对于即刻种植体植入,与传统方案相比,套窝屏蔽技术可以显著减少边缘骨丢失

IF 4.1 4区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Omer Waleed Majid (REVIEWER)
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引用次数: 0

摘要

两名审稿人独立检索PubMed和Embase电子数据库,检索符合条件的文章,使用以下关键词:[部分拔牙或根膜或牙槽屏蔽或pdl介导]和牙种植体。检索纳入2010年9月至2021年1月期间发表的临床试验或队列研究,并限于英文文章,每组至少涉及10名受试者,随访≥1年。手动搜索4相关期刊也进行了。纳入的文章的数据是独立提取的,一式两份,并编制了一份排除研究的清单。任何关于纳入的分歧都由一位高级审稿人审查。对于临床试验,使用Cochrane工具评估偏倚风险。作者采用后2关键评估工具和棱镜的报告指南系统回顾(SR)。SR和荟萃分析,研究的关键因素是评价岭后尺寸稳定性插座保护技术(SST)相比传统立即植牙单牙根牙周健康的牙齿在审美的成年患者。主要结果测量指标是边际直接植入后骨质疏松(MBL)。二次结果包括软组织尺寸稳定性、植入成功,并发症发生率。SR最终纳入了10项研究;3项随机临床试验(rct)和7项(6项回顾性和1项前瞻性)队列研究。所有临床试验均显示低至不明确的偏倚风险,只有一项显示报告偏倚的高风险。截骨准备、保留根的厚度和高度降低、种植体的高度、植骨材料的使用等技术参数在研究中表现出很大的差异。在随机对照试验的荟萃分析中,标准化平均差异(SMD)的评估显示,与SMD = -2.3175[-4.53,-0.11]的总拔牙对照组相比,SST试验组的MBL显著减少(p = 0.04)。然而,在纳入的研究中发现了实质性的异质性(I2 = 93.1%;Q-test = 28.98, p < 0.001)。为了软组织的稳定性;粉红色美学评分(PES)、软组织退行度、牙周探诊深度分别有3、3、2项研究报道,均显示SST组效果较好。整体存活率植入范围从96.5%到100%的1到10年后跟随了。当在精心挑选的前牙中实施时,与传统的立即种植相比,SST对颊根部分的策略性保留在牙脊尺寸稳定性方面具有优势。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
FOR IMMEDIATE IMPLANT PLACEMENT, SOCKET SHIELD TECHNIQUE MAY SIGNIFICANTLY REDUCE MARGINAL BONE LOSS AS COMPARED TO CONVENTIONAL PROTOCOL

Article Title and Bibliographic Information

Clinical outcomes of retention of the buccal root section combined with immediate implant placement: A systematic review of longitudinal studies. Kotsakis GA, Nguyen TT, Siormpas K, Pikos MA, Pohl S, Tarnow D, Mitsias M, Root Membrane Group. Clin Implant Dent Relat Res. 2023; 25(1): 23-34. doi:10.1111/cid.13150. Epub 2022 Nov 4. PMID: 36,331,494.

Source of Funding

The study was self-funded by the authors.

Type of Study/Design

Systematic review and meta-analysis.

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来源期刊
Journal of Evidence-Based Dental Practice
Journal of Evidence-Based Dental Practice DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
6.00
自引率
16.70%
发文量
105
审稿时长
28 days
期刊介绍: The Journal of Evidence-Based Dental Practice presents timely original articles, as well as reviews of articles on the results and outcomes of clinical procedures and treatment. The Journal advocates the use or rejection of a procedure based on solid, clinical evidence found in literature. The Journal''s dynamic operating principles are explicitness in process and objectives, publication of the highest-quality reviews and original articles, and an emphasis on objectivity.
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