Patient-centered rehabilitation of single, partial, and complete edentulism with cemented- or screw-retained fixed dental prosthesis: The First Osstem Advanced Dental Implant Research and Education Center Consensus Conference 2017

Marco Tallarico; Marco Caneva; Nicola Baldini; Fulvio Gatti; Marco Duvina; Mauro Billi; Gaetano Iannello; Giacomo Piacentini; Silvio Mario Meloni; Marco Cicciù

doi:10.4103/ejd.ejd_243_18

European Journal of Dentistry, Inhaltsverzeichnis

CC BY-NC-ND 4.0 · Eur J Dent 2018; 12(04): 617-626
DOI: 10.4103/ejd.ejd_243_18

Conference Consensus

Dental Investigation Society

Patient-centered rehabilitation of single, partial, and complete edentulism with cemented- or screw-retained fixed dental prosthesis: The First Osstem Advanced Dental Implant Research and Education Center Consensus Conference 2017

Marco Tallarico

¹Deparment of Medical Sciences, School of Dentistry, Aldent University, Tirana, Albania

,

Marco Caneva

²ARDEC Academy, Ariminum Odontologica, Rimini, Italy

,

Nicola Baldini

³Department of Periodontics and Implantology, University of Siena, Siena, Italy

,

Fulvio Gatti

⁴Department of Biomedical, Surgical and Dental Sciences, Unit of Oral Surgery, San Carlo and San Paolo Hospital, University of Milan, Milan, Italy

,

Marco Duvina

⁵Department of Oral Surgery and Implantology, University of Florence, Florence, Italy

,

Mauro Billi

⁶Private Practice, Montevarchi, Italy

,

Gaetano Iannello

⁷Department of Biomedical and Dental Sciences and Morphofunctional Imaging, School of Dentistry, Policlinic “Gaetano Martino” University of Messina, Messina, Italy

,

Giacomo Piacentini

⁸Private Practice, Pavia, Italy

,

Silvio Mario Meloni

⁹Department of Surgical Microsurgical and Medical Science, University of Sassari, Sassari, Italy

,

Marco Cicciù

¹⁰Department of Biomedical and Dental Sciences and Morphological and Functional Imaging, Messina University, Messina, Italy

› Institutsangaben

Abstract

ABSTRACT

The aim of this consensus conference was to provide clinical guidelines, based on the available evidence and on the author's daily practice and experience, for general dentistry and dental practitioners to allow them to delivery long-term successful restorations. Three groups of expert clinicians and dental technicians were invited to evaluate all of the scientific literature from 1967 up to March 2017 to identify relevant studies on assigned topics and to prepare in advance narrative/systematic review, written according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, to fulfill the consensus statement criteria. The three topics assigned to the three groups were abutment/framework materials and customization (metal vs. metal-free restorations), abutment/framework protocols and designs, and abutment/framework retentions (cemented- vs. screw-retained implant-supported prostheses). All the expert clinicians presented their results, and the lectures were followed by discussions. No significant differences in clinical parameters (marginal bone loss, bleeding on probing, and pocket probing depth) between screw- or cemented-retained were found for single and multiple implant-supported restorations. There is moderate evidence that nonoriginal abutments provide worse mechanical behavior than originals and high evidence that different implant neck designs do not offer any clinical or radiographic advantage. All the participants agreed that it is desirable to connect and remove abutments as few times as possible. There is medium evidence that an adequate platform switching tends to enhance tissue volume and stability in the medium- and long-term follow-up. No statistically significant differences exist between metal and zirconia as a framework material. The authors discussed and all agreed that retrievability and patient's expectation (function and esthetics) should guide the choice of the most adequate technique, component, and material.

Key words:

Cemented-retained - dental implant prosthesis - screw-retained

Volltext

Referenzen

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