Attitude and treatment options in implant-supported prosthetics: A survey among a cohort of German dentists
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
PURPOSE. The aim of the current study was to analyze treatment concepts of a cohort of German dentists for planning, fabrication, and maintenance of implant-supported fixed and removable restorations. MATERIALS AND METHODS. A questionnaire including queries about experiences with implant-supported restorations as well as prosthetic and maintenance treatment concepts for supplying patients with fixed and removable implantsupported prosthetic restorations was developed and sent to 350 dental offices registered in the municipal area of Leipzig, Germany. RESULTS. An overall total of 62 returned questionnaires were included in the analyses, which relates to a response rate of 17.7%. Participating dentists were more involved in the prosthetic aspects of implant dentistry rather than surgery, while prosthetic concepts such as backward planning, digital processing, and application of all-ceramic materials were not commonly performed. Simple attachments were preferred over complex retention systems in removable implant-supported restorations. Tooth/implant-supported fixed denture prostheses as well as removable denture prostheses with supporting posterior implants were not regarded as a favorable treatment option. CONCLUSION. Within the limitations of the study, the data indicate that dentists favor simple and conventional treatment approaches in implant prosthetics. Prosthetic aspects in the planning of implant-supported restorations are often neglected. Prosthetic treatment guidelines and aspects should commonly be considered in the planning phase of implant-supported prosthetic restorations, and awareness should be increased in postgraduate education.
Abstract
PURPOSE. The aim of the current study was to analyze treatment concepts of a cohort of German dentists for planning, fabrication, and maintenance of implant-supported fixed and removable restorations. MATERIALS AND METHODS. A questionnaire including queries about experiences with implant-supported restorations as well as prosthetic and maintenance treatment concepts for supplying patients with fixed and removable implantsupported prosthetic restorations was developed and sent to 350 dental offices registered in the municipal area of Leipzig, Germany. RESULTS. An overall total of 62 returned questionnaires were included in the analyses, which relates to a response rate of 17.7%. Participating dentists were more involved in the prosthetic aspects of implant dentistry rather than surgery, while prosthetic concepts such as backward planning, digital processing, and application of all-ceramic materials were not commonly performed. Simple attachments were preferred over complex retention systems in removable implant-supported restorations. Tooth/implant-supported fixed denture prostheses as well as removable denture prostheses with supporting posterior implants were not regarded as a favorable treatment option. CONCLUSION. Within the limitations of the study, the data indicate that dentists favor simple and conventional treatment approaches in implant prosthetics. Prosthetic aspects in the planning of implant-supported restorations are often neglected. Prosthetic treatment guidelines and aspects should commonly be considered in the planning phase of implant-supported prosthetic restorations, and awareness should be increased in postgraduate education.
참고문헌 (38)
- "What are dental implants?" (2019)[URL]
- "Implants" (2019)[URL]
- Paquette DW, "Risk factors for endosseous dental implant failure", Dent Clin North Am, 50, pp.361~374 (2006)
- Norowski PA Jr, "Biomaterial and antibiotic strategies for peri-implantitis : a review", J Biomed Mater Res B Appl Biomater, 88, pp.530~543 (2009)
- Bumgardner JD, "Emerging antibacterial biomaterial strategies for the prevention of peri-implant inflammatory diseases", Int J Oral Maxillofac Implants, 26, pp.553~560 (2011)
- Assaf A, "Prosthetic maintenance of different mandibular implant overdentures : A systematic review", J Prosthet Dent, 118, pp.144~152.e5 (2017)
- Lindhe J, "Peri-implant diseases: Consensus report of the sixth European workshop on periodontology", J Clin Periodontol, 35, pp.282~285 (2008)
- Pontoriero R, "Experimentally induced peri-implant mucositis. A clinical study in humans", Clin Oral Implants Res, 5, pp.254~259 (1994)
- Zitzmann NU, "Experimental peri-implant mucositis in man", J Clin Periodontol, 28, pp.517~523 (2001)
- Salvi GE, "Prevalence of periimplant diseases", Implant Dent, 28, pp.100~102 (2019)
- Dreyer H, "Epidemiology and risk factors of peri-implantitis : A systematic review", J Periodontal Res, 53, pp.657~681 (2018)
