Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, Dunedin, New Zealand.
J Oral Rehabil. 2010 Mar;37(3):225-34. doi: 10.1111/j.1365-2842.2009.02044.x. Epub 2009 Dec 29.
The purpose of this systematic review is to evaluate the use of implant-tooth-borne removable partial dentures in prosthetic rehabilitation of Kennedy Class I partially edentulous arches. A comprehensive search was performed in MEDLINE, EMBASE, Cochrane Oral Health Group's Trials Register, Cochrane Central Register of Controlled Trials, UK National Research Register, Australian New Zealand Clinical Trials Registry (ANZCTR), conference proceedings and abstracts up to 25 August 2009. Searching the reference list of the selected articles and hand searching of several journals were also performed. A total of nine studies were included. Of these, two were randomized, three were retrospective and four were case reports. All but two had a low reporting quality (level IV on a four-level hierarchy of evidence). Nevertheless, the improvement in function, aesthetics and stability has been demonstrated in all studies with minimal prosthetic care. Within the limitations of this study, implant-assisted/supported removable partial denture may provide a simple, economical and less invasive treatment modality. The predictability of such approach in the management of bilateral distal-extension situation is, however, still questionable. A higher quality of published studies namely with a focus on long-term randomized clinical trials are needed.
本系统评价的目的在于评估在 Kennedy 第一类部分牙缺失的义齿修复中，种植体-基牙支持式可摘局部义齿的应用。我们对 MEDLINE、EMBASE、Cochrane 口腔健康组试验注册库、Cochrane 中心对照试验注册库、英国国家研究注册库、澳大利亚新西兰临床试验注册库（ANZCTR）、会议录及摘要进行了全面检索，检索时限截至 2009 年 8 月 25 日。同时还对纳入研究的参考文献列表进行了检索，并手工检索了数种杂志。共纳入了 9 项研究。其中 2 项为随机对照研究，3 项为回顾性研究，4 项为病例报告。除了 2 项之外，其余研究的报告质量都较低（证据四级）。尽管如此，所有研究均显示，最小程度的义齿护理即可获得功能、美观和稳定性的改善。受本研究的限制，种植体辅助/支持的可摘局部义齿可能提供了一种简单、经济且微创的治疗方式。但这种方法在双侧游离缺失情况下的可预测性仍值得怀疑。需要发表更高质量的研究，特别是关注长期随机临床试验的研究。
