局部脊增强/保存。系统回顾

Joseph P. Fiorellini, Marc L. Nevins
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引用次数: 178

摘要

背景:骨整合种植体已被证明是有效的,然而,由于骨容量不足,它们的放置可能是一些患者的禁忌。引导骨再生(GBR)、即刻植入和牵张成骨(DO)等技术已被用作嵴增强治疗。基本原理:本系统综述评估采用牙脊增强或保存技术治疗的患者种植体存活率。焦点问题:在需要种植体的患者中,局部牙脊保留与不增加种植体对种植体存活和不良反应的影响是什么?检索方案:检索MEDLINE和Cochrane口腔健康组专门试验注册表。手工检索包括:临床口腔种植体研究、国际口腔颌面种植体杂志、国际牙周病与修复牙科杂志、临床牙周病学杂志、牙周病学杂志和牙周研究杂志。所有的搜索都是针对2002年4月之前发表的文章。选择标准:报告种植体在脊治疗后存活率的出版物纳入分析。描述技术的报告被排除在外。数据收集和分析:由于缺乏对照研究,未进行meta分析。描述性统计用于报告数据。审稿人解释:GBR和DO植入物的生存率相似。这些存活率与放置在天然骨中的植入物相似。牙周病杂志2003;8:321-327。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Localized Ridge Augmentation/Preservation. A Systematic Review

Background: Osseointegrated implants have been documented as efficacious, however, their placement may be contraindicated in some patients due to insufficient bone volume. Techniques such as guided bone regeneration (GBR), immediate implantation, and distraction osteogenesis (DO) have been utilized as ridge enhancement therapies.

Rationale: This systematic review evaluates dental implant survival rates in patients treated with ridge augmentation or preservation techniques.

Focused Question: In patients requiring dental implant placement, what is the effect of localized ridge preservation versus implant placement without augmentation on implant survival and adverse effects?

Search Protocol: MEDLINE and Cochrane Oral Health Group Specialized Trial Register were searched. Hand searches were performed on Clinical Oral Implants Research, International Journal of Oral and Maxillofacial Implants, International Journal of Periodontics and Restorative Dentistry, Journal of Clinical Periodontology, Journal of Periodontology, and Journal of Periodontal Research. All searches were performed for articles published through April 2002.

Selection Criteria:Publications reporting survival rate of dental implants following ridge therapy were included in the analysis. Reports describing techniques were excluded.

Data Collection and Analysis:Due to the absence of controlled studies, a meta-analysis was not performed. Descriptive statistics are used to report the data.

Reviewers' Interpretations: Survival rates were similar for both GBR and DO implants. These survival rates were similar to implants placed in native bone.

Ann Periodontol 2003;8:321-327.

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