Oral Rehabilitation Considerations for Partially Edentulous Periodontal Patients
Identifieur interne : 003941 ( Main/Merge ); précédent : 003940; suivant : 003942Oral Rehabilitation Considerations for Partially Edentulous Periodontal Patients
Auteurs : Kunaal Dhingra [Inde]Source :
- Journal of Prosthodontics [ 1059-941X ] ; 2012-08.
Descripteurs français
- KwdFr :
- Humains, Mâchoire partiellement édentée (), Mâchoire partiellement édentée (rééducation et réadaptation), Parodontite chronique (), Prothèse dentaire implanto-portée, Prothèse dentaire partielle amovible, Prothèse partielle fixe, Préférence du patient, Rétention de prothèse dentaire, Échec de restauration dentaire.
- MESH :
- rééducation et réadaptation : Mâchoire partiellement édentée.
- Humains, Mâchoire partiellement édentée, Parodontite chronique, Prothèse dentaire implanto-portée, Prothèse dentaire partielle amovible, Prothèse partielle fixe, Préférence du patient, Rétention de prothèse dentaire, Échec de restauration dentaire.
English descriptors
- KwdEn :
- Abutment, Abutment teeth, Acta odontol scand, Adequate infection control, Aggressive periodontitis, Aggressive periodontitis patients, American college, Anatomical structures, Available evidence, Bone loss, Calif dent assoc, Cantilever, Cantilever extensions, Cantilever fdps, Caries, Chronic Periodontitis (complications), Chronic periodontitis, Clin, Clin periodontol, Complication, Complication rates, Contraindication, Conventional fdps, Conventional rdps, Critical review, Dent, Dent assoc, Dental Prosthesis Retention, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Dental implants, Dental prostheses, Dental prosthesis, Dentistry, Dentition, Denture, Denture base, Denture, Partial, Fixed, Denture, Partial, Removable, Dhingra, Distal extension, Edentulous, Edentulous patients, Fdps, Fracture, High survival rate, Humans, Implant, Implant failure, Implant loss, Implant placement, Implant prognosis, Implant success, Implant survival, Implant survival rate, Implant survival rates, Implant therapy, Implant treatment, Implantsupported, Implantsupported restorations, International journal, Jaw, Edentulous, Partially (complications), Jaw, Edentulous, Partially (rehabilitation), Lang, Limited evidence, Literature review, Longitudinal, Longitudinal studies, Longitudinal study, Marginal bone loss, Masticatory performance, Microbial infection, Observation period, Occlusal, Oral health, Oral hygiene, Oral maxillofac implants, Oral quality, Oral rehabil, Oral rehabilitation, Osseointegrated implants, Partial denture, Partial dentures, Patient Preference, Patient preferences, Periodontal, Periodontal conditions, Periodontal disease, Periodontal health, Periodontal patients, Periodontal patients dhingra, Periodontal patients dhingra journal, Periodontal status, Periodontal support, Periodontal therapy, Periodontal tissue support, Periodontally, Periodontitis, Periodontitis patients, Periodontol, Pjetursson, Present review, Previous history, Previous tooth loss, Prognosis, Prosthesis, Prosthet, Prosthet dent, Prosthetic, Prosthodont, Prosthodontic, Prosthodontic rehabilitation, Prosthodontic therapy, Prosthodontic treatment, Prosthodontics, Prosthodontist, Prosthodontists dhingra, Pulp vitality, Rdps, Rehabil, Removable, Restoration, Risk factors, Single crowns, Splinting, Study design, Surgical, Survival rate, Survival rates, Systematic review, Systematic reviews, Technical complications, Tooth loss, Tooth structure, Treatment option, Treatment planning.
- MESH :
- complications : Chronic Periodontitis, Jaw, Edentulous, Partially.
- rehabilitation : Jaw, Edentulous, Partially.
