Treatment outcomes of implant-assisted removable partial denture with distal extension based on the Kennedy classification and attachment type: a systematic review

Abstract Background Implant-assisted removable partial dentures (IARPDs) have recently become popular, but little information is available on the treatment outcomes based on the Kennedy classification and attachment types. Objective The objective of this review was to evaluate the treatment outcomes of IARPD delivered for distal extension edentulous areas based on the differences in the Kennedy classification and attachment type. Materials and methods English-language clinical studies on IARPD published between January 1980 and February 2020 were collected from MEDLINE (via PubMed), the Cochrane Library (via the Cochrane Central Register of Controlled Trials), Scopus online database, and manual searching. Two reviewers selected the articles based on pre-determined inclusion and exclusion criteria, followed by data extraction and analysis. Results Eighty-one studies were selected after evaluating the titles and abstracts of 2410 papers. Nineteen studies were finally included after the perusal of the full text. Fourteen studies focused on Class I, 4 studies investigated both Class I and II, and only 1 study was conducted on Kennedy’s class II. Eight types of attachments were reported. The ball attachment was the most frequently used attachment, which was employed in 8 of the included studies. The implant survival rate ranged from 91 to 100%. The reported marginal bone loss ranged from 0.3 mm to 2.30 mm. The patient satisfaction was higher with IARPD than with conventional RPDs or that before treatment. The results of prosthetic complications were heterogeneous and inconclusive. Conclusion IARPD exhibited favorable clinical outcomes when used as a replacement for distal extension edentulous areas. The comparison between the clinical outcomes of Kennedy’s class I and II was inconclusive owing to the lack of studies focusing on Kennedy Class II alone. The stud attachment was the most commonly used type in IARPDs. Overall, the different attachment systems did not influence the implant survival rate and patient satisfaction. Further high-quality studies are needed to investigate the attachment systems used in IARPD.

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Long-term Short Implants Performance: Systematic Review and Meta-Analysis of the Essential Assessment Parameters

Brazilian Dental Journal ◽

10.1590/0103-6440201300265 ◽

2015 ◽

Vol 26 (4) ◽

pp. 325-336 ◽

Cited By ~ 12

Author(s):

Thais Marques Simek Vega Gonçalves ◽

Sergio Bortolini ◽

Matteo Martinolli ◽

Bruna Fernandes Moreira Alfenas ◽

Daiane Cristina Peruzzo ◽

...

Keyword(s):

Systematic Review ◽

Survival Rate ◽

Clinical Performance ◽

Meta Analysis ◽

Implant Failure ◽

Cochrane Library ◽

Implant Survival ◽

Implant Survival Rate ◽

Short Implants

<p>Lack of standard criteria in the outcome assessment makes it difficult to draw conclusions on the clinical performance of short implants and, under these circumstances, determine the reasons for implant failure. This study evaluated, through a systematic review of the literature and meta-analysis, the essential parameters required to assess the long-term clinical performance of short and extra-short implants. Electronic databases (Pubmed-MEDLINE, Cochrane Library Database, Embase, and Lilacs) were searched by two independent reviewers, without language limitation, to identify eligible papers. References from the selected articles were also reviewed. The review included clinical trials involving short dental implants placed in humans, published between January 2000 and March 2014, which described the parameters applied for outcome's measurements and provided data on survival rates. Thirteen methodologically acceptable studies were selected and 24 parameters were identified. The most frequent parameters assessed were the marginal bone loss and the cumulative implant survival rate, followed by implant failure rate and biological complications such as bleeding on probing and probing pocket depths. Only cumulative implant survival rate data allows meta-analysis revealing a positive effect size (from 0.052 (fixed) to 0.042 (random)), which means that short implant appears to be a successful treatment option. Mechanical complications and crown-to-implant (C/I) ratio measurement were also commonly described, however, considering the available evidence; no strong conclusions could be drawn since different methods were used to assess each parameter. By means of this literature review, a standard evaluation scheme is proposed, being helpful to regiment further investigations and comparisons on future studies.</p>

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There is No Evidence on the Effect of the Attachment System on Implant Survival Rate, Overdenture Maintenance, or Patient Satisfaction

Journal of Evidence Based Dental Practice ◽

10.1016/j.jebdp.2015.10.005 ◽

2015 ◽

Vol 15 (4) ◽

pp. 193-194 ◽

Cited By ~ 1

Author(s):

Ahmed Yaseen Alqutaibi

Keyword(s):

Patient Satisfaction ◽

Survival Rate ◽

Implant Survival ◽

Implant Survival Rate

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Review of bone graft and implant survival rate: A comparison between autogenous bone block versus guided bone regeneration

Journal of Stomatology Oral and Maxillofacial Surgery ◽

10.1016/j.jormas.2021.04.009 ◽

2021 ◽

Author(s):

Margaux Chatelet ◽

Franck Afota ◽

Charles Savoldelli

Keyword(s):

Survival Rate ◽

Bone Graft ◽

Bone Regeneration ◽

Guided Bone Regeneration ◽

Autogenous Bone ◽

Bone Block ◽

Implant Survival ◽

Implant Survival Rate

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Short (6 mm) and Regular Dental Implants in the Posterior Maxilla–7-Years Follow-up Study

Journal of Clinical Medicine ◽

10.3390/jcm10050940 ◽

2021 ◽

Vol 10 (5) ◽

pp. 940

Author(s):

Jakub Hadzik ◽

Paweł Kubasiewicz-Ross ◽

Izabela Nawrot-Hadzik ◽

Tomasz Gedrange ◽

Artur Pitułaj ◽

...

