Al-Omiri Mahmoud K, Al-Masri Maher, Alhijawi Mohannad M, Lynch Edward
School of Dentistry, University of Jordan, Amman, Jordan.
The City of London School of Dentistry, BPP University, London, UK.
Int J Dent. 2017;2017:6024565. doi: 10.1155/2017/6024565. Epub 2017 Mar 23.
. This article presents a review on the concerned topics and some considerations related to the concept of splinting teeth and implants in the rehabilitation of partial edentulism. . An electronic PubMed/MEDLINE and manual search of identified articles and reviews as well as clinical, laboratory, and finite element studies was performed in this project. Due to the shortage in within-subject, long term, randomized, controlled clinical trials regarding the subject a meta-analysis was not possible. . Although surrounded with some controversy, joining teeth and implants during the rehabilitation of partial edentulism provides the clinicians with more treatment options where proprioception and bone volume are maintained and distal cantilevers and free end saddles are eliminated. It makes the treatment less complex, of less cost, and more acceptable for the patient. . Whenever suitable and justified, combining implant and tooth support might be recommended as an alternative during rehabilitation of partial edentulism. Based on the literature, clinical tips and suggestions were recommended to increase the success of this treatment.
本文对部分牙列缺失修复中牙与种植体夹板固定概念的相关主题及一些注意事项进行了综述。本项目通过电子检索PubMed/MEDLINE以及手动检索已识别的文章、综述以及临床、实验室和有限元研究。由于缺乏关于该主题的受试者内长期随机对照临床试验,因此无法进行荟萃分析。尽管存在一些争议,但在部分牙列缺失修复过程中将牙与种植体结合,可为临床医生提供更多治疗选择,可维持本体感觉和骨量,消除远中悬臂和游离端鞍基。这使得治疗不那么复杂,成本更低,患者更容易接受。在部分牙列缺失修复过程中,只要合适且合理,可建议将种植体和牙支持相结合作为一种替代方案。基于文献,推荐了临床技巧和建议以提高该治疗的成功率。