Timing of keratinized mucosa augmentation and peri-implant outcomes: A systematic review and meta-analysis.

IF 3.4 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Anahita Moscowchi, Reza Amid, Mohammad Nahvi, Nazli Rastkar
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引用次数: 0

Abstract

Purpose: This study aimed to compare different surgical timings for keratinized mucosa (KM) augmentation and assess the impact on peri-implant parameters stability.

Methods: Electronic searches were conducted through MEDLINE (via PubMed), Scopus, Embase, and Web of Science up to June 13, 2024, which was completed with a manual search. The inclusion criteria focused on randomized and non-randomized human clinical studies that assessed outcomes of KM augmentation, with at least 3-months follow-up. The analysis included changes in KM width over time and several secondary outcomes.

Results: Twenty-five studies satisfied the inclusion criteria. The studies included 855 patients and 1588 implants. The KM width significantly increased after surgery, regardless of the time or method of intervention (MD: 5.17, 95% CI: 4.59, 5.75, p<0.001). The second-stage surgery, particularly with the use of autogenous graft, indicated the lowest reduction in KM width up to 3 months after surgery, while a significant shrinkage was found when the augmentation was performed post-restoratively.

Conclusion: The evidence suggests that second-stage surgery is acceptable for KM augmentation, whereas the post-restorative phase is generally not the primary option. In cases where suboptimal soft tissue conditions are detected, it is advisable to either undertake KM augmentation or refer the patient for additional assessment before proceeding with the delivery of the restoration. Due to limited data, it is not possible to come to a definitive conclusion about the other surgical phases.

角质化粘膜增强的时机和种植体周围的结果:系统回顾和荟萃分析。
目的:本研究旨在比较角化粘膜(KM)隆胸的不同手术时机,并评估对种植体周围参数稳定性的影响。方法:截止到2024年6月13日,通过MEDLINE(通过PubMed)、Scopus、Embase和Web of Science进行电子检索,人工检索完成。纳入标准侧重于随机和非随机的人类临床研究,评估KM增强的结果,至少有3个月的随访。分析包括KM宽度随时间的变化和几个次要结果。结果:25项研究符合纳入标准。这些研究包括855名患者和1588个植入物。无论干预的时间和方法如何,术后KM宽度均显著增加(MD: 5.17, 95% CI: 4.59, 5.75, p)。结论:有证据表明,第二阶段的手术是可以接受的,而修复后的阶段通常不是主要选择。在检测到软组织状况不佳的情况下,建议在进行修复之前进行KM增强或转介患者进行额外评估。由于资料有限,不可能对其他手术阶段得出明确的结论。
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
CiteScore
7.90
自引率
15.00%
发文量
171
审稿时长
6-12 weeks
期刊介绍: The Journal of Prosthodontics promotes the advanced study and practice of prosthodontics, implant, esthetic, and reconstructive dentistry. It is the official journal of the American College of Prosthodontists, the American Dental Association-recognized voice of the Specialty of Prosthodontics. The journal publishes evidence-based original scientific articles presenting information that is relevant and useful to prosthodontists. Additionally, it publishes reports of innovative techniques, new instructional methodologies, and instructive clinical reports with an interdisciplinary flair. The journal is particularly focused on promoting the study and use of cutting-edge technology and positioning prosthodontists as the early-adopters of new technology in the dental community.
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