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Number of implants for mandibular implant overdentures: a systematic review

Identifieur interne : 002E77 ( Pmc/Curation ); précédent : 002E76; suivant : 002E78

Number of implants for mandibular implant overdentures: a systematic review

Auteurs : Jeong-Yol Lee [Corée du Sud] ; Ha-Young Kim [Corée du Sud] ; Sang-Wan Shin [Corée du Sud] ; S. Ross Bryant [Canada]

Source :

RBID : PMC:3517958

Abstract

PURPOSE

The aim of this systematic review is to address treatment outcomes of Mandibular implant overdentures relative to implant survival rate, maintenance and complications, and patient satisfaction.

MATERIALS AND METHODS

A systematic literature search was conducted by a PubMed search strategy and hand-searching of relevant journals from included studies. Randomized Clinical Trials (RCT) and comparative clinical trial studies on mandibular implant overdentures until August, 2010 were selected. Eleven studies from 1098 studies were finally selected and data were analyzed relative to number of implants.

RESULTS

Six studies presented the data of the implant survival rate which ranged from 95% to 100% for 2 and 4 implant group and from 81.8% to 96.1% for 1 and 2 implant group. One study, which statistically compared implant survival rate showed no significant differences relative to the number of implants. The most common type of prosthetic maintenance and complications were replacement or reattaching of loose clips for 2 and 4 implant group, and denture repair due to the fracture around an implant for 1 and 2 implant groups. Most studies showed no significant differences in the rate of prosthetic maintenance and complication, and patient satisfaction regardless the number of implants.

CONCLUSION

The implant survival rate of mandibular overdentures is high regardless of the number of implants. Denture maintenance is likely not inflenced substantially by the number of implants and patient satisfaction is typically high again regardless os the number of implants.


