The All‐on‐Four Treatment Concept: A Systematic Review
Identifieur interne : 007029 ( Istex/Corpus ); précédent : 007028; suivant : 007030The All‐on‐Four Treatment Concept: A Systematic Review
Auteurs : Sebastian B. M. Patzelt ; Oded Bahat ; Mark A. Reynolds ; Joerg R. StrubSource :
- Clinical Implant Dentistry and Related Research [ 1523-0899 ] ; 2014-12.
Abstract
The study aims to evaluate the all‐on‐four treatment concept with regard to survival rates (SRs) of oral implants, applied fixed dental prostheses (FDPs) and temporal changes in proximal bone levels.
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DOI: 10.1111/cid.12068
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Patzelt</name><affiliation><mods:affiliation>Department of Prosthodontics, School of Dentistry, University Hospital, Freiburg, Germany</mods:affiliation></affiliation><affiliation><mods:affiliation>Department of Periodontics, School of Dentistry, University of Maryland Baltimore, MD, Baltimore, USA</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: spatzelt@umaryland.edu</mods:affiliation></affiliation></author><author><name sortKey="Bahat, Oded" sort="Bahat, Oded" uniqKey="Bahat O" first="Oded" last="Bahat">Oded Bahat</name><affiliation><mods:affiliation>CA, Beverly Hills, USA</mods:affiliation></affiliation></author><author><name sortKey="Reynolds, Mark A" sort="Reynolds, Mark A" uniqKey="Reynolds M" first="Mark A." last="Reynolds">Mark A. 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Strub</name><affiliation><mods:affiliation>Department of Prosthodontics, School of Dentistry, University Hospital, Freiburg, Germany</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Clinical Implant Dentistry and Related Research</title><title level="j" type="alt">CLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH</title><idno type="ISSN">1523-0899</idno><idno type="eISSN">1708-8208</idno><imprint><biblScope unit="vol">16</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="836">836</biblScope><biblScope unit="page" to="855">855</biblScope><biblScope unit="page-count">20</biblScope><date type="published" when="2014-12">2014-12</date></imprint><idno type="ISSN">1523-0899</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1523-0899</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract">The study aims to evaluate the all‐on‐four treatment concept with regard to survival rates (SRs) of oral implants, applied fixed dental prostheses (FDPs) and temporal changes in proximal bone levels.</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>Sebastian B. M. Patzelt DMD, Dr med dent</name><affiliations><json:string>Department of Prosthodontics, School of Dentistry, University Hospital, Freiburg, Germany</json:string><json:string>Department of Periodontics, School of Dentistry, University of Maryland Baltimore, MD, Baltimore, USA</json:string><json:string>E-mail: spatzelt@umaryland.edu</json:string></affiliations></json:item><json:item><name>Oded Bahat BDS, MSD, FACD</name><affiliations><json:string>CA, Beverly Hills, USA</json:string></affiliations></json:item><json:item><name>Mark A. Reynolds DDS, PhD</name><affiliations><json:string>Department of Periodontics, School of Dentistry, University of Maryland Baltimore, MD, Baltimore, USA</json:string></affiliations></json:item><json:item><name>Joerg R. 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M.</forename><surname>Patzelt</surname><roleName type="degree">DMD, Dr med dent</roleName></persName><affiliation><orgName>Department of Prosthodontics</orgName><orgName>School of Dentistry</orgName><orgName>University Hospital</orgName><address><settlement type="city">Freiburg</settlement><country key="DE">Germany</country></address></affiliation><affiliation><orgName>Department of Periodontics</orgName><orgName>School of Dentistry</orgName><orgName>University of Maryland Baltimore</orgName><address><settlement type="city">Baltimore</settlement><region>MD</region><country key="US">USA</country></address></affiliation><affiliation>Reprint requests: Dr. Sebastian B. M. Patzelt, Department of Periodontics, School of Dentistry, University of Maryland, 650 West Baltimore Street, Baltimore, MD 21201, USA; e‐mail: spatzelt@umaryland.edu</affiliation></author><author xml:id="author-0001"><persName><forename type="first">Oded</forename><surname>Bahat</surname><roleName type="degree">BDS, MSD, FACD</roleName></persName><affiliation><address><settlement type="city">Beverly Hills</settlement><region>CA</region><country key="US">USA</country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">Mark A.