Prosthetic Rehabilitation of the Partially Edentulous Atrophic Posterior Mandible with Short Implants (≤ 8 mm) Compared with the Sandwich Osteotomy and Delayed Placement of Standard Length Implants (> 8 mm): a Systematic Review
Objectives: Test the hypothesis of no difference in prosthetic rehabilitation of the partially edentulous atrophic posterior mandible with short implants (≤ 8 mm) compared with the sandwich osteotomy and delayed placement of standard lengths implants (> 8 mm). Material and Methods: A MEDLINE (...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Lithuanian University of Health Sciences, Faculty of Odontology
2018-06-01
|
| Series: | eJournal of Oral Maxillofacial Research |
| Subjects: | |
| Online Access: | http://www.ejomr.org/JOMR/archives/2018/2/e2/v9n2e2ht.htm |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849414258089000960 |
|---|---|
| author | Thomas Starch-Jensen Helle Baungaard Nielsen |
| author_facet | Thomas Starch-Jensen Helle Baungaard Nielsen |
| author_sort | Thomas Starch-Jensen |
| collection | DOAJ |
| description | Objectives: Test the hypothesis of no difference in prosthetic rehabilitation of the partially edentulous atrophic posterior mandible with short implants (≤ 8 mm) compared with the sandwich osteotomy and delayed placement of standard lengths implants (> 8 mm).
Material and Methods: A MEDLINE (PubMed), Embase and Cochrane library search in combination with a hand-search was conducted by including studies published in English. No year of publication restriction was applied.
Results: Six randomized controlled trials characterized by low or moderate risk of bias fulfilled the inclusion criteria. There were no statistically significant differences (P > 0.05) in the survival rate of suprastructures and implants between the two treatment modalities after one year. Sandwich osteotomy and delayed implant placement demonstrated statistically significant higher long-term peri-implant marginal bone loss as well as biological and technical complications compared with short implants
(P < 0.0001). Moreover, patients significantly favoured prosthetic rehabilitation with short implants (P < 0.0001).
Conclusions: Short implants and the sandwich osteotomy with delayed placement of standard length implants appear to result in predictable outcomes in terms of high survival rate of suprastructures and implants after prosthetic rehabilitation of the partially edentulous atrophic posterior mandible. However, further long-term randomized controlled trials assessing donor site morbidity, an economic perspective, professional and patient-related outcome measures with the two treatment modalities are needed before definite conclusions can be provided about the beneficial use of short implants for prosthetic rehabilitation of the partially edentulous atrophic posterior mandible compared with the sandwich osteotomy and delayed placement of standard length implants. |
| format | Article |
| id | doaj-art-8bdf3715a4b74da48b1e178a7a1643dd |
| institution | Kabale University |
| issn | 2029-283X |
| language | English |
| publishDate | 2018-06-01 |
| publisher | Lithuanian University of Health Sciences, Faculty of Odontology |
| record_format | Article |
| series | eJournal of Oral Maxillofacial Research |
| spelling | doaj-art-8bdf3715a4b74da48b1e178a7a1643dd2025-08-20T03:33:53ZengLithuanian University of Health Sciences, Faculty of OdontologyeJournal of Oral Maxillofacial Research2029-283X2018-06-0192e210.5037/jomr.2018.9202Prosthetic Rehabilitation of the Partially Edentulous Atrophic Posterior Mandible with Short Implants (≤ 8 mm) Compared with the Sandwich Osteotomy and Delayed Placement of Standard Length Implants (> 8 mm): a Systematic ReviewThomas Starch-JensenHelle Baungaard NielsenObjectives: Test the hypothesis of no difference in prosthetic rehabilitation of the partially edentulous atrophic posterior mandible with short implants (≤ 8 mm) compared with the sandwich osteotomy and delayed placement of standard lengths implants (> 8 mm). Material and Methods: A MEDLINE (PubMed), Embase and Cochrane library search in combination with a hand-search