- Teeft :
- Abutment, Abutment teeth, Acta odontol scand, Adequate infection control, Aggressive periodontitis, Aggressive periodontitis patients, American college, Anatomical structures, Available evidence, Bone loss, Calif dent assoc, Cantilever, Cantilever extensions, Cantilever fdps, Caries, Chronic periodontitis, Clin, Clin periodontol, Complication, Complication rates, Contraindication, Conventional fdps, Conventional rdps, Critical review, Dent, Dent assoc, Dental Prosthesis Retention, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Dental implants, Dental prostheses, Dental prosthesis, Dentistry, Dentition, Denture, Denture base, Denture, Partial, Fixed, Denture, Partial, Removable, Dhingra, Distal extension, Edentulous, Edentulous patients, Fdps, Fracture, High survival rate, Humans, Implant, Implant failure, Implant loss, Implant placement, Implant prognosis, Implant success, Implant survival, Implant survival rate, Implant survival rates, Implant therapy, Implant treatment, Implantsupported, Implantsupported restorations, International journal, Lang, Limited evidence, Literature review, Longitudinal, Longitudinal studies, Longitudinal study, Marginal bone loss, Masticatory performance, Microbial infection, Observation period, Occlusal, Oral health, Oral hygiene, Oral maxillofac implants, Oral quality, Oral rehabil, Oral rehabilitation, Osseointegrated implants, Partial denture, Partial dentures, Patient Preference, Patient preferences, Periodontal, Periodontal conditions, Periodontal disease, Periodontal health, Periodontal patients, Periodontal patients dhingra, Periodontal patients dhingra journal, Periodontal status, Periodontal support, Periodontal therapy, Periodontal tissue support, Periodontally, Periodontitis, Periodontitis patients, Periodontol, Pjetursson, Present review, Previous history, Previous tooth loss, Prognosis, Prosthesis, Prosthet, Prosthet dent, Prosthetic, Prosthodont, Prosthodontic, Prosthodontic rehabilitation, Prosthodontic therapy, Prosthodontic treatment, Prosthodontics, Prosthodontist, Prosthodontists dhingra, Pulp vitality, Rdps, Rehabil, Removable, Restoration, Risk factors, Single crowns, Splinting, Study design, Surgical, Survival rate, Survival rates, Systematic review, Systematic reviews, Technical complications, Tooth loss, Tooth structure, Treatment option, Treatment planning.
Abstract
Traditional tooth‐supported and implant‐supported fixed/removable restorations are currently used to replace teeth lost due to periodontal disease. This article reviews the existing literature for oral rehabilitation of partially edentulous periodontal patients with various designs of removable dental prosthesis (RDP), fixed dental prosthesis (FDP) and implant‐supported single crown (SC), by addressing their (a) general features, (b) survival and complication rates, along with considerations for treatment planning in periodontal patients, and (c) preference by patients. To answer these issues, relevant articles were searched and critically analyzed, and their data were extracted. Data reviewed indicated that despite many advantages, implant‐supported restorations have higher complication rates than tooth‐supported restorations. Systematic reviews on conventional RDPs are lacking, but existing literature reviews provide limited evidence suggesting the use of RDPs with design modifications along with strict periodontal care in periodontal patients. Numerous systematic reviews on conventional FDPs and implant‐supported restorations provide a moderate level of evidence favoring their survival in periodontal patients; however, for long‐term success of these restorations, the patient's periodontal condition needs to be stabilized. In terms of patient preference, no restoration is superior, as they all are governed by their cost, advantages, and disadvantages. Thus, in the wake of existing weak evidence for prosthodontic rehabilitation of periodontal patients by these restorations (especially, conventional RDPs and for FDPs and SCs in implant‐supported restorations), longitudinal studies with standardized treatment protocol and methodology are needed to evaluate and compare tooth‐supported and implant‐supported restorations in periodontal patients with regard to survival rates, cost, maintenance, and patient‐centered outcomes.
