{"title":"LONG-TERM PREDICTIVE VALUE OF BLEEDING ON PROBING IN PERI‑IMPLANTITIS DIAGNOSIS: A SYSTEMATIC REVIEW AND META-ANALYSIS","authors":"Xinbo Yu , Xinyan Lin , Feng Wang, Yiqun Wu","doi":"10.1016/j.jebdp.2024.102034","DOIUrl":"10.1016/j.jebdp.2024.102034","url":null,"abstract":"<div><h3>Objective</h3><div>This systematic review and meta-analysis aimed to evaluate the diagnostic value of bleeding on probing (BOP) for peri‑implantitis detection on implant- and patient-levels, as reported in prospective and retrospective studies with at least 5 years of follow-up.</div></div><div><h3>Materials and Methods</h3><div>A systematic search of 3 electronic databases was conducted and supplemented with a hand-search to identify clinical studies that reported the prevalence of peri‑implantitis and BOP after at least 5 years of functional loading. Random-effects meta-analyses were conducted to combine the proportions of peri‑implantitis among BOP positive implants and patients across studies. Heterogeneity was explored with subgroup analyses.</div></div><div><h3>Results</h3><div>5826 patients and 17,198 implants were included in this review. Definitions of peri‑implantitis varied between studies. Thirty studies were included for assessment. Implant-level meta-analysis was conducted in 24 studies and patient-level meta-analysis in 19 studies. Overall proportion of peri‑implantitis in BOP-positive implants was 26.5% (95% CI, 21.2 to 32.1) and 35.1% (95% CI, 27.4 to 43.1) in BOP-positive patients. Substantial heterogeneity was present, and prediction intervals were 5.2%-56% and 6.4%-71.5% at the implant- and patient-level, respectively.</div></div><div><h3>Conclusion</h3><div>Within the limitations, prevalence of peri‑implantitis was found to be around 1 third in both BOP-positive implants and patients. Prevalence varied between studies. Although a guiding clinical factor in the diagnosis of peri‑implantitis, clinicians should be aware of the significant false-positive rates of BOP.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"24 4","pages":"Article 102034"},"PeriodicalIF":4.1,"publicationDate":"2024-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142528290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Statement of Purpose/Levels of Evidence","authors":"","doi":"10.1016/S1532-3382(24)00066-6","DOIUrl":"10.1016/S1532-3382(24)00066-6","url":null,"abstract":"","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"24 3","pages":"Article 102016"},"PeriodicalIF":4.1,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142010275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Information for Readers","authors":"","doi":"10.1016/S1532-3382(24)00067-8","DOIUrl":"10.1016/S1532-3382(24)00067-8","url":null,"abstract":"","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"24 3","pages":"Article 102017"},"PeriodicalIF":4.1,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1532338224000678/pdfft?md5=eda3b2c5dc8bb29e79740cfc59ed7ee3&pid=1-s2.0-S1532338224000678-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142010276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Information for Authors","authors":"","doi":"10.1016/S1532-3382(24)00068-X","DOIUrl":"10.1016/S1532-3382(24)00068-X","url":null,"abstract":"","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"24 3","pages":"Article 102018"},"PeriodicalIF":4.1,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S153233822400068X/pdfft?md5=277b9ceef05982eea16214e81c87d2ad&pid=1-s2.0-S153233822400068X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142012817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bernadette Quah , Ali Sulaiman Al Yousef , Clement Wei Ming Lai , Raymond Chung Wen Wong , Ren Jie Jacob Chew
