Impact of fixed implant supported prostheses in edentulous patients: protocol for a systematic review

Abstract

IntroductionEdentulism is a debilitating and irreversible condition described as the ‘final marker of disease burden for oral health’. Therapy with dental implants is being used on a large scale to replace missing teeth and to rehabilitate edentulous patients with overdentures and implant supported fixed dentures as a method of solving the problem of instability and lack of retention associated with conventional removable prostheses. Fixed implant supported prostheses are an alternative for implant rehabilitation treatment that allow patients to have new fixed teeth. They can be indicated in partial or total edentulous patients, and they can replace single teeth, or teeth and supporting tissues (hybrid prosthesis). They overcome the limitations of conventional dentures, increasing stability and retention, providing functional and psychological advantages for the patients.Methods and analysisWe will electronically search for randomised controlled trials evaluating the effects of fixed implant supported prostheses in edentulous patients in the following databases: Pubmed/MEDLINE, EMBASE and the Cochrane Central Register of Controlled Trials. We will also try to obtain literature screening references of included studies, searching for trial protocols in the WHO International Clinical Trials Registry Platform, reviewing International Team for Implantology conference proceedings and searching for non-published studies through Open Gray. Two researchers will independently undertake selection of studies, data extraction and assessment of the quality of the included studies. Data synthesis and subgroup analyses will be performed using special Review Manager software. Data will be combined in a meta-analysis using a random effects model.ResultsThe results will be presented as risk ratios for dichotomous data, and as mean difference or standardised mean difference for continuous data.Ethics and disseminationNo ethics approval is considered necessary. The results of this study will be disseminated via peer reviewed publications and social networks.Trial registration numberCRD42015022086.

Implant rehabilitation of the edentulous jaws: Does tilting of posterior implants at an angle greater than 45° affect bone resorption and implant success?: A retrospective study

“…(1) patients with at least 1 dental arch rehabilitated with an immediately loaded full-arch fixed prosthesis supported by 4 implants; (2) surgery performed according to the Columbus Bridge Protocol (see below); (3) follow-up greater than 12 months after immediate loading;…”

Conduta cirúrgica após perfuração da membrana de Schneider durante sinus lift: relato de caso

“…A reabilitação protética convencional tornou-se a opção de tratamento mais prescrita para pacientes desdentados. No entanto, como consequência da perda de dentes, há a reabsorção óssea do rebordo alveolar, que ocasiona uma falta de estabilidade e retenção da prótese, reduzindo o conforto do paciente (López, Saka, Rada, & Valenzuela, 2016). Desta forma, o tratamento com implantes dentários vêm sendo usado para reabilitar os pacientes desdentados através da prótese fixa sobre implantes.…”

“…Desta forma, o tratamento com implantes dentários vêm sendo usado para reabilitar os pacientes desdentados através da prótese fixa sobre implantes. Este método reabilitador surgiu com intuito de resolver o problema de instabilidade e falta de retenção associada à prótese removível convencional, levando a melhorias no conforto, estética e satisfação do paciente (López et al, 2016).…”

Comparación del nivel de la cresta ósea en desdentados totales rehabilitados con implantes mandibulares y prótesis removible

“…Como resultado de ello se afecta la autoestima, se limita la interacción social, compromete la nutrición, lo que se traduce en detrimento en la calidad de vida (4) . Considerando que nuestro país al igual que los países desarrollados, vive una acelerada transición hacia el envejecimiento demográfico de su población, donde se proyecta que para el año 2025, 1 de cada 5 individuos pertenecerá al grupo de adulto mayor (5) y de acuerdo a los estudios realizados por el MINSAL, este grupo etario presenta un marcado deterioro de su salud oral (en Chile entre los 65-74 años de edad un 29,1% es desdentado total) (6) .…”