ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM
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Title Single-Tooth Implants Vs. Tooth-Supported Fixed Partial Dentures Cl
Clinical Question Do single-tooth implants have more longevity in healthy adult patients as compared to tooth-supported fixed partial dentures?
Clinical Bottom Line There is some evidence to suggest that single-tooth implants have a higher success rate than fixed partial dentures. (See Comments on the CAT below)
Best Evidence (you may view more info by clicking on the PubMed ID link)
PubMed ID Author / Year Patient Group Study type
(level of evidence)
#1) 17936128Torabinejad/2007Wide variability among studies Systematic Review
Key resultsImplant supported crowns had a higher success rate than fixed partial dentures; “However, success criteria differed greatly among treatment types, rendering direct comparison of success rates futile”
#2) 18437792Salinas/2007 wide variability among studies Meta Analysis
Key results“Pooled success of single-implant restorations at 60 months was 95.1% (CI: 92.2%-98.0%), while fixed partial dentures, using both resin-bonded and conventional retention, exhibited an 84.0% success rate (CI: 79.1%-88.9%)” Single implant restorations did not exhibit a significantly different success rate when compared to conventional retention fixed partial dentures only.
Evidence Search "Denture, Partial, Fixed"[Mesh] AND "Dental Implants, Single-Tooth"[Mesh] Limits: English, Systematic Reviews
Comments on
The Evidence
No articles were found in either the systematic review or the meta analysis that directly compared single tooth implants to fixed partial dentures.
Applicability Any patient with a single edentulous space that needs to be replaced.
Specialty/Discipline (General Dentistry) (Prosthodontics)
Keywords Dental implant, Fixed Partial Denture
ID# 521
Date of submission: 01/20/2010spacer
E-mail kartaltepe@uthscsa.edu
Author Christen Kartaltepe
Co-author(s) Kevin E. Packard
Co-author(s) e-mail
Faculty mentor/Co-author Ridley Ross, DDS
Faculty mentor/Co-author e-mail rossr@uthscsa.edu
Basic Science Rationale
(Mechanisms that may account for and/or explain the clinical question, i.e. is the answer to the clinical question consistent with basic biological, physical and/or behavioral science principles, laws and research?)
post a rationale
None available
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Comments on the CAT
(FOR PRACTICING DENTISTS' and/or FACULTY COMMENTS ON PUBLISHED CATs)
post a comment
by Nikhil Reddy (San Antonio, TX) on 04/09/2012
I conducted a PubMed search on this topic in April of 2012. Your publications are of the most recent and of strongest evidence found. There were also no meta-analysis found that directly compared single-tooth implants to tooth-supported fixed partial dentures.
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