Evaluation of Marginal Bone Loss and Esthetics in Screw vs Cement-retained Single Implant Prosthesis: A Systematic Review.

Q3 Dentistry

Journal of Contemporary Dental Practice Pub Date : 2025-01-01 DOI:10.5005/jp-journals-10024-3742

Jayashree Sajjanar, Vaishnavi Mohite, Veena Benakatti, Shylesh Kumar Basaralu Shivakumar, Zehra Rana, Ravi Teja Boppana

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引用次数: 0

Abstract

Purpose: The aim of this systematic review was to evaluate marginal bone loss and esthetics in single implant zirconia prostheses of screw- and cement-retained prosthesis.

Materials and methods: An electronic search on MEDLINE/PubMed, Google Scholar, Scopus, Embase, Web of Science was conducted to identify randomized controlled clinical trials (RCTs) published within the past five years from 2018 upto January 2023. Additionally, a manual search of relevant references was performed. Two reviewers independently selected studies based on predefined inclusion criteria. Marginal bone loss values and esthetic parameters were extracted, and meta-analysis was conducted where applicable.

Results: The initial search yielded 61 articles, of which nine articles were thoroughly analyzed, resulting in five RCTs which were included. Due to limited available data on esthetic parameters, meta-analysis could not be performed. However, 164 implants revealed that screw-retained implant restorations were more likely to retain screws than cemented ones after one year (z-test value = 3.18, p = 0.001), with a mean difference of -0.30 (95% CI).

Conclusion: Marginal bone loss around implants was lower in screw-retained prostheses compared to cement-retained ones. These findings support the preference for zirconia prostheses in esthetically demanding cases.

Clinical significance: Screw-retained ceramic prosthesis exhibit optimal esthetics and minimal marginal bone loss. Cement-retained prosthesis fail in terms of marginal bone loss and esthetics due to excess cement around the prostheses. Inadvertence of excess cement removal around implant prosthesis led to inflammation of peri-implant tissue, which consequently increased probing depth. A stringent protocol in the procedure of cementation of prosthesis aids in the removal of excess cement, which reduces marginal bone loss and enhances esthetic. How to cite this article: Sajjanar J, Mohite V, Benakatti V, et al. Evaluation of Marginal Bone Loss and Esthetics in Screw vs Cement-retained Single Implant Prosthesis: A Systematic Review. J Contemp Dent Pract 2025;26(1):103-109.

查看原文本刊更多论文

评价螺钉与骨水泥单种植体修复体的边缘骨丢失和美学：一项系统综述。

目的：本系统综述的目的是评价单种植体氧化锆假体与螺钉和骨水泥保留假体的边缘骨丢失和美观。材料与方法：检索MEDLINE/PubMed、b谷歌Scholar、Scopus、Embase、Web of Science等数据库，检索2018年至2023年1月近5年内发表的随机对照临床试验（rct）。此外，还进行了相关参考文献的手动搜索。两位审稿人根据预先确定的纳入标准独立选择研究。提取边缘骨丢失值和美学参数，并在适用的情况下进行meta分析。结果：初检索到61篇文章，其中9篇文章被彻底分析，纳入5篇rct。由于可获得的美学参数数据有限，无法进行meta分析。然而，164个种植体显示，一年后螺钉保留种植体修复体比骨水泥修复体更有可能保留螺钉（z检验值= 3.18,p = 0.001），平均差异为-0.30 （95% CI）。结论：与骨水泥保留体相比，螺钉保留体种植体周围边缘骨丢失更低。这些发现支持在审美要求高的情况下首选氧化锆假体。临床意义：螺钉保留陶瓷假体具有最佳的美观性和最小的边缘骨质流失。骨水泥保留的假体由于假体周围过量的骨水泥，在边缘骨丢失和美观方面失败。假体周围过量骨水泥去除的疏忽导致假体周围组织的炎症，从而增加了探测深度。在假体骨水泥的过程中，严格的协议有助于去除多余的骨水泥，减少边缘骨流失，提高美观。如何引用本文：Sajjanar J， Mohite V， Benakatti V等。评价螺钉与骨水泥单种植体修复体的边缘骨丢失和美学：一项系统综述。[J]现代医学学报，2015;26(1):103-109。

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来源期刊

Journal of Contemporary Dental Practice Dentistry-Dentistry (all)

CiteScore

1.80

自引率

0.00%

发文量

174

期刊介绍： The Journal of Contemporary Dental Practice (JCDP), is a peer-reviewed, open access MEDLINE indexed journal. The journal’s full text is available online at http://www.thejcdp.com. The journal allows free access (open access) to its contents. Articles with clinical relevance will be given preference for publication. The Journal publishes original research papers, review articles, rare and novel case reports, and clinical techniques. Manuscripts are invited from all specialties of dentistry i.e., conservative dentistry and endodontics, dentofacial orthopedics and orthodontics, oral medicine and radiology, oral pathology, oral surgery, orodental diseases, pediatric dentistry, implantology, periodontics, clinical aspects of public health dentistry, and prosthodontics.