- Mayer E, "Observations, knowledge, and attitude towards treatment options in patients with dry mouth: a survey among German dentists", Clin Oral Investig, 23, pp.4189~4194 (2019)
- Morton D, "Group 2 ITI Consensus Report : Prosthodontics and implant dentistry", Clin Oral Implants Res, 29, pp.215~223 (2018)
- Al Dosari AAF, "The current considerations in the fabrication of implant prostheses and the state of prosthetic complications : A survey among the dental technicians", Saudi Dent J, 30, pp.299~305 (2018)
- Harel N, "Consequences of experience and specialist training on the fabrication of implant-supported prostheses : A survey", J Prosthet Dent, 117, pp.743~748 (2017)
- Jayachandran S, "Maintaining dental implants-do general dental practitioners have the necessary knowledge?", Br Dent J, 219, pp.25~28 (2015)
- Junges R, "Dental care providers’ decision making regarding maintenance of compromised teeth and implant therapy indication: an analysis of gender and enrollment in teaching positions", Clin Oral Implants Res, 25, pp.1027~1033 (2014)
- Bishti S, "Does professional experience save teeth? A survey among prosthodontists", Clin Oral Investig, 22, pp.1001~1008 (2018)
- Dragan IF, "A global perspective on implant education : Cluster analysis of the"first dental implant experience"of dentists from 84 nationalities", Eur J Dent Educ, 23, pp.251~265 (2019)
- Katsaros T, "Dental students’ exposure to periodontal and implant placement surgeries in U.S. dental schools", J Dent Educ, 83, pp.953~958 (2019)
- Chin JS, "Teaching of implant dentistry in dental hygiene and therapy schools in the UK and Ireland", Br Dent J, 226, pp.692~696 (2019)
- Sanz M, "European association for osseointegration delphi study on the trends in implant dentistry in Europe for the year 2030", Clin Oral Implants Res, 30, pp.476~486 (2019)
- Wismeijer D, "Group 5 ITI Consensus Report : Digital technologies", Clin Oral Implants Res, 29, pp.436~442 (2018)
- Pjetursson BE, "A systematic review of the influence of the implant-abutment connection on the clinical outcomes of ceramic and metal implant abutments supporting fixed implant reconstructions", Clin Oral Implants Res, 29, pp.160~183 (2018)
- Elsayed A, "Comparison of fracture strength and failure mode of different ceramic implant abutments", J Prosthet Dent, 117, pp.499~506 (2017)
- Pjetursson BE, "A systematic review of the survival and complication rates of zirconia-ceramic and metal-ceramic single crowns", Clin Oral Implants Res, 29, pp.199~214 (2018)
- Wittneben JG, "Screw retained vs. cement retained implant-supported fixed dental prosthesis", Periodontol, 73, pp.141~151 (2017)
- Wittneben JG, "Clinical performance of screw-versus cement-retained fixed implant-supported reconstructions-a systematic review", Int J Oral Maxillofac Implants, 29, pp.84~98 (2014)
- Korsch M, "Cement-associated signs of inflammation : retrospective analysis of the effect of excess cement on peri-implant tissue", Int J Prosthodont, 28, pp.11~18 (2015)
- Korsch M, "Cement-associated peri-implantitis : a retrospective clinical observational study of fixed implant-supported restorations using a methacrylate cement", Clin Oral Implants Res, 25, pp.797~802 (2014)
- von Stein-Lausnitz M, "Survival rates and complication behaviour of tooth implant-supported, fixed dental prostheses: A systematic review and meta-analysis", J Dent, 88, pp.103167~ (2019)
- Schwarz F, "Loading protocols and implant supported restorations proposed for the rehabilitation of partially and fully edentulous jaws. Camlog Foundation Consensus Report", Clin Oral Implants Res, 27, pp.988~992 (2016)
- Stoumpis C, "To splint or not to splint oral implants in the implant-supported overdenture therapy? A systematic literature review", J Oral Rehabil, 38, pp.857~869 (2011)
- Brandt S, "Locator® versus ceramic", electroplated double-crown attachments : a prospective study on the intraindividual comparison of implant-supported mandibular prostheses, 2019, pp.23, 763~770
- Engelhardt F, "Prosthetic complications and maintenance requirements in locator-attached implant-supported overdentures : A retrospective study", Eur J Prosthodont Restor Dent, 24, pp.31~35 (2016)
- Hahnel S, "Investigation of clinical and laboratory wear in locator-supported, implant-retained overdentures", Int J Prosthodont, 31, pp.334~337 (2018)
- Heitz-Mayfield LJ, "Group 4 ITI consensus report : Risks and biologic complications associated with implant dentistry", Clin Oral Implants Res, 29, pp.351~358 (2018)
- Del Fabbro M, "Clinically oriented patient maintenance protocol : A clinical consensus of experts", Int J Periodontics Restorative Dent, 38, pp.281~288 (2018)
