Title |
Which Lasts Longer: Implant or FPD? |
Clinical Question |
In an otherwise healthy adult patient missing just one tooth, does a fixed partial denture or an implant-supported crown last longer? |
Clinical Bottom Line |
When other factors are the same, single implant-supported crowns last longer on average than fixed partial dentures. |
Best Evidence |
|
PubMed ID |
Author / Year |
Patient Group |
Study type
(level of evidence) |
17936128 | Torabinejad/2007 | Included 46 ISC papers and 31 FPD papers out of 7701 papers identified | Systematic Review with Meta-analysis | Key results | After 6+ years, the weighted success rates were 80% (79-82 95% CI) for FPD restorations and 97% (96-98 95% CI) for ISC restorations. | |
Evidence Search |
Using PubMed, searched: "Denture, Partial, Fixed"[Mesh] AND "Dental Implants"[Mesh] AND survival |
Comments on
The Evidence |
This systematic review compared not only FPD and implant-supported crowns but also no treatment for an edentulous space as well as root canal therapy and subsequent crown placement when the tooth in question had not been extracted yet. |
Applicability |
These findings would apply to most adult patients with adequate health and alveolar bone for dental implant placement who are missing a single tooth. |
Specialty |
(General Dentistry) (Restorative Dentistry) |
Keywords |
Implant, Bridge, Survival, Fixed Partial Denture
|
ID# |
901 |
Date of submission |
05/17/2011 |
E-mail |
francisj@livemail.uthscsa.edu |
Author |
J. Christian Francis |
Co-author(s) |
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Co-author(s) e-mail |
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Faculty mentor |
Nataliya Verona, DDS, PhD |
Faculty mentor e-mail |
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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?) |
None available | |
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Comments and Evidence-Based Updates on the CAT
(FOR PRACTICING DENTISTS', FACULTY, RESIDENTS and/or STUDENTS COMMENTS ON PUBLISHED CATs) |
by Mackenzi McAfee and Christopher Beard (San Antonio, TX) on 11/28/2017 A PubMed search on implant and FPD survival rates was done in November 2017. A more recent publication on the question was located: Muddugangadhar 2015, PubMed: 26435609. This systematic review with meta-analysis of 63 prospective and retrospective cohort studies showed similar results; it showed that single implant-supported crowns have overall higher 5-year survival rates than implant-supported FPDs. However, this more recent research included implant tooth-supported prostheses as well. | |