{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T05:52:40Z","timestamp":1791438760387,"version":"4.3.3"},"reference-count":88,"publisher":"Wiley","issue":"S26","license":[{"start":{"date-parts":[[2023,9,26]],"date-time":"2023-09-26T00:00:00Z","timestamp":1695686400000},"content-version":"vor","delay-in-days":25,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Oral Implants Res"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>This review evaluated the effects of rehabilitation with implant\u2010supported prostheses on the oral function of completely edentulous adults.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Systematic literature searches were performed to identify records reporting on oral function in completely edentulous adults rehabilitated with implant\u2010supported prostheses. Meta\u2010analyses were performed on various outcomes including bite force, masticatory performance, muscle activity, mandibular movement\/chewing pattern, and salivary flow.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>5507 records were identified. Thirty studies qualified for data extraction and analysis. The kappa (\ud835\udecb) for the search and identification strategy ranged between 0.50 and 1.00. Meta\u2010analysis was performed grouping the studies by outcomes and split by time points of 6\u201312\u2009months, 12\u201336\u2009months, and &gt;36\u2009months after implant therapy. The meta\u2010analyses revealed a significant improvement in oral function of completely edentulous adults after rehabilitation with implant\u2010supported prostheses at 6\u201312\u2009months (<jats:italic>Z<\/jats:italic>\u2009=\u2009\u22124.895, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001; 95% CI: \u22120.703, \u22120.301; <jats:italic>\u03c4<\/jats:italic><jats:sup>2<\/jats:sup>\u2009=\u2009.609; <jats:italic>Q<\/jats:italic>\u2009=\u2009114.953, df\u2009=\u200917, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001; <jats:italic>I<\/jats:italic><jats:sup>2<\/jats:sup>\u2009=\u200985.2%), at 12\u201336\u2009months (<jats:italic>Z<\/jats:italic>\u2009=\u2009\u22124.886, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001; 95% CI: \u22120.580, \u22120.248; <jats:italic>\u03c4<\/jats:italic><jats:sup>2<\/jats:sup>\u2009=\u2009.908; <jats:italic>Q<\/jats:italic>\u2009=\u2009280.611, df\u2009=\u200935, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001; <jats:italic>I<\/jats:italic><jats:sup>2<\/jats:sup>\u2009=\u200987.5%) and at more than 36\u2009months (<jats:italic>Z<\/jats:italic>\u2009=\u2009\u22129.108, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001; 95% CI: \u22121.472, \u22120.951; <jats:italic>\u03c4<\/jats:italic><jats:sup>2<\/jats:sup>\u2009=\u2009.019; <jats:italic>Q<\/jats:italic>\u2009=\u20097.918, df\u2009=\u20097, <jats:italic>p<\/jats:italic>\u2009=\u2009.340; <jats:italic>I<\/jats:italic><jats:sup>2<\/jats:sup>\u2009=\u200911.6%). The included studies demonstrated a low to moderate risk of bias.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This systematic review concluded that the oral function of completely edentate adults significantly improved with implant\u2010supported\/retained prostheses, even when only one jaw received implant therapy. Therefore, implant therapy should be promoted for edentulous adults to alleviate the shortcomings of conventional complete removable dental prostheses.<\/jats:p><\/jats:sec>","DOI":"10.1111\/clr.14068","type":"journal-article","created":{"date-parts":[[2023,9,26]],"date-time":"2023-09-26T11:31:45Z","timestamp":1695727905000},"page":"196-239","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":34,"title":["Oral function in completely edentulous patients rehabilitated with implant\u2010supported dental prostheses: A systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3365-576X","authenticated-orcid":false,"given":"Murali","family":"Srinivasan","sequence":"first","affiliation":[{"name":"Clinic of General\u2010, Special Care, and Geriatric Dentistry, Center of Dental Medicine University of Zurich  Zurich Switzerland"},{"name":"Division of Gerodontology and Removable Prosthodontics University Clinics of Dental Medicine, University of Geneva  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9916-9807","authenticated-orcid":false,"given":"Porawit","family":"Kamnoedboon","sequence":"additional","affiliation":[{"name":"Clinic of General\u2010, Special Care, and Geriatric Dentistry, Center of Dental Medicine University of Zurich  Zurich Switzerland"},{"name":"Faculty of Dentistry Chulalongkorn University  Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lea","family":"Angst","sequence":"additional","affiliation":[{"name":"Clinic of General\u2010, Special Care, and Geriatric Dentistry, Center of Dental Medicine University of Zurich  Zurich Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3981-0134","authenticated-orcid":false,"given":"Frauke","family":"M\u00fcller","sequence":"additional","affiliation":[{"name":"Division of Gerodontology and Removable Prosthodontics University Clinics of Dental Medicine, University of Geneva  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,9,26]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12603\u2010011\u20100342\u20108"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.11607\/ijp.6386"},{"issue":"6","key":"e_1_2_11_4_1","first-page":"575","article-title":"Masticatory function and patient satisfaction with