Loading...
Publication
Prótese total : convencional vs. sobre implantes
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 1.23 MB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
A reabilitação oral de pacientes totalmente desdentados representa um desafio constante na prática da medicina dentária, especialmente na escolha entre prótese total convencional e prótese total sobre implantes. A prótese convencional, amplamente utilizada, constitui uma solução acessível e funcional, mas frequentemente associada a limitações quanto à retenção, estabilidade e conforto, sobretudo em casos de reabsorção óssea severa. Com os avanços da implantologia, tornou-se possível reabilitar com próteses totais suportadas ou retidas por implantes, proporcionando maior estabilidade, melhor função mastigatória
e impactos positivos na qualidade de vida dos pacientes. Neste contexto, o objetivo principal deste trabalho é avaliar e comparar estas duas modalidades de reabilitação protética no que diz respeito às suas características, eficácia, vantagens, desvantagens, funcionalidade e impacto na qualidade de vida de pacientes edêntulos. A pesquisa será conduzida através de uma revisão bibliográfica, com levantamento de estudos publicados em bases de dados indexadas como PubMed, SciELO, Scopus, Web of Science,
ScienceDirect e Google Scholar. Foram priorizados artigos originais, revisões sistemáticas e ensaios clínicos randomizados publicados nos últimos 10 anos, mas incluídos também estudos relevantes compreendidos entre os anos de 1992 e 2025, que abordam comparativamente as diferentes abordagens protéticas. As próteses totais sobre implantes apresentam vantagens significativas em retenção, estabilidade e conforto, resultando numa maior satisfação dos pacientes. No entanto, fatores como o custo, a necessidade de procedimentos cirúrgicos e a manutenção periódica devem ser
considerados, sobretudo em contextos socioeconómicos desfavoráveis. Como sugestão para estudos futuros, recomenda-se a realização de investigações de longo prazo, envolvendo amostras diversificadas, a fim de consolidar as evidências científicas quanto à viabilidade e à superioridade clínica das diferentes abordagens de reabilitação protética.
The oral rehabilitation of fully edentulous patients remains a persistent challenge in dental practice, particularly when choosing between conventional complete dentures and implant-supported complete dentures. Conventional dentures, widely used, represent an accessible and functional solution but are frequently associated with limitations in retention, stability, and comfort, especially in cases of severe bone resorption. With advancements in implantology, it has become possible to rehabilitate patients using complete dentures supported or retained by implants, offering greater stability, improved masticatory function, and positive impacts on patients’ quality of life. In this context, the main objective of this study is to evaluate and compare these two prosthetic rehabilitation modalities in terms of their characteristics, effectiveness, advantages, disadvantages, functionality, and impact on the quality of life of edentulous patients. The research will be conducted through a literature review, based on studies published in indexed databases such as PubMed, SciELO, Scopus, Web of Science, ScienceDirect, and Google Scholar. Priority was given to original articles, systematic reviews, and randomized clinical trials published within the last 10 years, although relevant studies published between 1992 and 2025 were also included, provided they offered comparative analysis of the different prosthetic approaches. Implant-supported complete dentures present significant advantages in terms of retention, stability, and comfort, resulting in higher patient satisfaction. However, factors such as cost, the need for surgical procedures, and regular maintenance must be considered, particularly in socioeconomically disadvantaged contexts. As a recommendation for future studies, long-term research involving diverse samples is encouraged, in order to consolidate scientific evidence regarding the clinical viability and superiority of the various prosthetic rehabilitation approaches.
The oral rehabilitation of fully edentulous patients remains a persistent challenge in dental practice, particularly when choosing between conventional complete dentures and implant-supported complete dentures. Conventional dentures, widely used, represent an accessible and functional solution but are frequently associated with limitations in retention, stability, and comfort, especially in cases of severe bone resorption. With advancements in implantology, it has become possible to rehabilitate patients using complete dentures supported or retained by implants, offering greater stability, improved masticatory function, and positive impacts on patients’ quality of life. In this context, the main objective of this study is to evaluate and compare these two prosthetic rehabilitation modalities in terms of their characteristics, effectiveness, advantages, disadvantages, functionality, and impact on the quality of life of edentulous patients. The research will be conducted through a literature review, based on studies published in indexed databases such as PubMed, SciELO, Scopus, Web of Science, ScienceDirect, and Google Scholar. Priority was given to original articles, systematic reviews, and randomized clinical trials published within the last 10 years, although relevant studies published between 1992 and 2025 were also included, provided they offered comparative analysis of the different prosthetic approaches. Implant-supported complete dentures present significant advantages in terms of retention, stability, and comfort, resulting in higher patient satisfaction. However, factors such as cost, the need for surgical procedures, and regular maintenance must be considered, particularly in socioeconomically disadvantaged contexts. As a recommendation for future studies, long-term research involving diverse samples is encouraged, in order to consolidate scientific evidence regarding the clinical viability and superiority of the various prosthetic rehabilitation approaches.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Prótese total Implantes dentários Qualidade de vida Reabilitação oral