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Standardizing the evaluation criteria on treatment outcomes of mandibular implant overdentures: a systematic review

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PURPOSE. The aim of this review was to analyze the evaluation criteria on mandibular implant overdentures through a systematic review and suggest standardized evaluation criteria. MATERIALS AND METHODS. A systematic literature search was conducted by PubMed search strategy and hand-searching of relevant journals from included studies considering inclusion and exclusion criteria. Randomized clinical trials (RCT) and clinical trial studies comparing attachment systems on mandibular implant overdentures until December, 2011 were selected. Twenty nine studies were finally selected and the data about evaluation methods were collected. RESULTS. Evaluation criteria could be classified into 4 groups (implant survival, peri-implant tissue evaluation, prosthetic evaluation, and patient satisfaction). Among 29 studies, 21 studies presented implant survival rate, while any studies reporting implant failure did not present cumulative implant survival rate. Seventeen studies evaluating peri-implant tissue status presented following items as evaluation criteria; marginal bone level (14), plaque Index (13), probing depth (8), bleeding index (8), attachment gingiva level (8), gingival index (6), amount of keratinized gingiva (1). Eighteen studies evaluating prosthetic maintenance and complication also presented following items as evaluation criteria; loose matrix (17), female detachment (15), denture fracture (15), denture relining (14), abutment fracture (14), abutment screw loosening (11), and occlusal adjustment (9). Atypical questionnaire (9), Visual analog scales (VAS) (4), and Oral Health Impact Profile (OHIP) (1) were used as the format of criteria to evaluate patients satisfaction in 14 studies. CONCLUSION. For evaluation of implant overdenture, it is necessary to include cumulative survival rate for implant evaluation. It is suggested that peri-implant tissue evaluation criteria include marginal bone level, plaque index, bleeding index, probing depth, and attached gingiva level. It is also suggested that prosthetic evaluation criteria include loose matrix, female detachment, denture fracture, denture relining, abutment fracture, abutment screw loosening, and occlusal adjustment. Finally standardized criteria like OHIP-EDENT or VAS are required for patient satisfaction.

Abstract

PURPOSE. The aim of this review was to analyze the evaluation criteria on mandibular implant overdentures through a systematic review and suggest standardized evaluation criteria. MATERIALS AND METHODS. A systematic literature search was conducted by PubMed search strategy and hand-searching of relevant journals from included studies considering inclusion and exclusion criteria. Randomized clinical trials (RCT) and clinical trial studies comparing attachment systems on mandibular implant overdentures until December, 2011 were selected. Twenty nine studies were finally selected and the data about evaluation methods were collected. RESULTS. Evaluation criteria could be classified into 4 groups (implant survival, peri-implant tissue evaluation, prosthetic evaluation, and patient satisfaction). Among 29 studies, 21 studies presented implant survival rate, while any studies reporting implant failure did not present cumulative implant survival rate. Seventeen studies evaluating peri-implant tissue status presented following items as evaluation criteria; marginal bone level (14), plaque Index (13), probing depth (8), bleeding index (8), attachment gingiva level (8), gingival index (6), amount of keratinized gingiva (1). Eighteen studies evaluating prosthetic maintenance and complication also presented following items as evaluation criteria; loose matrix (17), female detachment (15), denture fracture (15), denture relining (14), abutment fracture (14), abutment screw loosening (11), and occlusal adjustment (9). Atypical questionnaire (9), Visual analog scales (VAS) (4), and Oral Health Impact Profile (OHIP) (1) were used as the format of criteria to evaluate patients satisfaction in 14 studies. CONCLUSION. For evaluation of implant overdenture, it is necessary to include cumulative survival rate for implant evaluation. It is suggested that peri-implant tissue evaluation criteria include marginal bone level, plaque index, bleeding index, probing depth, and attached gingiva level. It is also suggested that prosthetic evaluation criteria include loose matrix, female detachment, denture fracture, denture relining, abutment fracture, abutment screw loosening, and occlusal adjustment. Finally standardized criteria like OHIP-EDENT or VAS are required for patient satisfaction.

참고문헌 (46)

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관련 논문AI추천

Number of implants for mandibular implant overdentures: a systematic review김하영, 신상완, 이정열, S. Ross Bryant대한치과보철학회 · The Journal of Advanced of Prosthodontics2012 · 제4권 제4호Attachment systems for mandibular implant overdentures: a systematic review김하영, 신상완, 이정열, S. Ross Bryant대한치과보철학회 · The Journal of Advanced of Prosthodontics2012 · 제4권 제4호Clinical evaluation of mandibular implant overdentures via Locator implant attachment and Locator bar attachment김정우, 배은빈, 서용호, 윤미정, 이소현, 전영찬, 정창모, 허중보대한치과보철학회 · The Journal of Advanced of Prosthodontics2016 · 제8권 제4호Implant-supported overdentures with different bar designs: A retrospective evaluation after 5-19 years of clinical functionHajo Rasing, Matthias Roediger, Nikolaus Gersdorff, Ralf Buergers, Sven Rinke대한치과보철학회 · The Journal of Advanced of Prosthodontics2015 · 제7권 제4호Implant and root supported overdentures - a literature review and some data on bone loss in edentulous jawsGunnar E Carlsson대한치과보철학회 · The Journal of Advanced of Prosthodontics2014 · 제6권 제4호Comparison of marginal bone loss and patient satisfaction in single and double-implant assisted mandibular overdenture by immediate loadingFariborz Vafaee, Masume Khoshhal, Sara Tavakolizadeh, Zahra Ebrahimzadeh대한치과보철학회 · The Journal of Advanced of Prosthodontics2015 · 제7권 제3호

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