implant\u2010supported mandibular overdentures: A prospective 5\u2010year study","volume":"15","author":"Bakke M.","year":"2002","journal-title":"The International Journal of Prosthodontics"},{"issue":"2","key":"e_1_2_11_5_1","first-page":"207","article-title":"Changes in chewing patterns after implantation in the edentulous mandible","volume":"9","author":"Benzing U.","year":"1994","journal-title":"The International Journal of Oral & Maxillofacial Implants"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1590\/s1678\u201077572008000200007"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1017\/S000711451000471X"},{"issue":"2","key":"e_1_2_11_8_1","first-page":"93","article-title":"Masticatory efficiency: The effect of age, the loss of teeth and prosthetic rehabilitation","volume":"34","author":"Carlsson G. E.","year":"1984","journal-title":"International Dental Journal"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glw201"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741\u20102358.2010.00374.x"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.13707"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/cid.12031"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.14106"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/0197\u20102456(86)90046\u20102"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13643\u2010016\u20100403\u20105"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.11607\/jomi.7484"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.13444"},{"issue":"4","key":"e_1_2_11_18_1","first-page":"601","article-title":"The McGill consensus statement on overdentures. Mandibular two\u2010implant overdentures as first choice standard of care for edentulous patients. Montreal, Quebec, may 24\u201025, 2002","volume":"17","author":"Feine J. S.","year":"2002","journal-title":"The International Journal of Oral & Maxillofacial Implants"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/00220345940730051301"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/00220345940730101001"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/cid.12989"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/00220345980770101101"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0022\u20103913(98)70069\u20101"},{"issue":"9","key":"e_1_2_11_24_1","first-page":"721","article-title":"Clinical and radiographic evaluation of three\u2010implant\u2010retained mandibular overdentures: A 3\u2010year retrospective study","volume":"42","author":"Geckili O.","year":"2011","journal-title":"Quintessence International"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754\u20104505.2012.00258.x"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/00220345940730121101"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100722.1988.tb01550.x"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.13070"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100501.2009.01722.x"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0501.2003.140117.x"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.d5928"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/odi.12644"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600\u20100501.2001.012002167.x"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022\u20103913(93)90111\u2010z"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022\u20103913(84)90456\u20106"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.4103\/tcmj.tcmj_242_20"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.prosdent.2019.08.005"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.2307\/2529310"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016358509064138"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100501.2011.02283.x"},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.13392"},{"key":"e_1_2_11_42_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18041424"},{"key":"e_1_2_11_43_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.13101"},{"key":"e_1_2_11_44_1","first-page":"123","article-title":"Relationships between deterioration of oral functions and nutritional status in elderly patients in an acute hospital","volume":"31","author":"Matsuo K.","year":"2016","journal-title":"Ronen Shika Igaku"},{"key":"e_1_2_11_45_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0501.2009.01710.x"},{"key":"e_1_2_11_46_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.13240"},{"key":"e_1_2_11_47_1","doi-asserted-by":"publisher","DOI":"10.1111\/jopr.12544"},{"issue":"6","key":"e_1_2_11_48_1","first-page":"641","article-title":"In vivo measurements of maximal occlusal force and minimal pressure threshold on overdentures supported by implants or natural roots: A comparative study, part 1","volume":"8","author":"Mericske\u2010Stern R.","year":"1993","journal-title":"The International Journal of Oral & Maxillofacial Implants"},{"key":"e_1_2_11_49_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022\u20103913(90)90074\u2010m"},{"key":"e_1_2_11_50_1","doi-asserted-by":"publisher","DOI":"10.1111\/ger.12347"},{"key":"e_1_2_11_51_1","volume-title":"ITI treatment guide Vol. 9: Implant therapy in the geriatric patient","author":"M\u00fcller F.","year":"2016"},{"key":"e_1_2_11_52_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034513509630"},{"key":"e_1_2_11_53_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100501.2011.02213.x"},{"issue":"5","key":"e_1_2_11_54_1","first-page":"512","article-title":"The use of