Indications, design considerations, and clinical outcomes of implant-supported fixed prostheses

Authors

  • Ali Salem Alfaer Department of Prosthodontic, Rabigh General Hospital, Rabigh, Saudi Arabia
  • Khulood Khalid Bakhsh Department of Restorative Dentistry, King Fahad Hospital, Jeddah, Saudi Arabia
  • Ibrahim Mohammed Alyami General Dentist, New Najran General Hospital, Najran, Saudi Arabia
  • Rawaa Mohammed Fallatah College of Dentistry, Ibn Sina National College for Medical Studies, Jeddah, Saudi Arabia
  • Mashael Saleh Saloum General Dental Clinic, 360 Clinics, Riyadh, Saudi Arabia
  • Nouf Yahya AlHarbi Riyadh Specialized Dental Center, Ministry of Health, Riyadh, Saudi Arabia
  • Suha Dhaifallah Al Otaibi Dental Department, Dental Medical Complex in West of Riyadh, Riyadh, Saudi Arabia
  • Bandar Zaid Alotaibi General Dentist, Ministry of Health, Riyadh, Saudi Arabia
  • Salem Abdullah AL Meheini College of Dentistry, Riyadh Elm University, Riyadh, Saudi Arabia
  • Sahar Safar AL Shalawi General Dentist, Ministry of Health, Dammam, Saudi Arabia
  • Abdulrahman Mohammed Bushnaq Advanced Education in General Dentistry, Prince Sultan Military Medical City, Riyadh, Saudi Arabia

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20232393

Keywords:

Implant-supported fixed prostheses, Implant design, Biomechanics, Patient satisfaction, Material selection

Abstract

Implant-supported fixed prostheses are a highly successful treatment option for replacing missing teeth, offering improved esthetics, function, and patient satisfaction. Design considerations play a crucial role in achieving optimal outcomes. Implant distribution and angulation should be carefully planned to ensure balanced load distribution and biomechanical stability. Occlusal considerations are vital to minimize mechanical complications and implant overloading, with proper adjustments and occlusal schemes implemented. The emergence profile should replicate natural tooth contours for esthetic integration and ease of oral hygiene maintenance. Material selection is essential, considering factors such as occlusal loading, esthetic requirements, and patient-specific considerations. Biomechanical analysis helps identify stress distribution patterns and optimize prosthesis design for long-term success. Patient satisfaction is high, with improved chewing ability, speech, and overall quality of life reported. Long-term success rates exceed 90%, influenced by implant survival, peri-implant health, maintenance of prosthesis integrity, and patient satisfaction. Thorough patient assessment, treatment planning, precise surgical and prosthetic execution, and comprehensive follow-up care are crucial for favorable outcomes. Implant-supported fixed prostheses provide functional and esthetic restorations, enhancing oral health and overall well-being.

References

Lindh T, Dahlgren S, Gunnarsson K. Tooth-implant supported fixed prostheses: a retrospective multicenter study. Int J Prosthodontics. 2001;14(4).

Chrcanovic BR, Kisch J, Larsson C. Analysis of technical complications and risk factors for failure of combined tooth‐implant‐supported fixed dental prostheses. Clin Implant Dentistry Rel Res. 2020;22(4):523-32.

Sheridan RA, Decker AM, Plonka AB, Wang H-L. The role of occlusion in implant therapy: a comprehensive updated review. Implant Dentistry. 2016;25(6):829-38.

Chu SJ, Kan JY, Lee EA. Restorative emergence profile for single-tooth implants in healthy periodontal patients: clinical guidelines and decision-making strategies. Int J Periodontics Restorative Dent. 2019;40(1):19-29.

Kobayashi E, Matsumoto S, Doi H, Yoneyama T, Hamanaka H. Mechanical properties of the binary titanium‐zirconium alloys and their potential for biomedical materials. J Biomed Materials Res. 1995;29(8):943-950.

Tysowsky G. The science behind lithium disilicate: today's surprisingly versatile, esthetic and durable metal-free alternative. Oral Health. 2009;99(3):93.

Hingsammer L, Pommer B, Hunger S, Stehrer R, Watzek G, Insua A. Influence of implant length and associated parameters upon biomechanical forces in finite element analyses: a systematic review. Implant Dentistry. 2019;28(3):296-305.

Herrmann I, Lekholm U, Holm S, Kultje C. Evaluation of patient and implant characteristics as potential prognostic factors for oral implant failures. Int J Oral Maxillofacial Implants. 2005;20(2).

Turkyilmaz I, McGlumphy EA. Influence of bone density on implant stability parameters and implant success: a retrospective clinical study. BMC Oral Heal. 2008;8(1):1-8.

Tabassum A, Meijer GJ, Wolke JG, Jansen JA. Influence of the surgical technique and surface roughness on the primary stability of an implant in artificial bone with a density equivalent to maxillary bone: a laboratory study. Clin Oral Implants Res. 2009;20(4):327-32.

Kapur KK, Garrett NR, Hamada MO. Randomized clinical trial comparing the efficacy of mandibular implant-supported overdentures and conventional dentures in diabetic patients. Part III: comparisons of patient satisfaction. J Prosthetic Dentistry. 1999;82(4):416-27.

Nikellis T, Lampraki E, Romeo D, et al. Survival rates, patient satisfaction, and prosthetic complications of implant fixed complete dental prostheses: a 12‐month prospective study. J Prosthodontics. 2023;32(3):214-20.

