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Erschienen in: wissen kompakt 4/2020

15.10.2020 | Implantatprothetik | CME Zahnärztliche Fortbildung

Erforderliche Anzahl von Implantaten für eine abnehmbare Versorgung im zahnlosen Kiefer

verfasst von: PD Dr. med. dent. N. Passia, Prof. Dr. med. dent. M. Kern

Erschienen in: wissen kompakt | Ausgabe 4/2020

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Zusammenfassung

Totalprothesenträger sind häufig trotz eines adäquaten Prothesendesigns unzufrieden mit ihrer prothetischen Versorgung. Während im Oberkiefer i. d. R. die Gaumenbedeckung und das dadurch verminderte Geschmacksempfinden bemängelt wird, klagen Träger von Unterkiefertotalprothesen häufig über schlechten Sitz und verminderte Kaufähigkeit. Insbesondere Totalprothesenträger profitieren enorm von einer Implantattherapie. Die Datenlage zu implantatunterstützten Totalprothesen im Unterkiefer ist deutlich umfangreicher als zu entsprechenden Prothesen im Oberkiefer. Im Oberkiefer sollte nach aktuellen Daten eine Mindestanzahl von 4 nicht unterschritten werden. Misserfolge und Komplikationen treten bei 2 oder 3 Implantaten vermehrt auf. Im Unterkiefer sind 2 und 4 Implantate sehr gut untersucht und können als Therapie empfohlen werden. Ein Implantat zeigt vielversprechende Ergebnisse und kann in Fällen, in denen 2 oder mehr Implantate nicht realisierbar sind, umgesetzt werden. Die Datenlage zu 3 Implantaten ist aktuell gering, erste Ergebnisse sind positiv.
Literatur
1.
Zurück zum Zitat Micheelis W, Schiffner U (2006) Vierte Deutsche Mundgesundheitsstudie (DMS IV). Ergebnisse zu oralen Erkrankungsprävalenzen, Risikogruppen und zum zahnärztlichen Versorgungsgrad in Deutschland 2005. In: IDZ (Hrsg) Materialienreihe, Bd. 31. Deutscher Zahnärzte Verlag DÄV, Köln, S 1–502 Micheelis W, Schiffner U (2006) Vierte Deutsche Mundgesundheitsstudie (DMS IV). Ergebnisse zu oralen Erkrankungsprävalenzen, Risikogruppen und zum zahnärztlichen Versorgungsgrad in Deutschland 2005. In: IDZ (Hrsg) Materialienreihe, Bd. 31. Deutscher Zahnärzte Verlag DÄV, Köln, S 1–502
2.
Zurück zum Zitat Jordan RA, Bodechtel C, Hertrampf K, Hoffmann T, Kocher T, Nitschke I, Schiffner U, Stark H, Zimmer S, Micheelis W, Group DVSI (2014) The Fifth German Oral Health Study (Fünfte Deutsche Mundgesundheitsstudie, DMS V) - rationale, design, and methods. BMC Oral Health 14:161 PubMedPubMedCentralCrossRef Jordan RA, Bodechtel C, Hertrampf K, Hoffmann T, Kocher T, Nitschke I, Schiffner U, Stark H, Zimmer S, Micheelis W, Group DVSI (2014) The Fifth German Oral Health Study (Fünfte Deutsche Mundgesundheitsstudie, DMS V) - rationale, design, and methods. BMC Oral Health 14:161 PubMedPubMedCentralCrossRef
3.
Zurück zum Zitat Boven GC, Raghoebar GM, Vissink A, Meijer HJ (2015) Improving masticatory performance, bite force, nutritional state and patient’s satisfaction with implant overdentures: a systematic review of the literature. J Oral Rehabil 42:220–233 PubMedCrossRef Boven GC, Raghoebar GM, Vissink A, Meijer HJ (2015) Improving masticatory performance, bite force, nutritional state and patient’s satisfaction with implant overdentures: a systematic review of the literature. J Oral Rehabil 42:220–233 PubMedCrossRef
4.
Zurück zum Zitat Sadowsky SJ, Zitzmann NU (2016) Protocols for the maxillary implant overdenture: a systematic review. Int J Oral Maxillofac Implants 31(Suppl):S182–S191 PubMed Sadowsky SJ, Zitzmann NU (2016) Protocols for the maxillary implant overdenture: a systematic review. Int J Oral Maxillofac Implants 31(Suppl):S182–S191 PubMed
5.