</forename><surname>Reynolds</surname><roleName type="degree">DDS, PhD</roleName></persName><affiliation><orgName>Department of Periodontics</orgName><orgName>School of Dentistry</orgName><orgName>University of Maryland Baltimore</orgName><address><settlement type="city">Baltimore</settlement><region>MD</region><country key="US">USA</country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">Joerg R.</forename><surname>Strub</surname><roleName type="degree">DMD, PhD, Dr med dent habil, Dr. h.c.</roleName></persName><affiliation><orgName>Department of Prosthodontics</orgName><orgName>School of Dentistry</orgName><orgName>University Hospital</orgName><address><settlement type="city">Freiburg</settlement><country key="DE">Germany</country></address></affiliation></author><idno type="istex">E1E855D4079FE159906752915D8C7112E573C5B7</idno><idno type="ark">ark:/67375/WNG-VJBTXZT4-M</idno><idno type="DOI">10.1111/cid.12068</idno><idno type="unit">CID12068</idno><idno type="toTypesetVersion">file://CID.CID12068.pdf</idno></analytic><monogr><title level="j" type="main">Clinical Implant Dentistry and Related Research</title><title level="j" type="alt">CLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH</title><idno type="pISSN">1523-0899</idno><idno type="eISSN">1708-8208</idno><idno type="book-DOI">10.1111/(ISSN)1708-8208</idno><idno type="book-part-DOI">10.1111/cid.2014.16.issue-6</idno><idno type="product">CID</idno><imprint><biblScope unit="vol">16</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="836">836</biblScope><biblScope unit="page" to="855">855</biblScope><biblScope unit="page-count">20</biblScope><date type="published" when="2014-12"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract style="main"><head>Abstract</head>
Purpose
<p>The study aims to evaluate the all‐on‐four treatment concept with regard to survival rates (SRs) of oral implants, applied fixed dental prostheses (<hi rend="fc">FDPs</hi>) and temporal changes in proximal bone levels.</p>
Materials and Methods
<p>A systematic review of publications in <hi rend="fc">E</hi>nglish and <hi rend="fc">G</hi>erman was performed using the electronic bibliographic database <hi rend="fc">MEDLINE</hi>, the <hi rend="fc">C</hi>ochrane <hi rend="fc">L</hi>ibrary, and <hi rend="fc">G</hi>oogle. Hand searches were conducted of the bibliographies of related journals and systematic reviews. The authors performed evaluations of articles independently, as well as data extraction and quality assessment. Data were submitted the weighted least‐squared analysis.</p>
Results
<p>Thirteen (487 initially identified) papers met inclusion criteria. A number of 4,804 implants were initially placed, of which 74 failed, with a majority of failures (74%) within the first 12 months. A total of 1,201 prostheses were incorporated within 48 hours after the surgery. The major prosthetic complication was the fracture of the all‐acrylic <hi rend="fc">FDP</hi>. The mean cumulative <hi rend="fc">SR</hi>/<hi rend="fc">SR</hi> ± (standard deviation) (36 months) of implants and prostheses were 99.0 ± 1.0% and 99.9 ± 0.3%, respectively. The averaged bone loss was 1.3 ± 0.4 mm (36 months). No statistically significant differences were found in outcome measures, when comparing maxillary versus mandibular arches and axially versus tilted placed implants.</p>
Conclusion
<p>The available data provide promising short‐term results for the all‐on‐four treatment approach; however, current evidence is limited by the quality of available studies and the paucity of data on long‐term clinical outcomes of 5 years or greater. In terms of an evidence‐based dentistry, the authors recommend further studies designed as randomized controlled clinical trials and reported according to the <hi rend="fc">CONSORT</hi> statement.