Standardizing the evaluation criteria on treatment outcomes of mandibular implant overdentures: a systematic review
Identifieur interne : 001205 ( Pmc/Checkpoint ); précédent : 001204; suivant : 001206Standardizing the evaluation criteria on treatment outcomes of mandibular implant overdentures: a systematic review
Auteurs : Ha-Young Kim [Corée du Sud] ; Sang-Wan Shin [Corée du Sud] ; Jeong-Yol Lee [Corée du Sud]Source :
- The Journal of Advanced Prosthodontics [ 2005-7806 ] ; 2014.
Abstract
The aim of this review was to analyze the evaluation criteria on mandibular implant overdentures through a systematic review and suggest standardized evaluation criteria.
A systematic literature search was conducted by PubMed search strategy and hand-searching of relevant journals from included studies considering inclusion and exclusion criteria. Randomized clinical trials (RCT) and clinical trial studies comparing attachment systems on mandibular implant overdentures until December, 2011 were selected. Twenty nine studies were finally selected and the data about evaluation methods were collected.
Evaluation criteria could be classified into 4 groups (implant survival, peri-implant tissue evaluation, prosthetic evaluation, and patient satisfaction). Among 29 studies, 21 studies presented implant survival rate, while any studies reporting implant failure did not present cumulative implant survival rate. Seventeen studies evaluating peri-implant tissue status presented following items as evaluation criteria; marginal bone level (14), plaque Index (13), probing depth (8), bleeding index (8), attachment gingiva level (8), gingival index (6), amount of keratinized gingiva (1). Eighteen studies evaluating prosthetic maintenance and complication also presented following items as evaluation criteria; loose matrix (17), female detachment (15), denture fracture (15), denture relining (14), abutment fracture (14), abutment screw loosening (11), and occlusal adjustment (9). Atypical questionnaire (9), Visual analog scales (VAS) (4), and Oral Health Impact Profile (OHIP) (1) were used as the format of criteria to evaluate patients satisfaction in 14 studies.
For evaluation of implant overdenture, it is necessary to include cumulative survival rate for implant evaluation. It is suggested that peri-implant tissue evaluation criteria include marginal bone level, plaque index, bleeding index, probing depth, and attached gingiva level. It is also suggested that prosthetic evaluation criteria include loose matrix, female detachment, denture fracture, denture relining, abutment fracture, abutment screw loosening, and occlusal adjustment. Finally standardized criteria like OHIP-EDENT or VAS are required for patient satisfaction.
Url:
DOI: 10.4047/jap.2014.6.5.325
PubMed: 25352954
PubMed Central: 4211048
Affiliations:
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Standardizing the evaluation criteria on treatment outcomes of mandibular implant overdentures: a systematic review</title>
<author><name sortKey="Kim, Ha Young" sort="Kim, Ha Young" uniqKey="Kim H" first="Ha-Young" last="Kim">Ha-Young Kim</name>
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<author><name sortKey="Shin, Sang Wan" sort="Shin, Sang Wan" uniqKey="Shin S" first="Sang-Wan" last="Shin">Sang-Wan Shin</name>
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<wicri:regionArea>Department of Prosthodontics, Institute for Clinical Dental Research, KUMC, Korea University, Seoul</wicri:regionArea>
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<region type="capital">Région capitale de Séoul</region>
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<author><name sortKey="Lee, Jeong Yol" sort="Lee, Jeong Yol" uniqKey="Lee J" first="Jeong-Yol" last="Lee">Jeong-Yol Lee</name>
<affiliation wicri:level="3"><nlm:aff id="A2">Department of Prosthodontics, Institute for Clinical Dental Research, KUMC, Korea University, Seoul, Republic of Korea.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Corée du Sud</country>
<wicri:regionArea>Department of Prosthodontics, Institute for Clinical Dental Research, KUMC, Korea University, Seoul</wicri:regionArea>
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<series><title level="j">The Journal of Advanced Prosthodontics</title>
<idno type="ISSN">2005-7806</idno>
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<front><div type="abstract" xml:lang="en"><sec><title>PURPOSE</title>
<p>The aim of this review was to analyze the evaluation criteria on mandibular implant overdentures through a systematic review and suggest standardized evaluation criteria.</p>
</sec>
<sec><title>MATERIALS AND METHODS</title>
<p>A systematic literature search was conducted by PubMed search strategy and hand-searching of relevant journals from included studies considering inclusion and exclusion criteria. Randomized clinical trials (RCT) and clinical trial studies comparing attachment systems on mandibular implant overdentures until December, 2011 were selected. Twenty nine studies were finally selected and the data about evaluation methods were collected.</p>
