Massimo Del Fabbro, Silvio Taschieri, Stefano Corbella
{"title":"不同材料侧入路上颌窦底增强术的疗效分析。系统回顾","authors":"Massimo Del Fabbro, Silvio Taschieri, Stefano Corbella","doi":"10.1111/cid.70053","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Maxillary sinus floor augmentation (MSFA) with lateral approach has undergone considerable changes since its inception, mainly due to the introduction of a variety of grafting materials and surgical protocols, with the aim of providing predictable and durable support to implants and improving treatment outcomes. The aim of this systematic review was to evaluate the performance of MSFA in terms of graft stability and implant survival, based on randomized clinical trials.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>The study protocol was registered on PROSPERO. An electronic search was performed on Medline, Embase, and CENTRAL databases, integrated with hand-searching on the main pertinent Journals and search of gray literature. Randomized studies on MSFA with a lateral approach reporting on radiographic changes in graft height or volume after at least six months of healing, implant survival, and marginal bone level changes after at least 12 months of loading were included. Two independent reviewers selected the studies. Studies included underwent data extraction and risk of bias assessment using the ROB 2.0 Cochrane tool.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Out of 3922 studies retrieved, 49 studies (57 articles) were included for data extraction and qualitative analysis. These studies reported on 1265 patients and 1722 MSFA procedures. Thirteen studies were at low risk, 30 had some concerns, and six were at high risk of bias. No quantitative synthesis was possible due to the characteristics of the studies and their methodology. The overall implant survival rate ranged from 84.6% to 100% without evidence of any relevant difference related to the grafting material.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>The results of this review, based on descriptive statistics, may suggest that the success of the lateral MSFA procedure is independent of the graft type, at least in the short term. To verify this interpretation, formal statistical analyses on trustworthy and more detailed clinical data are needed. Also, long-term data on graft dimensional stability from evidence-based studies are needed.</p>\n </section>\n </div>","PeriodicalId":50679,"journal":{"name":"Clinical Implant Dentistry and Related Research","volume":"27 3","pages":""},"PeriodicalIF":3.7000,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cid.70053","citationCount":"0","resultStr":"{\"title\":\"Efficacy of Different Materials for Maxillary Sinus Floor Augmentation With Lateral Approach. A Systematic Review\",\"authors\":\"Massimo Del Fabbro, Silvio Taschieri, Stefano Corbella\",\"doi\":\"10.1111/cid.70053\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>Maxillary sinus floor augmentation (MSFA) with lateral approach has undergone considerable changes since its inception, mainly due to the introduction of a variety of grafting materials and surgical protocols, with the aim of providing predictable and durable support to implants and improving treatment outcomes. The aim of this systematic review was to evaluate the performance of MSFA in terms of graft stability and implant survival, based on randomized clinical trials.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>The study protocol was registered on PROSPERO. An electronic search was performed on Medline, Embase, and CENTRAL databases, integrated with hand-searching on the main pertinent Journals and search of gray literature. Randomized studies on MSFA with a lateral approach reporting on radiographic changes in graft height or volume after at least six months of healing, implant survival, and marginal bone level changes after at least 12 months of loading were included. Two independent reviewers selected the studies. Studies included underwent data extraction and risk of bias assessment using the ROB 2.0 Cochrane tool.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Out of 3922 studies retrieved, 49 studies (57 articles) were included for data extraction and qualitative analysis. These studies reported on 1265 patients and 1722 MSFA procedures. Thirteen studies were at low risk, 30 had some concerns, and six were at high risk of bias. No quantitative synthesis was possible due to the characteristics of the studies and their methodology. The overall implant survival rate ranged from 84.6% to 100% without evidence of any relevant difference related to the grafting material.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>The results of this review, based on descriptive statistics, may suggest that the success of the lateral MSFA procedure is independent of the graft type, at least in the short term. To verify this interpretation, formal statistical analyses on trustworthy and more detailed clinical data are needed. 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Efficacy of Different Materials for Maxillary Sinus Floor Augmentation With Lateral Approach. A Systematic Review
Background
Maxillary sinus floor augmentation (MSFA) with lateral approach has undergone considerable changes since its inception, mainly due to the introduction of a variety of grafting materials and surgical protocols, with the aim of providing predictable and durable support to implants and improving treatment outcomes. The aim of this systematic review was to evaluate the performance of MSFA in terms of graft stability and implant survival, based on randomized clinical trials.
Methods
The study protocol was registered on PROSPERO. An electronic search was performed on Medline, Embase, and CENTRAL databases, integrated with hand-searching on the main pertinent Journals and search of gray literature. Randomized studies on MSFA with a lateral approach reporting on radiographic changes in graft height or volume after at least six months of healing, implant survival, and marginal bone level changes after at least 12 months of loading were included. Two independent reviewers selected the studies. Studies included underwent data extraction and risk of bias assessment using the ROB 2.0 Cochrane tool.
Results
Out of 3922 studies retrieved, 49 studies (57 articles) were included for data extraction and qualitative analysis. These studies reported on 1265 patients and 1722 MSFA procedures. Thirteen studies were at low risk, 30 had some concerns, and six were at high risk of bias. No quantitative synthesis was possible due to the characteristics of the studies and their methodology. The overall implant survival rate ranged from 84.6% to 100% without evidence of any relevant difference related to the grafting material.
Conclusion
The results of this review, based on descriptive statistics, may suggest that the success of the lateral MSFA procedure is independent of the graft type, at least in the short term. To verify this interpretation, formal statistical analyses on trustworthy and more detailed clinical data are needed. Also, long-term data on graft dimensional stability from evidence-based studies are needed.
期刊介绍：
The goal of Clinical Implant Dentistry and Related Research is to advance the scientific and technical aspects relating to dental implants and related scientific subjects. Dissemination of new and evolving information related to dental implants and the related science is the primary goal of our journal.
The range of topics covered by the journals will include but be not limited to:
New scientific developments relating to bone
Implant surfaces and their relationship to the surrounding tissues
Computer aided implant designs
Computer aided prosthetic designs
Immediate implant loading
Immediate implant placement
Materials relating to bone induction and conduction
New surgical methods relating to implant placement
New materials and methods relating to implant restorations
Methods for determining implant stability
A primary focus of the journal is publication of evidenced based articles evaluating to new dental implants, techniques and multicenter studies evaluating these treatments. In addition basic science research relating to wound healing and osseointegration will be an important focus for the journal.
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