Single vs 2 Implants on Peri-implant Marginal Bone Level and Implant Failures in Mandibular Implant Overdentures: A Systematic Review With Meta-analysis

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dc.contributor.author Ahmed Elawady D.M.
dc.contributor.author Kaddah A.F.
dc.contributor.author Talaat khalifa M.
dc.contributor.other Faculty of Oral and Dental Medicine
dc.contributor.other Department of Removable Prosthodontics
dc.contributor.other Cairo University
dc.contributor.other Egypt; Faculty of Dentistry
dc.contributor.other Department of Prosthodontics
dc.contributor.other Modern Science and Arts
dc.contributor.other University (MSA)
dc.contributor.other Egypt; Department of Removable Prosthodontics
dc.contributor.other Cairo University
dc.contributor.other Egypt; Faculty of Oral and Dental Medicine
dc.contributor.other Department of Removable Prosthodontics
dc.contributor.other 6th October University
dc.contributor.other Egypt
dc.date.accessioned 2020-01-09T20:41:18Z
dc.date.available 2020-01-09T20:41:18Z
dc.date.issued 2017
dc.identifier.issn 15323382
dc.identifier.other https://doi.org/10.1016/j.jebdp.2017.02.002
dc.identifier.other PubMed ID : 28865818
dc.identifier.uri https://t.ly/P55ye
dc.description Scopus
dc.description.abstract Background As a consensus, the 2-implant supported overdentures (ODs) are considered as the first choice of treatment for the edentulous mandible. In the same context, there is increased evidence supporting the use of single-implant OD. The aim of any design is to preserve the remaining structures and allow the longevity of the treatment. Objectives To evaluate the impact of single implant vs 2 implants on the peri-implant marginal bone loss (MBL) and number of implant failures in mandibular implant overdentures. Methods A literature search of electronic databases (PubMed and Cochrane) was performed up to March 2016 and complemented by hand search. Randomized clinical trials (RCTs) that evaluated MBL and number of implant failures relative to single-implant mandibular overdenture (MOD) were selected. The review and meta-analysis were performed using meta-analytic statistical package and in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Findings Five RCTs met the inclusion criteria for systematic review and qualitative synthesis. The observation period ranged from 12 months to 5 years in the selected RCTs. The comparison included in the meta-analysis is single- vs 2-implant MODs. Pooled data revealed that single-implant MODs significantly decreased the MBL (mean difference: 0.27, 95% confidence interval: 0.20-0.34, P <.0001, I2 = 0%) and number of implant failures (risk ratio: 3.26, 95% confidence interval: 1.18-8.97), P =.02; I2 = 0%). Conclusions Single-implant MOD was found to be better than 2-implant MOD in terms of MBL and number of implant failures. However, this result should be interpreted with caution due to limited number of analyzed studies with different loading protocols and short follow-up period. � 2017 Elsevier Inc. en_US
dc.description.uri https://www.scimagojr.com/journalsearch.php?q=26150&tip=sid&clean=0
dc.language.iso English en_US
dc.publisher Mosby Inc. en_US
dc.relation.ispartofseries Journal of Evidence-Based Dental Practice
dc.relation.ispartofseries 17
dc.subject Dental implant en_US
dc.subject Mandibular prosthesis en_US
dc.subject Overdenture en_US
dc.subject Single implant en_US
dc.subject Two implants en_US
dc.subject alveolar bone loss en_US
dc.subject human en_US
dc.subject implant-supported denture en_US
dc.subject mandible en_US
dc.subject meta analysis en_US
dc.subject overlay denture en_US
dc.subject tooth implant en_US
dc.subject tooth implantation en_US
dc.subject Alveolar Bone Loss en_US
dc.subject Dental Implantation, Endosseous en_US
dc.subject Dental Implants en_US
dc.subject Dental Prosthesis, Implant-Supported en_US
dc.subject Denture, Overlay en_US
dc.subject Humans en_US
dc.subject Mandible en_US
dc.title Single vs 2 Implants on Peri-implant Marginal Bone Level and Implant Failures in Mandibular Implant Overdentures: A Systematic Review With Meta-analysis en_US
dc.type Review en_US
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dcterms.source Scopus
dc.identifier.doi https://doi.org/10.1016/j.jebdp.2017.02.002
dc.identifier.doi PubMed ID : 28865818
dc.Affiliation October University for modern sciences and Arts (MSA)


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