How far can we go? A 20-year meta-analysis of dental implant survival rates.

IF 3.1 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Clinical Oral Investigations Pub Date : 2024-09-21 DOI:10.1007/s00784-024-05929-3

Johannes Raphael Kupka, Jochem König, Bilal Al-Nawas, Keyvan Sagheb, Eik Schiegnitz

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引用次数: 0

Abstract

Objective: This meta-analysis aims to investigate the long-term survival rates of dental implants over a 20-year period, providing a practical guide for clinicians while identifying potential areas for future research.

Materials and methods: Data were sourced from recent publications, focusing exclusively on screw-shaped titanium implants with a rough surface. Both retrospective and prospective studies were included to ensure an adequate sample size. A systematic electronic literature search was conducted in the databases: MEDLINE (PubMed), Cochrane, and Web of Science. The risk of bias for all studies was analyzed using a tool by Hoy et al. RESULTS: Three prospective studies (n = 237 implants) revealed a mean implant survival rate of 92% (95% CI: 82% to 97%), decreasing to 78% (95% CI: 74%-82%) after imputation (n = 422 implants). A total of five retrospective studies (n = 1440 implants) showed a survival rate of 88% (95% CI: 78%-94%). Implant failure causes were multifactorial.

Conclusion: This review consolidates 20-year dental implant survival data, reflecting a remarkable 4 out of 5 implants success rate. It emphasizes the need for long-term follow-up care, addressing multifactorial implant failure. Prioritizing quality standards is crucial to prevent overestimating treatment effectiveness due to potential statistical errors. While dental implantology boasts reliable therapies, there is still room for improvement, and additional high-quality studies are needed, particularly to evaluate implant success.

Clinical relevance: Never before have the implant survival over 20 years been systematically analyzed in a meta-analysis. Although a long-term survival can be expected, follow-up is essential and shouldn't end after insertion or even after 10 years.

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我们还能走多远？20 年种植牙存活率的荟萃分析。

目的：本荟萃分析旨在研究 20 年间种植牙的长期存活率，为临床医生提供实用指南，同时确定未来研究的潜在领域：本荟萃分析旨在研究牙科种植体在20年中的长期存活率，为临床医生提供实用指南，同时确定未来研究的潜在领域：数据来源于近期发表的文献，重点关注表面粗糙的螺钉形钛种植体。回顾性和前瞻性研究均包括在内，以确保足够的样本量。在数据库中进行了系统的电子文献检索：MEDLINE（PubMed）、Cochrane 和 Web of Science。结果：三项前瞻性研究（n = 237 个种植体）显示平均种植体存活率为 92% (95% CI: 82% to 97%)，估算后下降至 78% (95% CI: 74%-82%) （n = 422 个种植体）。共有五项回顾性研究（n = 1440 个种植体）显示存活率为 88%（95% CI：78%-94%）。种植失败的原因是多方面的：本综述整合了 20 年的牙科种植体存活数据，反映出显著的五分之四的种植体成功率。它强调了长期随访护理的必要性，解决了多因素种植失败的问题。优先考虑质量标准对于防止因潜在的统计误差而高估治疗效果至关重要。虽然牙科种植拥有可靠的疗法，但仍有改进的余地，需要进行更多高质量的研究，特别是评估种植成功率：在此之前，我们从未在荟萃分析中系统地分析过 20 年来的种植体存活率。虽然长期存活率是可以预期的，但随访是必不可少的，而且不应在植入后甚至 10 年后才结束。

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 Investigations 医学-牙科与口腔外科

CiteScore

6.30

自引率

5.90%

发文量

484

审稿时长

3 months

期刊介绍： The journal Clinical Oral Investigations is a multidisciplinary, international forum for publication of research from all fields of oral medicine. The journal publishes original scientific articles and invited reviews which provide up-to-date results of basic and clinical studies in oral and maxillofacial science and medicine. The aim is to clarify the relevance of new results to modern practice, for an international readership. Coverage includes maxillofacial and oral surgery, prosthetics and restorative dentistry, operative dentistry, endodontics, periodontology, orthodontics, dental materials science, clinical trials, epidemiology, pedodontics, oral implant, preventive dentistiry, oral pathology, oral basic sciences and more.