Victor Augusto Alves Bento, Cleber Davi Del Rei Daltro Rosa, Leonardo Ferreira de Toledo Piza Lopes, Cleidiel Aparecido de Araújo Lemos, Eduardo Miyashita, Eduardo Piza Pellizzer
{"title":"单后路种植体支持固定假体咬合变化的数字分析:临床试验研究的系统回顾和荟萃分析。","authors":"Victor Augusto Alves Bento, Cleber Davi Del Rei Daltro Rosa, Leonardo Ferreira de Toledo Piza Lopes, Cleidiel Aparecido de Araújo Lemos, Eduardo Miyashita, Eduardo Piza Pellizzer","doi":"10.4047/jap.2025.17.4.247","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>This systematic review and meta- analysis aimed to evaluate the occlusion variations in single posterior implant supported fixed prostheses.</p><p><strong>Materials and methods: </strong>The preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines were followed and the study was registered in the international prospective register of systematic reviews (PROSPERO) platform (CRD42024501657). A systematic search of the PubMed/MEDLINE, Embase, Web of Science, and Cochrane Library databases published until December 2024 was done by 2 independent reviewers, without restriction of language or publication date. A meta-analysis was performed using the R version 4.0.2, considering the significance level <i>P</i> < .05. Quality assessments were performed using the ROBINS-I tool.</p><p><strong>Results: </strong>Five studies were included, totaling 150 participants and 146 posterior single implant-supported fixed prostheses evaluated over time. The meta-analyses were performed with different follow-up months to evaluate the means in percentage the occlusal variations: 0,5 months (5,91%); 3 months (7,70%); 6 months (8,29%); 12 months (13,01%); 24 months (14,31%); 36 months (19,41%). Significant difference (<i>P</i> < .05) was presented from 12 months of follow-up.</p><p><strong>Conclusion: </strong>Implant-supported prostheses present occlusal variations after installation, with a progressive increase over time, being significant after 12 months of installation. Therefore, careful long-term monitoring of occlusion is essential, with occlusal adjustments being considered when necessary.</p>","PeriodicalId":51291,"journal":{"name":"Journal of Advanced Prosthodontics","volume":"17 4","pages":"247-258"},"PeriodicalIF":2.5000,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12411302/pdf/","citationCount":"0","resultStr":"{\"title\":\"Digital analysis of occlusion variations in single posterior implant-supported fixed prostheses: a systematic review and meta-analysis of clinical trial studies.\",\"authors\":\"Victor Augusto Alves Bento, Cleber Davi Del Rei Daltro Rosa, Leonardo Ferreira de Toledo Piza Lopes, Cleidiel Aparecido de Araújo Lemos, Eduardo Miyashita, Eduardo Piza Pellizzer\",\"doi\":\"10.4047/jap.2025.17.4.247\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>This systematic review and meta- analysis aimed to evaluate the occlusion variations in single posterior implant supported fixed prostheses.</p><p><strong>Materials and methods: </strong>The preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines were followed and the study was registered in the international prospective register of systematic reviews (PROSPERO) platform (CRD42024501657). A systematic search of the PubMed/MEDLINE, Embase, Web of Science, and Cochrane Library databases published until December 2024 was done by 2 independent reviewers, without restriction of language or publication date. A meta-analysis was performed using the R version 4.0.2, considering the significance level <i>P</i> < .05. Quality assessments were performed using the ROBINS-I tool.</p><p><strong>Results: </strong>Five studies were included, totaling 150 participants and 146 posterior single implant-supported fixed prostheses evaluated over time. The meta-analyses were performed with different follow-up months to evaluate the means in percentage the occlusal variations: 0,5 months (5,91%); 3 months (7,70%); 6 months (8,29%); 12 months (13,01%); 24 months (14,31%); 36 months (19,41%). Significant difference (<i>P</i> < .05) was presented from 12 months of follow-up.