{"title":"Impact of Implant Design on Outcomes of Simultaneous Guided Bone Regeneration for Dehiscence Defects: A Systematic Review and Meta-Analysis","authors":"Bernadette Quah , Ali Sulaiman Al Yousef , Clement Wei Ming Lai , Raymond Chung Wen Wong , Ren Jie Jacob Chew","doi":"10.1016/j.jebdp.2024.102033","DOIUrl":"10.1016/j.jebdp.2024.102033","url":null,"abstract":"<div><h3>Objective</h3><div>This systematic review and meta-analysis aimed to determine the implications of implant design on the outcomes of simultaneous guided bone regeneration (GBR) to correct dehiscence defects.</div></div><div><h3>Methods</h3><div>A structured search strategy was applied to MEDLINE (PubMed), Cochrane Library, and Embase, to identify prospective clinical trials involving implants with simultaneous GBR to correct dehiscence defects. Data regarding implant characteristics, GBR materials, as well as dehiscence defect dimensions at implant placement and surgical re-entry was collected. Meta-analyses were performed to estimate the pooled mean for (1) baseline dehiscence defect dimensions, (2) changes in defect dimensions at re-entry, and (3) prevalence of complete defect resolution.</div></div><div><h3>Results</h3><div>4298 unique records were identified, of which 21 studies with 680 implants were included. Despite having comparable baseline defect dimensions, greater height gains were achieved by implants with machined collars (MC) than noncollared (NC) implants (4.40 mm, 95% CI [3.70, 5.11] and 3.23 mm, 95% CI [2.72, 3.75] respectively), with significant subgroup differences (<em>P</em> < .01). Specifically, superior outcomes were observed for MC with space-maintaining geometries. However, there were no significant differences in the changes in defect width, prevalence of complete defect resolution, or the prevalence of postsurgical complication rates (<em>P</em> = .15, .54, and .18 respectively).</div></div><div><h3>Conclusions</h3><div>The regenerative outcomes of GBR were influenced by the implant design. Space-maintaining machined collars provide a tenting effect that improves vertical bone gain. While additional research is required to ascertain these findings and integrate choices regarding implant design into clinical decision-making, clinicians may consider replicating this effect to enhance treatment outcomes.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"24 4","pages":"Article 102033"},"PeriodicalIF":4.1,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142528291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"CALCIUM PHOSPHATE GRAFTS COMBINED WITH GUIDED TISSUE REGENERATION IN THE TREATMENT OF PERIODONTAL BONY DEFECTS- A SYSTEMATIC REVIEW AND META-ANALYSIS","authors":"MONIREH KOUHI PhD , SABA YOUSEFI MSc , ZAHRA SADAT SAJADI-JAVAN Pharm D , ERFAN SADEGHI PhD , OMID SAVABI MD , MOHAMMADJAVAD SHIRANI DDS, MSc","doi":"10.1016/j.jebdp.2024.102022","DOIUrl":"10.1016/j.jebdp.2024.102022","url":null,"abstract":"<div><h3>Background</h3><div>The objective of this systematic review is to assess the clinical outcomes of intrabony and furcation defects treated using a regenerative approach with calcium phosphate (CP) grafts combined plus guided tissue regeneration (GTR) membrane in comparison to open flap debridement (OFD).</div></div><div><h3>Method</h3><div>A review protocol was created under PRISMA checklist to find randomized clinical trials (RCTs) in English that compared CPs plus GTR with OFD in humans with intrabony and/or furcation defects. Both electronic and manual searches were conducted. The studied outcomes were probing pocket depth (PD) and clinical attachment level (CAL). To evaluate the treatment effect, a random effects model using restricted maximum likelihood method was performed to estimate the pooled effect size and corresponding 95% confidence interval. The quality assessment of the included studies was performed using Cochrane risk of bias tools version 5.1.0.</div></div><div><h3>Results</h3><div>Out of the 451 records identified, 7 studies were subjected to meta-analysis after discarding duplicates and excluding the studies that did not meet the inclusion criteria. While treated sites were intrabony defects in 5 papers, 2 studies focused on furcation defects. Based on the findings of the meta-analysis, the weighted mean difference (WMD) of 1.536 mm (95% CI −0.933 to 2.139) and 1.601 mm (95% CI −0.727 to 2.474) was obtained for CAL gain and PD reduction, respectively, in intrabony defects. The differences between CP grafts plus GTR groups and OFD groups for CAL gain and PD reduction were statistically significant. Similarly, for furcation defects, the application of CP grafts with GTR resulted in adjunctive advantages over OFD in terms of CAL gain (WMD of 1.807 mm; 95% CI 0.346-3.268), and PD reduction (WMD of 1.519 mm, 95% CI 1.215-4.253). The analysis on the limited number of study on furcation treatment revealed a statistically significant difference in CAL gain between CP grafts plus GTR groups and OFD groups, but a nonsignificant difference for PD reduction.