Efficacy of rehabilitation with different approaches of implant‐supported full‐arch prosthetic designs: A systematic review

Abstract

Aim To evaluate the efficacy of different types of rehabilitation with fixed or removable full‐arch implant‐supported prosthesis designs in terms of implant loss and success in patients with at least one edentulous jaw, with tooth loss mainly due to periodontitis. Materials and methods Clinical studies with at least 12 months reporting on implant loss and implant success were searched. Meta‐analysis was conducted to estimate cumulative implant loss considering different prostheses designs. Results A total of 11 studies with unclear to low risk of bias were included in the analysis. Estimated cumulative implant loss for fixed prostheses within 1 year and 5 years was 0.64% (95% confidence interval [CI]: 0.31%–1.31%) and 1.85% (95% CI: 0.85%–3.95%), respectively. The corresponding values for removable prostheses amounted to 0.71% (95% CI: 0.22%–2.28%) and 4.45% (95% CI: 2.48%–7.85%). Peri‐implantitis affected 10%–50% of the patients restored with implant‐supported fixed prostheses. Conclusions Based on the limited low‐quality data, the present analysis points to a low and similar cumulative implant loss within 1 year for patients with tooth loss mainly due to stage IV periodontitis restored with either removable or fixed implant‐supported full‐arch prosthesis. At 5 years of functioning, there was a tendency for better outcomes using fixed designs.

Treatment of stage IV periodontitis: The EFP S3 level clinical practice guideline

“…For this guideline, a total of 13 systematic reviews (SRs) were conducted to support the guideline development process (Carra et al, 2021; Dommisch et al, 2021; Donos et al, 2021; Gennai et al, 2021; Gotfredsen et al, 2021; Kloukos et al, 2021; Leow et al, 2021; Martín et al, 2021; Montero et al, 2021; Orlandi et al, 2021; Papageorgiou et al, 2021; Ramanauskaite et al, 2021; Tomasi et al, 2021). The corresponding manuscripts are published within this special issue of the Journal of Clinical Periodontology.…”

“…Supporting literature (Donos et al, 2021;Montero et al, 2021;Ramanauskaite et al, 2021;Tomasi et al, 2021) and Expert opinion R8.5. Which are the specific considerations when incorporating dental implants in stage IV periodontitis patients?…”

“…Ramanauskaite et al, 2021;Tomasi et al, 2021) and Expert opinionQuality of evidence Very lowGrade of recommendation Grade A-""Strength of consensus Strong consensus (1.9% of the group abstained due to potential CoI)…”

Autonomous Robotic Surgery for Immediately Loaded Implant-Supported Maxillary Full-Arch Prosthesis: A Case Report

“…Successful outcomes of dental implant restorations are mainly determined by precise prosthetically driven implant placement, especially in full-arch implant rehabilitation [ 1 ]. Immediately loaded full-arch rehabilitation has been widely accepted by clinicians and patients owing to its high aesthetic and functional expectations [ 2 ].…”

Clinical decision‐making and management of stage IV periodontitis: A survey

“…An interdisciplinary approach is necessary to control periodontal infection, correct periodontal defects, eliminate residual pockets, realign migrated teeth, and re‐establish adequate intermaxillary relationships (Jepsen et al, 2021; Montero et al, 2021; Ramanauskaite et al, 2021; Tomasi et al, 2021). The collaboration between different specialists and the adequate timing of rehabilitation are fundamental in the flow of therapy.…”