Zurück zum Zitat Kern JS, Kern T, Wolfart S, Heussen N (2016) A systematic review and meta-analysis of removable and fixed implant-supported prostheses in edentulous jaws: post-loading implant loss. Clin Oral Implants Res 27:174–195 PubMedCrossRef Kern JS, Kern T, Wolfart S, Heussen N (2016) A systematic review and meta-analysis of removable and fixed implant-supported prostheses in edentulous jaws: post-loading implant loss. Clin Oral Implants Res 27:174–195 PubMedCrossRef
6.
Zurück zum Zitat Thomason JM, Lund JP, Chehade A, Feine JS (2003) Patient satisfaction with mandibular implant overdentures and conventional dentures 6 months after delivery. Int J Prosthodont 16:467–473 PubMed Thomason JM, Lund JP, Chehade A, Feine JS (2003) Patient satisfaction with mandibular implant overdentures and conventional dentures 6 months after delivery. Int J Prosthodont 16:467–473 PubMed
7.
Zurück zum Zitat Roccuzzo M, Bonino F, Gaudioso L, Zwahlen M, Meijer HJ (2012) What is the optimal number of implants for removable reconstructions? A systematic review on implant-supported overdentures. Clin Oral Implants Res 23(Suppl 6):229–237 PubMedCrossRef Roccuzzo M, Bonino F, Gaudioso L, Zwahlen M, Meijer HJ (2012) What is the optimal number of implants for removable reconstructions? A systematic review on implant-supported overdentures. Clin Oral Implants Res 23(Suppl 6):229–237 PubMedCrossRef
8.
Zurück zum Zitat Raghoebar GM, Meijer HJ, Slot W, Slater JJ, Vissink A (2014) A systematic review of implant-supported overdentures in the edentulous maxilla, compared to the mandible: how many implants? Eur J Oral Implantol 7(Suppl 2):S191–S201 PubMed Raghoebar GM, Meijer HJ, Slot W, Slater JJ, Vissink A (2014) A systematic review of implant-supported overdentures in the edentulous maxilla, compared to the mandible: how many implants? Eur J Oral Implantol 7(Suppl 2):S191–S201 PubMed
9.
Zurück zum Zitat Srinivasan M, Meyer S, Mombelli A, Müller F (2017) Dental implants in the elderly population: a systematic review and meta-analysis. Clin Oral Implants Res 28:920–930 PubMedCrossRef Srinivasan M, Meyer S, Mombelli A, Müller F (2017) Dental implants in the elderly population: a systematic review and meta-analysis. Clin Oral Implants Res 28:920–930 PubMedCrossRef
10.
Zurück zum Zitat Di Francesco F, De Marco G, Gironi Carnevale UA, Lanza M, Lanza A (2019) The number of implants required to support a maxillary overdenture: a systematic review and meta-analysis. J Prosthodont Res 63:15–24 PubMedCrossRef Di Francesco F, De Marco G, Gironi Carnevale UA, Lanza M, Lanza A (2019) The number of implants required to support a maxillary overdenture: a systematic review and meta-analysis. J Prosthodont Res 63:15–24 PubMedCrossRef
11.
Zurück zum Zitat Richter E‑J, Knapp W (2010) Auf zwei Eckzahnimplantaten abgestützte Oberkiefer-Coverdentureprothesen - Ergebnisse einer klinischen Studie. Implantologie 18:165–174 Richter E‑J, Knapp W (2010) Auf zwei Eckzahnimplantaten abgestützte Oberkiefer-Coverdentureprothesen - Ergebnisse einer klinischen Studie. Implantologie 18:165–174
12.
Zurück zum Zitat Weng D, Richter EJ (2007) Maxillary removable prostheses retained by telescopic crowns on two implants or two canines. Int J Periodontics Restorative Dent 27:35–41 PubMed Weng D, Richter EJ (2007) Maxillary removable prostheses retained by telescopic crowns on two implants or two canines. Int J Periodontics Restorative Dent 27:35–41 PubMed
13.
