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

dc.AffiliationOctober University for modern sciences and Arts (MSA)
dc.contributor.authorAhmed Elawady D.M.
dc.contributor.authorKaddah A.F.
dc.contributor.authorTalaat khalifa M.
dc.contributor.otherFaculty of Oral and Dental Medicine
dc.contributor.otherDepartment of Removable Prosthodontics
dc.contributor.otherCairo University
dc.contributor.otherEgypt; Faculty of Dentistry
dc.contributor.otherDepartment of Prosthodontics
dc.contributor.otherModern Science and Arts
dc.contributor.otherUniversity (MSA)
dc.contributor.otherEgypt; Department of Removable Prosthodontics
dc.contributor.otherCairo University
dc.contributor.otherEgypt; Faculty of Oral and Dental Medicine
dc.contributor.otherDepartment of Removable Prosthodontics
dc.contributor.other6th October University
dc.contributor.otherEgypt
dc.date.accessioned2020-01-09T20:41:18Z
dc.date.available2020-01-09T20:41:18Z
dc.date.issued2017
dc.descriptionScopus
dc.description.abstractBackground 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.urihttps://www.scimagojr.com/journalsearch.php?q=26150&tip=sid&clean=0
dc.identifier.doihttps://doi.org/10.1016/j.jebdp.2017.02.002
dc.identifier.doiPubMed ID : 28865818
dc.identifier.issn15323382
dc.identifier.otherhttps://doi.org/10.1016/j.jebdp.2017.02.002
dc.identifier.otherPubMed ID : 28865818
dc.identifier.urihttps://t.ly/P55ye
dc.language.isoEnglishen_US
dc.publisherMosby Inc.en_US
dc.relation.ispartofseriesJournal of Evidence-Based Dental Practice
dc.relation.ispartofseries17
dc.subjectDental implanten_US
dc.subjectMandibular prosthesisen_US
dc.subjectOverdentureen_US
dc.subjectSingle implanten_US
dc.subjectTwo implantsen_US
dc.subjectalveolar bone lossen_US
dc.subjecthumanen_US
dc.subjectimplant-supported dentureen_US
dc.subjectmandibleen_US
dc.subjectmeta analysisen_US
dc.subjectoverlay dentureen_US
dc.subjecttooth implanten_US
dc.subjecttooth implantationen_US
dc.subjectAlveolar Bone Lossen_US
dc.subjectDental Implantation, Endosseousen_US
dc.subjectDental Implantsen_US
dc.subjectDental Prosthesis, Implant-Supporteden_US
dc.subjectDenture, Overlayen_US
dc.subjectHumansen_US
dc.subjectMandibleen_US
dc.titleSingle vs 2 Implants on Peri-implant Marginal Bone Level and Implant Failures in Mandibular Implant Overdentures: A Systematic Review With Meta-analysisen_US
dc.typeReviewen_US
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