Document Type
Article
Publication Date
9-26-2023
Publication Title
Clinical Oral Implants Research
Keywords
consensus report, dental patient-reported outcomes, meta-analysis, orofacial function, systematic review, tertiary prevention
ISSN
1600-0501
Volume
34
Issue/No.
S26
First Page
257
Last Page
265
Abstract
OBJECTIVES: The aim of Working Group 4 was to address patient benefits associated with implant dentistry. Focused questions on (a) dental patient-reported outcomes (dPROs), (b) improvement in orofacial function, and (c) preservation of orofacial tissues in partially and fully edentulous patients following provision of implant-retained/supported dental prostheses were addressed.
MATERIALS AND METHODS: Three systematic reviews formed the basis for discussion. Participants developed statements and recommendations determined by group consensus based on the findings of the systematic reviews. These were then presented and accepted following further discussion and modifications as required by the plenary of the 7th ITI Consensus Conference, taking place in 2023 in Lisbon, Portugal.
RESULTS: Edentulous patients wearing complete dentures (CD) experience substantial improvements in overall dPROs and orofacial function following treatment with either complete implant-supported fixed dental prostheses (CIFDP) or implant overdentures (IODs). With respect to dPROs, mandibular IODs retained by two implants are superior to IODs retained by one implant. However, increasing the number of implants beyond two, does not further improve dPROs. In fully edentulous patients, rehabilitation with CIFDP or IOD is recommended to benefit the preservation of alveolar bone and masseter muscle thickness.
CONCLUSIONS: Completely edentulous patients benefit substantially when at least the mandible is restored using an CIFDP or an IOD compared to CD. In fully edentulous patients, implant prostheses are the best option for tooth replacement. The availability of this treatment modality should be actively promoted in all edentulous communities, including those with limited access and means.
Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.
NSUWorks Citation
Schimmel, Martin; Araujo, Mauricio; Abou-Ayash, Samir; Buser, Ramona; Ebenezer, Supriya; Fonseca, Manrique; Heitz-Mayfield, Lisa J.; Holtzman, Lucrezia Paterno; Kamnoedboon, Porawit; Levine, Robert; McKenna, Gerry; Maniewicz, Sabrina; Matarazzo, Flavia; Mattheos, Nikos; Papaspyridakos, Panos; De Souza, André Barbisan; Srinivasan, Murali; Stilwell, Charlotte; and Weber, Hans Peter, "Group 4 ITI Consensus Report: Patient benefits following implant treatment in partially and fully edentulous patients." (2023). HPD Articles. 345.
https://nsuworks.nova.edu/hpd_facarticles/345
DOI
10.1111/clr.14145
Copyright
© 2023 The Authors.
Comments
Open access funding provided by Universitat Bern
Funding information: ITI Foundation, Basel, Switzerland