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Publication
Critérios de seleção dos sistemas Locator® e barra-clipe em sobredentaduras implantosuportadas: scoping review
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| PPG_39824 | 720.22 KB | Adobe PDF |
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Advisor(s)
Abstract(s)
Introdução: As sobredentaduras implanto-suportadas demonstraram ter alta taxa de
sucesso na reabilitação de pacientes desdentados e o clínico precisa ter um bom
conhecimento sobre os diversos sistemas de fixação, suas vantagens e desvantagens,
indicações e contra-indicações para alcançar resultados estáveis e duradouros, pois
diferentes situações clínicas exigem tipos diferentes de sistemas de fixação.
Objetivos: Analisar e mapear os critérios de seleção dos sistemas de retenção Locator®
e barra-clipe em sobredentaduras implanto-suportadas e analisar os resultados obtidos
na literatura com a aplicação destes sistemas. Durante esta Scoping Review, pretende-se
responder à questão de investigação: "Quais os critérios a ter em consideração pelo
médico dentista na seleção do sistema Locator® ou barra-clipe na reabilitação oral
implanto-suportada removível dos seus pacientes?"
Materiais e métodos: A pesquisa e análise de artigos científicos, nos últimos 5 anos
foram das bases de dados on-line, PubMed Central (PMC) e Bvsalud..
Resultados: Resultaram 13 artigos, que demonstraram a possibilidade de analisar e
interpretar os critérios de seleção como a disponibilidade e a qualidade óssea, o espaço
protético, os recursos econômicos, a destreza manual e o edentulismo. De acordo com
os principais resultados obteve-se uma taxa de sobrevida implantar alta assim como a
elevada satisfação dos pacientes, pouca perda óssea marginal e a necessidade de
manutenção protética em ambos os sistemas.
Conclusão: Verificamos que existem poucas diferenças entre os sistemas, contudo,
alguns estudos apontam que o sistema Locator® apresenta melhor distribuição de forças
e melhor comportamento biológico peri-implantar, enquanto que o sistema barra-clipe,
apresenta menor reabsorção óssea marginal e boa retenção do clipe. Porém, existe uma
falta de uniformização nos estudos na análise dos critérios para determinação do melhor
sistema para sobredentaduras.
Introduction: Implant-supported overdentures have been shown to have a high success rate in the rehabilitation of toothless patients and the clinician needs to have a good knowledge of the various fixation systems, their advantages and disadvantages, indications and contraindications to achieve stable and lasting results, because different clinical situations require different types of fixation systems. Objectives: To analyze and map the selection criteria of the Locator® and bar-clip retention systems in implant-supported overdentures and to analyze the results obtained in the literature with the application of these systems. During this Scoping Review, we intend to answer the research question: "What are the criteria to be taken into account by the dentist when selecting the Locator® system or bar-clip in the removable implantsupported oral rehabilitation of his patients?" Materials and methods: The research and analysis of scientific articles, in the last 5 years were from the online databases, PubMed Central (PMC) and Bvsalud. Results: 13 articles resulted, which demonstrated the possibility of analyzing and interpreting the selection criteria such as bone availability and quality, prosthetic space, economic resources, manual dexterity and edentulism. According to the main results, a high implant survival rate was obtained, as well as high patient satisfaction, little marginal bone loss and the need for prosthetic maintenance in both systems. Conclusion: We found that there are few differences between the systems, however, some studies indicate that the Locator® system has better force distribution and better peri-implant biological behavior, while the bar-clip system has less marginal bone resorption and good retention. of the clip. However, there is a lack of uniformity in studies in the analysis of the criteria for determining the best system for overdentures.
Introduction: Implant-supported overdentures have been shown to have a high success rate in the rehabilitation of toothless patients and the clinician needs to have a good knowledge of the various fixation systems, their advantages and disadvantages, indications and contraindications to achieve stable and lasting results, because different clinical situations require different types of fixation systems. Objectives: To analyze and map the selection criteria of the Locator® and bar-clip retention systems in implant-supported overdentures and to analyze the results obtained in the literature with the application of these systems. During this Scoping Review, we intend to answer the research question: "What are the criteria to be taken into account by the dentist when selecting the Locator® system or bar-clip in the removable implantsupported oral rehabilitation of his patients?" Materials and methods: The research and analysis of scientific articles, in the last 5 years were from the online databases, PubMed Central (PMC) and Bvsalud. Results: 13 articles resulted, which demonstrated the possibility of analyzing and interpreting the selection criteria such as bone availability and quality, prosthetic space, economic resources, manual dexterity and edentulism. According to the main results, a high implant survival rate was obtained, as well as high patient satisfaction, little marginal bone loss and the need for prosthetic maintenance in both systems. Conclusion: We found that there are few differences between the systems, however, some studies indicate that the Locator® system has better force distribution and better peri-implant biological behavior, while the bar-clip system has less marginal bone resorption and good retention. of the clip. However, there is a lack of uniformity in studies in the analysis of the criteria for determining the best system for overdentures.
Description
Keywords
Sobredentadura implanto-suportada Retentor locator Retentor barra Implant overdenture Locator attachment Bar attachment