评估贴面氧化锆与整体氧化锆全弓种植体支持修复体的临床表现：系统回顾和荟萃分析。

IF 4.3 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Prosthetic Dentistry Pub Date : 2024-11-01 DOI:10.1016/j.prosdent.2023.07.021

Sara Martakoush-Saleh DDS, MSc , Angel-Orión Salgado-Peralvo DDS, MSc, MPH, PhD , Juan-Francisco Peña-Cardelles DDS, MSc, PhD , Naresh Kewalramani DDS, MSc, MSc , German O. Gallucci DMD, PhD

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引用次数: 0

摘要

问题陈述：由于氧化锆在牙科中的应用相对较新，尽管材料选择是影响临床表现的一个重要因素，但已发表的相关研究数量却很少。目的：本系统综述和荟萃分析的目的是研究长石瓷贴面氧化锆（VZir）与整体氧化锆（MZir）全弓种植体支持修复体（CAISPs）的存活率和成功率。次要目的是评估加载类型、有无悬臂、使用的氧化锆类型、位置和对侧牙弓对并发症发生率和患者满意度的影响：对 MEDLINE 数据库（通过 PubMed）、Scopus、Science Direct、Cochrane Library 和 OpenGrey 进行了电子检索。采用了系统综述和荟萃分析声明的首选报告项目中描述的标准。检索时间限于 2000 年 1 月至 2022 年 1 月：结果：通过系统检索，共有 20 篇文章符合既定标准。共分析了751名患者（VZir=302；MZir=449）的3038个CAISP（VZir=368；MZir=2670）。与 VZir CAISP 相比，MZir 的假体存活率和成功率更高（分别为 100% 和 95.45%）。荟萃分析发现，与VZir（33.7% [17.5%-49.9%]）相比，MZir（9.4% [4.8%-14.1%]）的并发症明显较少：根据此次系统性回顾的结果，MZir CAISP的存活率和成功率均高于VZir CAISP，假体并发症也明显较少。功能性加载的类型、悬臂的存在、修复工作流程中使用的材料、CAISP的位置以及拮抗弓的类型等因素对Zir CAISP性能的影响仍不清楚。

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Evaluating the clinical behavior of veneered zirconia in comparison with monolithic zirconia complete arch implant-supported prostheses: A systematic review and meta-analysis

Statement of problem

Because the use of zirconia in dentistry is relatively new, the number of published studies on the subject is scarce, even though material selection is an important factor in clinical performance. Therefore, a systematic assessment of the impact of the prosthetic material, framework design, veneering material, and manufacturing process is required.

Purpose

The purpose of this systematic review and meta-analysis was to investigate the survival and success rates of feldspathic porcelain veneered zirconia (VZir) in comparison with monolithic zirconia (MZir) complete arch implant-supported prostheses (CAISPs). A secondary objective was to assess the influence of the type of loading, the presence or absence of a cantilever, the type of zirconia used, the location, and the opposing arch on complications rates and patient satisfaction.

Material and methods

An electronic search of the MEDLINE database (via PubMed), Scopus, Science Direct, Cochrane Library, and OpenGrey was carried out. The criteria described in the preferred reporting items for systematic reviews and meta-analyses statement were used. The search was restricted from January 2000 to January 2022.

Results

The systematic search resulted in 20 articles that met the established criteria. In total, 751 patients (VZir=302; MZir=449) with 3038 CAISPs (VZir=368; MZir=2670) were analyzed. Higher prosthetic survival and success rates were found in MZir compared with VZir CAISPs (100% and 95.45%, respectively). The meta-analysis found significantly fewer complications related to MZir (9.4% [4.8%-14.1%]) compared with VZir (33.7% [17.5%-49.9%]).

Conclusions

Based on the findings of this systematic review, MZir CAISPs had higher survival and success rates than VZir CAISPs, with significantly fewer prosthetic complications. The influence of factors such as the type of functional loading, the presence of a cantilever, the material used in the prosthodontic workflow, the location of the CAISP, and the type of antagonist arch on the performance of Zir CAISPs remains unclear.

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来源期刊

Journal of Prosthetic Dentistry 医学-牙科与口腔外科

CiteScore

7.00

自引率

13.00%

发文量

599

审稿时长

69 days

期刊介绍： The Journal of Prosthetic Dentistry is the leading professional journal devoted exclusively to prosthetic and restorative dentistry. The Journal is the official publication for 24 leading U.S. international prosthodontic organizations. The monthly publication features timely, original peer-reviewed articles on the newest techniques, dental materials, and research findings. The Journal serves prosthodontists and dentists in advanced practice, and features color photos that illustrate many step-by-step procedures. The Journal of Prosthetic Dentistry is included in Index Medicus and CINAHL.