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VOLUME 16 , ISSUE 1 ( January, 2025 ) > List of Articles

REVIEW ARTICLE

A Systematic Review of Removable vs Fixed Treatment Modalities in Completely Edentulous Jaws: A Clinical-radiographic Analysis of the Posttreatment Outcome

Pragati Rawat, Deepesh Saxena, Sidhartha Tomar, Abhinav Sharma, Arka Swarnkar

Keywords : Complete denture, Implant survival, Implant-supported fixed prostheses, Implant-supported overdenture, Marginal bone loss

Citation Information : Rawat P, Saxena D, Tomar S, Sharma A, Swarnkar A. A Systematic Review of Removable vs Fixed Treatment Modalities in Completely Edentulous Jaws: A Clinical-radiographic Analysis of the Posttreatment Outcome. World J Dent 2025; 16 (1):92-100.

DOI: 10.5005/jp-journals-10015-2569

License: CC BY-NC 4.0

Published Online: 13-03-2025

Copyright Statement:  Copyright © 2025; The Author(s).


Abstract

Aim: A clinician must choose the right treatment modality with various fixed and removable prosthetic treatments available for completely edentulous patients. This systematic review aims to evaluate removable and fixed prosthetic treatment modalities in a completely edentulous patient. Materials and methods: A comprehensive search of MEDLINE, PubMed, Scopus, Web of Science, Google Scholar, and LILACS and a manual search across reference lists of included studies were done. The outcomes evaluated were concerning patient-specific clinical and radiographic outcomes in terms of bone loss, postprosthetic rehabilitation complications, and hygiene maintenance of different removable and fixed treatment modalities for completely edentulous jaws. Results: A total of 2,182 articles, which, after the thorough screening process, yielded 10 studies for qualitative analysis. The success rates of implant-supported fixed prostheses (IFP) were greater than those of implant-supported overdentures (IOD) and complete dentures (CD), respectively. Nevertheless, there were significant differences in the success criteria across the various treatment options, making it futile to compare the success rates directly. Conclusion: Although the successful outcome of different treatment modalities for completely edentulous patients was based on multiple factors, the comparison of these interventions was restricted by the rarity of comparative research with similar follow-up periods and identical outcome criteria. Clinical significance: Choosing the right treatment modality with a good prognosis should be the utmost goal of a clinician, as it can invariably result in improved patient satisfaction.