Keyword(s):

Survival Rate ◽

Dental Implants ◽

Clinical Results ◽

Implant Survival ◽

Implant Survival Rate ◽

Short Implants ◽

Posterior Maxilla ◽

Patient Reported ◽

Bone Level

Short 6 mm dental implants are considered as an alternative to the maxillary sinus elevation and bone augmentation procedure where there is a reduced alveolar ridge height. The aim of this study was to compare the implant survival rate between short dental implants (6 mm) and regular length implants (11–13 mm) when placed in combination with bone grafting and loaded with a single non splinted crown, seven years after placing the implant. It was conducted as a controlled clinical study of 30 patients with partial edentulism in the posterior maxilla. The protocol included radiological and clinical evaluation of the C/I ratio (length of the superstructure divided by the length of the implant crestal part), marginal bone level (MBL), ultrasonography measurement of soft tissue surrounding implant (STT), patient-reported outcomes, and biological and technical complications. A total number of 28 implants (93%) remained integrated during follow-up period. MBL of 0.50 and 0.52 mm was observed for short implants and regular implants, respectively. MBL was checked for correlation with STT, and a negative correlation was found between MBL: STT. Our study has demonstrated a significantly lower implant survival rate for short implants compared to regular implants (87% compared to 100%). Despite the loss of several implants, good clinical results were achieved in the remaining implants in both groups. It is, therefore, worth considering short implants as an alternative to regular implants with a sinus lift surgery.

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Clinical outcomes of dental implants placed in the same region where previous implants failed due to peri-implantitis: a retrospective study

International Journal of Implant Dentistry ◽

10.1186/s40729-021-00392-1 ◽

2021 ◽

Vol 7 (1) ◽

Author(s):

Eduardo Anitua ◽

Adriana Montalvillo ◽

Asier Eguia ◽

Mohammad Hamdan Alkhraisat

Keyword(s):

Retrospective Study ◽

Survival Rate ◽

Bone Loss ◽

Clinical Outcomes ◽

Dental Implants ◽

Demographic Data ◽

High Survival ◽

Implant Survival ◽

Marginal Bone Loss ◽

Bone Level

Abstract Purpose There is paucity in the studies that assess dental implants replacing failed dental implants due to peri-implantitis. This study aims to evaluate the clinical outcomes of these implants in terms of implant survival and marginal bone loss. Methods Patients in this retrospective study were selected if having one or more implants removed due to peri-implantitis and the placement and loading of dental implants in the same region from April 2010 to December 2019. Information was collected about the patient's demographic data, implant dimensions, surgical and prosthetic variables. Changes in peri-implant bone level, cumulative implant survival rate and technical complications were assessed. Results Three hundred and eighty one dental implants in 146 patients that were placed in the same position or one-tooth position mesially/distally to the site of explantation were included. The patients' mean age was 63 ± 10 years. Ninety seven patients were females and 49 were males. After a mean follow-up of 34 ± 17 months, two implants failed. The cumulative survival rate was 99%. The marginal bone loss was −0.1 ± 0.6. Immediate or delay replacement of the failed implant did not affect implant survival or marginal bone stability. All the prostheses were screw-retained and presented the following complications: ceramic chipping (3 events), resin tooth fracture (1 event) and prosthetic screw loosening (1 event). Conclusions Dental implants replacing failed implants due to peri-implantitis would be an option in the management of peri-implantitis. They showed high survival rate and marginal bone stability.

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Potential production of Aspidosperma cylindrocarpon seedlings viarescue seedlings

Ciência Rural ◽

10.1590/0103-8478cr20141019 ◽

2017 ◽

Vol 47 (5) ◽

Author(s):

Nathália Ferreira e Silva ◽

Israel Marinho Pereira ◽

Michele Aparecida Pereira da Silva ◽

Miranda Titon ◽

Marcio Leles Romarco de Oliveira ◽

...

Keyword(s):

Survival Rate ◽

Deciduous Forest ◽

Class Ii ◽

Habitat Destruction ◽

Stem Diameter ◽

Class I ◽

High Survival ◽

Leaf Production ◽

Light Reduction ◽

Reduction Treatment

ABSTRACT: Translocation of rare populations is regarded as the last resort for the conservation of species whose habitat destruction is imminent. The objective of the present study was to evaluate the effect of two height classes and three leaf reduction intensities on growth and increases in height, stem diameter, survival, and new leaf production in seedlings of Aspidosperma cylindrocarpon (peroba) obtained via rescue seedlings in a remnant of tropical semi deciduous forest. We recovered 240 individuals that were divided into two height classes (Class I-5 to 15cm and Class II-20 to 35cm) and subjected to three leaf reduction intensities (0%, 50%, and 100%), which were then transported to a shade house with 50% light reduction. Measurements of height, stem diameter, and new leaf production were collected 8 times at 0, 15, 60, 75, 90, 105, 120, and 135 days, and survival rate was measured at day 135. The average survival rate was 82.9%; 77.5% for one Class I (5-15cm) and 88.3% for Class II (20-35cm). Higher seedling growth was observed for the 0% leaf reduction treatment in both height classes. The leaves insertion were greater in the 100% cuts, with a decrease observed over time. It is advisable to restore A. cylindrocarpon seedlings in two height classes owing to the high survival rate, leaf appearance, and growth reported in the present study. The no-leaf reduction treatment (0%) is the most viable alternative for the production of A. cylindrocarpon seedlings, via rescue seedlings.

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