Treatment outcomes of implant-assisted removable partial denture with distal extension based on the Kennedy classification and attachment type: a systematic review

Abstract Background Implant-assisted removable partial dentures (IARPDs) have recently become popular, but little information is available on the treatment outcomes based on the Kennedy classification and attachment types. Objective The objective of this review was to evaluate the treatment outcomes...

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Autores principales:	Adityakrisna Yoshi Putra Wigianto, Takaharu Goto, Yuki Iwawaki, Yuichi Ishida, Megumi Watanabe, Tetsuo Ichikawa
Formato:	article
Lenguaje:	EN
Publicado:	SpringerOpen 2021
Materias:	Dental implant Implant-assisted removable partial denture Kennedy classification Attachment Treatment outcomes Medicine R Dentistry RK1-715
Acceso en línea:	https://doaj.org/article/e023af5d0546441e93e1f6e25f262a4a
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spelling	oai:doaj.org-article:e023af5d0546441e93e1f6e25f262a4a2021-11-14T12:27:56ZTreatment outcomes of implant-assisted removable partial denture with distal extension based on the Kennedy classification and attachment type: a systematic review10.1186/s40729-021-00394-z2198-4034https://doaj.org/article/e023af5d0546441e93e1f6e25f262a4a2021-11-01T00:00:00Zhttps://doi.org/10.1186/s40729-021-00394-zhttps://doaj.org/toc/2198-4034Abstract Background Implant-assisted removable partial dentures (IARPDs) have recently become popular, but little information is available on the treatment outcomes based on the Kennedy classification and attachment types. Objective The objective of this review was to evaluate the treatment outcomes of IARPD delivered for distal extension edentulous areas based on the differences in the Kennedy classification and attachment type. Materials and methods English-language clinical studies on IARPD published between January 1980 and February 2020 were collected from MEDLINE (via PubMed), the Cochrane Library (via the Cochrane Central Register of Controlled Trials), Scopus online database, and manual searching. Two reviewers selected the articles based on pre-determined inclusion and exclusion criteria, followed by data extraction and analysis. Results Eighty-one studies were selected after evaluating the titles and abstracts of 2410 papers. Nineteen studies were finally included after the perusal of the full text. Fourteen studies focused on Class I, 4 studies investigated both Class I and II, and only 1 study was conducted on Kennedy’s class II. Eight types of attachments were reported. The ball attachment was the most frequently used attachment, which was employed in 8 of the included studies. The implant survival rate ranged from 91 to 100%. The reported marginal bone loss ranged from 0.3 mm to 2.30 mm. The patient satisfaction was higher with IARPD than with conventional RPDs or that before treatment. The results of prosthetic complications were heterogeneous and inconclusive. Conclusion IARPD exhibited favorable clinical outcomes when used as a replacement for distal extension edentulous areas. The comparison between the clinical outcomes of Kennedy’s class I and II was inconclusive owing to the lack of studies focusing on Kennedy Class II alone. The stud attachment was the most commonly used type in IARPDs. Overall, the different attachment systems did not influence the implant survival rate and patient satisfaction. Further high-quality studies are needed to investigate the attachment systems used in IARPD.Adityakrisna Yoshi Putra WigiantoTakaharu GotoYuki IwawakiYuichi IshidaMegumi WatanabeTetsuo IchikawaSpringerOpenarticleDental implantImplant-assisted removable partial dentureKennedy classificationAttachmentTreatment outcomesMedicineRDentistryRK1-715ENInternational Journal of Implant Dentistry, Vol 7, Iss 1, Pp 1-14 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Dental implant Implant-assisted removable partial denture Kennedy classification Attachment Treatment outcomes Medicine R Dentistry RK1-715
spellingShingle	Dental implant Implant-assisted removable partial denture Kennedy classification Attachment Treatment outcomes Medicine R Dentistry RK1-715 Adityakrisna Yoshi Putra Wigianto Takaharu Goto Yuki Iwawaki Yuichi Ishida Megumi Watanabe Tetsuo Ichikawa Treatment outcomes of implant-assisted removable partial denture with distal extension based on the Kennedy classification and attachment type: a systematic review
description	Abstract Background Implant-assisted removable partial dentures (IARPDs) have recently become popular, but little information is available on the treatment outcomes based on the Kennedy classification and attachment types. Objective The objective of this review was to evaluate the treatment outcomes of IARPD delivered for distal extension edentulous areas based on the differences in the Kennedy classification and attachment type. Materials and methods English-language clinical studies on IARPD published between January 1980 and February 2020 were collected from MEDLINE (via PubMed), the Cochrane Library (via the Cochrane Central Register of Controlled Trials), Scopus online database, and manual searching. Two reviewers selected the articles based on pre-determined inclusion and exclusion criteria, followed by data extraction and analysis. Results Eighty-one studies were selected after evaluating the titles and abstracts of 2410 papers. Nineteen studies were finally included after the perusal of the full text. Fourteen studies focused on Class I, 4 studies investigated both Class I and II, and only 1 study was conducted on Kennedy’s class II. Eight types of attachments were reported. The ball attachment was the most frequently used attachment, which was employed in 8 of the included studies. The implant survival rate ranged from 91 to 100%. The reported marginal bone loss ranged from 0.3 mm to 2.30 mm. The patient satisfaction was higher with IARPD than with conventional RPDs or that before treatment. The results of prosthetic complications were heterogeneous and inconclusive. Conclusion IARPD exhibited favorable clinical outcomes when used as a replacement for distal extension edentulous areas. The comparison between the clinical outcomes of Kennedy’s class I and II was inconclusive owing to the lack of studies focusing on Kennedy Class II alone. The stud attachment was the most commonly used type in IARPDs. Overall, the different attachment systems did not influence the implant survival rate and patient satisfaction. Further high-quality studies are needed to investigate the attachment systems used in IARPD.
format	article
author	Adityakrisna Yoshi Putra Wigianto Takaharu Goto Yuki Iwawaki Yuichi Ishida Megumi Watanabe Tetsuo Ichikawa
author_facet	Adityakrisna Yoshi Putra Wigianto Takaharu Goto Yuki Iwawaki Yuichi Ishida Megumi Watanabe Tetsuo Ichikawa
author_sort	Adityakrisna Yoshi Putra Wigianto
title	Treatment outcomes of implant-assisted removable partial denture with distal extension based on the Kennedy classification and attachment type: a systematic review
title_short	Treatment outcomes of implant-assisted removable partial denture with distal extension based on the Kennedy classification and attachment type: a systematic review
title_full	Treatment outcomes of implant-assisted removable partial denture with distal extension based on the Kennedy classification and attachment type: a systematic review
title_fullStr	Treatment outcomes of implant-assisted removable partial denture with distal extension based on the Kennedy classification and attachment type: a systematic review
title_full_unstemmed	Treatment outcomes of implant-assisted removable partial denture with distal extension based on the Kennedy classification and attachment type: a systematic review
title_sort	treatment outcomes of implant-assisted removable partial denture with distal extension based on the kennedy classification and attachment type: a systematic review
publisher	SpringerOpen
publishDate	2021
url	https://doaj.org/article/e023af5d0546441e93e1f6e25f262a4a
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Treatment outcomes of implant-assisted removable partial denture with distal extension based on the Kennedy classification and attachment type: a systematic review

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