Occlusal rehabilitation in patients with congenitally missing teeth—dental implants, conventional prosthetics, tooth autotransplants, and preservation of deciduous teeth—a systematic review
Identifieur interne : 006B34 ( Ncbi/Merge ); précédent : 006B33; suivant : 006B35Occlusal rehabilitation in patients with congenitally missing teeth—dental implants, conventional prosthetics, tooth autotransplants, and preservation of deciduous teeth—a systematic review
Auteurs : Hendrik Terheyden [Allemagne] ; Falk Wüsthoff [Allemagne]Source :
- International Journal of Implant Dentistry [ 2198-4034 ] ; 2015.
Abstract
Implant patients with congenitally missing teeth share some common charateristics and deserve special attention.
The PICO question was “In patients with congenitally missing teeth, does an early occlusal rehabilitation with dental implants in comparison to tooth autotransplants, conventional prosthetics on teeth or preservation of deciduous teeth have better general outcomes in terms of survival, success and better patient centered outcomes in terms of quality of life, self-esteem, satisfaction, chewing function?”
After electronic database search, a total of 63 relevant studies were eligible, of which 42 qualified for numerical data synthesis, 26 being retrospective studies. A data synthesis was performed by weighted means for survival/success/annual failure rates.
The mean survival of implants was 95.3 % (prosthesis survival 97.8 %), autotransplants 94.4 %, deciduous teeth 89.6 %, and conventional prostheses 60.2 %. The implant survival in children, adolescents, and adults was 72.4, 93.0, and 97.4 %. Annual failure rates of implants 3.317 %, autotransplants 1.061 %, deciduous teeth 0.908 %, and conventional prostheses 5.144 % indicated better results for natural teeth and more maintenance needs for the both prosthetic treatments. The mean OHIP score was 27.8 at baseline and a mean improvement of 14.9 score points was reported after implant prosthetics. The mean satisfaction rates were 93.4 (implants), 76.6 (conventional prostheses), 72.0 (autotransplants), and 65.5 % (orthodontic space closure).
In synopsis of general and patient-centered outcomes, implants yielded the best results, however, not in children <13 years. Autotransplants and deciduous teeth had low annual failure rates and are appropriate treatments in children and adolescents at low costs. Conventional prosthetics had lower survival/success rates than the other options. Due to heterogeneity and low number of studies, patient-reported outcomes in this review have to be interpreted with caution.
Url:
DOI: 10.1186/s40729-015-0025-z
PubMed: 27747652
PubMed Central: 5005685
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<affiliation wicri:level="1"><nlm:aff id="Aff2">Department of Oral and Maxillofacial Surgery, Schleswig-Holstein University Hospital, Arnold-Heller-Straße 3, Haus 26, 2D-4105 Kiel, Germany</nlm:aff>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Occlusal rehabilitation in patients with congenitally missing teeth—dental implants, conventional prosthetics, tooth autotransplants, and preservation of deciduous teeth—a systematic review</title>
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<wicri:regionArea>Department of Oral and Maxillofacial Surgery, Red Cross Hospital, Hansteinstr. 29, D-34121 Kassel</wicri:regionArea>
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<author><name sortKey="Wusthoff, Falk" sort="Wusthoff, Falk" uniqKey="Wusthoff F" first="Falk" last="Wüsthoff">Falk Wüsthoff</name>
<affiliation wicri:level="1"><nlm:aff id="Aff2">Department of Oral and Maxillofacial Surgery, Schleswig-Holstein University Hospital, Arnold-Heller-Straße 3, Haus 26, 2D-4105 Kiel, Germany</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Oral and Maxillofacial Surgery, Schleswig-Holstein University Hospital, Arnold-Heller-Straße 3, Haus 26, 2D-4105 Kiel</wicri:regionArea>
<wicri:noRegion>2D-4105 Kiel</wicri:noRegion>
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<series><title level="j">International Journal of Implant Dentistry</title>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Implant patients with congenitally missing teeth share some common charateristics and deserve special attention.</p>
