Use of Narrow-Diameter Implants in Completely Edentulous Patients as a Prosthetic Option: A Systematic Review of the Literature.


Journal

BioMed research international
ISSN: 2314-6141
Titre abrégé: Biomed Res Int
Pays: United States
ID NLM: 101600173

Informations de publication

Date de publication:
2021
Historique:
received: 25 02 2021
revised: 15 05 2021
accepted: 10 06 2021
entrez: 9 7 2021
pubmed: 10 7 2021
medline: 21 10 2021
Statut: epublish

Résumé

The objective of the present review is to assess the implant survival, marginal bone loss, and biomechanical features of narrow-diameter implants (2.5-3.5 mm) supporting or retaining full-arch fixed or removable restorations. Three operators screened the literature (PubMed, Cochrane Library, and Google Scholar) and performed a hand search on the main journals that focus on implantology until 24 March 2019. Only articles that considered full-arch restorations supported or retained by narrow-diameter implants (2.5-3.5 mm) were considered if they have a minimum of 10 patients and a mean follow-up of at least 6 months. The outcome variables were survival of implants and marginal bone loss. The review was performed according to the PRISMA statements. Risk of bias assessment was evaluated. Failure rates were analyzed using random effect Poisson regression models to obtain the summary estimate of 5-year survival rate and marginal bone loss. A total of nine papers were finally selected, reporting a high survival rate of the implants. Eight studies focused only on the mandible while one study reported data from both mandible and maxilla. All studies reported on removable restorations; none focused on fixed rehabilitations. The estimated survival rate for 5 years of follow-up was calculated to be 92.25% for the implants. The estimated marginal bone loss after 5 years was calculated to be 1.40 mm. No study reported implant fractures. With the limitations of the present study, there is evidence that 2.5-3.5 mm narrow-diameter implants retaining a removable restoration can be a successful treatment in fully edentulous patients. No data on fixed restorations was available.

Identifiants

pubmed: 34239926
doi: 10.1155/2021/5571793
pmc: PMC8241526
doi:

Substances chimiques

Dental Implants 0

Types de publication

Journal Article Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

5571793

Informations de copyright

Copyright © 2021 S. Storelli et al.

Déclaration de conflit d'intérêts

The authors declare no conflict of interest.

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Auteurs

S Storelli (S)

Department of Biomedical, Surgical and Dental Sciences, University of Milan, Italy.

A Caputo (A)

Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Italy.

G Palandrani (G)

Department of Biomedical, Surgical and Dental Sciences, University of Milan, Italy.

M Peditto (M)

Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Italy.

M Del Fabbro (M)

Department of Biomedical, Surgical and Dental Sciences, University of Milan, Italy.

E Romeo (E)

Department of Biomedical, Surgical and Dental Sciences, University of Milan, Italy.

G Oteri (G)

Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Italy.

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