</p><p><strong>Conclusion: </strong>Implant-supported prostheses present occlusal variations after installation, with a progressive increase over time, being significant after 12 months of installation. Therefore, careful long-term monitoring of occlusion is essential, with occlusal adjustments being considered when necessary.</p>\",\"PeriodicalId\":51291,\"journal\":{\"name\":\"Journal of Advanced Prosthodontics\",\"volume\":\"17 4\",\"pages\":\"247-258\"},\"PeriodicalIF\":2.5000,\"publicationDate\":\"2025-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12411302/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Advanced Prosthodontics\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.4047/jap.2025.17.4.247\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/8/19 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q1\",\"JCRName\":\"DENTISTRY, ORAL SURGERY & MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Advanced Prosthodontics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.4047/jap.2025.17.4.247","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/8/19 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
引用次数: 0
摘要
目的:本系统综述和荟萃分析旨在评估单一后牙种植体支撑固定假体的咬合变化。材料和方法:遵循系统评价和荟萃分析(PRISMA)指南的首选报告项目,该研究已在国际前瞻性系统评价(PROSPERO)平台注册(CRD42024501657)。系统检索PubMed/MEDLINE、Embase、Web of Science和Cochrane Library数据库,截止到2024年12月,由2名独立审稿人完成,不受语言和出版日期的限制。采用R版本4.0.2进行meta分析,考虑显著性水平P < 0.05。使用ROBINS-I工具进行质量评估。结果:我们纳入了5项研究,共150名参与者,并对146个后路单种植体支持的固定假体进行了评估。对不同随访月份进行meta分析,以评估咬合变化的百分比平均值:0.5个月(5.91%);3个月(7.70%);6个月(8.29%);12个月(13.01%);24个月(14.31%);36个月(19.41%)。随访12个月,差异有统计学意义(P < 0.05)。结论:种植体支持的假体在安装后出现咬合变化,随着时间的推移逐渐增加,在安装12个月后表现明显。因此,仔细的长期监测咬合是必不可少的,必要时考虑调整咬合。
Digital analysis of occlusion variations in single posterior implant-supported fixed prostheses: a systematic review and meta-analysis of clinical trial studies.
Purpose: This systematic review and meta- analysis aimed to evaluate the occlusion variations in single posterior implant supported fixed prostheses.
Materials and methods: The preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines were followed and the study was registered in the international prospective register of systematic reviews (PROSPERO) platform (CRD42024501657). A systematic search of the PubMed/MEDLINE, Embase, Web of Science, and Cochrane Library databases published until December 2024 was done by 2 independent reviewers, without restriction of language or publication date. A meta-analysis was performed using the R version 4.0.2, considering the significance level P < .05. Quality assessments were performed using the ROBINS-I tool.
Results: Five studies were included, totaling 150 participants and 146 posterior single implant-supported fixed prostheses evaluated over time. The meta-analyses were performed with different follow-up months to evaluate the means in percentage the occlusal variations: 0,5 months (5,91%); 3 months (7,70%); 6 months (8,29%); 12 months (13,01%); 24 months (14,31%); 36 months (19,41%). Significant difference (P < .05) was presented from 12 months of follow-up.
Conclusion: Implant-supported prostheses present occlusal variations after installation, with a progressive increase over time, being significant after 12 months of installation. Therefore, careful long-term monitoring of occlusion is essential, with occlusal adjustments being considered when necessary.
期刊介绍:
This journal aims to convey scientific and clinical progress in the field of prosthodontics and its related areas to many dental communities concerned with esthetic and functional restorations, occlusion, implants, prostheses, and biomaterials related to prosthodontics.
This journal publishes
• Original research data of high scientific merit in the field of diagnosis, function, esthetics and stomatognathic physiology related to prosthodontic rehabilitation, physiology and mechanics of occlusion, mechanical and biologic aspects of prosthodontic materials including dental implants.
• Review articles by experts on controversies and new developments in prosthodontics.
• Case reports if they provide or document new fundamental knowledge.