</p></abstract><textClass><keywords><term xml:id="cid12068-kwd-0001">all on four</term><term xml:id="cid12068-kwd-0002">dental implants</term><term xml:id="cid12068-kwd-0003">systematic review</term><term xml:id="cid12068-kwd-0004">treatment concept</term></keywords><keywords rend="tocHeading1"><term>REVIEW</term></keywords><keywords rend="articleCategory"><term>REVIEW</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body" wicri:toSee="Element #text"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component type="serialArticle" version="2.0" xml:id="cid12068" xml:lang="en"><header><publicationMeta level="product"><doi origin="wiley">10.1111/(ISSN)1708-8208</doi><issn type="print">1523-0899</issn><issn type="electronic">1708-8208</issn><idGroup><id type="product" value="CID"></id></idGroup><titleGroup><title sort="CLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH" type="main">Clinical Implant Dentistry and Related Research</title><title type="short">Clinical Implant Dentistry and Related Research</title></titleGroup></publicationMeta><publicationMeta level="part" position="12106"><doi>10.1111/cid.2014.16.issue-6</doi><copyright ownership="publisher">Copyright © 2014 Wiley Periodicals, Inc.</copyright><numberingGroup><numbering number="16" type="journalVolume">16</numbering><numbering type="journalIssue">6</numbering></numberingGroup><coverDate startDate="2014-12">December 2014</coverDate></publicationMeta><publicationMeta level="unit" status="forIssue" type="reviewArticle" position="60"><doi>10.1111/cid.12068</doi><idGroup><id type="unit" value="CID12068"></id></idGroup><countGroup><count number="20" type="pageTotal"></count></countGroup><titleGroup><title type="tocHeading1">REVIEW</title><title type="articleCategory">REVIEW</title></titleGroup><copyright ownership="publisher">© 2013 Wiley Periodicals, Inc.</copyright><eventGroup><event agent="bestset" date="2013-03-11" type="xmlCreated"></event><event type="publishedOnlineEarlyUnpaginated" date="2013-04-05"></event><event type="firstOnline" date="2013-04-05"></event><event type="publishedOnlineFinalForm" date="2014-12-29"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.6.4 mode:FullText" date="2015-10-06"></event></eventGroup><numberingGroup><numbering type="pageFirst">836</numbering><numbering type="pageLast">855</numbering></numberingGroup><correspondenceTo>Reprint requests: Dr. Sebastian B. M. Patzelt, Department of Periodontics, School of Dentistry, University of Maryland, 650 West Baltimore Street, Baltimore, MD 21201, USA; e‐mail: <email>spatzelt@umaryland.edu</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file://CID.CID12068.pdf"></link></linkGroup></publicationMeta><contentMeta><titleGroup><title type="short">All‐on‐4</title><title type="main">The All‐on‐Four Treatment Concept: A Systematic Review</title></titleGroup><creators><creator affiliationRef="#cid12068-aff-0001 #cid12068-aff-0002" corresponding="yes" creatorRole="author" xml:id="cid12068-cr-0001"><personName><givenNames>Sebastian B. M.</givenNames><familyName>Patzelt</familyName><degrees>DMD, Dr med dent</degrees></personName><jobTitle>Assistant professor, visiting research professor</jobTitle></creator><creator affiliationRef="#cid12068-aff-0003" creatorRole="author" xml:id="cid12068-cr-0002"><personName><givenNames>Oded</givenNames><familyName>Bahat</familyName><degrees>BDS, MSD, FACD</degrees></personName><jobTitle>Private practice</jobTitle></creator><creator affiliationRef="#cid12068-aff-0002" creatorRole="author" xml:id="cid12068-cr-0003"><personName><givenNames>Mark A.</givenNames><familyName>Reynolds</familyName><degrees>DDS, PhD</degrees></personName><jobTitle>Professor and chair</jobTitle></creator><creator affiliationRef="#cid12068-aff-0001" creatorRole="author" xml:id="cid12068-cr-0004"><personName><givenNames>Joerg R.</givenNames><familyName>Strub</familyName><degrees>DMD, PhD, Dr med dent habil, Dr. h.c.