was conducted by including studies published in English. No year of publication restriction was applied. Results: Six randomized controlled trials characterized by low or moderate risk of bias fulfilled the inclusion criteria. There were no statistically significant differences (P > 0.05) in the survival rate of suprastructures and implants between the two treatment modalities after one year. Sandwich osteotomy and delayed implant placement demonstrated statistically significant higher long-term peri-implant marginal bone loss as well as biological and technical complications compared with short implants (P < 0.0001). Moreover, patients significantly favoured prosthetic rehabilitation with short implants (P < 0.0001). Conclusions: Short implants and the sandwich osteotomy with delayed placement of standard length implants appear to result in predictable outcomes in terms of high survival rate of suprastructures and implants after prosthetic rehabilitation of the partially edentulous atrophic posterior mandible. However, further long-term randomized controlled trials assessing donor site morbidity, an economic perspective, professional and patient-related outcome measures with the two treatment modalities are needed before definite conclusions can be provided about the beneficial use of short implants for prosthetic rehabilitation of the partially edentulous atrophic posterior mandible compared with the sandwich osteotomy and delayed placement of standard length implants.http://www.ejomr.org/JOMR/archives/2018/2/e2/v9n2e2ht.htmdental implantsdental prosthesisoral surgical proceduresrandomized controlled trialreview |
| spellingShingle | Thomas Starch-Jensen Helle Baungaard Nielsen Prosthetic Rehabilitation of the Partially Edentulous Atrophic Posterior Mandible with Short Implants (≤ 8 mm) Compared with the Sandwich Osteotomy and Delayed Placement of Standard Length Implants (> 8 mm): a Systematic Review eJournal of Oral Maxillofacial Research dental implants dental prosthesis oral surgical procedures randomized controlled trial review |
| title | Prosthetic Rehabilitation of the Partially Edentulous Atrophic Posterior Mandible with Short Implants (≤ 8 mm) Compared with the Sandwich Osteotomy and Delayed Placement of Standard Length Implants (> 8 mm): a Systematic Review |
| title_full | Prosthetic Rehabilitation of the Partially Edentulous Atrophic Posterior Mandible with Short Implants (≤ 8 mm) Compared with the Sandwich Osteotomy and Delayed Placement of Standard Length Implants (> 8 mm): a Systematic Review |
| title_fullStr | Prosthetic Rehabilitation of the Partially Edentulous Atrophic Posterior Mandible with Short Implants (≤ 8 mm) Compared with the Sandwich Osteotomy and Delayed Placement of Standard Length Implants (> 8 mm): a Systematic Review |
| title_full_unstemmed | Prosthetic Rehabilitation of the Partially Edentulous Atrophic Posterior Mandible with Short Implants (≤ 8 mm) Compared with the Sandwich Osteotomy and Delayed Placement of Standard Length Implants (> 8 mm): a Systematic Review |
| title_short | Prosthetic Rehabilitation of the Partially Edentulous Atrophic Posterior Mandible with Short Implants (≤ 8 mm) Compared with the Sandwich Osteotomy and Delayed Placement of Standard Length Implants (> 8 mm): a Systematic Review |
| title_sort | prosthetic rehabilitation of the partially edentulous atrophic posterior mandible with short implants ≤ 8 mm compared with the sandwich osteotomy and delayed placement of standard length implants 8 mm a systematic review |
| topic | dental implants dental prosthesis oral surgical procedures randomized controlled trial review |
| url | http://www.ejomr.org/JOMR/archives/2018/2/e2/v9n2e2ht.htm |
| work_keys_str_mv | AT thomasstarchjensen prostheticrehabilitationofthepartiallyedentulousatrophicposteriormandiblewithshortimplants8mmcomparedwiththesandwichosteotomyanddelayedplacementofstandardlengthimplants8mmasystematicreview AT hellebaungaardnielsen prostheticrehabilitationofthepartiallyedentulousatrophicposteriormandiblewithshortimplants8mmcomparedwiththesandwichosteotomyanddelayedplacementofstandardlengthimplants8mmasystematicreview |