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  1. Peres MA, Daly B, Guarnizo-Herreño CC, et al. Oral diseases: a global public health challenge. Lancet 2020;395(10219):249. DOI: 10.1016/S0140-6736(19)31146-8
  2. Slade GD, Akinkugbe AA, Sanders AE. Projections of U.S. edentulism prevalence following 5 decades of decline. J Dent Res 2014;93(10):959. DOI: 10.1177/0022034514546165
  3. Zitzmann NU, Marinello CP, Zemp E, et al. Zahnverlust, prothetische Versorgung und zahnarztliche Inanspruchnahme in der Schweiz. Schweiz Monatsschr Zahnmed 2010;111:1288.
  4. Canadian Health Measures Survey results - oral health statistics, 2007-2009. Chronic Dis Can 2010;30(4):117.
  5. Peltzer K, Hewlett S, Yawson A, et al. Prevalence of loss of all teeth (edentulism) and associated factors in older adults in China, Ghana, India, Mexico, Russia and South Africa. Int J Environ Res Public Health 2014;11(11):11308. DOI: 10.3390/ijerph111111308
  6. Borg-Bartolo R, Roccuzzo A, Molinero-Mourelle P, et al. Global prevalence of edentulism and dental caries in middle-aged and elderly persons: a systematic review and meta-analysis. J Dent 2022;127:104335. DOI: 10.1016/j.jdent.2022.104335
  7. Davis D, Packer M, Watson R. Maintenance requirements of implant-supported fixed prostheses opposed by implant-supported fixed prostheses, natural teeth, or complete dentures: a 5-year retrospective study. J Prosthet Dent 2004:91(2):194. DOI: 10.1016/j.prosdent.2003.12.010
  8. Attard NJ, Zarb GA. Long-term treatment outcomes in edentulous patients with implant-fixed prostheses: the Toronto Study. J Prosthet Dent 2005;93(1):94. DOI: 10.1016/j.prosdent.2004.09.017
  9. Bozini T, Petridis H, Garefis K, et al. A meta-analysis of prosthodontic complication rates of implant-supported fixed dental prostheses in edentulous patients after an observation period of at least 5 years. Int J Oral Maxillofac Implants 2011;26(2):304.
  10. Papaspyridakos P, Chen CJ, Chuang SK, et al. A systematic review of biologic and technical complications with fixed implant rehabilitations for edentulous patients. Int J Oral Maxillofac Implants 2012;27(1):102.
  11. Kwon T, Bain PA, Levin L. Systematic review of short- (5–10 years) and long-term (10 years or more) survival and success of full-arch fixed dental hybrid prostheses and supporting implants. J Dent 2014;42(10):1228. DOI: 10.1016/j.jdent.2014.05.016
  12. Gosavi SS, Ghanchi M, Malik SA, et al. A survey of complete denture patients experiencing difficulties with their prostheses. J Contemp Dent Pract 2013;14(3):524. DOI: 10.5005/jp-journals-10024-1355
  13. Araújo M, Martins M, Soares A, et al. Relationship between quality of complete dentures and user satisfaction at 1 and 5 years postinsertion. Int J Prosthodont 2018;31(3):271. DOI: 10.11607/ijp.5477
  14. Agarwal S, Koul A, Singhal R, et al. Structurofunctional analysis based on postinsertion problems with complete dentures in Moradabad, North India: a cross-sectional study. J Indian Prosthodont Soc 2018;18(3):219. DOI: 10.4103/jips.jips_146_17
  15. Moher D, Liberati A, Tetzlaff J, et al. Preferred Reporting Items for Systematic Reviews and Meta-analyses: The PRISMA Statement. Ann Intern Med 2009;151(4):264. DOI: 10.7326/0003-4819-151-4-200908180-00135
  16. Moher D, Shamseer L, Clarke M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Syst Rev 2015;4(1). DOI: 10.1186/2046-4053-4-1
  17. Higgins JPT, Morgan RL, Rooney AA, et al. A tool to assess risk of bias in non-randomized follow-up studies of exposure effects (ROBINS-E). Environ Int 2024;186:108602. DOI: 10.1016/j.envint.2024.108602
  18. Morgan R, Thayer K, Holloway A, et al. Assessing the Usability of the Risk Of Bias in Non-randomized Studies – of Interventions (ROBINS-I) Tool for Studies of Exposure and Intervention in Environmental Health Research. ISEE Conference Abstracts 2016;2016(1).
  19. Celebic A, Knezovic-Zlataric D, Papic M, et al. Factors related to patient satisfaction with complete denture therapy. J Gerontol A Biol Sci Med Sci 2003;58(10):M948. DOI: 10.1093/gerona/58.10.m948
  20. Yamaga E, Sato Y, Soeda H, et al. Relationship between oral health–related quality of life and usage period of complete dentures. Int J Prosthodont 2019;32(4):327. DOI: 10.11607/ijp.6173
  21. Martín-Ares M, Barona-Dorado C, Guisado-Moya B, et al. Prosthetic hygiene and functional efficacy in completely edentulous patients: satisfaction and quality of life during a 5-year follow-up. Clin Oral Implants Res 2015;27(12):1500. DOI: 10.1111/clr.12604
  22. Barootchi S, Askar H, Ravidà A, et al. Long-term clinical outcomes and cost-effectiveness of full-arch implant-supported zirconia-based and metal-acrylic fixed dental prostheses: a retrospective analysis. Int J Oral Maxillofac Implants 2020;35(2):395. DOI: 10.11607/jomi.7833
