ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM
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| Title |
Proximal Contact Maintenance Between Implant Supported Fixed Prosthodontics And Adjacent teeth |
| Clinical Question |
In patients with implant supported fixed prosthetics, are the proximal contacts between the prosthetic and the adjacent natural teeth maintained with time? |
| Clinical Bottom Line |
Loss of proximal contact was observed between implant supported fixed prosthetics and adjacent natural teeth. The mesial proximal contact was lost most frequently. (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) 21209989 | Koori/2010 | 114 patients selected for natural teeth adjacent fixed prosthetics, implant supported fixed partial dentures and endosseous root form implants; pts suffering from significant systemic diseases were excluded. | Retrospective study | | Key results | 51% of mesial contacts and 15% of distal contacts were lost over time. Over time, it was shown that half of all proximal contacts were lost within 5.5 years. | |
| Evidence Search |
Search ("Dental Implants"[Mesh]) AND "Denture, Partial, Fixed"[Mesh] |
Comments on
The Evidence |
This study is the first of its kind on this topic and has not yet been corroborated by other clinicians. It is also a retrospective study which does make it less valid that is desirable. |
| Applicability |
This study is relevant to any patient with an implant supported fixed prosthetic adjacent to natural teeth. |
| Specialty/Discipline |
(General Dentistry) (Oral Surgery) (Periodontics) (Prosthodontics) |
| Keywords |
Implants, Proximal Contact
|
| ID# |
849 |
| Date of submission: |
04/28/2011 |
| E-mail |
smithml@livemail.uthscsa.edu |
| Author |
Matthew Smith |
| Co-author(s) |
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| Co-author(s) e-mail |
|
| Faculty mentor/Co-author |
Charles Hermesch, DMD |
| Faculty mentor/Co-author e-mail |
HERMESCH@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 Lane K. Walsh (San Antonio, TX) on 04/03/2014
Interesting! Observed this on several occasions. Always mesial. Had radiographic evidence of contact on several, then contact was gone. | |
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