Treatment effect of implant‐supported fixed complete dentures and implant overdentures on patient‐reported outcomes: A systematic review and meta‐analysis

Abstract

ObjectivesTo analyze the effect of implant treatment in edentulous patients rehabilitated with implant‐supported fixed complete dentures (IFCDs) or implant overdentures (IODs) on dental patient‐reported outcomes (dPROs).Materials and MethodsIn January 2022, Medline, Embase, CINAHL, Cochrane Library, PubMed Central, Web of Science, and ClinicalTrials.gov were screened for prospective clinical studies on completely edentulous patients treated with IFCDs and/or IODs, reporting pre‐treatment and follow‐up dPROs. Hedges' g effect sizes (ES) with corresponding 95% confidence intervals (CI) were calculated. Afterward, meta‐analyses were conducted using random effect models.ResultsA total number of 1608 records was initially identified. Of those, 28 studies reporting dPROs from 1457 patients were finally included. The applied dental patient‐reported outcome measures (dPROMs) included several versions of the Oral Health Impact Profile (OHIP) or specific items assessing satisfaction with Visual Analogue Scales (VAS). The overall ES was large for rehabilitation with IFCDs (1.68 [CI: 1.15, 2.20]) and IODs (1.26 [CI: 0.99, 1.52]) with no significant difference (p = .165) between the two. Denture stability was the only factor rated significantly higher for IFCDs (ES difference: 2.37 [CI: 0.21, 4.54]; p = .032). Subgroup analyses revealed moderately higher ES for IODs on two implants relative to one implant (ES difference: 0.73 [CI: 0.34, 1.12]; p < .001).ConclusionsThere is a strong positive effect of implant treatment in edentulous patients, independent of the type of prosthetic rehabilitation. In patients seeking high stability, IFCDs may be preferable. In mandibular IODs on a single implant, there was a significantly positive effect of an additional implant on dPROs.

Implant‐supported single all‐ceramic crowns made from prefabricated (stock) or individualized CAD/CAM zirconia abutments: A 5 year randomized clinical trial

“…VAS remains one of the most widely used methods in clinical studies due to its ease of use. Due to the widespread application of VAS, its use in implant dentistry has been recommended 30 …”

Group 4 ITI Consensus Report: Patient benefits following implant treatment in partially and fully edentulous patients

“…Treatment effect of implant-supported fixed complete dentures and implant overdentures on patient-reported outcomes: A systematic review and meta-analysis (Abou-Ayash et al, 2023). [Correction made October 2023, after original online publication: reference year '2023' added here and in reference list].…”

“…In the following part, patient perspectives are formulated that are supported by the consensus statements from both systematic reviews (Abou‐Ayash et al, 2023; Srinivasan et al, 2023) [correction made October 2023, after original online publication: year ‘2023’ added to both references] and the clinical recommendations. The scenario below forms the basis for questions that an edentulous patient may pose when being considered for fixed or removable implant prostheses.…”

“…1. Treatment effect of implant-supported fixed complete dentures and implant overdentures on patient-reported outcomes: A systematic review and meta-analysis (Abou-Ayash et al, 2023).…”

“…The three systematic reviews are listed below: Treatment effect of implant‐supported fixed complete dentures and implant overdentures on patient‐reported outcomes: A systematic review and meta‐analysis (Abou‐Ayash et al, 2023). [Correction made October 2023, after original online publication: reference year ‘2023’ added here and in reference list]. Oral function in completely edentulous patients rehabilitated with implant‐supported dental prostheses: A systematic review and meta‐analysis (Srinivasan et al, 2023).…”