Clinical viability of single implant-retained mandibular overdentures: a systematic review and meta-analysis

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art_BATISTA_Clinical_viability_of_single_implantretained_mandibular_overdentures_a_2018.PDF (1.06 MB)
Citações na Scopus
23
Tipo de produção
article
Data de publicação
2018
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
CHURCHILL LIVINGSTONE
Autores
BATISTA, V. E. de Souza
SANTIAGO JR., J. F.
SONEGO, M. V.
VERRI, F. R.
SANTOS, D. M. dos
GOIATO, M. C.
PELLIZZER, E. P.
Citação
INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, v.47, n.9, p.1166-1177, 2018
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
The aim of this meta-analysis was to verify the clinical viability of single implant-retained mandibular overdentures (SIMO). An electronic search of the PubMed and Cochrane databases was performed (end date July 2017); this was supplemented by a manual search of the literature. Only prospective clinical trials and randomized controlled trials (RCTs) that evaluated SIMO with a minimum follow-up of 12 months were included. The meta-analysis was based on the Mantel Haenszel method. Dental implant and prosthetic failure were the dichotomous outcome measures; these were evaluated through the risk ratio (RR) and odds ratio (OR), with corresponding 95% confidence intervals (CI). Of 499 articles identified, nine fulfilled the inclusion criteria. A total of 205 implants were placed in patients with a mean age of 64.1 years; the cumulative survival rate was 96.6% over a mean follow-up period of 37.3 months. The procedure used (SIMO vs. two implant-retained mandibular overdenture) did not affect dental implant failure (P = 0.45) or prosthetic failure (P = 0.65): RR 1.06 (95% CI 0.91-1.23) and RR 0.88 (95% CI 0.51-1.51), respectively; OR 2.56 (95% CI 0.27-24.39; P = 0.41) and OR 0.44 (95% CI 0.15-1.26; P = 0.13), respectively. Within the limitations of this systematic review and meta analysis, SIMO with a complete denture as the opposing arch may be considered an alternative treatment for completely edentulous patients. However, this study also confirmed the need for more RCTs on this topic.
Palavras-chave
overdenture, dental implant, single implant, meta-analysis
URI
https://observatorio.fm.usp.br/handle/OPI/29625
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Coleções
Artigos e Materiais de Revistas Científicas - HC/ICESP