Url:
DOI: 10.4047/jap.2012.4.4.204
PubMed: 23236572
PubMed Central: 3517958

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PMC:3517958

Le document en format XML

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<title>PURPOSE</title>
<p>The aim of this systematic review is to address treatment outcomes of Mandibular implant overdentures relative to implant survival rate, maintenance and complications, and patient satisfaction.</p>
</sec>
<sec>
<title>MATERIALS AND METHODS</title>
<p>A systematic literature search was conducted by a PubMed search strategy and hand-searching of relevant journals from included studies. Randomized Clinical Trials (RCT) and comparative clinical trial studies on mandibular implant overdentures until August, 2010 were selected. Eleven studies from 1098 studies were finally selected and data were analyzed relative to number of implants.</p>
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<title>RESULTS</title>
<p>Six studies presented the data of the implant survival rate which ranged from 95% to 100% for 2 and 4 implant group and from 81.8% to 96.1% for 1 and 2 implant group. One study, which statistically compared implant survival rate showed no significant differences relative to the number of implants. The most common type of prosthetic maintenance and complications were replacement or reattaching of loose clips for 2 and 4 implant group, and denture repair due to the fracture around an implant for 1 and 2 implant groups. Most studies showed no significant differences in the rate of prosthetic maintenance and complication, and patient satisfaction regardless the number of implants.</p>
</sec>
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<title>CONCLUSION</title>
<p>The implant survival rate of mandibular overdentures is high regardless of the number of implants. Denture maintenance is likely not inflenced substantially by the number of implants and patient satisfaction is typically high again regardless os the number of implants.</p>
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<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">23236572</article-id>
<article-id pub-id-type="pmc">3517958</article-id>
<article-id pub-id-type="doi">10.4047/jap.2012.4.4.204</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Number of implants for mandibular implant overdentures: a systematic review</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Lee</surname>
<given-names>Jeong-Yol</given-names>
</name>
<degrees>DDS</degrees>
<degrees>MSc</degrees>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="author-notes" rid="FN1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kim</surname>
<given-names>Ha-Young</given-names>
</name>
<degrees>DDS</degrees>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="author-notes" rid="FN1"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Shin</surname>
<given-names>Sang-Wan</given-names>
</name>
<degrees>DDS</degrees>
<degrees>MPH</degrees>
<degrees>PhD</degrees>
<degrees>MSc</degrees>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Bryant</surname>
<given-names>S. Ross</given-names>
</name>
<degrees>DDS</degrees>
<degrees>MSc</degrees>
<degrees>PhD</degrees>
<degrees>FRCD(C)</degrees>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
</contrib-group>
<aff id="A1">
<label>1</label>
Department of Prosthodontics, Institute for Clinical Dental Research, KUMC, Korea University, Seoul, Korea.</aff>
<aff id="A2">
<label>2</label>
Department of Prosthetics and Dental Geriatrics, Faculty of Dentistry, The University of British Columbia, Vancouver, Canada.</aff>
<author-notes>
<corresp>Corresponding author: Sang-Wan Shin. Department of Prosthodontics, Graduate School of Clinical Dentistry, KUMC, Korea University, 97, Gurodonggil, Guro-Gu, Seoul, 152-703, Korea. Tel. 82 2 2626 1922:
<email>swshin@korea.ac.kr</email>
</corresp>
<fn id="FN1" fn-type="equal">
<p>
<sup></sup>
These authors are equally contributed to this work.</p>
</fn>
</author-notes>
<pub-date pub-type="ppub">
<month>11</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="epub">
<day>29</day>
<month>11</month>
<year>2012</year>
</pub-date>
<volume>4</volume>
<issue>4</issue>
<fpage>204</fpage>
<lpage>209</lpage>
<history>
<date date-type="received">
<day>04</day>
<month>10</month>
<year>2012</year>
</date>
<date date-type="rev-recd">
<day>05</day>
<month>11</month>
<year>2012</year>
</date>
<date date-type="accepted">
<day>12</day>
<month>11</month>
<year>2012</year>
</date>
</history>
<permissions>
<copyright-statement>© 2012 The Korean Academy of Prosthodontics</copyright-statement>
<copyright-year>2012</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 systematic review is to address treatment outcomes of Mandibular implant overdentures relative to implant survival rate, maintenance and complications, and patient satisfaction.</p>
</sec>
<sec>
<title>MATERIALS AND METHODS</title>
<p>A systematic literature search was conducted by a PubMed search strategy and hand-searching of relevant journals from included studies. Randomized Clinical Trials (RCT) and comparative clinical trial studies on mandibular implant overdentures until August, 2010 were selected. Eleven studies from 1098 studies were finally selected and data were analyzed relative to number of implants.</p>
</sec>
<sec>
<title>RESULTS</title>
<p>Six studies presented the data of the implant survival rate which ranged from 95% to 100% for 2 and 4 implant group and from 81.8% to 96.1% for 1 and 2 implant group. One study, which statistically compared implant survival rate showed no significant differences relative to the number of implants. The most common type of prosthetic maintenance and complications were replacement or reattaching of loose clips for 2 and 4 implant group, and denture repair due to the fracture around an implant for 1 and 2 implant groups. Most studies showed no significant differences in the rate of prosthetic maintenance and complication, and patient satisfaction regardless the number of implants.</p>
</sec>
<sec>
<title>CONCLUSION</title>
<p>The implant survival rate of mandibular overdentures is high regardless of the number of implants. Denture maintenance is likely not inflenced substantially by the number of implants and patient satisfaction is typically high again regardless os the number of implants.</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>
</article-meta>
</front>
<floats-group>
<fig id="F1" position="float">
<label>Fig. 1</label>
<caption>
<p>Flowchart of search strategy.</p>
</caption>
<graphic xlink:href="jap-4-204-g001"></graphic>
</fig>
<table-wrap id="T1" position="float">
<label>Table 1</label>
<caption>
<p>Final inclusion and exclusion criteria for systematic review</p>
</caption>
<graphic xlink:href="jap-4-204-i001"></graphic>
</table-wrap>
<table-wrap id="T2" position="float">
<label>Table 2</label>
<caption>
<p>Included papers by inclusion criteria</p>
</caption>
<graphic xlink:href="jap-4-204-i002"></graphic>
<table-wrap-foot>
<fn>
<p>RCT: randomized controlled trial.</p>
<p>ITI (Straumann, Waldenburg, Switzerland), Brånemark (NobelBiocare, Göteborg, Sweden), IMZ (Friedrichsfeld AG, Mannheim, Germany).</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="T3" position="float">
<label>Table 3</label>
<caption>
<p>Survival rate, prosthetic maintenance and complications, and patient satisfaction of the implant mandibular overdentures comparing 2 and 4 implants</p>
</caption>
<graphic xlink:href="jap-4-204-i003"></graphic>
<table-wrap-foot>
<fn>
<p>NS: Not significantly different, NR: Not recorded.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="T4" position="float">
<label>Table 4</label>
<caption>
<p>Survival rate, prosthetic maintenance and complications, and patient satisfaction of the implant mandibular overdentures comparing single and 2 implants</p>
</caption>
<graphic xlink:href="jap-4-204-i004"></graphic>
<table-wrap-foot>
<fn>
<p>NS: Not significantly different, NR: Not recorded.</p>
</fn>
</table-wrap-foot>
</table-wrap>
</floats-group>
</pmc>
</record>

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