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Mandibular full-arch fixed prostheses supported by three-dental-implants: A protocol of an overview of reviews

INTRODUCTION: To minimize trauma and cost of treatment, oral health practitioners have successfully rehabilitated full arches by supporting the prostheses on four implants. However, there is no consensus whether less than four implants supporting full mandibular arches would provide similar clinical...

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Autores principales: Afrashtehfar, Kelvin I., Moawad, Rosalin A., F.-Eddin, Afaf W., Wang, Hom-Lay
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8979460/
https://www.ncbi.nlm.nih.gov/pubmed/35377903
http://dx.doi.org/10.1371/journal.pone.0265491
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author Afrashtehfar, Kelvin I.
Moawad, Rosalin A.
F.-Eddin, Afaf W.
Wang, Hom-Lay
author_facet Afrashtehfar, Kelvin I.
Moawad, Rosalin A.
F.-Eddin, Afaf W.
Wang, Hom-Lay
author_sort Afrashtehfar, Kelvin I.
collection PubMed
description INTRODUCTION: To minimize trauma and cost of treatment, oral health practitioners have successfully rehabilitated full arches by supporting the prostheses on four implants. However, there is no consensus whether less than four implants supporting full mandibular arches would provide similar clinical outcomes to other well-established all-on-four alternative. OBJECTIVE: To identify, summarize, appraise, and compare the clinical outcomes evidence of three-implant fixed full-arch prostheses in completely edentulous mandibular patients. MATERIALS AND METHODS: This overview of systematic reviews (OoSRs) will include secondary synthesis studies (i.e., systematic reviews with or without a meta-analysis). A three-step search strategy will be conducted in MEDLINE (Ovid), EMBASE (Ovid), Cochrane Database of Systematic Reviews, Scopus, Web of Science (WoS Core Collection), and Google Scholar. Grey literature and a manual search in 12 specialized journals will also be conducted. Three independent reviewers will screen all retrieved articles for eligibility, extract data and assess the methodological quality of the included studies. The results will be presented as tables or narrative synthesis. The studies will be evaluated for risk of bias by ROBIS and methodology quality by the AMSTAR-2 tool. If new primary studies are identified, a meta-analysis will be conducted. Certainty of the evidence will be assessed to answer the following focused research question: In edentulous mandibular patients, what are the implant and prostheses clinical outcomes of three-implant fixed full-arch prostheses compared to other all-on-x solutions? DISCUSSION: There are some systematic reviews about the use of fixed complete dental prostheses supported by three implants; however, their clinical outcomes related to the other all-on-four plus solutions are conflicting. So, an overview on this topic is required to provide recommendations. REVIEW REGISTRATION NUMBER: International prospective register of systematic reviews (PROSPERO) ID#: CRD42021262175. National Institute for Health Research (NIHR) and Centre for Reviews and Dissemination, University of York, York, United Kingdom.
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spelling pubmed-89794602022-04-05 Mandibular full-arch fixed prostheses supported by three-dental-implants: A protocol of an overview of reviews Afrashtehfar, Kelvin I. Moawad, Rosalin A. F.-Eddin, Afaf W. Wang, Hom-Lay PLoS One Study Protocol INTRODUCTION: To minimize trauma and cost of treatment, oral health practitioners have successfully rehabilitated full arches by supporting the prostheses on four implants. However, there is no consensus whether less than four implants supporting full mandibular arches would provide similar clinical outcomes to other well-established all-on-four alternative. OBJECTIVE: To identify, summarize, appraise, and compare the clinical outcomes evidence of three-implant fixed full-arch prostheses in completely edentulous mandibular patients. MATERIALS AND METHODS: This overview of systematic reviews (OoSRs) will include secondary synthesis studies (i.e., systematic reviews with or without a meta-analysis). A three-step search strategy will be conducted in MEDLINE (Ovid), EMBASE (Ovid), Cochrane Database of Systematic Reviews, Scopus, Web of Science (WoS Core Collection), and Google Scholar. Grey literature and a manual search in 12 specialized journals will also be conducted. Three independent reviewers will screen all retrieved articles for eligibility, extract data and assess the methodological quality of the included studies. The results will be presented as tables or narrative synthesis. The studies will be evaluated for risk of bias by ROBIS and methodology quality by the AMSTAR-2 tool. If new primary studies are identified, a meta-analysis will be conducted. Certainty of the evidence will be assessed to answer the following focused research question: In edentulous mandibular patients, what are the implant and prostheses clinical outcomes of three-implant fixed full-arch prostheses compared to other all-on-x solutions? DISCUSSION: There are some systematic reviews about the use of fixed complete dental prostheses supported by three implants; however, their clinical outcomes related to the other all-on-four plus solutions are conflicting. So, an overview on this topic is required to provide recommendations. REVIEW REGISTRATION NUMBER: International prospective register of systematic reviews (PROSPERO) ID#: CRD42021262175. National Institute for Health Research (NIHR) and Centre for Reviews and Dissemination, University of York, York, United Kingdom. Public Library of Science 2022-04-04 /pmc/articles/PMC8979460/ /pubmed/35377903 http://dx.doi.org/10.1371/journal.pone.0265491 Text en © 2022 Afrashtehfar et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Study Protocol
Afrashtehfar, Kelvin I.
Moawad, Rosalin A.
F.-Eddin, Afaf W.
Wang, Hom-Lay
Mandibular full-arch fixed prostheses supported by three-dental-implants: A protocol of an overview of reviews
title Mandibular full-arch fixed prostheses supported by three-dental-implants: A protocol of an overview of reviews
title_full Mandibular full-arch fixed prostheses supported by three-dental-implants: A protocol of an overview of reviews
title_fullStr Mandibular full-arch fixed prostheses supported by three-dental-implants: A protocol of an overview of reviews
title_full_unstemmed Mandibular full-arch fixed prostheses supported by three-dental-implants: A protocol of an overview of reviews
title_short Mandibular full-arch fixed prostheses supported by three-dental-implants: A protocol of an overview of reviews
title_sort mandibular full-arch fixed prostheses supported by three-dental-implants: a protocol of an overview of reviews
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8979460/
https://www.ncbi.nlm.nih.gov/pubmed/35377903
http://dx.doi.org/10.1371/journal.pone.0265491
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