基于世界研讨会标准的种植体周围粘膜炎和种植体周围炎的患病率：一项系统回顾和荟萃分析。

IF 4.8 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of dentistry Pub Date : 2025-06-14 DOI:10.1016/j.jdent.2025.105914

Isabella Neme Ribeiro dos Reis , Aldrin André Huamán-Mendoza , Dania Ramadan , Heitor Marques Honório , Nadja Naenni , Giuseppe Alexandre Romito , Marinella Holzhausen , Claudio Mendes Pannuti

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引用次数: 0

摘要

目的：本系统综述和荟萃分析旨在使用2017年世界研讨会标准估计种植体周围粘膜炎和种植体周围炎的全球患病率。数据和来源：在MEDLINE/PubMed、SCOPUS、EMBASE和Web of Science数据库中进行了全面的电子检索。根据2017年牙周和种植周疾病和状况分类，纳入评估种植周疾病患病率的横断面研究。根据乔安娜布里格斯研究所报告流行数据的研究关键评估工具评估偏倚风险。采用混合效应模型进行meta分析。研究选择：纳入1979项研究中的20项。种植体周围粘膜炎的加权平均患病率在患者水平为63.0% (CI: 57.6% ~ 68.2%)，在种植体水平为59.2% （CI: 55.8% ~ 62.4%）。25.0% （CI: 21.1% ~ 29.3%）的患者和18.0% （CI: 15.8% ~ 20.5%）的种植体存在种植体周围炎。亚组分析显示，各大洲种植体周围粘膜炎和种植体周围炎的患病率存在显著差异。在非吸烟者中，种植体水平的种植体周围粘膜炎和种植体周围炎患病率分别为38.2% （CI: 33.4%-43.2%）和5.2% （CI: 3.6%-7.5%）。50%的研究偏倚风险为高，45%为中等，5%的研究偏倚风险为低。结论：根据2017年世界研讨会的标准，种植体周围疾病的流行是一项重大且日益增长的公共卫生挑战。我们的研究表明，大约三分之二的成人种植体有种植体周围粘膜炎，四分之一的人有种植体周围炎。临床意义：该研究首次基于标准化的2017年世界研讨会标准提供了种植体周围疾病的全球患病率估计。研究结果强调了全球种植体周围疾病的高患病率，强调了统一诊断方案和有针对性的预防和治疗策略的必要性。

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The prevalence of peri-implant mucositis and peri-implantitis based on the world workshop criteria: A systematic review and meta-analysis

Objectives

This systematic review and meta-analysis aimed to estimate the worldwide prevalence of peri-implant mucositis and peri-implantitis using the 2017 World Workshop criteria.

Data and sources

A comprehensive electronic search was performed in MEDLINE/PubMed, SCOPUS, EMBASE, and Web of Science databases. Cross-sectional studies assessing the prevalence of peri-implant diseases according to the 2017 Classification of Periodontal and Peri-Implant Diseases and Conditions classification were included. The risk of bias was assessed according to the Joanna Briggs Institute Critical Appraisal tool for Studies Reporting Prevalence Data. A mixed-effects model meta-analysis was performed.

Study selection

Twenty out of 1979 studies were included. The weighted mean prevalence of peri-implant mucositis was 63.0 % (CI: 57.6–68.2 %) at the patient level and 59.2 % (CI: 55.8–62.4 %) at the implant level. Peri-implantitis was observed in 25.0 % (CI: 21.1–29.3 %) of patients and 18.0 % (CI: 15.8–20.5 %) of implants. Subgroup analyses revealed significant differences in the prevalence of peri-implant mucositis and peri-implantitis across continents. In non-smokers, the implant-level prevalence of peri-implant mucositis and peri-implantitis was 38.2 % (CI: 33.4–43.2 %) and 5.2 % (CI: 3.6–7.5 %), respectively. The risk of bias was high in 50 %, moderate in 45 %, and low in 5 % of the studies.

Conclusions

Based on the 2017 World Workshop criteria, the prevalence of peri-implant diseases represents a significant and growing public health challenge. Our study demonstrated that approximately two in three adults with dental implants had peri-implant mucositis, and one in four had peri-implantitis.

Clinical significance

This study is the first to provide robust global prevalence estimates for peri-implant diseases based on standardized 2017 World Workshop criteria. The findings highlight the high worldwide prevalence of peri-implant diseases, emphasizing the need for uniform diagnostic protocols and targeted prevention and treatment strategies.

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来源期刊

Journal of dentistry 医学-牙科与口腔外科

CiteScore

7.30

自引率

11.40%

发文量

349

审稿时长

35 days

期刊介绍： The Journal of Dentistry has an open access mirror journal The Journal of Dentistry: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The Journal of Dentistry is the leading international dental journal within the field of Restorative Dentistry. Placing an emphasis on publishing novel and high-quality research papers, the Journal aims to influence the practice of dentistry at clinician, research, industry and policy-maker level on an international basis. Topics covered include the management of dental disease, periodontology, endodontology, operative dentistry, fixed and removable prosthodontics, dental biomaterials science, long-term clinical trials including epidemiology and oral health, technology transfer of new scientific instrumentation or procedures, as well as clinically relevant oral biology and translational research. The Journal of Dentistry will publish original scientific research papers including short communications. It is also interested in publishing review articles and leaders in themed areas which will be linked to new scientific research. Conference proceedings are also welcome and expressions of interest should be communicated to the Editor.