What is the optimal number of implants for fixed reconstructions: a systematic review

被引：76

作者：

Heydecke, Guido ^{[1
,6
]}

Zwahlen, Marcel ^{[2
]}

Nicol, Ailsa

Nisand, Davide

Payer, Michael ^{[3
]}

Renouard, Frank

Grohmann, Philipp ^{[4
]}

Muehlemann, Sven ^{[4
]}

Joda, Tim ^{[1
,5
,6
]}

机构：

[1] Univ Hosp Hamburg Eppendorf, Dept Prosthet Dent, Ctr Dent & Oral Med, D-20246 Hamburg, Germany

[2] Univ Bern, Inst Social & Prevent Med, CH-3012 Bern, Switzerland

[3] Graz Univ, Graz, Austria

[4] Univ Zurich, Zurich, Switzerland

[5] Univ Bern, Dept Fixed Prosthodont, Sch Dent Med, CH-3010 Bern, Switzerland

[6] Univ Med Ctr Hamburg Eppendorf, Dept Prosthet Dent, Ctr Dent & Oral Med, D-20246 Hamburg, Germany

来源：

CLINICAL ORAL IMPLANTS RESEARCH | 2012年 / 23卷

关键词：

complication; dental implant; FAFDP; Fixed dental prosthesis; fixed full-arch prosthesis; fixed reconstruction; partial FDP; survival;

D O I：

10.1111/j.1600-0501.2012.02548.x

中图分类号：

R78 [口腔科学];

学科分类号：

1003 ;

摘要：

Objectives To assess the 5-year and 10-year survival and complication rates of implant-supported fixed reconstructions in partially and totally edentulous patients with regard to the optimal number and distribution of dental implants. Material and Methods This review was designed as a systematic review of the literature. A search strategy was developed and executed using an electronic and selective hand search for English-language articles in Dental Journals limited to human clinical trials. Search terms were grouped into categories for problem intervention outcome. For articles retrieved by this search, abstracts were screened by two reviewers based on the inclusion criteria. Selected articles were then obtained in full texts. Finally, the selection based on inclusion/exclusion criteria was repeated for the full-text articles. Results Of the 210 titles retrieved by the search, 51 were selected for full-text review based on the information given in the abstract. From the full-text articles, a total of nine studies were included for this systematic review. In meta-analysis, prosthetic survival rates over 5 and 10 years for partial Fixed Dental Prostheses (FDPs) on two to four implants were estimated as 98.9% (95% CI: 98.599.2%) and as 97.8% (95% CI: 96.998.4%) respectively. A survival rate for maxillary Full-Arch Fixed Dental Prostheses (FAFDPs) on four to six implants after 5 years was assessed as 97.5% (95% CI: 94.198.9%) and a survival rate after 10 years as 95.0% (95% CI: 88.597.9%). The result for the survival rates in case of mandibular FAFDPs on four to six implants after 5 years was 97.9% (95% CI: 96.398.8%) and after 10 years 95.9% (95% CI: 92.897.7%). Specific implant-to-replaced-unit-ratios were not available in any of the studies. Conclusion For implant-supported FAFDPs, using 46 implants is a well-documented treatment option with high estimated 5-year survival of the construction. It is unclear whether three implants for supporting a FAFDP will achieve similar survival rates. The RCTs needed that report implant-to-replaced-units-ratios for partial FDPs and include 3 vs. 46 implants for supporting a FAFDP in the mandible.

引用

页码：217 / 228

页数：12