</sec>
<sec><title>Methods</title>
<p>The PICO question was “In patients with congenitally missing teeth, does an early occlusal rehabilitation with dental implants in comparison to tooth autotransplants, conventional prosthetics on teeth or preservation of deciduous teeth have better general outcomes in terms of survival, success and better patient centered outcomes in terms of quality of life, self-esteem, satisfaction, chewing function?”</p>
<p>After electronic database search, a total of 63 relevant studies were eligible, of which 42 qualified for numerical data synthesis, 26 being retrospective studies. A data synthesis was performed by weighted means for survival/success/annual failure rates.</p>
</sec>
<sec><title>Results</title>
<p>The mean survival of implants was 95.3 % (prosthesis survival 97.8 %), autotransplants 94.4 %, deciduous teeth 89.6 %, and conventional prostheses 60.2 %. The implant survival in children, adolescents, and adults was 72.4, 93.0, and 97.4 %. Annual failure rates of implants 3.317 %, autotransplants 1.061 %, deciduous teeth 0.908 %, and conventional prostheses 5.144 % indicated better results for natural teeth and more maintenance needs for the both prosthetic treatments. The mean OHIP score was 27.8 at baseline and a mean improvement of 14.9 score points was reported after implant prosthetics. The mean satisfaction rates were 93.4 (implants), 76.6 (conventional prostheses), 72.0 (autotransplants), and 65.5 % (orthodontic space closure).</p>
</sec>
<sec><title>Conclusions</title>
<p>In synopsis of general and patient-centered outcomes, implants yielded the best results, however, not in children <13 years. Autotransplants and deciduous teeth had low annual failure rates and are appropriate treatments in children and adolescents at low costs. Conventional prosthetics had lower survival/success rates than the other options. Due to heterogeneity and low number of studies, patient-reported outcomes in this review have to be interpreted with caution.</p>
</sec>
</div>
</front>
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<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Int J Implant Dent</journal-id>
<journal-id journal-id-type="iso-abbrev">Int J Implant Dent</journal-id>
<journal-title-group><journal-title>International Journal of Implant Dentistry</journal-title>
</journal-title-group>
<issn pub-type="epub">2198-4034</issn>
<publisher><publisher-name>Springer Berlin Heidelberg</publisher-name>
<publisher-loc>Berlin/Heidelberg</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">27747652</article-id>
<article-id pub-id-type="pmc">5005685</article-id>
<article-id pub-id-type="publisher-id">25</article-id>
<article-id pub-id-type="doi">10.1186/s40729-015-0025-z</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Research</subject>
</subj-group>
</article-categories>
<title-group><article-title>Occlusal rehabilitation in patients with congenitally missing teeth—dental implants, conventional prosthetics, tooth autotransplants, and preservation of deciduous teeth—a systematic review</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Terheyden</surname>
<given-names>Hendrik</given-names>
</name>
<address><email>Terheyden@rkh-kassel.de</email>
</address>
<xref ref-type="aff" rid="Aff1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Wüsthoff</surname>
<given-names>Falk</given-names>
</name>
<xref ref-type="aff" rid="Aff2">2</xref>
</contrib>
<aff id="Aff1"><label>1</label>
Department of Oral and Maxillofacial Surgery, Red Cross Hospital, Hansteinstr. 29, D-34121 Kassel, Germany</aff>
<aff id="Aff2"><label>2</label>
Department of Oral and Maxillofacial Surgery, Schleswig-Holstein University Hospital, Arnold-Heller-Straße 3, Haus 26, 2D-4105 Kiel, Germany</aff>
</contrib-group>
<pub-date pub-type="epub"><day>18</day>
<month>11</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>18</day>
<month>11</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="collection"><month>12</month>
<year>2015</year>
</pub-date>
<volume>1</volume>
<issue>1</issue>
<elocation-id>30</elocation-id>