Url:
DOI: 10.1111/j.1532-849X.2012.00864.x
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Sri Venkateshwara Dental College, Bangalore, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Journal of Prosthodontics</title><title level="j" type="alt">JOURNAL OF PROSTHODONTICS</title><idno type="ISSN">1059-941X</idno><idno type="eISSN">1532-849X</idno><imprint><biblScope unit="vol">21</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="494">494</biblScope><biblScope unit="page" to="513">513</biblScope><biblScope unit="page-count">20</biblScope><publisher>Blackwell Publishing Inc</publisher><pubPlace>Malden, USA</pubPlace><date type="published" when="2012-08">2012-08</date></imprint><idno type="ISSN">1059-941X</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1059-941X</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Abutment</term><term>Abutment teeth</term><term>Acta odontol scand</term><term>Adequate infection control</term><term>Aggressive periodontitis</term><term>Aggressive periodontitis patients</term><term>American college</term><term>Anatomical structures</term><term>Available evidence</term><term>Bone loss</term><term>Calif dent assoc</term><term>Cantilever</term><term>Cantilever extensions</term><term>Cantilever fdps</term><term>Caries</term><term>Chronic Periodontitis (complications)</term><term>Chronic periodontitis</term><term>Clin</term><term>Clin periodontol</term><term>Complication</term><term>Complication rates</term><term>Contraindication</term><term>Conventional fdps</term><term>Conventional rdps</term><term>Critical review</term><term>Dent</term><term>Dent assoc</term><term>Dental Prosthesis Retention</term><term>Dental Prosthesis, Implant-Supported</term><term>Dental Restoration Failure</term><term>Dental implants</term><term>Dental prostheses</term><term>Dental prosthesis</term><term>Dentistry</term><term>Dentition</term><term>Denture</term><term>Denture base</term><term>Denture, Partial, Fixed</term><term>Denture, Partial, Removable</term><term>Dhingra</term><term>Distal extension</term><term>Edentulous</term><term>Edentulous patients</term><term>Fdps</term><term>Fracture</term><term>High survival rate</term><term>Humans</term><term>Implant</term><term>Implant failure</term><term>Implant loss</term><term>Implant placement</term><term>Implant prognosis</term><term>Implant success</term><term>Implant survival</term><term>Implant survival rate</term><term>Implant survival rates</term><term>Implant therapy</term><term>Implant treatment</term><term>Implantsupported</term><term>Implantsupported restorations</term><term>International journal</term><term>Jaw, Edentulous, Partially (complications)</term><term>Jaw, Edentulous, Partially (rehabilitation)</term><term>Lang</term><term>Limited evidence</term><term>Literature review</term><term>Longitudinal</term><term>Longitudinal studies</term><term>Longitudinal study</term><term>Marginal bone loss</term><term>Masticatory performance</term><term>Microbial infection</term><term>Observation period</term><term>Occlusal</term><term>Oral health</term><term>Oral hygiene</term><term>Oral maxillofac implants</term><term>Oral quality</term><term>Oral rehabil</term><term>Oral rehabilitation</term><term>Osseointegrated implants</term><term>Partial denture</term><term>Partial dentures</term><term>Patient Preference</term><term>Patient preferences</term><term>Periodontal</term><term>Periodontal conditions</term><term>Periodontal disease</term><term>Periodontal health</term><term>Periodontal patients</term><term>Periodontal patients dhingra</term><term>Periodontal patients dhingra journal</term><term>Periodontal status</term><term>Periodontal support</term><term>Periodontal therapy</term><term>Periodontal tissue support</term><term>Periodontally</term><term>Periodontitis</term><term>Periodontitis patients</term><term>Periodontol</term><term>Pjetursson</term><term>Present review</term><term>Previous history</term><term>Previous tooth loss</term><term>Prognosis</term><term>Prosthesis</term><term>Prosthet</term><term>Prosthet dent</term><term>Prosthetic</term><term>Prosthodont</term><term>Prosthodontic</term><term>Prosthodontic rehabilitation</term><term>Prosthodontic therapy</term><term>Prosthodontic treatment</term><term>Prosthodontics</term><term>Prosthodontist</term><term>Prosthodontists dhingra</term><term>Pulp vitality</term><term>Rdps</term><term>Rehabil</term><term>Removable</term><term>Restoration</term><term>Risk factors</term><term>Single crowns</term><term>Splinting</term><term>Study design</term><term>Surgical</term><term>Survival rate</term><term>Survival rates</term><term>Systematic review</term><term>Systematic reviews</term><term>Technical complications</term><term>Tooth 