Evidence map›Paper›PMID 41669595›Full record

ReviewCureus2026

Choosing Between Fixed and Removable Prosthetic Modalities for Completely Edentulous Patients: A Systematic Review of Evidence-Based Outcomes.

Marwa Abdelrahman Ali Hassan, Ramah Mohammed Elhadi, Manahel Osman, Safaa Ali Mohammed Abdalrahman, Marwa Abdelhay Elzibair Eltahir, Salma Nureldinn

Abstract readReview
In one paragraph

Review in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Marwa Abdelrahman Ali HassanDentistry, Safwa Al Muhaidib Dental Center, Makkah, SAU.
Ramah Mohammed ElhadiDentistry, Al Razi University, Buraydah, SAU.
Manahel OsmanOral and Maxillofacial Surgery, Salisbury District Hospital, Salisbury, GBR.
Safaa Ali Mohammed AbdalrahmanOral and Maxillofacial Surgery, Dudley Group NHS Foundation Trust, Dudley, GBR.
Marwa Abdelhay Elzibair EltahirDentistry, Private Practice, Sheffield, GBR.
Salma NureldinnDentistry, Khartoum University, Khartoum, SDN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Complete edentulism significantly impacts masticatory function, aesthetics, and quality of life. The selection between fixed and removable prosthetic modalities is a critical clinical decision. This systematic review aims to compare the clinical and patient-reported outcomes of fixed versus removable prosthetic rehabilitations for completely edentulous patients. A systematic search of PubMed/MEDLINE, Scopus, Embase, and Web of Science databases was conducted up to December 2025. Studies were selected based on predefined PICOS criteria, including randomized controlled trials and observational studies. Risk of bias was assessed using the Cochrane RoB 2 tool and the Newcastle-Ottawa Scale. A narrative synthesis was performed due to significant heterogeneity. Ten studies were included. Fixed implant-supported prostheses demonstrated high long-term survival rates and superior masticatory efficiency and occlusal stability compared to removable options. Patient-reported outcomes, particularly oral health-related quality of life, were significantly better with any implant-supported prosthesis (fixed or removable) than with conventional complete dentures. Fixed prostheses (FPs) were associated with technical complications, while removable overdentures (ODs) presented challenges with occlusal wear. Conventional denture satisfaction was primarily linked to retention, comfort, and aesthetic quality. Implant-supported prostheses offer substantially better clinical and patient-reported outcomes than conventional dentures for completely edentulous patients. The choice between a fixed and removable modality involves a trade-off: FPs provide superior function and stability but require more complex maintenance, whereas removable ODs offer easier hygiene and a favorable balance of benefits. Treatment must be individualized based on anatomical factors, patient priorities, and clinical feasibility.

Indexed as

complete edentulismfixed dental prosthesisimplant-supported prosthesisoral health-related quality of lifepatient-reported outcomesremovable overdenture

Identifiers

PMID41669595
PMCPMC12884350

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.