</degrees></personName><jobTitle>Professor and chair</jobTitle></creator></creators><affiliationGroup><affiliation countryCode="DE" xml:id="cid12068-aff-0001"><orgDiv>Department of Prosthodontics</orgDiv><orgDiv>School of Dentistry</orgDiv><orgName>University Hospital</orgName><address><city>Freiburg</city><country>Germany</country></address></affiliation><affiliation countryCode="US" xml:id="cid12068-aff-0002"><orgDiv>Department of Periodontics</orgDiv><orgDiv>School of Dentistry</orgDiv><orgName>University of Maryland Baltimore</orgName><address><city>Baltimore</city><countryPart>MD</countryPart><country>USA</country></address></affiliation><affiliation countryCode="US" xml:id="cid12068-aff-0003"><address><city>Beverly Hills</city><countryPart>CA</countryPart><country>USA</country></address></affiliation></affiliationGroup><keywordGroup type="author"><keyword xml:id="cid12068-kwd-0001">all on four</keyword><keyword xml:id="cid12068-kwd-0002">dental implants</keyword><keyword xml:id="cid12068-kwd-0003">systematic review</keyword><keyword xml:id="cid12068-kwd-0004">treatment concept</keyword></keywordGroup><abstractGroup><abstract type="main"><title type="main">Abstract</title><section xml:id="cid12068-sec-0001"><title type="main">Purpose</title><p>The study aims to evaluate the all‐on‐four treatment concept with regard to survival rates (SRs) of oral implants, applied fixed dental prostheses (<fc>FDPs</fc>) and temporal changes in proximal bone levels.</p></section><section xml:id="cid12068-sec-0002"><title type="main">Materials and Methods</title><p>A systematic review of publications in <fc>E</fc>nglish and <fc>G</fc>erman was performed using the electronic bibliographic database <fc>MEDLINE</fc>, the <fc>C</fc>ochrane <fc>L</fc>ibrary, and <fc>G</fc>oogle. Hand searches were conducted of the bibliographies of related journals and systematic reviews. The authors performed evaluations of articles independently, as well as data extraction and quality assessment. Data were submitted the weighted least‐squared analysis.</p></section><section xml:id="cid12068-sec-0003"><title type="main">Results</title><p>Thirteen (487 initially identified) papers met inclusion criteria. A number of 4,804 implants were initially placed, of which 74 failed, with a majority of failures (74%) within the first 12 months. A total of 1,201 prostheses were incorporated within 48 hours after the surgery. The major prosthetic complication was the fracture of the all‐acrylic <fc>FDP</fc>. The mean cumulative <fc>SR</fc>/<fc>SR</fc> ± (standard deviation) (36 months) of implants and prostheses were 99.0 ± 1.0% and 99.9 ± 0.3%, respectively. The averaged bone loss was 1.3 ± 0.4 mm (36 months). No statistically significant differences were found in outcome measures, when comparing maxillary versus mandibular arches and axially versus tilted placed implants.</p></section><section xml:id="cid12068-sec-0004"><title type="main">Conclusion</title><p>The available data provide promising short‐term results for the all‐on‐four treatment approach; however, current evidence is limited by the quality of available studies and the paucity of data on long‐term clinical outcomes of 5 years or greater. In terms of an evidence‐based dentistry, the authors recommend further studies designed as randomized controlled clinical trials and reported according to the <fc>CONSORT</fc> statement.</p></section></abstract></abstractGroup></contentMeta></header> </component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>The All‐on‐Four Treatment Concept: A Systematic Review</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>All‐on‐4</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>The All‐on‐Four Treatment Concept: A Systematic Review</title></titleInfo><name type="personal"><namePart type="given">Sebastian B. M.</namePart><namePart type="family">Patzelt</namePart><namePart type="termsOfAddress">DMD, Dr med dent</namePart><affiliation>Department of Prosthodontics, School of Dentistry, University Hospital, Freiburg, Germany</affiliation><affiliation>Department of Periodontics, School of Dentistry, University of Maryland Baltimore, MD, Baltimore, USA</affiliation><affiliation>E-mail: spatzelt@umaryland.edu</affiliation><role><roleTerm type="text">author</roleTerm></role><description>Assistant professor, visiting research professor</description></name><name type="personal"><namePart type="given">Oded</namePart><namePart type="family">Bahat</namePart><namePart type="termsOfAddress">BDS, MSD, FACD</namePart><affiliation>CA, Beverly Hills, USA</affiliation><role><roleTerm type="text">author</roleTerm></role><description>Private practice</description></name><name type="personal"><namePart type="given">Mark A.