EC Dental Science

Introduction: To restore the natural teeth in their real form is the most basic concept of dentistry. Preservation and rehabilitation of the natural teeth have been a fundamental practice in dentistry. The first line of treatment for any compromised teeth has always been considered as endodontic treatment followed by placement of a fixed prosthesis. Dentistry has seen a paradigm shift after the advent of implants. Branemark introduced implants around 40 years back, and since then, there have been a lot of developments in that field. The use case of dental implants has broadened over the past few decades to the extent that they are now considered the most reliable replacement for a missing tooth.

The Aim of Work: This review aims at discussing the overall success rate of implants and Fixed partial dentures, comparing the technique and cost-effectiveness, which will help the clinicians and patients make a more informed decision while choosing the treatment option during replacement of a single missing tooth.

Methodology: This review is a comprehensive research of PUBMED and Google Scholar from the year 1980 to 2020.

Conclusion: Single tooth loss can be replaced with the help of either implants or a fixed partial denture. A fixed partial denture has been the standard treatment for the replacement of a single tooth for a long time. Implants replace the missing tooth without causing any damage to the adjacent tooth and hence are gaining more popularity over the years. Because of the developments in the field of surgery, implant placement is becoming easier and more popular. The cost factor between implants and FPDs have been studied in detail by a lot of researchers, and they have concluded that including the cost of retreatments, the cost of implants is comparable to that of fixed partial dentures, and a decrease in the overall implant cost will increase the overall effectiveness of dental implants.

Keywords: Fixed Partial Dentures; Implants; Immediate Implants; Abutment Teeth; Osseointegration

1. Dahlén G and Bergenholtz G. “Advances in the study of endodontic infections”. Blackwell Munksgaard1 (2004): 1-4.
2. Hansson BO., et al. “Osseointegrated implants in the treatment of the edentulous jaw. Experience from a 10-year period”. Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery 16 (1977): 1-132.
3. Salinas T J., et al. “Fixed partial denture or single-tooth implant restoration? Statistical considerations for sequencing and treatment”. Journal of Oral and Maxillofacial Surgery 62 (2004): 2-16.
4. Chansoria S and Chansoria H. “Abutment Selection In Fixed Partial Denture”. IOSR Journal of Dental and Medical Sciences3 (2018): 4-12.
5. Majorana A., et al. “Root resorption in dental trauma: 45 cases followed for 5 years”. Dental Traumatology5 (2003): 262-265.
6. Creugers NH., et al. “A meta‐analysis of durability data on conventional fixed bridges”. Community Dentistry and Oral Epidemiology6 (1994): 448-452.
7. Scurria MS., et al. “Meta-analysis of fixed partial denture survival: prostheses and abutments”. The Journal of Prosthetic Dentistry4 (1998): 459-464.
8. Walton TR. “An up to 15-Year Longitudinal Study of 515 Metal-Ceramic FPDs: Part 1. Outcome”. International Journal of Prosthodontics5 (2002).
9. Zhang S., et al. “Evaluation of all-ceramic and metal-ceramic fixed dental prostheses: a meta-analysis of randomized controlled trials”. International Journal of Clinical and Experimental Medicine1 (2017): 106-114.
10. Schroeder A., et al. “The reactions of bone, connective tissue, and epithelium to endosteal implants with titanium-sprayed surfaces”. Journal of Maxillofacial Surgery 9 (1981): 15-25.
11. Fürhauser R., et al. “Immediate restoration of immediate implants in the esthetic zone of the maxilla via the copy-abutment technique: 5-year follow-up of pink esthetic scores”. Clinical Implant Dentistry and Related Research1 (2017): 28-37.
12. Wennerberg A., et al. “Long-term clinical outcome of implants with different surface modifications”. European Journal of Oral Implantology1 (2018): S123-S136.
13. Eckert SE and Wollan PC. “Retrospective review of 1170 endosseous implants placed in partially edentulous jaws”. The Journal of Prosthetic Dentistry4 (1998): 415-421.
14. Lee KY., et al. “Clinical study on screw loosening in dental implant prostheses: a 6-year retrospective study”. Journal of the Korean Association of Oral and Maxillofacial Surgeons2 (2020): 133.
15. Bhandari MA. “Effect of Surface Design and Morphology on Primary Stability of Dental Implant: A Systematic Review”. EC Dental Science 18 (2019): 401-409.
16. Naert I., et al. “Biologie Outcome of Single-Implant Restorations as Tooth Replacements: A Long-term Follow-up Study”. Clinical Implant Dentistry and Related Research4 (2000): 209-218.
17. Kim Y., et al. “Economic evaluation of single-tooth replacement: dental implant versus fixed partial denture”. International Journal of Oral and Maxillofacial Implants3 (2014): 600-607.
18. Brägger U., et al. “Economic aspects of single-tooth replacement”. Clinical Oral Implants Research3 (2005): 335-341.