Should we extract teeth to avoid tooth–implant combinations?
Identifieur interne : 006240 ( Main/Exploration ); précédent : 006239; suivant : 006241Should we extract teeth to avoid tooth–implant combinations?
Auteurs : T. Lindh [Suède]Source :
- Journal of Oral Rehabilitation [ 0305-182X ] ; 2008-01.
English descriptors
- KwdEn :
- Abutment, Abutment teeth, Available knowledge, Biomechanical, Biomechanical considerations, Blackwell publishing, Bone loss, Bragger, Clin, Clin periodontol, Clinical studies, Cohort, Complication, Complication rates, Dent, Dental implant, Dental implant system, Dental implants, Dentate patient, Denture, Different types, Fpd, Freestanding, Gunne, Implant, Implant dentistry, Implant design, Implant survival, Journal compilation, Lang, Lindh, Mandible, Marginal bone, Marginal bone loss, Maxilla, Maxillofac, Natural teeth, Occlusal, Occlusal load, Oral implants, Oral maxillofac implants, Partial denture, Partial dentures, Periodontal, Periodontal ligament, Periodontal receptors, Pjetursson, Posterior mandible, Prospective cohort study, Prosthesis, Prosthesis survival, Prosthet, Prosthet dent, Prosthetic, Prosthodont, Residual dentition, Same group, Systematic review, Technical complications, Tisp, Tooth intrusion, Vivo study.
- Teeft :
- Abutment, Abutment teeth, Available knowledge, Biomechanical, Biomechanical considerations, Blackwell publishing, Bone loss, Bragger, Clin, Clin periodontol, Clinical studies, Cohort, Complication, Complication rates, Dent, Dental implant, Dental implant system, Dental implants, Dentate patient, Denture, Different types, Fpd, Freestanding, Gunne, Implant, Implant dentistry, Implant design, Implant survival, Journal compilation, Lang, Lindh, Mandible, Marginal bone, Marginal bone loss, Maxilla, Maxillofac, Natural teeth, Occlusal, Occlusal load, Oral implants, Oral maxillofac implants, Partial denture, Partial dentures, Periodontal, Periodontal ligament, Periodontal receptors, Pjetursson, Posterior mandible, Prospective cohort study, Prosthesis, Prosthesis survival, Prosthet, Prosthet dent, Prosthetic, Prosthodont, Residual dentition, Same group, Systematic review, Technical complications, Tisp, Tooth intrusion, Vivo study.
Abstract
Summary The controversy over combining teeth and implants for support of fixed partial dentures still remains after almost three decades of debate. The aim of this review was to evaluate what support that could be found in the literature for extracting teeth in favour of implants, and to elucidate whether tooth–implant prostheses were inferior to solely implant supported constructions in terms of survival and complications. The methods for gathering relevant information entailed electronic searches on PubMed using relevant key words, as well as complementary manual searches in the retrieved publications. The results showed that there was no support for extracting teeth in favour of placing implants. On the contrary, the healthy tooth had a survival that was life‐long, which is yet to be shown for the dental implant. Also the use of teeth as abutments in combination with dental implants for support of fixed dental prostheses could be endorsed in certain situations with solid albeit limited scientific support. In a wider sense, such prostheses could be used as a reliable therapy in all regions of the jaws. However the status of the abutment teeth in terms of periodontal support, pulpal status and risk for carious lesions and biomechanical complications should always be considered in relation to the long‐term prognosis of the prosthesis. The conclusion was that teeth should not be extracted in favour of placing dental implants without a specific indication, and that tooth–implant supported prostheses should be considered as a viable prosthetic option.