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scheme="Teeft" xml:lang="en"><term>Abutment</term><term>Abutment teeth</term><term>Acta odontol scand</term><term>Adequate infection control</term><term>Aggressive periodontitis</term><term>Aggressive periodontitis patients</term><term>American college</term><term>Anatomical structures</term><term>Available evidence</term><term>Bone loss</term><term>Calif dent assoc</term><term>Cantilever</term><term>Cantilever extensions</term><term>Cantilever fdps</term><term>Caries</term><term>Chronic periodontitis</term><term>Clin</term><term>Clin periodontol</term><term>Complication</term><term>Complication rates</term><term>Contraindication</term><term>Conventional fdps</term><term>Conventional rdps</term><term>Critical review</term><term>Dent</term><term>Dent assoc</term><term>Dental Prosthesis Retention</term><term>Dental Prosthesis, Implant-Supported</term><term>Dental Restoration Failure</term><term>Dental implants</term><term>Dental prostheses</term><term>Dental prosthesis</term><term>Dentistry</term><term>Dentition</term><term>Denture</term><term>Denture base</term><term>Denture, Partial, Fixed</term><term>Denture, Partial, Removable</term><term>Dhingra</term><term>Distal extension</term><term>Edentulous</term><term>Edentulous patients</term><term>Fdps</term><term>Fracture</term><term>High survival rate</term><term>Humans</term><term>Implant</term><term>Implant failure</term><term>Implant loss</term><term>Implant placement</term><term>Implant prognosis</term><term>Implant success</term><term>Implant survival</term><term>Implant survival rate</term><term>Implant survival rates</term><term>Implant therapy</term><term>Implant treatment</term><term>Implantsupported</term><term>Implantsupported restorations</term><term>International journal</term><term>Lang</term><term>Limited evidence</term><term>Literature review</term><term>Longitudinal</term><term>Longitudinal studies</term><term>Longitudinal study</term><term>Marginal bone loss</term><term>Masticatory performance</term><term>Microbial infection</term><term>Observation period</term><term>Occlusal</term><term>Oral health</term><term>Oral hygiene</term><term>Oral maxillofac implants</term><term>Oral quality</term><term>Oral rehabil</term><term>Oral rehabilitation</term><term>Osseointegrated implants</term><term>Partial denture</term><term>Partial dentures</term><term>Patient Preference</term><term>Patient preferences</term><term>Periodontal</term><term>Periodontal conditions</term><term>Periodontal disease</term><term>Periodontal health</term><term>Periodontal patients</term><term>Periodontal patients dhingra</term><term>Periodontal patients dhingra journal</term><term>Periodontal status</term><term>Periodontal support</term><term>Periodontal therapy</term><term>Periodontal tissue support</term><term>Periodontally</term><term>Periodontitis</term><term>Periodontitis patients</term><term>Periodontol</term><term>Pjetursson</term><term>Present review</term><term>Previous history</term><term>Previous tooth loss</term><term>Prognosis</term><term>Prosthesis</term><term>Prosthet</term><term>Prosthet dent</term><term>Prosthetic</term><term>Prosthodont</term><term>Prosthodontic</term><term>Prosthodontic rehabilitation</term><term>Prosthodontic therapy</term><term>Prosthodontic treatment</term><term>Prosthodontics</term><term>Prosthodontist</term><term>Prosthodontists dhingra</term><term>Pulp vitality</term><term>Rdps</term><term>Rehabil</term><term>Removable</term><term>Restoration</term><term>Risk factors</term><term>Single crowns</term><term>Splinting</term><term>Study design</term><term>Surgical</term><term>Survival rate</term><term>Survival rates</term><term>Systematic review</term><term>Systematic reviews</term><term>Technical complications</term><term>Tooth loss</term><term>Tooth structure</term><term>Treatment option</term><term>Treatment planning</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Humains</term><term>Mâchoire partiellement édentée</term><term>Parodontite chronique</term><term>Prothèse dentaire implanto-portée</term><term>Prothèse dentaire partielle amovible</term><term>Prothèse partielle fixe</term><term>Préférence du patient</term><term>Rétention de prothèse dentaire</term><term>Échec de restauration dentaire</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Traditional tooth‐supported and implant‐supported fixed/removable restorations are currently used to replace teeth lost due to periodontal disease. This article reviews the existing literature for oral rehabilitation of partially edentulous periodontal patients with various designs of removable dental prosthesis (RDP), fixed dental prosthesis (FDP) and implant‐supported single crown (SC), by addressing their (a) general