10.1111/j.1600‐0501.2012.02551.x</edition><copyrightDate encoding="w3cdtf">2012</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><abstract>A systematic review was carried out to evaluate the success and survival rate of implants supporting cantilever prosthesis, as well as the incidence of technical and biological complications.</abstract><abstract>A MEDLINE search was conducted up to December 2011 for studies with a mean follow‐up of 5 years or more. Two independent reviewers screened the retrieved articles and extracted the data independently. Data on survival, failure, mechanical/technical and biological complications were analyzed.</abstract><abstract>One‐hundred and sixty articles were selected as abstract. Only 18 underwent a full‐text analysis and only six were included in the study. The estimated cumulative survival rate of implants supporting cantilevered prosthesis was 98.9% (95% CI: 97.4–99.5%), whereas ICFDP survival was estimated to be about 97.1% (95% CI: 90.1–99.2%). Implant failures before prosthetic delivery were not considered. Biological complications were estimated to be 5.7% (95% CI: 4.2–7.6%) at implant level after 5 years. Technical complications were analyzed: the most common complications were veneer fractures (5‐year estimate: 10.1%; 95% CI: 3.7–16.5%) and abutment screw fractures (5‐year estimate: 1.6%; 95% CI: 0.8–3.5%). Decementation and screw loosening were estimated to be at 5 years 5.9% (95% CI: 1.7–16.8%) and 7.9% (95% CI: 3.2–18.2%), respectively. Implant fracture was rare (5‐year estimate: 0.7%; 95% CI: 0.1–4.7%); no framework fracture was reported. Radiographic bone level changes did not yield statistically significant differences. No aesthetic outcome was reported.</abstract><abstract>ICFDPS can be considered a reliable treatment: the systematic review assessed that there is no increase in complication rate due to the presence of the cantilever.</abstract><relatedItem type="host"><titleInfo><title>Clinical Oral Implants Research</title></titleInfo><titleInfo type="abbreviated"><title>Clin. 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