The effect of reconstructive techniques as treatment modality for peri-implant osseous defects - a systematic review and meta-analysis.

IF 1.4 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Acta Odontologica Scandinavica Pub Date : 2023-10-01 Epub Date: 2023-08-08 DOI:10.1080/00016357.2023.2243325

Massimo Risolo, Hülya Cevik-Aras, Shariel Sayardoust

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引用次数: 0

Abstract

Objectives: The aim of this systematic review is to compare conventional peri-implant flap surgery and reconstructive surgical techniques regarding evidence of remission from peri-implantitis.

Material and methods: Searches were made among randomized controlled trials evaluating clinical aspects and the changes in marginal bone level before and after surgical treatment of peri-implantitis, with and without bone substitute.

Results: Nine published articles and 442 patients were eligible for inclusion in the study. Reconstructive techniques exhibited a greater extent of defect fill than conventional surgical techniques alone. No significant differences could be found for clinical measures of peri-implant disease (bleeding on probing and reduction of probing depth) from baseline to the 12-month follow-up.

Conclusions: With regards to the clinical measures of disease, our review shows that there are no differences between open flap debridement and regenerative surgery. From an esthetic standpoint, it may however be that regenerative measures may lead to improvement but further publications with this focus will be necessary to verify this.

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重建技术作为种植体周围骨缺损治疗方式的效果——一项系统综述和荟萃分析。

目的：本系统综述的目的是比较传统的种植体周围皮瓣手术和重建手术技术对种植体周围炎症缓解的证据。材料和方法：在随机对照试验中进行检索，评估种植体周围炎手术治疗前后的临床方面和边缘骨水平的变化，有或没有骨替代物。结果：9篇已发表的文章和442名患者符合纳入研究的条件。重建技术比单纯的传统外科技术表现出更大程度的缺损填充。从基线到12个月的随访，种植体周围疾病（探查出血和探查深度减少）的临床测量没有发现显著差异。结论：关于疾病的临床测量，我们的综述表明，开放式皮瓣清创术和再生手术之间没有差异。然而，从美学的角度来看，再生措施可能会带来改善，但有必要进一步出版以验证这一点。

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

Acta Odontologica Scandinavica 医学-牙科与口腔外科

CiteScore

4.00

自引率

5.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Acta Odontologica Scandinavica publishes papers conveying new knowledge within all areas of oral health and disease sciences.