features, (b) survival and complication rates, along with considerations for treatment planning in periodontal patients, and (c) preference by patients. To answer these issues, relevant articles were searched and critically analyzed, and their data were extracted. Data reviewed indicated that despite many advantages, implant‐supported restorations have higher complication rates than tooth‐supported restorations. Systematic reviews on conventional RDPs are lacking, but existing literature reviews provide limited evidence suggesting the use of RDPs with design modifications along with strict periodontal care in periodontal patients. Numerous systematic reviews on conventional FDPs and implant‐supported restorations provide a moderate level of evidence favoring their survival in periodontal patients; however, for long‐term success of these restorations, the patient's periodontal condition needs to be stabilized. In terms of patient preference, no restoration is superior, as they all are governed by their cost, advantages, and disadvantages. Thus, in the wake of existing weak evidence for prosthodontic rehabilitation of periodontal patients by these restorations (especially, conventional RDPs and for FDPs and SCs in implant‐supported restorations), longitudinal studies with standardized treatment protocol and methodology are needed to evaluate and compare tooth‐supported and implant‐supported restorations in periodontal patients with regard to survival rates, cost, maintenance, and patient‐centered outcomes.</div></front></TEI><double doi="10.1111/j.1532-849X.2012.00864.x"><ISTEX><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Oral Rehabilitation Considerations for Partially Edentulous Periodontal Patients</title><author><name sortKey="Dhingra, Kunaal" sort="Dhingra, Kunaal" uniqKey="Dhingra K" first="Kunaal" last="Dhingra">Kunaal Dhingra</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:9916E07FEDA7E096ACE9979A9B8ACD3FF28F03E1</idno><date when="2012" year="2012">2012</date><idno type="doi">10.1111/j.1532-849X.2012.00864.x</idno><idno type="url">https://api.istex.fr/document/9916E07FEDA7E096ACE9979A9B8ACD3FF28F03E1/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">004C39</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">004C39</idno><idno type="wicri:Area/Istex/Curation">004C39</idno><idno type="wicri:Area/Istex/Checkpoint">000D94</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Checkpoint">000D94</idno><idno type="wicri:doubleKey">1059-941X:2012:Dhingra K:oral:rehabilitation:considerations</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main">Oral Rehabilitation Considerations for Partially Edentulous Periodontal Patients</title><author><name sortKey="Dhingra, Kunaal" sort="Dhingra, Kunaal" uniqKey="Dhingra K" first="Kunaal" last="Dhingra">Kunaal Dhingra</name><affiliation wicri:level="1"><country xml:lang="fr">Inde</country><wicri:regionArea>Assistant Professor, Department of Periodontics, N.S.V.K. Sri Venkateshwara Dental College, Bangalore, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Journal of Prosthodontics</title><title level="j" type="alt">JOURNAL OF PROSTHODONTICS</title><idno type="ISSN">1059-941X</idno><idno type="eISSN">1532-849X</idno><imprint><biblScope unit="vol">21</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="494">494</biblScope><biblScope unit="page" to="513">513</biblScope><biblScope unit="page-count">20</biblScope><publisher>Blackwell Publishing Inc</publisher><pubPlace>Malden, USA</pubPlace><date type="published" when="2012-08">2012-08</date></imprint><idno type="ISSN">1059-941X</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1059-941X</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Abutment</term><term>Abutment teeth</term><term>Acta odontol scand</term><term>Adequate infection control</term><term>Aggressive periodontitis</term><term>Aggressive periodontitis patients</term><term>American college</term><term>Anatomical structures</term><term>Available evidence</term><term>Bone loss</term><term>Calif dent assoc</term><term>Cantilever</term><term>Cantilever extensions</term><term>Cantilever fdps</term><term>Caries</term><term>Chronic periodontitis</term><term>Clin</term><term>Clin periodontol</term><term>Complication</term><term>Complication rates</term><term>Contraindication</term><term>Conventional fdps</term><term>Conventional rdps</term><term>Critical review</term><term>Dent</term><term>Dent assoc</term><term>Dental implants</term><term>Dental prostheses</term><term>Dental prosthesis</term><term>Dentistry</term><term>Dentition</term><term>Denture</term><term>Denture base</term><term>Dhingra</term><term>Distal extension</term><term>Edentulous</term><term>Edentulous