Group 4 ITI Consensus Report: Patient benefits following implant treatment in partially and fully edentulous patients

Author:

Schimmel Martin12ORCID,Araujo Mauricio3ORCID,Abou‐Ayash Samir1ORCID,Buser Ramona1ORCID,Ebenezer Supriya4,Fonseca Manrique1ORCID,Heitz‐Mayfield Lisa J.5ORCID,Holtzman Lucrezia Paterno6ORCID,Kamnoedboon Porawit78ORCID,Levine Robert9,McKenna Gerry10ORCID,Maniewicz Sabrina2ORCID,Matarazzo Flavia3ORCID,Mattheos Nikos1112ORCID,Papaspyridakos Panos13,De Souza André Barbisan14ORCID,Srinivasan Murali27ORCID,Stilwell Charlotte215,Weber Hans Peter13ORCID

Affiliation:

1. Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine University of Bern Bern Switzerland

2. Division of Gerodontology and Removable Prosthodontics University Clinics of Dental Medicine, University of Geneva Geneva Switzerland

3. Department of Dentistry State University of Maringá Maringá Brazil

4. Oral Rehabilitation Center Bangalore Karnataka India

5. University of Sydney Sydney New South Wales Australia

6. Department of Periodontics and Prosthodontics Eastman Dental Hospital, University Policlinic "La Sapienza" Rome Italy

7. Clinic of General, Special Care, and Geriatric Dentistry, Center of Dental Medicine University of Zurich Zurich Switzerland

8. Chulalongkorn University Bangkok Thailand

9. Kornberg School of Dentistry at Temple University Philadelphia Pennsylvania USA

10. Centre for Public Health Queen's University Belfast Belfast UK

11. Department of Oral and Maxillofacial Surgery, Faculty of Dentistry Chulalongkorn University Bangkok Thailand

12. Department of Dental Medicine Karolinska Institute Stockholm Sweden

13. Department of Prosthodontics Tufts University School of Dental Medicine Boston Massachusetts USA

14. Department of Periodontology Nova Southeastern University Davie Florida USA

15. Private Practice London UK

Abstract

AbstractObjectivesThe aim of Working Group 4 was to address patient benefits associated with implant dentistry. Focused questions on (a) dental patient‐reported outcomes (dPROs), (b) improvement in orofacial function, and (c) preservation of orofacial tissues in partially and fully edentulous patients following provision of implant‐retained/supported dental prostheses were addressed.Materials and MethodsThree systematic reviews formed the basis for discussion. Participants developed statements and recommendations determined by group consensus based on the findings of the systematic reviews. These were then presented and accepted following further discussion and modifications as required by the plenary of the 7th ITI Consensus Conference, taking place in 2023 in Lisbon, Portugal.ResultsEdentulous patients wearing complete dentures (CD) experience substantial improvements in overall dPROs and orofacial function following treatment with either complete implant‐supported fixed dental prostheses (CIFDP) or implant overdentures (IODs). With respect to dPROs, mandibular IODs retained by two implants are superior to IODs retained by one implant. However, increasing the number of implants beyond two, does not further improve dPROs. In fully edentulous patients, rehabilitation with CIFDP or IOD is recommended to benefit the preservation of alveolar bone and masseter muscle thickness.ConclusionsCompletely edentulous patients benefit substantially when at least the mandible is restored using an CIFDP or an IOD compared to CD. In fully edentulous patients, implant prostheses are the best option for tooth replacement. The availability of this treatment modality should be actively promoted in all edentulous communities, including those with limited access and means.

Publisher

Wiley

Subject

Oral Surgery

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