Url:
DOI: 10.1111/j.1365-2842.2007.01828.x
Affiliations:
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Lindh</name><affiliation wicri:level="1"><country xml:lang="fr">Suède</country><wicri:regionArea>Umeå University, Faculty of Medicine/Odontology, Department of Periodontology, Umeå</wicri:regionArea><wicri:noRegion>Umeå</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Journal of Oral Rehabilitation</title><title level="j" type="alt">JOURNAL ORAL REHABILITATION</title><idno type="ISSN">0305-182X</idno><idno type="eISSN">1365-2842</idno><imprint><biblScope unit="vol">35</biblScope><biblScope unit="page" from="44">44</biblScope><biblScope unit="page" to="54">54</biblScope><biblScope unit="page-count">11</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2008-01">2008-01</date></imprint><idno type="ISSN">0305-182X</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0305-182X</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Abutment</term><term>Abutment teeth</term><term>Available knowledge</term><term>Biomechanical</term><term>Biomechanical considerations</term><term>Blackwell publishing</term><term>Bone loss</term><term>Bragger</term><term>Clin</term><term>Clin periodontol</term><term>Clinical studies</term><term>Cohort</term><term>Complication</term><term>Complication rates</term><term>Dent</term><term>Dental implant</term><term>Dental implant system</term><term>Dental implants</term><term>Dentate patient</term><term>Denture</term><term>Different types</term><term>Fpd</term><term>Freestanding</term><term>Gunne</term><term>Implant</term><term>Implant dentistry</term><term>Implant design</term><term>Implant survival</term><term>Journal compilation</term><term>Lang</term><term>Lindh</term><term>Mandible</term><term>Marginal bone</term><term>Marginal bone loss</term><term>Maxilla</term><term>Maxillofac</term><term>Natural teeth</term><term>Occlusal</term><term>Occlusal load</term><term>Oral implants</term><term>Oral maxillofac implants</term><term>Partial denture</term><term>Partial dentures</term><term>Periodontal</term><term>Periodontal ligament</term><term>Periodontal receptors</term><term>Pjetursson</term><term>Posterior mandible</term><term>Prospective cohort study</term><term>Prosthesis</term><term>Prosthesis survival</term><term>Prosthet</term><term>Prosthet dent</term><term>Prosthetic</term><term>Prosthodont</term><term>Residual dentition</term><term>Same group</term><term>Systematic review</term><term>Technical complications</term><term>Tisp</term><term>Tooth intrusion</term><term>Vivo study</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Abutment</term><term>Abutment teeth</term><term>Available knowledge</term><term>Biomechanical</term><term>Biomechanical considerations</term><term>Blackwell publishing</term><term>Bone loss</term><term>Bragger</term><term>Clin</term><term>Clin periodontol</term><term>Clinical studies</term><term>Cohort</term><term>Complication</term><term>Complication rates</term><term>Dent</term><term>Dental implant</term><term>Dental implant system</term><term>Dental implants</term><term>Dentate patient</term><term>Denture</term><term>Different types</term><term>Fpd</term><term>Freestanding</term><term>Gunne</term><term>Implant</term><term>Implant dentistry</term><term>Implant design</term><term>Implant survival</term><term>Journal compilation</term><term>Lang</term><term>Lindh</term><term>Mandible</term><term>Marginal bone</term><term>Marginal bone loss</term><term>Maxilla</term><term>Maxillofac</term><term>Natural teeth</term><term>Occlusal</term><term>Occlusal load</term><term>Oral implants</term><term>Oral maxillofac implants</term><term>Partial denture</term><term>Partial dentures</term><term>Periodontal</term><term>Periodontal ligament</term><term>Periodontal receptors</term><term>Pjetursson</term><term>Posterior mandible</term><term>Prospective cohort study</term><term>Prosthesis</term><term>Prosthesis survival</term><term>Prosthet</term><term>Prosthet dent</term><term>Prosthetic</term><term>Prosthodont</term><term>Residual dentition</term><term>Same group</term><term>Systematic review</term><term>Technical complications</term><term>Tisp</term><term>Tooth intrusion</term><term>Vivo study</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">Summary The controversy over combining teeth and implants for support of fixed partial dentures still remains after almost three decades of debate. The aim of this review was to evaluate what support that could be found in the literature for extracting teeth in favour of implants, and to elucidate whether tooth–implant prostheses were inferior to solely implant supported constructions in terms of survival and complications. The methods for gathering relevant information entailed electronic searches on PubMed using relevant key words, as well as complementary manual searches in the retrieved publications. The results showed that there was no support for extracting teeth in favour of placing implants. On the contrary, the healthy tooth had a survival that was life‐long, which is yet to be shown for the dental implant. Also the use of teeth as abutments in combination with dental implants for support of fixed dental prostheses could be endorsed in certain situations with solid albeit limited scientific support. In a wider sense, such prostheses could be used as a reliable therapy in all regions of the jaws. However the status of the abutment teeth in terms of periodontal support, pulpal status and risk for carious lesions and biomechanical complications should always be considered in relation to the long‐term prognosis of the prosthesis. The conclusion was that teeth should not be extracted in favour of placing dental implants without a specific indication, and that tooth–implant supported prostheses should be considered as a viable prosthetic option.</div></front></TEI><affiliations><list><country><li>Suède</li></country></list><tree><country name="Suède"><noRegion><name sortKey="Lindh, T" sort="Lindh, T" uniqKey="Lindh T" first="T." last="Lindh">T. Lindh</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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