Pjetursson BE, Karoussis I, Bürgin W, Brägger U, Lang NP. Patients' satisfaction following implant therapy: a 10‐year prospective cohort study. Clin Oral Implants Res. 2005;16(2):185-93.

Jivraj S, Chee W. Rationale for dental implants. British Dental J. 2006;200(12):661-5.

Pasqualini U, Pasqualini M. Treatise of Implant Dentistry. Carimate Como: AriesDue. 2009.

Henry P. Tooth loss and implant replacement. Australian dental journal. 2000;45(3):150-172.

Monteiro DR, Silva EV, Pellizzer EP, Magro Filho O, Goiato MC. Posterior partially edentulous jaws, planning a rehabilitation with dental implants. World J Clin Cases: WJCC. 2015;3(1):65.

Misch CE. Rationale for dental implants. Dental implant prosthetics 2nd ed St Louis (MO): Elsevier. 2014:1-25.

Weinlaender M. Bone growth around dental implants. Dental Clin N Am. 1991;35(3):585-601.

Diz P, Scully C, Sanz M. Dental implants in the medically compromised patient. J Dentistry. 2013;41(3):195-206.

Liddelow G, Klineberg I. Patient‐related risk factors for implant therapy. A critique of pertinent literature. Aust Dental J. 2011;56(4):417-26.

Quirynen M, Teughels W. Microbiologically compromised patients and impact on oral implants. Periodontology. 2003;33(1):119-28.

Chrcanovic BR, Albrektsson T, Wennerberg A. Bone Quality and Quantity and Dental Implant Failure: A Systematic Review and Meta-analysis. Int J Prosthodontics. 2017;30(3).

Nugala B, Kumar BS, Sahitya S, Krishna PM. Biologic width and its importance in periodontal and restorative dentistry. J Conservative Dentistry. 2012;15(1):12.

Heitz‐Mayfield LJ. Peri‐implant diseases: diagnosis and risk indicators. J Clin Periodontol. 2008;35:292-304.

Vissink A, Spijkervet F, Raghoebar G. The medically compromised patient: Are dental implants a feasible option? Oral diseases. 2018;24(1-2):253-60.

Selim K, Ali S, Reda A. Implant supported fixed restorations versus implant supported removable overdentures: a systematic review. Open Access Macedonian J Med Sci. 2016;4(4):726.

Şahin S, Cehreli MC, Yalçın E. The influence of functional forces on the biomechanics of implant-supported prostheses-a review. J Dentistr. 2002;30(7-8):271-82.

Gross M. Occlusion in implant dentistry. A review of the literature of prosthetic determinants and current concepts. Austr Dental J. 2008;53:S60-8.

Schoenbaum TR. Abutment emergence profile and its effect on peri-implant tissues. Compend Contin Educ Dent. 2015;36(7):474-.

Pjetursson BE, Fehmer V, Sailer I. EAO Position Paper: Material selection for implant-supported restorations. Int J Prosthodontics. 2022;35(1):7-16.

Hsu Y-T, Fu J-H, Al-Hezaimi K, Wang H-L. Biomechanical implant treatment complications: a systematic review of clinical studies of implants with at least 1 year of functional loading. Int J Oral Maxillofacial Implants. 2012;27(4).

Jivraj S, Chee W. Treatment planning of implants in the aesthetic zone. Brit Dental J. 2006;201(2):77-89.

Coachman C, Calamita MA, Coachman FG, Coachman RG, Sesma N. Facially generated and cephalometric guided 3D digital design for complete mouth implant rehabilitation: a clinical report. J Prosthetic Dentistr. 2017;117(5):577-86.

Albiero AM, Benato R, Momic S, Degidi M. Implementation of computer-guided implant planning using digital scanning technology for restorations supported by conical abutments: A dental technique. J Prosthetic Dentistr. 2018;119(5):720-6.

Albrektsson T, Donos N, 1 WG. Implant survival and complications. The Third EAO consensus conference 2012. Clin Oral Implants Res. 2012;23:63-5.

De Kok IJ, Duqum IS, Katz LH, Cooper LF. Management of implant/prosthodontic complications. Dental Clin. 2019;63(2):217-31.

Levin L. Nonsurgical and surgical management of biologic complications around dental implants: Peri-implant mucositis and peri-implantitis. Quintessence Int. 2020;51(10):810-20.

Duong HY, Roccuzzo A, Stähli A, Salvi GE, Lang NP, Sculean A. Oral health‐related quality of life of patients rehabilitated with fixed and removable implant‐supported dental prostheses. Periodontology. 2022;88(1):201-37.

Moraschini V, Poubel LdC, Ferreira V, dos Sp Barboza E. Evaluation of survival and success rates of dental implants reported in longitudinal studies with a follow-up period of at least 10 years: a systematic review. Int J Oral Maxillofacial Surg. 2015;44(3):377-88.

Mauer RG, Shadrav A, Dashti M. Predictability of dental implants. Innovative Perspectives Oral Maxillofacial Surg. 2021:35-45.

Downloads

Published

2023-07-29

How to Cite

Alfaer, A. S., Bakhsh, K. K., Alyami, I. M., Fallatah, R. M., Saloum, M. S., AlHarbi, N. Y., Al Otaibi, S. D., Alotaibi, B. Z., AL Meheini, S. A., AL Shalawi, S. S., & Bushnaq, A. M. (2023). Indications, design considerations, and clinical outcomes of implant-supported fixed prostheses. International Journal Of Community Medicine And Public Health, 10(8), 2974–2979. https://doi.org/10.18203/2394-6040.ijcmph20232393

Issue

Section

Review Articles