  23. Di P, Lin Y, Li JH, et al. The all-on-four implant therapy protocol in the management of edentulous Chinese patients. Int J Prosthodont 2013;26(6):509. DOI: 10.11607/ijp.3602
  24. Sánchez-Torres A, Cercadillo-Ibarguren I, Figueiredo R, et al. Mechanical complications of implant-supported complete-arch restorations and impact on patient quality of life: a retrospective cohort study. J Prosthet Dent 2021;125(2):279. DOI: 10.1016/j.prosdent.2020.01.006
  25. Nagni M, Pirani F, D'Orto B, et al. Clinical and radiographic follow-up of full-arch implant prosthetic rehabilitations: retrospective clinical study at 6-year follow-up. Appl Sci 2023;13(20):11143. DOI: 10.3390/app132011143
  26. Dorj O, Lin CK, Salamanca E, et al. Marginal bone loss around implant-retaining overdentures versus implant-supported fixed prostheses 12-month follow-up: a retrospective study. Int J Environ Res Public Health 2022;19(3):1750. DOI: 10.3390/ijerph19031750
  27. Kern J, Kern T, Wolfart S, et al. A systematic review and meta-analysis of removable and fixed implant-supported prostheses in edentulous jaws: post-loading implant loss. Clin Oral Implants Res 2015;27(2):174. DOI: 10.1111/clr.12531
  28. Lytle RB. Soft tissue displacement beneath removable partial and complete dentures. J Prosthet Dent 1962;12(1):34. DOI: 10.1016/0022-3913(62)90005-7
  29. Flanagan D. Complete artificial dentition supported by endosseous implants: a case report of total in-office treatment. J Oral Implant 2005;31(2):91. DOI: 10.1563/0-726.1
  30. Sampaio Fernandes M, Vaz P, Braga AC, et al. The role of IL-1 gene polymorphisms (IL1A, IL1B, and IL1RN) as a risk factor in unsuccessful implants retaining overdentures. JPR 2017;61(4):439. DOI: 10.1016/j.jpor.2017.01.004
  31. Bakker MH, Vissink A, Raghoebar GM, et al. General health status of Dutch elderly receiving implant-retained overdentures: a 9-year big data cross-sectional study. CIDRR 2021;23(2):228. DOI: 10.1111/cid.12984
  32. Chang HS, Hsieh YD, Hsu ML. Long-term survival rate of implant-supported overdentures with various attachment systems: a 20-year retrospective study. J Den Sci 2015;10(1):55. DOI: 10.1016/j.jds.2014.06.004
  33. Schwartz-Arad D, Kidron N, Dolev E. A long-term study of implants supporting overdentures as a model for implant success. J Periodontol 2005;76(9):1431. DOI: 10.1902/jop.2005.76.9.1431
  34. Chrcanovic BR, Ghiasi P, Kisch J, et al. Retrospective study comparing the clinical outcomes of bar-clip and ball attachment implant-supported overdentures. J Oral Sci 2020;62(4):397. DOI: 10.2334/josnusd.19-0412
  35. Dierens M, Collaert B, Deschepper E, et al. Patient-centered outcome of immediately loaded implants in the rehabilitation of fully edentulous jaws. Clin Oral Implants Res 2009;20(10):1070. DOI: 10.1111/j.1600-0501.2009.01741.x
  36. Faverani LP, Barão VAR, Ramalho-Ferreira G, et al. The influence of bone quality on the biomechanical behavior of full-arch implant-supported fixed prostheses. Mater Sci Eng C 2014;37:164. DOI: 10.1016/j.msec.2014.01.013
  37. Box VH, Sukotjo C, Knoernschild KL, et al. Patient-reported and clinical outcomes of implant-supported fixed complete dental prostheses: a comparison of metal-acrylic, milled zirconia, and retrievable crown prostheses. J Oral Implant 2018;44(1):51. DOI: 10.1563/aaid-joi-D-17-00184
  38. Lindhe J, Meyle J. Peri-implant diseases: Consensus Report of the Sixth European Workshop on Periodontology. J Clin Periodontol 2008;35:282. DOI: 10.1111/j.1600-051X.2008.01283.x
  39. Saravi BE, Putz M, Patzelt S, et al. Marginal bone loss around oral implants supporting fixed versus removable prostheses: a systematic review. Int J Implant Dent 2020;6(1). DOI: 10.1186/s40729-020-00217-7
  40. Kordatzis K, Wright PS, Meijer HJ. Posterior mandibular residual ridge resorption in patients with conventional dentures and implant overdentures. J Prosthet Dent 2004;91(1):96.
  41. Maló P, Araújo Nobre MD, Lopes A, et al. Double full-arch versus single full-arch, four implant-supported rehabilitations: a retrospective, 5-year cohort study. J Prosthodont 2014;24(4):263. DOI: 10.1111/jopr.12228
  42. Hämmerle CHF, Wagner D, Brägger U, et al. Threshold of tactile sensitivity perceived with dental endosseous implants and natural teeth. Clin Oral Implants Res 1995;6(2):83. DOI: 10.1034/j.1600-0501.1995.060203.x
  43. Karkazis HC. EMG activity of the masseter muscle in implant supported overdenture wearers during chewing of hard and soft food. J Oral Rehabil 2002;29(10):986. DOI: 10.1046/j.1365-2842.2002.00943.x
  44. Guyatt GH. Users’ guides to the medical literature. IX. A method for grading health care recommendations. Evidence-Based Medicine Working Group. JAMA 1995;274(22):1800. DOI: 10.1001/jama.274.22.1800
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