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Treatment of Adult ...
Treatment of Adult Patients with Edentulous Arches: A Systematic Review
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- Rohlin, Madeleine (author)
- Malmö högskola,Odontologiska fakulteten (OD),Malmö University, Sweden
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- Nilner, Krister (author)
- Malmö högskola,Odontologiska fakulteten (OD),Malmö University, Sweden
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- Davidson, Thomas (author)
- Linköpings universitet,Utvärdering och hälsoekonomi,Hälsouniversitetet
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- Gynther, G. (author)
- Karolinska Institute, Sweden Visby Hospital, Sweden
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- Hultin, M. (author)
- Karolinska Institutet,Karolinska Institute, Sweden
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- Jemt, Torsten, 1950 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för odontologi,Institute of Odontology,University of Gothenburg, Sweden Public Dent Health Serv, Sweden
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- Lekholm, Ulf, 1944 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för odontologi,Institute of Odontology,University of Gothenburg, Sweden Public Dent Health Serv, Sweden
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- Nordenram, G. (author)
- Karolinska Institute, Sweden
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- Norlund, A. (author)
- Karolinska Institute, Sweden Swedish Council Health Technology Assessment, Sweden
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- Sunnegårdh-Grönberg, Karin (author)
- Umeå universitet,Tandhygienistutbildning,Umeå University, Sweden
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- Tranaeus, S. (author)
- Karolinska Institutet,Karolinska Institute, Sweden Swedish Council Health Technology Assessment, Sweden
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(creator_code:org_t)
- Quintessence, 2012
- 2012
- English.
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In: International Journal of Prosthodontics. - : Quintessence. - 0893-2174 .- 1139-9791. ; 25:6, s. 553-567
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Abstract
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- Purpose: This study aimed to evaluate the outcomes of treatment methods used to rehabilitate adult patients with maxillary and/or mandibular edentulism after at least 5 years of follow-up. The risks, adverse effects, and cost effectiveness of these methods were also evaluated. Materials and Methods: Three databases as well as the reference lists of included publications were searched using specified indexing terms. Publications that met the inclusion criteria were read and interpreted using pre-established protocols. Quality of evidence was classified according to the GRADE system (high, moderate, low, or very low). Results: The search yielded 2,130 titles and abstracts. Of these, the full-text versions of 488 publications were obtained. After data extraction and interpretation, 10 studies with moderate study quality of evidence and 1 study with low quality of evidence regarding outcomes, risks, and adverse effects remained. Three studies on the economic aspects of treatment were also included (1 with moderate quality and 2 with low quality). Low-quality evidence showed that the survival rate of implant-supported fixed prostheses is 95% after 5 years in patients with maxillary edentulism and 97% after 10 years in patients with mandibular edentulism. The survival rate of implant-supported overdentures is 93% after 5 years (low-quality evidence). In implant-supported fixed prostheses, 70 of every 1,000 implants are at risk of failing in the maxilla after 5 years and 17 of every 1,000 implants in the mandible are at risk after 10 years. Regarding economic aspects, the evidence was insufficient to provide reliable results. Conclusions: Due to the low quality of evidence found in the included studies, further research with a higher quality of evidence is recommended to better understand the outcomes of treatment for patients with maxillary and/or mandibular edentulism. Int J Prosthodont 2012;25:553-567
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Odontologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Dentistry (hsv//eng)
Keyword
- implant-retained overdentures
- welded titanium frameworks
- supported
- mandibular prostheses
- randomized clinical-trial
- 8-year follow-up
- dental implants
- prospective multicenter
- loading protocols
- complete
- dentures
- iti implants
- MEDICINE
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Rohlin, Madelein ...
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Nilner, Krister
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Davidson, Thomas
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Gynther, G.
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Hultin, M.
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Jemt, Torsten, 1 ...
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Lekholm, Ulf, 19 ...
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Nordenram, G.
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Norlund, A.
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Sunnegårdh-Grönb ...
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Tranaeus, S.
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Dentistry
- Articles in the publication
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International Jo ...
- By the university
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University of Gothenburg
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Umeå University
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Malmö University
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Karolinska Institutet
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Linköping University