Effectiveness of implant‐supported fixed partial denture in patients with history of periodontitis: A systematic review and meta‐analysis. (14th November 2021)

• Record Type: Journal Article
• Authors: Carra, Maria Clotilde; Rangé, Hélène; Swerts, Pieter‐Jan; Tuand, Krizia; Vandamme, Katleen; Bouchard, Philippe
• Is Part Of: Journal of clinical periodontology. Volume 49(2022)Supplement 24
• Page Start: 208
• Page End: 223
• Publication Date: 2021-11-14
• Subjects: dental implants -- fixed dental prosthesis -- fixed partial denture -- fixed partial prosthesis -- implant‐supported rehabilitation -- peri‐implantitis -- periodontal disease -- periodontitis -- success -- survival; Periodontics -- Periodicals; 617.6
• DOI: 10.1111/jcpe.13481
• Languages: English
• ISSNs: 0303-6979

Abstract

Abstract: Aim: This systematic review investigates the effectiveness of implant‐supported fixed partial denture (IS‐FPD) in patients with history of periodontitis (HP) vs. patients with no history of periodontitis (NHP). Methods: A literature search was performed on different databases on May 2020. Prospective and retrospective studies assessing survival (primary outcome), success and biological/mechanical complications of IS‐FPDs in HP vs. NHP patients at ≥1 year after implant loading were evaluated. Meta‐analyses were conducted by estimating hazard ratio (HR), risk ratio (RR) and standardized mean differences (SMD) with 95% confidence intervals (CI) using random effect models. Results: Of the initially identified 4096 articles, 349 underwent a full‐text evaluation. Finally, 17 were included. Pooled data analyses showed that overall implant survival was significantly higher in the NHP than the HP group (HR = 2.06; 95% CI = 1.37–3.09; I 2 = 0%). This difference was noted when follow‐up ≥5 years. The risk of peri‐implantitis was higher in HP than NHP patients (RR = 3.3; 95% CI = 1.31–8.3; I 2 = 0%), whereas the mean marginal bone level change over time was not different between the groups (SMD = −0.16 mm; 95% CI = −1.04–0.73; I 2 = 98%). Conclusions: In partially edentulous patients receiving IS‐FPDs, a history of periodontitis is associated with poorer survival rate and higher risk of peri‐implantitis during a 5–10 years period after implant loading.