Zurück zum Zitat Zembic A, Tahmaseb A, Jung RE, Wismeijer D (2017) One-year results of maxillary overdentures supported by 2 titanium-zirconium implants - implant survival rates and radiographic outcomes. Clin Oral Implants Res 28:e60–e67 PubMedCrossRef Zembic A, Tahmaseb A, Jung RE, Wismeijer D (2017) One-year results of maxillary overdentures supported by 2 titanium-zirconium implants - implant survival rates and radiographic outcomes. Clin Oral Implants Res 28:e60–e67 PubMedCrossRef
14.
Zurück zum Zitat Zembic A, Wismeijer D (2014) Patient-reported outcomes of maxillary implant-supported overdentures compared with conventional dentures. Clin Oral Implants Res 25:441–450 PubMedCrossRef Zembic A, Wismeijer D (2014) Patient-reported outcomes of maxillary implant-supported overdentures compared with conventional dentures. Clin Oral Implants Res 25:441–450 PubMedCrossRef
15.
Zurück zum Zitat Ma S, Tawse-Smith A, De Silva RK, Atieh MA, Alsabeeha NH, Payne AG (2016) Maxillary three-implant overdentures opposing mandibular two-implant overdentures: 10-year surgical outcomes of a randomized controlled trial. Clin Implant Dent Relat Res 18:527–544 PubMedCrossRef Ma S, Tawse-Smith A, De Silva RK, Atieh MA, Alsabeeha NH, Payne AG (2016) Maxillary three-implant overdentures opposing mandibular two-implant overdentures: 10-year surgical outcomes of a randomized controlled trial. Clin Implant Dent Relat Res 18:527–544 PubMedCrossRef
16.
Zurück zum Zitat Payne AG, Tawse-Smith A, Thomson WM, Duncan WD, Kumara R (2004) One-stage surgery and early loading of three implants for maxillary overdentures: a 1-year report. Clin Implant Dent Relat Res 6:61–74 PubMedCrossRef Payne AG, Tawse-Smith A, Thomson WM, Duncan WD, Kumara R (2004) One-stage surgery and early loading of three implants for maxillary overdentures: a 1-year report. Clin Implant Dent Relat Res 6:61–74 PubMedCrossRef
17.
Zurück zum Zitat Ma S, Waddell JN, Atieh MA, Alsabeeha NH, Payne AG (2016) Maxillary three-implant overdentures opposing mandibular two-implant overdentures: 10-year prosthodontic outcomes. Int J Prosthodont 29:327–336 PubMedCrossRef Ma S, Waddell JN, Atieh MA, Alsabeeha NH, Payne AG (2016) Maxillary three-implant overdentures opposing mandibular two-implant overdentures: 10-year prosthodontic outcomes. Int J Prosthodont 29:327–336 PubMedCrossRef
18.
Zurück zum Zitat Mo A, Hjortsjo C, Olsen-Bergem H, Jokstad A (2016) Maxillary 3‑implant removable prostheses without palatal coverage on Locator abutments - a case series. Clin Oral Implants Res 27:1193–1199 PubMedCrossRef Mo A, Hjortsjo C, Olsen-Bergem H, Jokstad A (2016) Maxillary 3‑implant removable prostheses without palatal coverage on Locator abutments - a case series. Clin Oral Implants Res 27:1193–1199 PubMedCrossRef
19.
Zurück zum Zitat Visser A, Raghoebar GM, Meijer HJ, Vissink A (2009) Implant-retained maxillary overdentures on milled bar suprastructures: a 10-year follow-up of surgical and prosthetic care and aftercare. Int J Prosthodont 22:181–192 PubMed Visser A, Raghoebar GM, Meijer HJ, Vissink A (2009) Implant-retained maxillary overdentures on milled bar suprastructures: a 10-year follow-up of surgical and prosthetic care and aftercare. Int J Prosthodont 22:181–192 PubMed
20.
Zurück zum Zitat Schwartz-Arad D, Kidron N, Dolev E (2005) A long-term study of implants supporting overdentures as a model for implant success. J Periodontol 76:1431–1435 PubMedCrossRef Schwartz-Arad D, Kidron N, Dolev E (2005) A long-term study of implants supporting overdentures as a model for implant success. J Periodontol 76:1431–1435 PubMedCrossRef
21.
