Mandibular Kennedy Class I implant‐tooth‐borne removable partial denture: a systematic review

Abstract

The purpose of this systematic review is to evaluate the use of implant-tooth-borne removable partial dentures in prosthetic rehabilitation of Kennedy Class I partially edentulous arches. A comprehensive search was performed in MEDLINE, EMBASE, Cochrane Oral Health Group's Trials Register, Cochrane Central Register of Controlled Trials, UK National Research Register, Australian New Zealand Clinical Trials Registry (ANZCTR), conference proceedings and abstracts up to 25 August 2009. Searching the reference list of the selected articles and hand searching of several journals were also performed. A total of nine studies were included. Of these, two were randomized, three were retrospective and four were case reports. All but two had a low reporting quality (level IV on a four-level hierarchy of evidence). Nevertheless, the improvement in function, aesthetics and stability has been demonstrated in all studies with minimal prosthetic care. Within the limitations of this study, implant-assisted/supported removable partial denture may provide a simple, economical and less invasive treatment modality. The predictability of such approach in the management of bilateral distal-extension situation is, however, still questionable. A higher quality of published studies namely with a focus on long-term randomized clinical trials are needed.

The shortened dental arch concept: awareness and opinion of dentists in Victoria, Australia

“…Subject to availability of bone, this problem could be managed with a single short implant distally, to support and retain a PRDP as an overdenture. 33 Alternatively, one or two implant supported fixed crowns in the premolar region could be used to provide a minimum of four occlusal units, although the cost may be an issue to most patients. With the success rate of implant prosthodontics, the manner in which clinicians achieve a SDA has altered since it was first proposed by K€ ayser 1 but the concept will remain a practical and useful treatment modality for the older adult in the future.…”

Prótesis Parcial Removible con Extensión Distal y Apoyo sobre Implantes, Comportamiento y Consideraciones Clínicas

“…Como una posible solución a esta problemática clínica se propone desde hace aproximadamente 20 años, el uso de un implante colocado en la extensión distal de la base de la prótesis, permitiendo transformar una Clase I ó II de Kennedy en una clase III, con un costo relativamente accesible (Shahmiri & Atieh, 2010).…”

Placement of dental implants in the maxillary tuberosity: a systematic review

“…The National Health and Medical Research Council (NHMRC, Australia) hierarchy of evidence was utilized to assess the reliability and quality of the selected studies. 38,39 Data analysis…”