<history><date date-type="received"><day>25</day>
<month>7</month>
<year>2015</year>
</date>
<date date-type="accepted"><day>27</day>
<month>8</month>
<year>2015</year>
</date>
</history>
<permissions><copyright-statement>© Terheyden and Wüsthoff. 2015</copyright-statement>
<license license-type="OpenAccess"><license-p><bold>Open Access</bold>
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>
), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.</license-p>
</license>
</permissions>
<abstract id="Abs1"><sec><title>Background</title>
<p>Implant patients with congenitally missing teeth share some common charateristics and deserve special attention.</p>
</sec>
<sec><title>Methods</title>
<p>The PICO question was “In patients with congenitally missing teeth, does an early occlusal rehabilitation with dental implants in comparison to tooth autotransplants, conventional prosthetics on teeth or preservation of deciduous teeth have better general outcomes in terms of survival, success and better patient centered outcomes in terms of quality of life, self-esteem, satisfaction, chewing function?”</p>
<p>After electronic database search, a total of 63 relevant studies were eligible, of which 42 qualified for numerical data synthesis, 26 being retrospective studies. A data synthesis was performed by weighted means for survival/success/annual failure rates.</p>
</sec>
<sec><title>Results</title>
<p>The mean survival of implants was 95.3 % (prosthesis survival 97.8 %), autotransplants 94.4 %, deciduous teeth 89.6 %, and conventional prostheses 60.2 %. The implant survival in children, adolescents, and adults was 72.4, 93.0, and 97.4 %. Annual failure rates of implants 3.317 %, autotransplants 1.061 %, deciduous teeth 0.908 %, and conventional prostheses 5.144 % indicated better results for natural teeth and more maintenance needs for the both prosthetic treatments. The mean OHIP score was 27.8 at baseline and a mean improvement of 14.9 score points was reported after implant prosthetics. The mean satisfaction rates were 93.4 (implants), 76.6 (conventional prostheses), 72.0 (autotransplants), and 65.5 % (orthodontic space closure).</p>
</sec>
<sec><title>Conclusions</title>
<p>In synopsis of general and patient-centered outcomes, implants yielded the best results, however, not in children <13 years. Autotransplants and deciduous teeth had low annual failure rates and are appropriate treatments in children and adolescents at low costs. Conventional prosthetics had lower survival/success rates than the other options. Due to heterogeneity and low number of studies, patient-reported outcomes in this review have to be interpreted with caution.</p>
</sec>
</abstract>
<kwd-group xml:lang="en"><title>Keywords</title>
<kwd>Hypodontia</kwd>
<kwd>Oligodontia</kwd>
<kwd>Anodontia</kwd>
<kwd>Tooth aplasia</kwd>
<kwd>Tooth agenesis</kwd>
<kwd>Congenitally missing teeth</kwd>
<kwd>Tooth autotransplantation</kwd>
<kwd>Deciduous tooth</kwd>
<kwd>Dental implants</kwd>
<kwd>Ectodermal dysplasia</kwd>
</kwd-group>
<funding-group><award-group><funding-source><institution>German Association of Dental Implantology (Deutsche Gesellschaft für Implantologie im Zahn-, Mund- und Kieferbereich e.V.)</institution>
</funding-source>
<award-id>ᅟ</award-id>
<principal-award-recipient><name><surname>Terheyden</surname>
<given-names>Hendrik</given-names>
</name>
</principal-award-recipient>
</award-group>
</funding-group>
<custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name>
<meta-value>© The Author(s) 2015</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
<affiliations><list><country><li>Allemagne</li>
</country>
<region><li>District de Kassel</li>
<li>Hesse (Land)</li>
</region>
<settlement><li>Cassel (Hesse)</li>
</settlement>
</list>
<tree><country name="Allemagne"><region name="Hesse (Land)"><name sortKey="Terheyden, Hendrik" sort="Terheyden, Hendrik" uniqKey="Terheyden H" first="Hendrik" last="Terheyden">Hendrik Terheyden</name>
</region>
<name sortKey="Wusthoff, Falk" sort="Wusthoff, Falk" uniqKey="Wusthoff F" first="Falk" last="Wüsthoff">Falk Wüsthoff</name>
</country>
</tree>
</affiliations>
</record>
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