Group 2 ITI Consensus Report: Prosthodontics and implant dentistry
Group 2 ITI Consensus Report: Prosthodontics and implant dentistry
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DOI：
10.1111/clr.13298
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发表时间：
2018-10-01
影响因子：
4.3
通讯作者：
Zhou, Wenjie
中科院分区：
文献类型：
--
作者：
Morton, Dean;Gallucci, German;Zhou, Wenjie
目的：召开第2工作组会议，讨论与口腔修复和牙科植入物相关的主题。系统评价是根据以下重点问题进行的：（a）支持固定全牙弓矫正所需的种植体数量，（B）在支持固定牙科修复体（FDP）时，与轴向定位种植体相比，有意倾斜种植体的影响，（c）种植体放置和加载方案，（d）氧化锆牙科种植体，（e）氧化锆和金属陶瓷种植体支持的单冠和（f）氧化锆和金属陶瓷种植体支持的FDPs.Materials和方法：第2组考虑并讨论了6个系统综述中收集的信息。小组参与者讨论了作者编写的声明，并达成了共识。该小组根据陈述和小组的经验制定并达成了临床建议的共识。共识声明和临床建议提交给全体会议（所有会议与会者的聚会）并进行讨论。最终版本后，达成共识。结果：共有27个共识声明的系统评价。此外，该小组制定了24项临床建议的基础上，结合专业知识的参与者和发达的共识statements.Conclusions：文献支持使用各种种植体数量，以支持全牙弓固定修复。在适当的条件下，可以使用有意倾斜的牙种植体。在计划和治疗患者时，应同时考虑种植体放置和加载方案。当存在适当的临床条件时，可以建议使用一件式氧化锆牙科种植体，但由于数据不足，应谨慎使用两件式氧化锆种植体。氧化锆和金属陶瓷单种植体支持冠的临床性能相似，每种都表现出明显的，但不同的并发症。氧化锆陶瓷FDP的可靠性低于金属陶瓷。种植体支持的整体氧化锆假体可能是未来的选择，有更多的支持证据。
Objectives: Working Group 2 was convened to address topics relevant to prosthodontics and dental implants. Systematic reviews were developed according to focused questions addressing (a) the number of implants required to support fixed full-arch restorations, (b) the influence of intentionally tilted implants compared to axial positioned implants when supporting fixed dental prostheses (FDPs), (c) implant placement and loading protocols, (d) zirconia dental implants, (e) zirconia and metal ceramic implant supported single crowns and (f) zirconia and metal ceramic implant supported FDPs.Materials and methods: Group 2 considered and discussed information gathered in six systematic reviews. Group participants discussed statements developed by the authors and developed consensus. The group developed and found consensus for clinical recommendations based on both the statements and the experience of the group. The consensus statements and clinical recommendations were presented to the plenary (gathering of all conference attendees) and discussed. Final versions were developed after consensus was reached.Results: A total of 27 consensus statements were developed from the systematic reviews. Additionally, the group developed 24 clinical recommendations based on the combined expertise of the participants and the developed consensus statements.Conclusions: The literature supports the use of various implant numbers to support full-arch fixed prostheses. The use of intentionally tilted dental implants is indicated when appropriate conditions exist. Implant placement and loading protocols should be considered together when planning and treating patients. One-piece zirconia dental implants can be recommended when appropriate clinical conditions exist although two-piece zirconia implants should be used with caution as a result of insufficient data. Clinical performance of zirconia and metal ceramic single implant supported crowns is similar and each demonstrates significant, though different, complications. Zirconia ceramic FDPs are less reliable than metal ceramic. Implant supported monolithic zirconia prostheses may be a future option with more supporting evidence.