</div></div><div><h3>Conclusion</h3><div>The results revealed that calcium phosphate grafts combined with GTR are superior to OFD in the healing of periodontal intrabony and furcation defects, considering the limitations of the present systematic review.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"24 4","pages":"Article 102022"},"PeriodicalIF":4.1,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141844756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AHMED YASEEN ALQUTAIBI (REVIEWERS), HATEM Hazzaa HAMADALLAH, RADHWAN S. ALGABRI
{"title":"IMMEDIATE SINGLE IMPLANT PLACEMENT WITH FLAPLESS SURGERY MAY BETTER PRESERVE BUCCAL BONE THAN FLAP SURGERY, BUT CLINICAL SIGNIFICANCE IS UNCLEAR","authors":"AHMED YASEEN ALQUTAIBI (REVIEWERS), HATEM Hazzaa HAMADALLAH, RADHWAN S. ALGABRI","doi":"10.1016/j.jebdp.2024.102023","DOIUrl":"10.1016/j.jebdp.2024.102023","url":null,"abstract":"<div><h3>Article Title and Bibliographic Information</h3><p>Immediate implant placement with flap or flapless surgery: a systematic review and meta-analysis. <strong>Pitman J, Christiaens V, Callens J, Glibert M, Seyssens L, Blanco J, et al</strong>. J Clin Periodontol. 2023;50:755-64.</p></div><div><h3>Source of Funding</h3><p>The present study was funded by the authors and their institutions.</p></div><div><h3>CONFLICT OF INTEREST</h3><p>The authors have no actual or potential conflicts of interest.</p></div><div><h3>Type of Study/Design</h3><p>Systematic review and meta-analysis.</p></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"24 3","pages":"Article 102023"},"PeriodicalIF":4.1,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141852386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Adding calcium phosphate agents alongside fluorides may enhance caries prevention and remineralization, although evidence is limited","authors":"Wei Lu (REVIEWERS), Huanhuan Zhang, Fang Hua","doi":"10.1016/j.jebdp.2024.102024","DOIUrl":"10.1016/j.jebdp.2024.102024","url":null,"abstract":"<div><h3>Article Title and Bibliographic Information</h3><p>Effectiveness of Calcium Phosphate derivative agents on the prevention and remineralization of caries among children- A systematic review & meta-analysis of randomized controlled trials. <em>Singal K, Sharda S, Gupta A, Malik VS, Singh M, Chauhan A, Agarwal A, Pradhan P, Singh M</em>. J Evid Based Dent Pract. 2022; 22(3):101746.</p></div><div><h3>Source of Funding</h3><p>Indian Council of Medical Research.</p></div><div><h3>Type of Study/Design</h3><p>Systematic review with meta-analysis.</p></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"24 3","pages":"Article 102024"},"PeriodicalIF":4.1,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141839820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
KELVIN I. AFRASHTEHFAR (REVIEWERS), MUSAB H. SAEED, AL MOUTASSEM B.M. KHAIR, JONG-EUN KIM
{"title":"IMPLANT-SUPPORTED DENTAL PROSTHESES MAY PRESERVE OROFACIAL HARD AND SOFT TISSUES","authors":"KELVIN I. AFRASHTEHFAR (REVIEWERS), MUSAB H. SAEED, AL MOUTASSEM B.M. KHAIR, JONG-EUN KIM","doi":"10.1016/j.jebdp.2024.102025","DOIUrl":"10.1016/j.jebdp.2024.102025","url":null,"abstract":"<div><h3>Article Title and Bibliographic Information</h3><p>De Souza AB, Papaspyridakos P, Weber HP, Vazouras K, Matarazzo F. Effect of dental implant therapy on the preservation of orofacial tissues: A systematic review and meta-analysis. Clin Oral Implants Res. 2023;34 Suppl 26:240-256. <span><span>doi:10.1111/clr.14106</span><svg><path></path></svg></span>. PMID: <span><span>37750525</span><svg><path></path></svg></span>.</p></div><div><h3>Source of Funding</h3><p>No private or public funding was received for this research.</p></div><div><h3>CONFLICT OF INTEREST</h3><p>The authors declare that they have no competing interests.</p></div><div><h3>Type of Study/Design</h3><p>Systematic review (with meta-analysis).</p></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"24 3","pages":"Article 102025"},"PeriodicalIF":4.1,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141847789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}