Zurück zum Zitat Ferrigno N, Laureti M, Fanali S, Grippaudo G (2002) A long-term follow-up study of non-submerged ITI implants in the treatment of totally edentulous jaws. Part I: ten-year life table analysis of a prospective multicenter study with 1286 implants. Clin Oral Implants Res 13:260–273 PubMedCrossRef Ferrigno N, Laureti M, Fanali S, Grippaudo G (2002) A long-term follow-up study of non-submerged ITI implants in the treatment of totally edentulous jaws. Part I: ten-year life table analysis of a prospective multicenter study with 1286 implants. Clin Oral Implants Res 13:260–273 PubMedCrossRef
22.
Zurück zum Zitat Bryant SR, MacDonald-Jankowski D, Kim K (2007) Does the type of implant prosthesis affect outcomes for the completely edentulous arch? Int J Oral Maxillofac Implants 22(Suppl):117–139 PubMed Bryant SR, MacDonald-Jankowski D, Kim K (2007) Does the type of implant prosthesis affect outcomes for the completely edentulous arch? Int J Oral Maxillofac Implants 22(Suppl):117–139 PubMed
23.
Zurück zum Zitat Kutkut A, Bertoli E, Frazer R, Pinto-Sinai G, Fuentealba Hidalgo R, Studts J (2018) A systematic review of studies comparing conventional complete denture and implant retained overdenture. J Prosthodont Res 62:1–9 PubMedCrossRef Kutkut A, Bertoli E, Frazer R, Pinto-Sinai G, Fuentealba Hidalgo R, Studts J (2018) A systematic review of studies comparing conventional complete denture and implant retained overdenture. J Prosthodont Res 62:1–9 PubMedCrossRef
24.
Zurück zum Zitat Feine JS, Carlsson GE, Awad MA, Chehade A, Duncan WJ, Gizani S, Head T, Heydecke G, Lund JP, MacEntee M, Mericske-Stern R, Mojon P, Morais JA, Naert I, Payne AG, Penrod J, Stoker GT, Tawse-Smith A, Taylor TD, Thomason JM, Thomson WM, Wismeijer D (2002) The McGill consensus statement on overdentures. Mandibular two-implant overdentures as first choice standard of care for edentulous patients. Gerodontology 19:3–4 PubMedCrossRef Feine JS, Carlsson GE, Awad MA, Chehade A, Duncan WJ, Gizani S, Head T, Heydecke G, Lund JP, MacEntee M, Mericske-Stern R, Mojon P, Morais JA, Naert I, Payne AG, Penrod J, Stoker GT, Tawse-Smith A, Taylor TD, Thomason JM, Thomson WM, Wismeijer D (2002) The McGill consensus statement on overdentures. Mandibular two-implant overdentures as first choice standard of care for edentulous patients. Gerodontology 19:3–4 PubMedCrossRef
25.
Zurück zum Zitat Thomason JM, Feine J, Exley C, Moynihan P, Müller F, Naert I, Ellis JS, Barclay C, Butterworth C, Scott B, Lynch C, Stewardson D, Smith P, Welfare R, Hyde P, McAndrew R, Fenlon M, Barclay S, Barker D (2009) Mandibular two implant-supported overdentures as the first choice standard of care for edentulous patients--the York Consensus Statement. Br Dent J 207:185–186 PubMedCrossRef Thomason JM, Feine J, Exley C, Moynihan P, Müller F, Naert I, Ellis JS, Barclay C, Butterworth C, Scott B, Lynch C, Stewardson D, Smith P, Welfare R, Hyde P, McAndrew R, Fenlon M, Barclay S, Barker D (2009) Mandibular two implant-supported overdentures as the first choice standard of care for edentulous patients--the York Consensus Statement. Br Dent J 207:185–186 PubMedCrossRef
26.
Zurück zum Zitat Fitzpatrick B (2006) Standard of care for the edentulous mandible: a systematic review. J Prosthet Dent 95:71–78 PubMedCrossRef Fitzpatrick B (2006) Standard of care for the edentulous mandible: a systematic review. J Prosthet Dent 95:71–78 PubMedCrossRef
27.
