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Göteborgs universitets publikationer

Treatment of Adult Patients with Edentulous Arches: A Systematic Review

Författare och institution:
M. Rohlin (-); K. Nilner (-); T. Davidson (-); G. Gynther (-); M. Hultin (-); Torsten Jemt (Institutionen för odontologi); Ulf Lekholm (Institutionen för odontologi); G. Nordenram (-); A. Norlund (-); K. Sunnegardh-Gronberg (-); S. Tranaeus (-)
Publicerad i:
International Journal of Prosthodontics, 25 ( 6 ) s. 553-567
Artikel, refereegranskad vetenskaplig
Sammanfattning (abstract):
Purpose: This study aimed to evaluate the outcomes of treatment methods used to rehabilitate adult patients with maxillary and/or mandibular edentulism after at least 5 years of follow-up. The risks, adverse effects, and cost effectiveness of these methods were also evaluated. Materials and Methods: Three databases as well as the reference lists of included publications were searched using specified indexing terms. Publications that met the inclusion criteria were read and interpreted using pre-established protocols. Quality of evidence was classified according to the GRADE system (high, moderate, low, or very low). Results: The search yielded 2,130 titles and abstracts. Of these, the full-text versions of 488 publications were obtained. After data extraction and interpretation, 10 studies with moderate study quality of evidence and 1 study with low quality of evidence regarding outcomes, risks, and adverse effects remained. Three studies on the economic aspects of treatment were also included (1 with moderate quality and 2 with low quality). Low-quality evidence showed that the survival rate of implant-supported fixed prostheses is 95% after 5 years in patients with maxillary edentulism and 97% after 10 years in patients with mandibular edentulism. The survival rate of implant-supported overdentures is 93% after 5 years (low-quality evidence). In implant-supported fixed prostheses, 70 of every 1,000 implants are at risk of failing in the maxilla after 5 years and 17 of every 1,000 implants in the mandible are at risk after 10 years. Regarding economic aspects, the evidence was insufficient to provide reliable results. Conclusions: Due to the low quality of evidence found in the included studies, further research with a higher quality of evidence is recommended to better understand the outcomes of treatment for patients with maxillary and/or mandibular edentulism. Int J Prosthodont 2012;25:553-567
Ämne (baseras på Högskoleverkets indelning av forskningsämnen):
Klinisk medicin ->
implant-retained overdentures, welded titanium frameworks, supported, mandibular prostheses, randomized clinical-trial, 8-year follow-up, dental implants, prospective multicenter, loading protocols, complete, dentures, iti implants
Postens nummer:
Posten skapad:
2012-12-14 12:13
Posten ändrad:
2013-01-07 15:22

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