patients</term><term>Fdps</term><term>Fracture</term><term>High survival rate</term><term>Implant</term><term>Implant failure</term><term>Implant loss</term><term>Implant placement</term><term>Implant prognosis</term><term>Implant success</term><term>Implant survival</term><term>Implant survival rate</term><term>Implant survival rates</term><term>Implant therapy</term><term>Implant treatment</term><term>Implantsupported</term><term>Implantsupported restorations</term><term>International journal</term><term>Lang</term><term>Limited evidence</term><term>Literature review</term><term>Longitudinal</term><term>Longitudinal studies</term><term>Longitudinal study</term><term>Marginal bone loss</term><term>Masticatory performance</term><term>Microbial infection</term><term>Observation period</term><term>Occlusal</term><term>Oral health</term><term>Oral hygiene</term><term>Oral maxillofac implants</term><term>Oral quality</term><term>Oral rehabil</term><term>Oral rehabilitation</term><term>Osseointegrated implants</term><term>Partial denture</term><term>Partial dentures</term><term>Patient preferences</term><term>Periodontal</term><term>Periodontal conditions</term><term>Periodontal disease</term><term>Periodontal health</term><term>Periodontal patients</term><term>Periodontal patients dhingra</term><term>Periodontal patients dhingra journal</term><term>Periodontal status</term><term>Periodontal support</term><term>Periodontal therapy</term><term>Periodontal tissue support</term><term>Periodontally</term><term>Periodontitis</term><term>Periodontitis patients</term><term>Periodontol</term><term>Pjetursson</term><term>Present review</term><term>Previous history</term><term>Previous tooth loss</term><term>Prognosis</term><term>Prosthesis</term><term>Prosthet</term><term>Prosthet dent</term><term>Prosthetic</term><term>Prosthodont</term><term>Prosthodontic</term><term>Prosthodontic rehabilitation</term><term>Prosthodontic therapy</term><term>Prosthodontic treatment</term><term>Prosthodontics</term><term>Prosthodontist</term><term>Prosthodontists dhingra</term><term>Pulp vitality</term><term>Rdps</term><term>Rehabil</term><term>Removable</term><term>Restoration</term><term>Risk factors</term><term>Single crowns</term><term>Splinting</term><term>Study design</term><term>Surgical</term><term>Survival rate</term><term>Survival rates</term><term>Systematic review</term><term>Systematic reviews</term><term>Technical complications</term><term>Tooth loss</term><term>Tooth structure</term><term>Treatment option</term><term>Treatment planning</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Abutment</term><term>Abutment teeth</term><term>Acta odontol scand</term><term>Adequate infection control</term><term>Aggressive periodontitis</term><term>Aggressive periodontitis patients</term><term>American college</term><term>Anatomical structures</term><term>Available evidence</term><term>Bone loss</term><term>Calif dent assoc</term><term>Cantilever</term><term>Cantilever extensions</term><term>Cantilever fdps</term><term>Caries</term><term>Chronic periodontitis</term><term>Clin</term><term>Clin periodontol</term><term>Complication</term><term>Complication rates</term><term>Contraindication</term><term>Conventional fdps</term><term>Conventional rdps</term><term>Critical review</term><term>Dent</term><term>Dent assoc</term><term>Dental implants</term><term>Dental prostheses</term><term>Dental prosthesis</term><term>Dentistry</term><term>Dentition</term><term>Denture</term><term>Denture base</term><term>Dhingra</term><term>Distal extension</term><term>Edentulous</term><term>Edentulous patients</term><term>Fdps</term><term>Fracture</term><term>High survival rate</term><term>Implant</term><term>Implant failure</term><term>Implant loss</term><term>Implant placement</term><term>Implant prognosis</term><term>Implant success</term><term>Implant survival</term><term>Implant survival rate</term><term>Implant survival rates</term><term>Implant therapy</term><term>Implant treatment</term><term>Implantsupported</term><term>Implantsupported restorations</term><term>International journal</term><term>Lang</term><term>Limited evidence</term><term>Literature review</term><term>Longitudinal</term><term>Longitudinal studies</term><term>Longitudinal study</term><term>Marginal bone loss</term><term>Masticatory performance</term><term>Microbial infection</term><term>Observation period</term><term>Occlusal</term><term>Oral health</term><term>Oral hygiene</term><term>Oral maxillofac implants</term><term>Oral quality</term><term>Oral rehabil</term><term>Oral rehabilitation</term><term>Osseointegrated implants</term><term>Partial denture</term><term>Partial dentures</term><term>Patient preferences</term><term>Periodontal</term><term>Periodontal