Retrospective Study
Copyright ©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jan 16, 2015; 3(1): 65-76
Published online Jan 16, 2015. doi: 10.12998/wjcc.v3.i1.65
Posterior partially edentulous jaws, planning a rehabilitation with dental implants
Douglas R Monteiro, Emily V F Silva, Eduardo P Pellizzer, Osvaldo Magro Filho, Marcelo C Goiato
Douglas R Monteiro, Emily V F Silva, Eduardo P Pellizzer, Osvaldo Magro Filho, Marcelo C Goiato, Department of Dental Materials and Prosthodontics, Araçatuba Dental School, Univ Estadual Paulista (UNESP), São Paulo 16015-050, Brazil
Author contributions: Monteiro DR and Silva EVF performed the computer search and wrote the paper; Pellizzer EP, Magro Filho O and Goiato MC designed the research, revised the paper and gave the final approval of the paper; all authors contributed equally to the work.
Ethics approval: None to declare.
Informed consent: None to declare.
Conflict-of-interest: The authors declare that they have no conflict of interest.
Data sharing: Technical appendix, statistical code, and dataset available from the corresponding author at Participants gave informed consent for data sharing. No additional data are available.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Correspondence to: Marcelo C Goiato, MD, PhD, Department of Dental Materials and Prosthodontics, Araçatuba Dental School, UNESP, José Bonifácio, 1193, Araçatuba, São Paulo 16015-050, Brazil.
Telephone: +55-18-36363287 Fax: +55-18-36363245
Received: June 19, 2014
Peer-review started: June 21, 2014
First decision: July 10, 2014
Revised: November 26, 2014
Accepted: December 3, 2014
Article in press: December 23, 2014
Published online: January 16, 2015

AIM: To discuss important characteristics of the use of dental implants in posterior quadrants and the rehabilitation planning.

METHODS: An electronic search of English articles was conducted on MEDLINE (PubMed) from 1990 up to the period of March 2014. The key terms were dental implants and posterior jaws, dental implants/treatment planning and posterior maxilla, and dental implants/treatment planning and posterior mandible. No exclusion criteria were used for the initial search. Clinical trials, randomized and non randomized studies, classical and comparative studies, multicenter studies, in vitro and in vivo studies, case reports, longitudinal studies and reviews of the literature were included in this review.

RESULTS: One hundred and fifty-two articles met the inclusion criteria of treatment planning of dental implants in posterior jaw and were read in their entirety. The selected articles were categorized with respect to their context on space for restoration, anatomic considerations (bone quantity and density), radiographic techniques, implant selection (number, position, diameter and surface), tilted and pterygoid implants, short implants, occlusal considerations, and success rates of implants placed in the posterior region. The results derived from the review process were described under several different topic headings to give readers a clear overview of the literature. In general, it was observed that the use of dental implants in posterior region requires a careful treatment plan. It is important that the practitioner has knowledge about the theme to evaluate the treatment parameters.

CONCLUSION: The use of implants to restore the posterior arch presents many challenges and requires a detailed treatment planning.

Keywords: Dental implants, Mandible, Maxilla, Edentulous jaw, Treatment

Core tip: The treatment plan for rehabilitation with dental implants in posterior quadrants of edentulous jaws must be meticulous. The professional must cautiously evaluate the treatment parameters to guarantee predictable and long-term restorations. The treatment plan includes detailed analysis of space for restoration, bone quantity and density, radiographic techniques, selection of number, diameter, and length of the implants, and occlusion.