</namePart><namePart type="family">Reynolds</namePart><namePart type="termsOfAddress">DDS, PhD</namePart><affiliation>Department of Periodontics, School of Dentistry, University of Maryland Baltimore, MD, Baltimore, USA</affiliation><role><roleTerm type="text">author</roleTerm></role><description>Professor and chair</description></name><name type="personal"><namePart type="given">Joerg R.</namePart><namePart type="family">Strub</namePart><namePart type="termsOfAddress">DMD, PhD, Dr med dent habil, Dr. h.c.</namePart><affiliation>Department of Prosthodontics, School of Dentistry, University Hospital, Freiburg, Germany</affiliation><role><roleTerm type="text">author</roleTerm></role><description>Professor and chair</description></name><typeOfResource>text</typeOfResource><genre type="review-article" displayLabel="reviewArticle" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-L5L7X3NF-P">review-article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><dateIssued encoding="w3cdtf">2014-12</dateIssued><dateCreated encoding="w3cdtf">2013-03-11</dateCreated><copyrightDate encoding="w3cdtf">2014</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><abstract>The study aims to evaluate the all‐on‐four treatment concept with regard to survival rates (SRs) of oral implants, applied fixed dental prostheses (FDPs) and temporal changes in proximal bone levels.</abstract><abstract>A systematic review of publications in English and German was performed using the electronic bibliographic database MEDLINE, the Cochrane Library, and Google. Hand searches were conducted of the bibliographies of related journals and systematic reviews. The authors performed evaluations of articles independently, as well as data extraction and quality assessment. Data were submitted the weighted least‐squared analysis.</abstract><abstract>Thirteen (487 initially identified) papers met inclusion criteria. A number of 4,804 implants were initially placed, of which 74 failed, with a majority of failures (74%) within the first 12 months. A total of 1,201 prostheses were incorporated within 48 hours after the surgery. The major prosthetic complication was the fracture of the all‐acrylic FDP. The mean cumulative SR/SR ± (standard deviation) (36 months) of implants and prostheses were 99.0 ± 1.0% and 99.9 ± 0.3%, respectively. The averaged bone loss was 1.3 ± 0.4 mm (36 months). No statistically significant differences were found in outcome measures, when comparing maxillary versus mandibular arches and axially versus tilted placed implants.</abstract><abstract>The available data provide promising short‐term results for the all‐on‐four treatment approach; however, current evidence is limited by the quality of available studies and the paucity of data on long‐term clinical outcomes of 5 years or greater. In terms of an evidence‐based dentistry, the authors recommend further studies designed as randomized controlled clinical trials and reported according to the CONSORT statement.</abstract><subject><genre>keywords</genre><topic>all on four</topic><topic>dental implants</topic><topic>systematic review</topic><topic>treatment concept</topic></subject><relatedItem type="host"><titleInfo><title>Clinical Implant Dentistry and Related Research</title></titleInfo><titleInfo type="abbreviated"><title>Clinical Implant Dentistry and Related Research</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><subject><genre>article-category</genre><topic>REVIEW</topic></subject><identifier type="ISSN">1523-0899</identifier><identifier type="eISSN">1708-8208</identifier><identifier type="DOI">10.1111/(ISSN)1708-8208</identifier><identifier type="PublisherID">CID</identifier><part><date>2014</date><detail type="volume"><caption>vol.</caption><number>16</number></detail><detail type="issue"><caption>no.</caption><number>6</number></detail><extent unit="pages"><start>836</start><end>855</end><total>20</total></extent></part></relatedItem><identifier type="istex">E1E855D4079FE159906752915D8C7112E573C5B7</identifier><identifier type="ark">ark:/67375/WNG-VJBTXZT4-M</identifier><identifier type="DOI">10.1111/cid.12068</identifier><identifier type="ArticleID">CID12068</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2014 Wiley Periodicals, Inc.© 2013 Wiley Periodicals, Inc.</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/E1E855D4079FE159906752915D8C7112E573C5B7/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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