Zurück zum Zitat Oh SH, Kim Y, Park JY, Jung YJ, Kim SK, Park SY (2016) Comparison of fixed implant-supported prostheses, removable implant-supported prostheses, and complete dentures: patient satisfaction and oral health-related quality of life. Clin Oral Implants Res 2:e31–e37 CrossRef Oh SH, Kim Y, Park JY, Jung YJ, Kim SK, Park SY (2016) Comparison of fixed implant-supported prostheses, removable implant-supported prostheses, and complete dentures: patient satisfaction and oral health-related quality of life. Clin Oral Implants Res 2:e31–e37 CrossRef
28.
Zurück zum Zitat Fontijn-Tekamp FA, Slagter AP, Van Der Bilt A, Van THMA, Witter DJ, Kalk W, Jansen JA (2000) Biting and chewing in overdentures, full dentures, and natural dentitions. J Dent Res 79:1519–1524 PubMedCrossRef Fontijn-Tekamp FA, Slagter AP, Van Der Bilt A, Van THMA, Witter DJ, Kalk W, Jansen JA (2000) Biting and chewing in overdentures, full dentures, and natural dentitions. J Dent Res 79:1519–1524 PubMedCrossRef
29.
Zurück zum Zitat Passia N, Kern M (2014) The single midline implant in the edentulous mandible: a systematic review. Clin Oral Investig 18:1719–1724 PubMedCrossRef Passia N, Kern M (2014) The single midline implant in the edentulous mandible: a systematic review. Clin Oral Investig 18:1719–1724 PubMedCrossRef
30.
Zurück zum Zitat Srinivasan M, Makarov NA, Herrmann FR, Müller F (2016) Implant survival in 1‑ versus 2‑implant mandibular overdentures: a systematic review and meta-analysis. Clin Oral Implants Res 27:63–72 PubMedCrossRef Srinivasan M, Makarov NA, Herrmann FR, Müller F (2016) Implant survival in 1‑ versus 2‑implant mandibular overdentures: a systematic review and meta-analysis. Clin Oral Implants Res 27:63–72 PubMedCrossRef
31.
Zurück zum Zitat Padmanabhan H, Kumar SM, Kumar VA (2020) Single implant retained overdenture treatment protocol: a systematic review and meta-analysis. J Prosthodont 29:287–297 PubMedCrossRef Padmanabhan H, Kumar SM, Kumar VA (2020) Single implant retained overdenture treatment protocol: a systematic review and meta-analysis. J Prosthodont 29:287–297 PubMedCrossRef
32.
Zurück zum Zitat Passia N, Wolfart S, Kern M (2019) Ten-year clinical outcome of single implant-retained mandibular overdentures‑A prospective pilot study. J Dent 82:63–65 PubMedCrossRef Passia N, Wolfart S, Kern M (2019) Ten-year clinical outcome of single implant-retained mandibular overdentures‑A prospective pilot study. J Dent 82:63–65 PubMedCrossRef
33.
Zurück zum Zitat Kern M, Att W, Fritzer E, Kappel S, Luthardt RG, Mundt T, Reissmann DR, Rädel M, Stiesch M, Wolfart S, Passia N (2018) Survival and complications of single dental implants in the edentulous mandible following immediate or delayed loading: a randomized controlled clinical trial. J Dent Res 97:163–170 PubMedCrossRef Kern M, Att W, Fritzer E, Kappel S, Luthardt RG, Mundt T, Reissmann DR, Rädel M, Stiesch M, Wolfart S, Passia N (2018) Survival and complications of single dental implants in the edentulous mandible following immediate or delayed loading: a randomized controlled clinical trial. J Dent Res 97:163–170 PubMedCrossRef
34.
Zurück zum Zitat Cheng T, Sun G, Huo J, He X, Wang Y, Ren YF (2012) Patient satisfaction and masticatory efficiency of single implant-retained mandibular overdentures using the stud and magnetic attachments. J Dent 40:1018–1023 PubMedCrossRef Cheng T, Sun G, Huo J, He X, Wang Y, Ren YF (2012) Patient satisfaction and masticatory efficiency of single implant-retained mandibular overdentures using the stud and magnetic attachments. J Dent 40:1018–1023 PubMedCrossRef
35.
