Use este identificador para citar ou linkar para este item: https://observatorio.fm.usp.br/handle/OPI/29625
Título: Clinical viability of single implant-retained mandibular overdentures: a systematic review and meta-analysis
Autor(es): BATISTA, V. E. de SouzaVECHIATO-FILHO, A. J.SANTIAGO JR., J. F.SONEGO, M. V.VERRI, F. R.SANTOS, D. M. dosGOIATO, M. C.PELLIZZER, E. P.
Parte de: INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, v.47, n.9, p.1166-1177, 2018
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.
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Artigos e Materiais de Revistas Científicas - HC/ICESP
Instituto do Câncer do Estado de São Paulo - HC/ICESP


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