conditions</term><term>Periodontal disease</term><term>Periodontal health</term><term>Periodontal patients</term><term>Periodontal patients dhingra</term><term>Periodontal patients dhingra journal</term><term>Periodontal status</term><term>Periodontal support</term><term>Periodontal therapy</term><term>Periodontal tissue support</term><term>Periodontally</term><term>Periodontitis</term><term>Periodontitis patients</term><term>Periodontol</term><term>Pjetursson</term><term>Present review</term><term>Previous history</term><term>Previous tooth loss</term><term>Prognosis</term><term>Prosthesis</term><term>Prosthet</term><term>Prosthet dent</term><term>Prosthetic</term><term>Prosthodont</term><term>Prosthodontic</term><term>Prosthodontic rehabilitation</term><term>Prosthodontic therapy</term><term>Prosthodontic treatment</term><term>Prosthodontics</term><term>Prosthodontist</term><term>Prosthodontists dhingra</term><term>Pulp vitality</term><term>Rdps</term><term>Rehabil</term><term>Removable</term><term>Restoration</term><term>Risk factors</term><term>Single crowns</term><term>Splinting</term><term>Study design</term><term>Surgical</term><term>Survival rate</term><term>Survival rates</term><term>Systematic review</term><term>Systematic reviews</term><term>Technical complications</term><term>Tooth loss</term><term>Tooth structure</term><term>Treatment option</term><term>Treatment planning</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Traditional tooth‐supported and implant‐supported fixed/removable restorations are currently used to replace teeth lost due to periodontal disease. This article reviews the existing literature for oral rehabilitation of partially edentulous periodontal patients with various designs of removable dental prosthesis (RDP), fixed dental prosthesis (FDP) and implant‐supported single crown (SC), by addressing their (a) general features, (b) survival and complication rates, along with considerations for treatment planning in periodontal patients, and (c) preference by patients. To answer these issues, relevant articles were searched and critically analyzed, and their data were extracted. Data reviewed indicated that despite many advantages, implant‐supported restorations have higher complication rates than tooth‐supported restorations. Systematic reviews on conventional RDPs are lacking, but existing literature reviews provide limited evidence suggesting the use of RDPs with design modifications along with strict periodontal care in periodontal patients. Numerous systematic reviews on conventional FDPs and implant‐supported restorations provide a moderate level of evidence favoring their survival in periodontal patients; however, for long‐term success of these restorations, the patient's periodontal condition needs to be stabilized. In terms of patient preference, no restoration is superior, as they all are governed by their cost, advantages, and disadvantages. Thus, in the wake of existing weak evidence for prosthodontic rehabilitation of periodontal patients by these restorations (especially, conventional RDPs and for FDPs and SCs in implant‐supported restorations), longitudinal studies with standardized treatment protocol and methodology are needed to evaluate and compare tooth‐supported and implant‐supported restorations in periodontal patients with regard to survival rates, cost, maintenance, and patient‐centered outcomes.</div></front></TEI></ISTEX><PubMed><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Oral rehabilitation considerations for partially edentulous periodontal patients.</title><author><name sortKey="Dhingra, Kunaal" sort="Dhingra, Kunaal" uniqKey="Dhingra K" first="Kunaal" last="Dhingra">Kunaal Dhingra</name><affiliation wicri:level="1"><nlm:affiliation>Department of Periodontics, NSVK. Sri Venkateshwara Dental College, Bangalore, Karnataka, India. kunaaldhingra@yahoo.co.in</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Periodontics, NSVK. Sri Venkateshwara Dental College, Bangalore, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2012">2012</date><idno type="RBID">pubmed:22681519</idno><idno type="pmid">22681519</idno><idno type="doi">10.1111/j.1532-849X.2012.00864.x</idno><idno type="wicri:Area/PubMed/Corpus">001033</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001033</idno><idno type="wicri:Area/PubMed/Curation">001033</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001033</idno><idno type="wicri:Area/PubMed/Checkpoint">001033</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">001033</idno><idno type="wicri:Area/Ncbi/Merge">003F16</idno><idno type="wicri:Area/Ncbi/Curation">003F16</idno><idno type="wicri:Area/Ncbi/Checkpoint">003F16</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Oral rehabilitation considerations for partially edentulous periodontal patients.