Consensus Report of Group 1 of the 1st Global Consensus for Clinical Guidelines for the Rehabilitation of the Edentulous Maxilla: Number of Implants, Timing of Implant Placement and Loading

IF 5.9 1区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Clinical Oral Implants Research Pub Date : 2026-02-24 DOI:10.1111/clr.70063

Nikos Donos, Ethan Ng, Claudio Mendes Pannuti, Giuseppe Alexandre Romito, Helena Cristina Oliveira Francisco, Samir Abou-Ayash, Gustavo Avila-Ortiz, Joao Manuel Mendez Carames, Paolo Casentini, Tali Chackartchi, Vivianne Chappuis, Stephen Chen, Paul Fugazzotto, William V. Giannobile, Yoshiyuki Hagiwara, Adam Hamilton, Saso Ivanovski, Sergio Kahn, Joseph Kan, France Lambert, Robert Alan Levine, Jose Manuel Navarro, Turker Ornekol, Michael Payer, Todd Schoenbaum, Manish Kumar Singh, Sejal Thacker, Gil Alcoforado

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引用次数: 0

Abstract

Objectives

The 1st Global Consensus for Clinical Guidelines (GCCG) in Implant Dentistry introduced an innovative, evidence-based approach to developing patient-centered and practical recommendations for the rehabilitation of the edentulous maxilla. Within this framework, Group 1 aimed to formulate clinical recommendations on the number of implants required, timing of implant placement, and timing of loading.

Materials and Methods

Group 1 followed the S2k-level guideline framework of the Association of the Scientific Medical Societies in Germany (AWMF), using a structured nominal group technique. The evidence base included three systematic reviews evaluating clinician-reported outcomes (ClinROs) and patient-reported outcomes (PROs), supplemented by structured single-round international surveys involving expert clinicians, patients, and cross-disciplinary experts. Survey content covered diagnostics, treatment planning, clinical procedures, and maintenance care. Draft recommendations were discussed during the in-person consensus meeting in Boston (June 16–18, 2025) and finalized through anonymous plenary voting. Consensus was defined as ≥ 75% and ≤ 95% agreement and strong consensus as > 95% agreement.

Results

Group 1 formulated 12 clinical recommendations across the workflow domains of diagnostic tools, treatment planning, and treatment procedure. During plenary voting, three of these recommendations reached strong consensus, and nine achieved consensus. The number of voters per recommendation ranged from 61 to 90, with an average of 83.

Conclusions

This consensus report provides structured, evidence-based recommendations on implant number, placement timing, and loading protocols for rehabilitation of the edentulous maxilla. These guidelines are intended to support individualized, patient-centered care while also identifying priority areas for future research.

Abstract Image

查看原文本刊更多论文

第一届全球无牙上颌康复临床指南第一组共识报告：种植体数量、种植体放置时间和装载。

目的：第一次全球种植牙临床指南共识（GCCG）介绍了一种创新的、以证据为基础的方法，以制定以患者为中心的、实用的无牙颌康复建议。在此框架下，第1组旨在制定关于所需种植体数量、种植体放置时间和加载时间的临床建议。材料和方法：第1组遵循德国科学医学学会协会（AWMF）的s2k级指导框架，采用结构化名义分组技术。证据基础包括三个系统综述，评估临床医生报告的结果（ClinROs）和患者报告的结果（PROs），辅以结构化的单轮国际调查，涉及专家临床医生、患者和跨学科专家。调查内容包括诊断、治疗计划、临床程序和维护护理。在波士顿举行的面对面共识会议（2025年6月16日至18日）上讨论了建议草案，并通过匿名全体投票最终确定。一致性定义为≥75%和≤95%的一致性，强一致性定义为> 95%的一致性。结果：第一组在诊断工具、治疗计划和治疗程序的工作流程领域制定了12项临床建议。在全体表决中，其中三项建议达成强烈协商一致，九项建议达成协商一致。每项推荐的投票人数从61人到90人不等，平均为83人。结论：本共识报告提供了结构化的、基于证据的关于种植体数量、放置时间和上颌无牙康复加载方案的建议。这些指南旨在支持个性化、以患者为中心的护理，同时也确定了未来研究的优先领域。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Oral Implants Research 医学-工程：生物医学

CiteScore

7.70

自引率

11.60%

发文量

149

审稿时长

3 months

期刊介绍： Clinical Oral Implants Research conveys scientific progress in the field of implant dentistry and its related areas to clinicians, teachers and researchers concerned with the application of this information for the benefit of patients in need of oral implants. The journal addresses itself to clinicians, general practitioners, periodontists, oral and maxillofacial surgeons and prosthodontists, as well as to teachers, academicians and scholars involved in the education of professionals and in the scientific promotion of the field of implant dentistry.