Influence of Ti-Base-Supported Implant Restoration on Peri- implant Conditions: A Systematic Review and Meta-analysis.

Han-Pang Liu, Sieu Yien Chiam, Hom-Lay Wang
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Abstract

Purpose: To conduct a systematic review and meta-analysis to examine the impact of titanium (Ti) base-supported single-implant restorations on peri-implant conditions.

Materials and methods: Six randomized controlled trials (RCTs) comprising 274 implants met the inclusion criteria and were chosen for data analysis. A random-effects model was employed for the meta-analysis.

Results: Data from this study revealed that the Ti-basegroup exhibited a small but statistically significant increase in peri-implant marginal bone loss (MBL; mean difference = 0.088 mm; 95% CI = 0.003 to 0.17; P = .041) compared to the one-piece abutment group. These effects were consistent in the subgroup analysis of regularly threaded implants compared to the microthreaded subgroup. No significant differences were observed between the Ti-base group and the abutment group concerning probing depth (PD), bleeding on probing (BoP), and the risk of prosthetic-related complications.

Conclusions: The use of a Ti-base in a single implant-supported restorationis associated with a slight increase in peri-implant MBL, while other peri-implant health parameters show no significant correlation. Therefore, the evidence of the impact that Ti-bases have on the peri-implant conditions of single implant-supported restorations is insufficient based on the findings of the present meta-analysis.

钛基托种植体修复对种植体周围条件的影响:系统回顾与元分析
目的:本系统综述和荟萃分析旨在研究钛基底支持的单颗种植体修复体对种植体周围条件的影响:我们选择了六项随机对照试验(RCT)进行数据分析,共有 274 个种植体符合纳入标准。荟萃分析采用随机效应模型:研究数据显示,与一体式基台组相比,钛基台组的种植体周围边缘骨质流失略有增加,但具有统计学意义(平均值差异 = 0.088,95% 置信区间 = 0.003 到 0.17,P = 0.041)。在常规螺纹种植体与微螺纹种植体的亚组分析中,这些影响是一致的。然而,在探诊深度(PD)、探诊出血量(BOP)和修复体相关并发症的风险方面,钛基底组与基台组之间没有观察到明显的差异:结论:在单种植体支持修复中使用钛基底与种植体周围边缘骨丧失的轻微增加有关,而其他种植体周围健康参数则没有明显的相关性。因此,根据这项荟萃分析的结果来确定钛基底对单种植体支持修复体种植体周围条件的影响是不够的。
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