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A systematic review of implant-supported overdentures in the edentulous maxilla, compared to the mandible: how many implants?

Identifieur interne : 000786 ( PubMed/Corpus ); précédent : 000785; suivant : 000787

A systematic review of implant-supported overdentures in the edentulous maxilla, compared to the mandible: how many implants?

Auteurs : Gerry M. Raghoebar ; Henny J A. Meijer ; Wim Slot ; James J R. Slater ; Arjan Vissink

Source :

RBID : pubmed:24977255

English descriptors

Abstract

There is now overwhelming evidence from systematic reviews that a two implant overdenture is the first choice of treatment for the edentulous mandible. Conversely, consensus is lacking for implant-supported maxillary overdentures. Therefore, we systematically reviewed the treatment outcome of concepts used for implant-supported maxillary overdentures, focusing on the survival of implants, survival of maxillary overdentures and condition of the implant surrounding hard and soft tissues after a mean observation period of at least 1 year.

PubMed: 24977255

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pubmed:24977255

Le document en format XML

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<title xml:lang="en">A systematic review of implant-supported overdentures in the edentulous maxilla, compared to the mandible: how many implants?</title>
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<name sortKey="Raghoebar, Gerry M" sort="Raghoebar, Gerry M" uniqKey="Raghoebar G" first="Gerry M" last="Raghoebar">Gerry M. Raghoebar</name>
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<name sortKey="Meijer, Henny J A" sort="Meijer, Henny J A" uniqKey="Meijer H" first="Henny J A" last="Meijer">Henny J A. Meijer</name>
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<name sortKey="Slot, Wim" sort="Slot, Wim" uniqKey="Slot W" first="Wim" last="Slot">Wim Slot</name>
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<name sortKey="Slater, James J R" sort="Slater, James J R" uniqKey="Slater J" first="James J R" last="Slater">James J R. Slater</name>
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<name sortKey="Vissink, Arjan" sort="Vissink, Arjan" uniqKey="Vissink A" first="Arjan" last="Vissink">Arjan Vissink</name>
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<title xml:lang="en">A systematic review of implant-supported overdentures in the edentulous maxilla, compared to the mandible: how many implants?</title>
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<name sortKey="Raghoebar, Gerry M" sort="Raghoebar, Gerry M" uniqKey="Raghoebar G" first="Gerry M" last="Raghoebar">Gerry M. Raghoebar</name>
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<name sortKey="Meijer, Henny J A" sort="Meijer, Henny J A" uniqKey="Meijer H" first="Henny J A" last="Meijer">Henny J A. Meijer</name>
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<name sortKey="Slot, Wim" sort="Slot, Wim" uniqKey="Slot W" first="Wim" last="Slot">Wim Slot</name>
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<name sortKey="Slater, James J R" sort="Slater, James J R" uniqKey="Slater J" first="James J R" last="Slater">James J R. Slater</name>
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<title level="j">European journal of oral implantology</title>
<idno type="ISSN">1756-2406</idno>
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<term>Dental Implants</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture Retention (instrumentation)</term>
<term>Denture, Overlay</term>
<term>Humans</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Mandible (pathology)</term>
<term>Mandible (surgery)</term>
<term>Maxilla (pathology)</term>
<term>Maxilla (surgery)</term>
<term>Survival Analysis</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en">
<term>Denture Retention</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Mandible</term>
<term>Maxilla</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Jaw, Edentulous</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Jaw, Edentulous</term>
<term>Mandible</term>
<term>Maxilla</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture, Overlay</term>
<term>Humans</term>
<term>Survival Analysis</term>
<term>Treatment Outcome</term>
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<div type="abstract" xml:lang="en">There is now overwhelming evidence from systematic reviews that a two implant overdenture is the first choice of treatment for the edentulous mandible. Conversely, consensus is lacking for implant-supported maxillary overdentures. Therefore, we systematically reviewed the treatment outcome of concepts used for implant-supported maxillary overdentures, focusing on the survival of implants, survival of maxillary overdentures and condition of the implant surrounding hard and soft tissues after a mean observation period of at least 1 year.</div>
</front>
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<PMID Version="1">24977255</PMID>
<DateCompleted>
<Year>2014</Year>
<Month>09</Month>
<Day>23</Day>
</DateCompleted>
<DateRevised>
<Year>2014</Year>
<Month>06</Month>
<Day>30</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">1756-2406</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>7 Suppl 2</Volume>
<PubDate>
<Year>2014</Year>
<Season>Summer</Season>
</PubDate>
</JournalIssue>
<Title>European journal of oral implantology</Title>
<ISOAbbreviation>Eur J Oral Implantol</ISOAbbreviation>
</Journal>
<ArticleTitle>A systematic review of implant-supported overdentures in the edentulous maxilla, compared to the mandible: how many implants?</ArticleTitle>
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<MedlinePgn>S191-201</MedlinePgn>
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<Abstract>
<AbstractText Label="BACKGROUND AND AIM" NlmCategory="OBJECTIVE">There is now overwhelming evidence from systematic reviews that a two implant overdenture is the first choice of treatment for the edentulous mandible. Conversely, consensus is lacking for implant-supported maxillary overdentures. Therefore, we systematically reviewed the treatment outcome of concepts used for implant-supported maxillary overdentures, focusing on the survival of implants, survival of maxillary overdentures and condition of the implant surrounding hard and soft tissues after a mean observation period of at least 1 year.</AbstractText>
<AbstractText Label="MATERIAL AND METHODS" NlmCategory="METHODS">MEDLINE (1950 to December 2013), EMBASE (1966 to December 2013) and CENTRAL (1800 to December 2013) were searched to identify eligible studies. Two reviewers independently assessed the articles using specific study design-related quality assessment forms.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Out of 195 primarily selected articles, 24 studies fulfilled the inclusion criteria. A metaanalysis showed an implant survival rate of 98.1% and overdenture survival of 99.5% per year in the case of ≥ 6 implants and a splinted (bar) anchorage. In the case of ≤ 4 implants and a splinted (bar) anchorage, implant survival rate and overdenture survival were 97.0% and 96.9% per year, respectively. In the case of ≤ 4 implants and a non-splinted anchorage (ball, locator, telescopic crown), implant survival rate and overdenture survival were 88.9% and 98.8% per year, respectively. The condition of the peri-implant tissues was not reported in most studies.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">An implant-supported maxillary overdenture (all studies ≥ 4 implants) provided with a splinted anchorage is accompanied with a high implant and overdenture survival rate (both >95% per year), while there is an increased risk of implant loss when ≤ 4 implants with a non-splinted anchorage are used.</AbstractText>
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<ForeName>Henny J A</ForeName>
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<LastName>Slot</LastName>
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<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<DescriptorName UI="D007575" MajorTopicYN="N">Jaw, Edentulous</DescriptorName>
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<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
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<MeshHeading>
<DescriptorName UI="D008334" MajorTopicYN="N">Mandible</DescriptorName>
<QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
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<MeshHeading>
<DescriptorName UI="D008437" MajorTopicYN="N">Maxilla</DescriptorName>
<QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
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<DescriptorName UI="D016019" MajorTopicYN="N">Survival Analysis</DescriptorName>
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