Prevalence of dental rehabilitation with the use of dental implants among patients with complete and partial edentulous jaws in multidisciplinary dental health care institutions

Abstract

Introduction. In modern conditions, despite the significant number of studies that demonstrate the advantages and disadvantages of various options for total rehabilitation of patients with partial and complete aedentia, there is still a lack of data regarding actual prevalence and distribution of various prosthetic treatment modalities among patients who have lost more than half of the dentition in one of the jaws. Objective. To assess the prevalence of cases with total dental rehabilitation in need of restoration for at least 50% of the dentition among patients of multidisciplinary dental centers, and to determine the initial conditions for changes in dental status associated with the formation of a request for such treatment. Methodology/Methods. Study was conducted by monitoring the characteristics of the number, ratio and distribution of registered dental manipulations performed within two multidisciplinary dental clinics, in the period from January 2022 to May 2025. The analysis was carried out on the basis of available data from the ClinicCards CRM system. During the analysis, data were selected that was related to patients whose rehabilitation was carried out with prosthetic constructions of various designs, but with the replacement of at least 8 units of the dentition on one of the jaws, who were categorized as those with the need for total rehabilitation (with the need to restore more than 50% of the dentition on one of the jaws). Results and Discussion. Out of the 416 cases of total rehabilitation, the share of provided prosthetic constructions supported by dental implants was 30,05% (125 cases). Out of the 125 cases of rehabilitation with constructions supported by dental implants, 4,8% were represented by removable prostheses supported by intraosseous supports, 54,4% – by fixed structures with a bar mesostructure, 31,2% – by fixed full-arch dentures of various lengths without additional reinforcement, 9,6% – by two or more bridge-type prostheses of limited length supported by dental implants to replace a dentition defect. Conclusions. Total rehabilitation with the use of dental implants was provided only among one third of patients. Among these, in 95,2% of cases, fixed constructions of various designs and lengths were used. The baseline distribution of dental status as terminal was associated with a relative risk of 4,06 (95% CI 2,96-5,58%, p < 0,0001) for a higher likelihood of further prosthetic rehabilitation due to the protocols applied for the edentulous jaws compared to the likelihood of further prosthetics rehabilitation due to the protocols applicable for partial aedentia cases, using the baseline ratio of partial to complete aedentia as the reference.