implant\u2010supported prostheses in the functional and psychosocial rehabilitation of tumor patients","volume":"17","author":"M\u00fcller F.","year":"2004","journal-title":"International Journal of Prosthodontics"},{"key":"e_1_2_11_55_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12744"},{"key":"e_1_2_11_56_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2021.103846"},{"key":"e_1_2_11_57_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"e_1_2_11_58_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n160"},{"key":"e_1_2_11_59_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.12769"},{"key":"e_1_2_11_60_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365\u20102842.1998.00260.x"},{"key":"e_1_2_11_61_1","doi-asserted-by":"publisher","DOI":"10.1590\/s1806\u201083242008000400004"},{"issue":"9","key":"e_1_2_11_62_1","first-page":"734","article-title":"Electromyographic studies of the activity of the M. orbicularis oris and M. buccinator in subjects with a full set of teeth and in complete denture wearers","volume":"37","author":"Proschel P.","year":"1982","journal-title":"Deutsche zahn\u00e4rztliche Zeitschrift"},{"key":"e_1_2_11_63_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102842.2010.02143.x"},{"key":"e_1_2_11_64_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.13250"},{"key":"e_1_2_11_65_1","first-page":"418","article-title":"The effect of lower denture abstention on masseter muscle thickness in a 97 year\u2010old patient: A case report","volume":"23","author":"Schimmel M.","year":"2010","journal-title":"The International Journal of Prosthodontics"},{"key":"e_1_2_11_66_1","doi-asserted-by":"publisher","DOI":"10.11607\/ijp.5289"},{"key":"e_1_2_11_67_1","doi-asserted-by":"publisher","DOI":"10.4103\/jips.jips_76_17"},{"key":"e_1_2_11_68_1","doi-asserted-by":"publisher","DOI":"10.1111\/ger.12397"},{"key":"e_1_2_11_69_1","doi-asserted-by":"publisher","DOI":"10.1016\/0003\u20109969(93)90028\u2010k"},{"key":"e_1_2_11_70_1","doi-asserted-by":"publisher","DOI":"10.4103\/jips.jips_464_19"},{"key":"e_1_2_11_71_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1875\u2010595x.2000.tb00554.x"},{"key":"e_1_2_11_72_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.12898"},{"key":"e_1_2_11_73_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0895\u20104356(01)00377\u20108"},{"issue":"10","key":"e_1_2_11_74_1","first-page":"1195","article-title":"Masticatory efficiency and oral health\u2010related quality of life with implant\u2010retained mandibular overdentures","volume":"35","author":"Sun X.","year":"2014","journal-title":"Saudi Medical Journal"},{"issue":"4","key":"e_1_2_11_75_1","first-page":"504","article-title":"Occlusal contacts of edentulous patients with mandibular hybrid dentures opposing maxillary complete dentures","volume":"14","author":"Suzuki T.","year":"1999","journal-title":"The International Journal of Oral & Maxillofacial Implants"},{"key":"e_1_2_11_76_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.2009.728"},{"key":"e_1_2_11_77_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2011.08.017"},{"issue":"5","key":"e_1_2_11_78_1","first-page":"467","article-title":"Patient satisfaction with mandibular implant overdentures and conventional dentures 6 months after delivery","volume":"16","author":"Thomason J. M.","year":"2003","journal-title":"The International Journal of Prosthodontics"},{"key":"e_1_2_11_79_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100501.2010.01915.x"},{"key":"e_1_2_11_80_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0722.2006.00356.x"},{"key":"e_1_2_11_81_1","doi-asserted-by":"publisher","DOI":"10.1177\/154405910208100305"},{"key":"e_1_2_11_82_1","doi-asserted-by":"publisher","DOI":"10.1177\/154405910408300910"},{"key":"e_1_2_11_83_1","doi-asserted-by":"publisher","DOI":"10.1563\/AAID\u2010JOI\u2010D\u201011\u201000208"},{"key":"e_1_2_11_84_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100501.2004.01085.x"},{"key":"e_1_2_11_85_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.14355"},{"key":"e_1_2_11_86_1","volume-title":"The Newcastle\u2010Ottawa scale (NOS) for assessing the quality of nonrandomised studies in meta\u2010analyses","author":"Wells G. A.","year":"2014"},{"key":"e_1_2_11_87_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100501.2011.02367.x"},{"key":"e_1_2_11_88_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0901-5027(97)80864-8"},{"key":"e_1_2_11_89_1","doi-asserted-by":"publisher","DOI":"10.11607\/jomi.3328"}],"container-title":["Clinical Oral Implants Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/clr.14068","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,2]],"date-time":"2023-11-02T11:17:05Z","timestamp":1698923825000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/clr.14068"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9]]},"references-count":88,"journal-issue":{"issue":"S26","published-print":{"date-parts":[[2023,9]]}},"alternative-id":["10.1111\/clr.14068"],"URL":"https:\/\/doi.org\/10.1111\/clr.14068","archive":["Portico"],"relation":{},"ISSN":["0905-7161","1600-0501"],"issn-type":[{"value":"0905-7161","type":"print"},{"value":"1600-0501","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,9]]},"assertion":[{"value":"2022-10-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-03-30","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-09-26","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}