Group 2 ITI Consensus Report: Prosthodontics and implant dentistry.

OBJECTIVES: Working Group 2 was convened to address topics relevant to prosthodontics and dental implants. Systematic reviews were developed according to focused questions addressing (a) the number of implants required to support fixed full-arch restorations, (b) the influence of intentionally tilted implants compared to axial positioned implants when supporting fixed dental prostheses (FDPs), (c) implant placement and loading protocols, (d) zirconia dental implants, (e) zirconia and metal ceramic implant supported single crowns and (f) zirconia and metal ceramic implant supported FDPs. MATERIALS AND METHODS: Group 2 considered and discussed information gathered in six systematic reviews. Group participants discussed statements developed by the authors and developed consensus. The group developed and found consensus for clinical recommendations based on both the statements and the experience of the group. The consensus statements and clinical recommendations were presented to the plenary (gathering of all conference attendees) and discussed. Final versions were developed after consensus was reached. RESULTS: A total of 27 consensus statements were developed from the systematic reviews. Additionally, the group developed 24 clinical recommendations based on the combined expertise of the participants and the developed consensus statements. CONCLUSIONS: The literature supports the use of various implant numbers to support full-arch fixed prostheses. The use of intentionally tilted dental implants is indicated when appropriate conditions exist. Implant placement and loading protocols should be considered together when planning and treating patients. One-piece zirconia dental implants can be recommended when appropriate clinical conditions exist although two-piece zirconia implants should be used with caution as a result of insufficient data. Clinical performance of zirconia and metal ceramic single implant supported crowns is similar and each demonstrates significant, though different, complications. Zirconia ceramic FDPs are less reliable than metal ceramic. Implant supported monolithic zirconia prostheses may be a future option with more supporting evidence.

Planejamento: a chave para a obtenção de resultados estéticos e funcionais em restaurações implantossuportadas / Planning: The key to obtaining aesthetic and functional results in implant-supported restorations

Diversos fatores determinam o sucesso na obtenção dos objetivos funcionais e estéticos com restaurações implantossuportadas. O trabalho em equipe é essencial desde o momento do diagnóstico, bem como o compromisso de todos os membros envolvidos com a resolução das diversas situações que surgem diariamente na prática odontológica. Um planejamento abrangente mostra-se a chave para alcançar os resultados propostos, respeitando uma prática interdisciplinar e utilizando protocolos aceitos clinicamente e cientificamente, baseados em evidências científicas. Assim, o presente artigo apresentará a integração paciente-dentista-TPD, na busca por resultados sustentáveis em longo prazo...

Several factors determine the success of functional and esthetic outcomes with implant-supported prosthetic replacement. Team work is essential as from the time of diagnosis, along with commitment of all members involved in solving different situations daily arising in dental practice. Meticulous planning is the key to achieve the desired result, respecting an interdisciplinary practice and using clinically scientifically acceptable evidence-based protocols. Thus, this article presents a case of patient-dentist-dental hygiene technician integration in the quest for sustainable results in the long run...