</sec>
<sec><title>RESULTS</title>
<p>Evaluation criteria could be classified into 4 groups (implant survival, peri-implant tissue evaluation, prosthetic evaluation, and patient satisfaction). Among 29 studies, 21 studies presented implant survival rate, while any studies reporting implant failure did not present cumulative implant survival rate. Seventeen studies evaluating peri-implant tissue status presented following items as evaluation criteria; marginal bone level (14), plaque Index (13), probing depth (8), bleeding index (8), attachment gingiva level (8), gingival index (6), amount of keratinized gingiva (1). Eighteen studies evaluating prosthetic maintenance and complication also presented following items as evaluation criteria; loose matrix (17), female detachment (15), denture fracture (15), denture relining (14), abutment fracture (14), abutment screw loosening (11), and occlusal adjustment (9). Atypical questionnaire (9), Visual analog scales (VAS) (4), and Oral Health Impact Profile (OHIP) (1) were used as the format of criteria to evaluate patients satisfaction in 14 studies.</p>
</sec>
<sec><title>CONCLUSION</title>
<p>For evaluation of implant overdenture, it is necessary to include cumulative survival rate for implant evaluation. It is suggested that peri-implant tissue evaluation criteria include marginal bone level, plaque index, bleeding index, probing depth, and attached gingiva level. It is also suggested that prosthetic evaluation criteria include loose matrix, female detachment, denture fracture, denture relining, abutment fracture, abutment screw loosening, and occlusal adjustment. Finally standardized criteria like OHIP-EDENT or VAS are required for patient satisfaction.</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">J Adv Prosthodont</journal-id>
<journal-id journal-id-type="iso-abbrev">J Adv Prosthodont</journal-id>
<journal-id journal-id-type="publisher-id">JAP</journal-id>
<journal-title-group><journal-title>The Journal of Advanced Prosthodontics</journal-title>
</journal-title-group>
<issn pub-type="ppub">2005-7806</issn>
<issn pub-type="epub">2005-7814</issn>
<publisher><publisher-name>The Korean Academy of Prosthodontics</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">25352954</article-id>
<article-id pub-id-type="pmc">4211048</article-id>
<article-id pub-id-type="doi">10.4047/jap.2014.6.5.325</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Standardizing the evaluation criteria on treatment outcomes of mandibular implant overdentures: a systematic review</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Kim</surname>
<given-names>Ha-Young</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Shin</surname>
<given-names>Sang-Wan</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Lee</surname>
<given-names>Jeong-Yol</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
Woorideul Dental Clinic, Seoul, Republic of Korea.</aff>
<aff id="A2"><label>2</label>
Department of Prosthodontics, Institute for Clinical Dental Research, KUMC, Korea University, Seoul, Republic of Korea.</aff>
<author-notes><corresp>Corresponding author: Jeong-Yol Lee. Department of Prosthodontics, Institute for Clinical Dental Research, KUMC, Korea University, 97 Gurodong-gil, Guro-gu, Seoul, 152-703, Republic of Korea. Tel. 82 2 2626 3271: <email>wddc@korea.ac.kr</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><month>10</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="epub"><day>21</day>
<month>10</month>
<year>2014</year>
</pub-date>
<volume>6</volume>
<issue>5</issue>
<fpage>325</fpage>
<lpage>332</lpage>
<history><date date-type="received"><day>13</day>
<month>6</month>
<year>2013</year>
</date>
<date date-type="rev-recd"><day>30</day>
<month>5</month>
<year>2014</year>
</date>
<date date-type="accepted"><day>05</day>
<month>6</month>
<year>2014</year>
</date>
</history>
<permissions><copyright-statement>© 2014 The Korean Academy of Prosthodontics</copyright-statement>
<copyright-year>2014</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>
) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><sec><title>PURPOSE</title>
<p>The aim of this review was to analyze the evaluation criteria on mandibular implant overdentures through a systematic review and suggest standardized evaluation criteria.</p>
</sec>
<sec><title>MATERIALS AND METHODS</title>
<p>A systematic literature search was conducted by PubMed search strategy and hand-searching of relevant journals from included studies considering inclusion and exclusion criteria. Randomized clinical trials (RCT) and clinical trial studies comparing attachment systems on mandibular implant overdentures until December, 2011 were selected. Twenty nine studies were finally selected and the data about evaluation methods were collected.</p>
