{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T22:28:32Z","timestamp":1790548112541,"version":"4.1.0"},"reference-count":67,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T00:00:00Z","timestamp":1773705600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T00:00:00Z","timestamp":1773705600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Oral Implants Res"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To evaluate the prosthetic outcomes of implant\u2010assisted maxillary full\u2010arch restorations with \u2265\u20093\u2009years of follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>A systematic electronic literature search was conducted in five databases to identify randomised controlled trials and prospective clinical studies involving patients who received full\u2010arch rehabilitation in the maxilla. The primary outcome was prosthesis loss; secondary outcomes included complication\u2010free prosthesis survival, complication\u2010free implant survival, implant loss, technical complications, patient\u2010reported outcome measures (PROMS), and marginal bone loss. Meta\u2010analyses of proportions using random\u2010effects models were performed to estimate pooled rates of prosthetic survival, success, and complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 20 studies involving 913 patients were included. Among these, 542 patients received fixed prostheses and 371 received removable prostheses. Most of the studies had an observation period in the range of 3 to 6\u2009years, with only two studies (overdentures) reaching 10\u2009years. Overall prosthesis loss was 4.6% (95% CI: 1.2%\u201310.1%) and complication\u2010free prosthesis survival was 61.9% (95% CI: 48.4%\u201374.5%). Overall complication\u2010free implant survival was 46.5% and technical complications were 62.9%. Pooled implant loss was 5.5% after adjusting for clustering effects and mean marginal bone loss was &lt;\u20090.8\u2009mm. Subgroup analysis of fixed and removable prosthesis over a similar observation period revealed similar outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Implant\u2010assisted maxillary full\u2010arch restorations have low rates of prosthesis and implant loss. However, complication\u2010free survival is moderate, underscoring the importance of maintenance and patient education.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/clr.70116","type":"journal-article","created":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T05:35:54Z","timestamp":1773812154000},"page":"677-692","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Prosthetic Outcomes of Implant\u2010Assisted Maxillary Restorations in the Edentulous Maxilla: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7538-7866","authenticated-orcid":false,"given":"Ethan","family":"Ng","sequence":"first","affiliation":[{"name":"Centre for Oral Clinical Research, Institute of Dentistry, Faculty of Medicine and Dentistry Queen Mary University of London  London UK"},{"name":"Department of Restorative Dentistry National Dental Centre Singapore  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3042-3103","authenticated-orcid":false,"given":"John Rong Hao","family":"Tay","sequence":"additional","affiliation":[{"name":"Department of Restorative Dentistry National Dental Centre Singapore  Singapore Singapore"},{"name":"Health Services Research and Population Health Programme Duke\u2010NUS Medical School  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6174-5063","authenticated-orcid":false,"given":"Maria","family":"Rahmat","sequence":"additional","affiliation":[{"name":"Department of Restorative Dentistry National Dental Centre Singapore  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2078-336X","authenticated-orcid":false,"given":"Luis","family":"Mezzomo","sequence":"additional","affiliation":[{"name":"Department of Dentistry Federal University of Santa Catarina  Florianopolis Brazil"},{"name":"Department of Restorative Dentistry University of Illinois Chicago  Chicago USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gil","family":"Alcoforado","sequence":"additional","affiliation":[{"name":"Egas Moniz Center for Interdisciplinary Research Egas Moniz School of Health and Science  Almada Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4117-9073","authenticated-orcid":false,"given":"Nikos","family":"Donos","sequence":"additional","affiliation":[{"name":"Centre for Oral Clinical Research, Institute of Dentistry, Faculty of Medicine and Dentistry Queen Mary University of London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,17]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1590\/1678\u20107757\u20102018\u20100600"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.archoralbio.2017.07.007"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/cid.12993"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/prd.12507"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10266\u2010021\u201000605\u20104"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12874\u2010021\u201001381\u2010z"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140\u20106736(24)02811\u20103"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2022.104335"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2018.11.005"},{"key":"e_1_2_11_11_1","unstructured":"Cochrane Methods Bias.2024.\u201cROBINS\u2010I V2 Tool.\u201dhttps:\/\/sites.google.com\/site\/riskofbiastool\/welcome\/robins\u2010i\u2010v2?authuser=0."},{"issue":"2","key":"e_1_2_11_12_1","first-page":"428","article-title":"A Clinical Study of Edentulous Patients Rehabilitated According to the \u201cAll on Four\u201d Immediate Function Protocol","volume":"27","author":"Crespi R.","year":"2012","journal-title":"International Journal of Oral & Maxillofacial Implants"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.13312"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.prosdent.2018.06.001"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.11607\/jomi.9710"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.3390\/ma14123251"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.13477"},{"issue":"4","key":"e_1_2_11_18_1","first-page":"413","article-title":"The McGill Consensus Statement on Overdentures. 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