June 24, 2016
Starting in 2012, the Academy of Osseointegration (AO) initiated planning for a summit to develop clinical practice guidelines (CPGs) for management of the edentulous maxilla. Clark M. Stanford, DDS, PhD, Dean of UIC College of Dentistry and UIC Distinguished Professor, was honored by being the Co-Chair of the Planning Committee. The summit brought together more than 120 of the world’s leading scientists and clinicians in which five sets of clinical practice guidelines (CPGs) were created. This panel included our faculty in Periodontics, Oral and Maxillofacial Surgery, and Prosthodontics.
The various systematic reviews and the CPGs are now published in the Journal of Oral and Maxillofacial Implants (JOMI). The next step is to gain approval by the National Guidelines Clearing House.
As new technologies make implant therapy possible for a growing number of patients, the responsibilities for clinicians also multiply. The profession is ultimately charged with providing the best available patient care. However, new materials and techniques are developed faster than can be objectively evaluated. The resulting lack of consensus burdens individual clinicians, who still remain responsible for providing treatment based on current best evidence.
The decision-making process for clinical management of the edentulous maxilla requires familiarity with current best evidence on far-reaching topics including bone augmentation for implant site development, implant system design, advanced imaging procedures, biologics, and an interdisciplinary approach to prosthetic management.
In addition to considering parameters of patient care, clinicians must answer critical questions about each specific patient. What is the maxillary/mandibular ridge relationship? What is the quality and quantity of available hard and soft tissue? Can the patient maintain adequate oral hygiene? Do habits or disease put this patient in an at-risk category?
Today, there are many new ways to manage distinct clinical situations and an array of treatment options requiring advanced training and experience.
To assist dentists in making choices that best utilize current research to improve the quality and efficiency of patient care, the Academy of Osseointegration in August 2014 brought together more than 120 of the world’s leading scientists and clinicians. Their mutual goal was to expand current clinical practice guidelines to include management of the edentulous maxilla. Based on a systematic review of the current literature, clinical information, and accepted treatment approaches, the resulting guidelines will serve as an educational tool for dentists and facilitate their ability to communicate about treatment planning with patients.
There is no doubt that technology will continue its rapid pace in providing dentistry with enhanced diagnostic tools, improved materials, and better prosthetic options for managing the edentulous maxilla. Subsequently, up-todate guidelines, as proposed by the worldwide leaders in the field, will enable all dentists to make judicious use of current best evidence and ongoing advances for their patients.