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REVIEW ARTICLE
Year : 2016  |  Volume : 16  |  Issue : 2  |  Page : 116-123

Some issues related to evidence-based implantology


Department of Prosthetic Dentistry/Dental Materials Science, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden

Correspondence Address:
Gunnar E Carlsson
Department of Prosthetic Dentistry/Dental Materials Science, Institute of Odontology, Sahlgrenska Akademin, University of Gothenburg, Box 450, SE-405 30 Gothenburg
Sweden
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-4052.179318

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This article reviews relevant dental literature to answer some frequent questions related to evidence-based implantology. There are hundreds of implant systems on the market, but the majority lack clinical documentation. Recommended number of implants for full-arch fixed prostheses is four or five in the mandible but at least six in the maxilla. Less expensive implant-retained overdentures make implant treatment available to a greater portion of edentulous subjects. Mandibular overdentures on two implants, and even one implant, have shown excellent long-term outcomes. In the maxilla, less than four implants are not recommended for good results. Single implant restorations have good prognosis, but placement of the implant should be postponed until adulthood. Osseointegrated implants have revolutionized clinical dentistry. However, in a global perspective, implants make up only a small part of all prosthodontic treatment. Knowledge and skill in conventional prosthodontics must be maintained as it will remain the most common part of the specialty.


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