</title><author><name sortKey="Dhingra, Kunaal" sort="Dhingra, Kunaal" uniqKey="Dhingra K" first="Kunaal" last="Dhingra">Kunaal Dhingra</name><affiliation wicri:level="1"><nlm:affiliation>Department of Periodontics, NSVK. Sri Venkateshwara Dental College, Bangalore, Karnataka, India. kunaaldhingra@yahoo.co.in</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Periodontics, NSVK. Sri Venkateshwara Dental College, Bangalore, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of prosthodontics : official journal of the American College of Prosthodontists</title><idno type="eISSN">1532-849X</idno><imprint><date when="2012" type="published">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Chronic Periodontitis (complications)</term><term>Dental Prosthesis Retention</term><term>Dental Prosthesis, Implant-Supported</term><term>Dental Restoration Failure</term><term>Denture, Partial, Fixed</term><term>Denture, Partial, Removable</term><term>Humans</term><term>Jaw, Edentulous, Partially (complications)</term><term>Jaw, Edentulous, Partially (rehabilitation)</term><term>Patient Preference</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Humains</term><term>Mâchoire partiellement édentée ()</term><term>Mâchoire partiellement édentée (rééducation et réadaptation)</term><term>Parodontite chronique ()</term><term>Prothèse dentaire implanto-portée</term><term>Prothèse dentaire partielle amovible</term><term>Prothèse partielle fixe</term><term>Préférence du patient</term><term>Rétention de prothèse dentaire</term><term>Échec de restauration dentaire</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Chronic Periodontitis</term><term>Jaw, Edentulous, Partially</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous, Partially</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire partiellement édentée</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Dental Prosthesis Retention</term><term>Dental Prosthesis, Implant-Supported</term><term>Dental Restoration Failure</term><term>Denture, Partial, Fixed</term><term>Denture, Partial, Removable</term><term>Humans</term><term>Patient Preference</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Humains</term><term>Mâchoire partiellement édentée</term><term>Parodontite chronique</term><term>Prothèse dentaire implanto-portée</term><term>Prothèse dentaire partielle amovible</term><term>Prothèse partielle fixe</term><term>Préférence du patient</term><term>Rétention de prothèse dentaire</term><term>Échec de restauration dentaire</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Traditional tooth-supported and implant-supported fixed/removable restorations are currently used to replace teeth lost due to periodontal disease. This article reviews the existing literature for oral rehabilitation of partially edentulous periodontal patients with various designs of removable dental prosthesis (RDP), fixed dental prosthesis (FDP) and implant-supported single crown (SC), by addressing their (a) general features, (b) survival and complication rates, along with considerations for treatment planning in periodontal patients, and (c) preference by patients. To answer these issues, relevant articles were searched and critically analyzed, and their data were extracted. Data reviewed indicated that despite many advantages, implant-supported restorations have higher complication rates than tooth-supported restorations. Systematic reviews on conventional RDPs are lacking, but existing literature reviews provide limited evidence suggesting the use of RDPs with design modifications along with strict periodontal care in periodontal patients. Numerous systematic reviews on conventional FDPs and implant-supported restorations provide a moderate level of evidence favoring their survival in periodontal patients; however, for long-term success of these restorations, the patient's periodontal condition needs to be stabilized. In terms of patient preference, no restoration is superior, as they all are governed by their cost, advantages, and disadvantages. Thus, in the wake of existing weak evidence for prosthodontic rehabilitation of periodontal patients by these restorations (especially, conventional RDPs and for FDPs and SCs in implant-supported restorations), longitudinal studies with standardized treatment protocol and methodology are needed to evaluate and compare tooth-supported and implant-supported restorations in periodontal patients with regard to survival rates, cost, maintenance, and patient-centered outcomes.</div></front></TEI></PubMed></double></record>Pour manipuler ce document sous Unix (Dilib)
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