</sec>
<sec><title>RESULTS</title>
<p>Evaluation criteria could be classified into 4 groups (implant survival, peri-implant tissue evaluation, prosthetic evaluation, and patient satisfaction). Among 29 studies, 21 studies presented implant survival rate, while any studies reporting implant failure did not present cumulative implant survival rate. Seventeen studies evaluating peri-implant tissue status presented following items as evaluation criteria; marginal bone level (14), plaque Index (13), probing depth (8), bleeding index (8), attachment gingiva level (8), gingival index (6), amount of keratinized gingiva (1). Eighteen studies evaluating prosthetic maintenance and complication also presented following items as evaluation criteria; loose matrix (17), female detachment (15), denture fracture (15), denture relining (14), abutment fracture (14), abutment screw loosening (11), and occlusal adjustment (9). Atypical questionnaire (9), Visual analog scales (VAS) (4), and Oral Health Impact Profile (OHIP) (1) were used as the format of criteria to evaluate patients satisfaction in 14 studies.</p>
</sec>
<sec><title>CONCLUSION</title>
<p>For evaluation of implant overdenture, it is necessary to include cumulative survival rate for implant evaluation. It is suggested that peri-implant tissue evaluation criteria include marginal bone level, plaque index, bleeding index, probing depth, and attached gingiva level. It is also suggested that prosthetic evaluation criteria include loose matrix, female detachment, denture fracture, denture relining, abutment fracture, abutment screw loosening, and occlusal adjustment. Finally standardized criteria like OHIP-EDENT or VAS are required for patient satisfaction.</p>
</sec>
</abstract>
<kwd-group><kwd>Denture</kwd>
<kwd>Overlay</kwd>
<kwd>Mandibular prosthesis</kwd>
<kwd>Dental implants</kwd>
<kwd>Outcome assessment</kwd>
<kwd>Patient satisfaction</kwd>
</kwd-group>
<funding-group><award-group><funding-source country="CA">University of British Columbia</funding-source>
</award-group>
<award-group><funding-source country="KR">Korea Health Industry Development institute</funding-source>
<award-id>A110669</award-id>
</award-group>
</funding-group>
</article-meta>
</front>
<floats-group><fig id="F1" orientation="portrait" position="float"><label>Fig. 1</label>
<caption><p>Flowchart of search strategy.</p>
</caption>
<graphic xlink:href="jap-6-325-g001"></graphic>
</fig>
<fig id="F2" orientation="portrait" position="float"><label>Fig. 2</label>
<caption><p>Items in the questionnaires used to evaluate patient satisfaction on implant overdenture.</p>
</caption>
<graphic xlink:href="jap-6-325-g002"></graphic>
</fig>
<table-wrap id="T1" orientation="portrait" position="float"><label>Table 1</label>
<caption><p>Inclusion and exclusion criteria for systematic review</p>
</caption>
<graphic xlink:href="jap-6-325-i001"></graphic>
<table-wrap-foot><fn><p>MIO = Mandibular implant overdenture.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="T2" orientation="portrait" position="float"><label>Table 2</label>
<caption><p>Included papers by inclusion criteria</p>
</caption>
<graphic xlink:href="jap-6-325-i002"></graphic>
</table-wrap>
<table-wrap id="T3" orientation="portrait" position="float"><label>Table 3</label>
<caption><p>Treatment outcome index used to evaluate implant survival rate, peri-implant tissue, prosthetic maintenance and complication and patient satisfaction</p>
</caption>
<graphic xlink:href="jap-6-325-i003"></graphic>
<table-wrap-foot><fn><p>SR=Survival rate; CSR=Cumulative survival rate; PI=Plaque index; CI=Calculus index; BI=Bleeding index; GI=Gingival index; PD=Probing depth; AL=Attachment level; KM=Keratinized mucosa; BL=Bone level; SL=Screw loosening; AF=Abutment fracture; FD=Female detachment; LM=Loose matrices; DF=Denture fracture; DR=Denture relining; OA=Occlusal adjustment; PS=pressure spots; AQ=Atypical questionnaire; VAS=Visual analog scale; CIP=Clinical implant performance; NA=Not available.</p>
</fn>
</table-wrap-foot>
</table-wrap>
</floats-group>
</pmc>
<affiliations><list><country><li>Corée du Sud</li>
</country>
<region><li>Région capitale de Séoul</li>
</region>
<settlement><li>Séoul</li>
</settlement>
</list>
<tree><country name="Corée du Sud"><region name="Région capitale de Séoul"><name sortKey="Kim, Ha Young" sort="Kim, Ha Young" uniqKey="Kim H" first="Ha-Young" last="Kim">Ha-Young Kim</name>
</region>
<name sortKey="Lee, Jeong Yol" sort="Lee, Jeong Yol" uniqKey="Lee J" first="Jeong-Yol" last="Lee">Jeong-Yol Lee</name>
<name sortKey="Shin, Sang Wan" sort="Shin, Sang Wan" uniqKey="Shin S" first="Sang-Wan" last="Shin">Sang-Wan Shin</name>
</country>
</tree>
</affiliations>
</record>
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