J Adv Prosthodont.  2020 Feb;12(1):15-21. 10.4047/jap.2020.12.1.15.

Attitude and treatment options in implant-supported prosthetics: A survey among a cohort of German dentists

• Glücker C
• Rauch A
• Hahnel S

• KMID: 2470793
• DOI: http://doi.org/10.4047/jap.2020.12.1.15

Abstract

PURPOSE
The aim of the current study was to analyze treatment concepts of a cohort of German dentists for planning, fabrication, and maintenance of implant-supported fixed and removable restorations.
MATERIALS AND METHODS
A questionnaire including queries about experiences with implant-supported restorations as well as prosthetic and maintenance treatment concepts for supplying patients with fixed and removable implant-supported prosthetic restorations was developed and sent to 350 dental offices registered in the municipal area of Leipzig, Germany.
RESULTS
An overall total of 62 returned questionnaires were included in the analyses, which relates to a response rate of 17.7%. Participating dentists were more involved in the prosthetic aspects of implant dentistry rather than surgery, while prosthetic concepts such as backward planning, digital processing, and application of all-ceramic materials were not commonly performed. Simple attachments were preferred over complex retention systems in removable implant-supported restorations. Tooth/implant-supported fixed denture prostheses as well as removable denture prostheses with supporting posterior implants were not regarded as a favorable treatment option.
CONCLUSION
Within the limitations of the study, the data indicate that dentists favor simple and conventional treatment approaches in implant prosthetics. Prosthetic aspects in the planning of implant-supported restorations are often neglected. Prosthetic treatment guidelines and aspects should commonly be considered in the planning phase of implant-supported prosthetic restorations, and awareness should be increased in postgraduate education.

Keyword

Dental implants; Crowns; Denture; Periimplantitis; Implant maintenance

MeSH Terms

Cohort Studies*
Crowns
Dental Implants
Dental Offices
Dentistry
Dentists*
Dentures
Education
Germany
Humans
Peri-Implantitis
Prostheses and Implants
Dental Implants

Figure

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  Fig. 1 Pictogram displaying a single-tooth gap in the anterior upper jaw.

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  Fig. 2 Pictogram displaying a bilaterally shortened dental arch in the lower jaw.

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