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) 17936128 | Torabinejad/2007 | Wide variability among studies | Systematic Review | | Key results | Implant 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) 18437792 | Salinas/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: |
01/20/2010 |
| 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 | |
|
Comments and Evidence-Based Updates on the CAT
(FOR PRACTICING DENTISTS', FACULTY, RESIDENTS and/or STUDENTS 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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