A systematic review of the survival and complication rates of implant‐supported fixed dental prostheses ( FDP s) after a mean observation period of at least 5 years

作者：Bjarni E. Pjetursson, Daniel S. Thoma, Ronald E. Jung, Marcel Zwahlen, Anja Zembic · 发表于：Clinical Oral Implants Research · 年份：2012 · DOI：10.1111/j.1600-0501.2012.02546.x · 被引用次数：912 · 研究领域：Dental Implant Techniques and Outcomes、Dental materials and restorations、Endodontics and Root Canal Treatments

OBJECTIVES: The objective of this systematic review was to assess the 5- and 10-year survival of implant-supported fixed dental prostheses (FDPs) and to describe the incidence of biological and technical complications. METHODS: An electronic Medline search complemented by manual searching was conducted to identify prospective and retrospective cohort studies and case series on FDPs with a mean follow-up time of at least 5 years. Patients had to have been examined clinically at the follow-up visit. Failure and complication rates were analyzed using standard and random-effects Poisson regression models to obtain summary estimates of 5-year and 10-year survival and complication rates. RESULTS: The updated search provided 979 titles and 257 abstracts. Full-text analysis was performed for 90 articles resulting in a total 32 studies that met the inclusion criteria. Meta-analysis of these studies indicated an estimated survival of implants supporting FDPs of 95.6% after 5 years and 93.1% after 10 years. When machined surface implants were excluded from the analysis and only rough surface implants included, the survival rate increased to 97.2% after 5 years. The survival rate of implant-supported FDPs was 95.4% after 5 years and 80.1% after 10 years of function. When the analysis was done exclusively for metal-ceramic FDPs, hence the old gold-acrylic FDPs were excluded, the survival rate increased significantly. The survival rate of metal-ceramic implant-supported FDPs was 96.4% afte...