将即刻种植体植入美容区缺损牙槽窝的有效性：系统回顾与荟萃分析。

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

Journal of Prosthetic Dentistry Pub Date : 2025-02-01 DOI:10.1016/j.prosdent.2024.02.022

Rui Chen DDS, MS , Jialin Xu DDS, PhD , Shuang Wang DDS, MS , Siyi Duan DDS, MS , Zijian Wang DDS, MS , Xiaodong Zhang DDS, PhD , Yulong Tang DDS, PhD

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引用次数: 0

摘要

目的：本系统性综述和荟萃分析的目的是总结过去 20 年中关于种植体存活率以及在牙槽骨缺损的美学区域即刻植入种植体后软组织和硬组织变化的相关研究：从 2000 年 1 月到 2022 年 3 月，在 PubMed/Medline、Cochrane 图书馆、Web of Science 和 Embase 数据库中对相关研究进行了检索。文献综述、数据检索以及对纳入研究是否存在偏倚风险的判断由两名审稿人独立完成，并使用统计软件程序进行了单臂荟萃分析：共纳入了 23 项评估 630 个种植体即刻植入情况的研究（9 项研究未使用翻瓣，14 项研究使用翻瓣）。结果显示，种植体存活率为 98.1%（95% 置信区间 (CI)：96.2%, 100.0%）。6个月、12个月和≥24个月时的边缘骨损失（MBL）分别为1.03毫米（95%CI：1.02，1.03）、0.72毫米（0.72，0.73）和1.15毫米（1.14，1.16）。12 个月时的牙龈退缩为 0.25 毫米（95%CI：0.17，0.33）。粉色美观评分（PES）在12个月时为12.34（95%CI：12.16，12.52），在≥24个月时为12.58（12.39，12.76）：目前的证据表明，在美学区域的缺损牙槽窝中即刻植入种植体是可行的。就种植体存活率、MBL、牙龈退缩和 PES 而言，即刻种植具有相对较好的治疗效果。

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Effectiveness of immediate implant placement into defective sockets in the esthetic zone: A systematic review and meta-analysis

Statement of problem

A defective socket is common after tooth extraction in the esthetic zone, but whether an implant can be immediately placed in a defective socket is unclear.

Purpose

The purpose of this systematic review and meta-analysis was to summarize relevant studies within the last 20 years on implant survival and changes in soft and hard tissues after immediate implant placement in esthetic areas with socket defects.

Material and methods

A search was conducted for the relevant studies in the PubMed/Medline, the Cochrane Library, Web of Science, and Embase databases from January 2000 to March 2022. The literature review, data retrieval, and judgment whether the included studies had a risk of bias were handled independently by 2 reviewers, and a single-arm meta-analysis was performed using a statistical software program.

Results

A total of 23 studies evaluating the immediate implant placement of 630 implants (9 studies without a flap and 14 studies with a flap) were included. A 98.1% implant survival rate (95% confidence interval (CI): 96.2%, 100.0%) was determined. Marginal bone loss (MBL) at 6, 12, and ≥24 months were 1.03 mm (95%CI: 1.02, 1.03), 0.72 mm (0.72, 0.73), and 1.15 mm (1.14, 1.16). Gingival recession at 12 months was 0.25 mm (95%CI: 0.17, 0.33). The pink esthetic score (PES) were 12.34 (95%CI: 12.16, 12.52) at 12 months and 12.58 (12.39, 12.76) at ≥24 months.

Conclusions

Current evidence shows that immediate implant placement into defective sockets in esthetic areas is feasible. Immediate implant placement can have a relatively good therapeutic effect in terms of implant survival rate, MBL, gingival recession, and PES.

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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.