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Some issues related to evidence-based implantology

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ABSTRACT

This article reviews relevant dental literature to answer some frequent questions related to evidence-based implantology. There are hundreds of implant systems on the market, but the majority lack clinical documentation. Recommended number of implants for full-arch fixed prostheses is four or five in the mandible but at least six in the maxilla. Less expensive implant-retained overdentures make implant treatment available to a greater portion of edentulous subjects. Mandibular overdentures on two implants, and even one implant, have shown excellent long-term outcomes. In the maxilla, less than four implants are not recommended for good results. Single implant restorations have good prognosis, but placement of the implant should be postponed until adulthood. Osseointegrated implants have revolutionized clinical dentistry. However, in a global perspective, implants make up only a small part of all prosthodontic treatment. Knowledge and skill in conventional prosthodontics must be maintained as it will remain the most common part of the specialty.

No MeSH data available.


Palatal view of the two-unit bridge (22 pontic, 23 abutment) (a); radiograph of the construction (b); clinical view (c). All pictures are taken 10 years after the insertion of the bridge. Courtesy of Dr. K-G Olsson, Gothenburg, Sweden
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Figure 7: Palatal view of the two-unit bridge (22 pontic, 23 abutment) (a); radiograph of the construction (b); clinical view (c). All pictures are taken 10 years after the insertion of the bridge. Courtesy of Dr. K-G Olsson, Gothenburg, Sweden

Mentions: Other alternatives to implant restoration of single tooth loss, not to be forgotten, are conventional 2-unit FDPs [Figure 7] and orthodontic treatment. Such therapies deserve to be considered in the decision-making. A problem is that the choice of different treatment options should be evidence-based, which requires controlled clinical research, preferably with randomized controlled trials, which are rare and difficult to conduct. There is therefore still a lack of good evidence for many of the questions to be clearly answered regarding evidence-based implantology.


Some issues related to evidence-based implantology
Palatal view of the two-unit bridge (22 pontic, 23 abutment) (a); radiograph of the construction (b); clinical view (c). All pictures are taken 10 years after the insertion of the bridge. Courtesy of Dr. K-G Olsson, Gothenburg, Sweden
© Copyright Policy - open-access
Related In: Results  -  Collection

License
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getmorefigures.php?uid=PMC4837771&req=5

Figure 7: Palatal view of the two-unit bridge (22 pontic, 23 abutment) (a); radiograph of the construction (b); clinical view (c). All pictures are taken 10 years after the insertion of the bridge. Courtesy of Dr. K-G Olsson, Gothenburg, Sweden
Mentions: Other alternatives to implant restoration of single tooth loss, not to be forgotten, are conventional 2-unit FDPs [Figure 7] and orthodontic treatment. Such therapies deserve to be considered in the decision-making. A problem is that the choice of different treatment options should be evidence-based, which requires controlled clinical research, preferably with randomized controlled trials, which are rare and difficult to conduct. There is therefore still a lack of good evidence for many of the questions to be clearly answered regarding evidence-based implantology.

View Article: PubMed Central - PubMed

ABSTRACT

This article reviews relevant dental literature to answer some frequent questions related to evidence-based implantology. There are hundreds of implant systems on the market, but the majority lack clinical documentation. Recommended number of implants for full-arch fixed prostheses is four or five in the mandible but at least six in the maxilla. Less expensive implant-retained overdentures make implant treatment available to a greater portion of edentulous subjects. Mandibular overdentures on two implants, and even one implant, have shown excellent long-term outcomes. In the maxilla, less than four implants are not recommended for good results. Single implant restorations have good prognosis, but placement of the implant should be postponed until adulthood. Osseointegrated implants have revolutionized clinical dentistry. However, in a global perspective, implants make up only a small part of all prosthodontic treatment. Knowledge and skill in conventional prosthodontics must be maintained as it will remain the most common part of the specialty.

No MeSH data available.