AIM: This systematic review evaluated criteria used to determine the survival and success of the rehabilitation of the completely edentulous mandible with template guided implant placement and restoration via fixed prostheses. After reviewing these variables the intent was to propose a new set of criteria that addresses current expectations of success and facilitates a better comparison of future materials, rehabilitation protocols, and comparative studies
MATERIALS AND METHODS: Using a systematic search process guided by PICOS and PRISMA, two electronic databases, PubMed and Science Direct, were searched for clinical studies to evaluate the definition of success regarding the restoration of a complete mandibular implant supported fixed dental prosthesis. The analysis was confined to prospective studies with a minimum follow-up of 3 years and a minimum of 10 patients per study published prior to June 24th, 2021.
RESULTS: The preliminary search defined with PICOS-derived MeSH terms resulted in 781 publications. The titles and abstracts were evaluated using both the PRISMA checklist and defined inclusion and exclusion criteria, resulting in inclusion of 10 articles. Analysis of the selected articles resulted in the following:1. It is difficult to derive a definitive conclusion since there was little uniformity in study design or the individual investigator’s criteria used to evaluate the data.
2. Implant and fixed prosthesis survival rates can be high in the short-term when at least 2 implants are placed.
3. The survival and success of implants and implant supported fixed prostheses was not dependent upon the type of surgical guide used.
4. The success and survival of implants and implant supported fixed prostheses was not affected by immediate loading of the prostheses.
5. Immediate loading of the prostheses did not affect the success and survival of implant and implant supported fixed prostheses.
CONCLUSION: New criteria that are widely accepted, reproducible, and easy to implement should be established to address current expectations of success and facilitate a better comparison of future materials, rehabilitation protocols, and comparative studies (Table 11).
| Identifer | oai:union.ndltd.org:bu.edu/oai:open.bu.edu:2144/46282 |
| Date | 30 May 2023 |
| Creators | Webb, Christopher Kenneth |
| Contributors | Price, Albert |
| Source Sets | Boston University |
| Language | en_US |
| Detected Language | English |
| Type | Thesis/Dissertation |
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