Zurück zum Zitat Grover M, Vaidyanathan AK, Veeravalli PT (2014) OHRQoL, masticatory performance and crestal bone loss with single-implant, magnet-retained mandibular overdentures with conventional and shortened dental arch. Clin Oral Implants Res 25:580–586 PubMedCrossRef Grover M, Vaidyanathan AK, Veeravalli PT (2014) OHRQoL, masticatory performance and crestal bone loss with single-implant, magnet-retained mandibular overdentures with conventional and shortened dental arch. Clin Oral Implants Res 25:580–586 PubMedCrossRef
36.
Zurück zum Zitat Thomason JM, Kelly SA, Bendkowski A, Ellis JS (2012) Two implant retained overdentures--a review of the literature supporting the McGill and York consensus statements. J Dent 40:22–34 PubMedCrossRef Thomason JM, Kelly SA, Bendkowski A, Ellis JS (2012) Two implant retained overdentures--a review of the literature supporting the McGill and York consensus statements. J Dent 40:22–34 PubMedCrossRef
37.
Zurück zum Zitat Cune M, Burgers M, van Kampen F, de Putter C, van der Bilt A (2010) Mandibular overdentures retained by two implants: 10-year results from a crossover clinical trial comparing ball-socket and bar-clip attachments. Int J Prosthodont 23:310–317 PubMed Cune M, Burgers M, van Kampen F, de Putter C, van der Bilt A (2010) Mandibular overdentures retained by two implants: 10-year results from a crossover clinical trial comparing ball-socket and bar-clip attachments. Int J Prosthodont 23:310–317 PubMed
38.
Zurück zum Zitat Lee JY, Kim HY, Shin SW, Bryant SR (2012) Number of implants for mandibular implant overdentures: a systematic review. J Adv Prosthodont 4:204–209 PubMedPubMedCentralCrossRef Lee JY, Kim HY, Shin SW, Bryant SR (2012) Number of implants for mandibular implant overdentures: a systematic review. J Adv Prosthodont 4:204–209 PubMedPubMedCentralCrossRef
39.
Zurück zum Zitat Stephan G, Vidot F, Noharet R, Mariani P (2007) Implant-retained mandibular overdentures: a comparative pilot study of immediate loading versus delayed loading after two years. J Prosthet Dent 97:S138–S145 PubMedCrossRef Stephan G, Vidot F, Noharet R, Mariani P (2007) Implant-retained mandibular overdentures: a comparative pilot study of immediate loading versus delayed loading after two years. J Prosthet Dent 97:S138–S145 PubMedCrossRef
40.
Zurück zum Zitat Geckili O, Bilhan H, Mumcu E (2011) Clinical and radiographic evaluation of three-implant-retained mandibular overdentures: a 3-year retrospective study. Quintessence Int 42:721–728 PubMed Geckili O, Bilhan H, Mumcu E (2011) Clinical and radiographic evaluation of three-implant-retained mandibular overdentures: a 3-year retrospective study. Quintessence Int 42:721–728 PubMed
41.
Zurück zum Zitat El-Sheikh AM, Shihabuddin OF, Ghoraba SM (2012) Two versus three narrow-diameter implants with locator attachments supporting mandibular overdentures: a two-year prospective study. Int J Dent 2012:285684 PubMedPubMedCentral El-Sheikh AM, Shihabuddin OF, Ghoraba SM (2012) Two versus three narrow-diameter implants with locator attachments supporting mandibular overdentures: a two-year prospective study. Int J Dent 2012:285684 PubMedPubMedCentral
42.
Zurück zum Zitat Stoumpis C, Kohal RJ (2011) To splint or not to splint oral implants in the implant-supported overdenture therapy? A systematic literature review. J Oral Rehabil 38:857–869 PubMedCrossRef Stoumpis C, Kohal RJ (2011) To splint or not to splint oral implants in the implant-supported overdenture therapy? A systematic literature review. J Oral Rehabil 38:857–869 PubMedCrossRef
Metadaten
Titel
Erforderliche Anzahl von Implantaten für eine abnehmbare Versorgung im zahnlosen Kiefer
verfasst von
PD Dr. med. dent. N. Passia
Prof. Dr. med. dent. M. Kern
Publikationsdatum
15.10.2020
Verlag
Springer Medizin
Erschienen in
wissen kompakt / Ausgabe 4/2020
Print ISSN: 1863-2637
Elektronische ISSN: 2190-3816
DOI
https://doi.org/10.1007/s11838-020-00118-w