种植体-基台连接及其对种植体存活率和边缘骨水平变化的影响(Δ): 45,347个口腔种植体的系统回顾和荟萃分析。

IF 1.7 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

International Journal of Oral & Maxillofacial Implants Pub Date : 2023-05-01 DOI:10.11607/jomi.10411

Todd R Schoenbaum, E Dwayne Karateew, Angela Schmidt, Chaniun Jadsadakraisorn, Jörg Neugebauer, Clark M Stanford

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Data from included articles were grouped by implant-abutment connection type into four categories ([1] external hex; [2] bone level, internal, narrow cone < 45 degrees; [3] bone level, internal wide cone ≥ 45 degrees or flat; and [4] tissue level) and duration of follow-up (short-term 1 to 2 years, mid-term 2 to 5 years, and long-term > 5 years). Meta-analyses were performed for cumulative survival rate (CSR) and changes in marginal bone level (ΔMBL) from baseline (loading) to last reported follow-up. Studies were split or merged as appropriate based on the implants and follow-up duration in the study and trial design. The study was compiled under PRISMA 2020 guidelines and registered in the PROSPERO database. Results: A total of 3,082 articles were screened. Full-text review of 465 articles resulted in a total of 270 articles (representing 16,448 subjects with 45,347 implants) included for quantitative synthesis and analysis. Mean ΔMBL (95% CI) was as follows: short-term external hex = 0.68 mm (0.57, 0.79); short-term bone level, internal, narrow cone < 45 degrees = 0.34 mm (0.25, 0.43); short-term bone level, internal wide cone ≥ 45 degrees = 0.63 mm (0.52, 0.74); short-term tissue level = 0.42 mm (0.27, 0.56); mid-term external hex = 1.03 mm (0.72, 1.34); mid-term bone level, internal, narrow cone < 45 degrees = 0.45 mm (0.34, 0.56); mid-term bone level, internal wide cone ≥ 45 degrees = 0.73 mm (0.58, 0.88); mid-term tissue level = 0.4 mm (0.21, 0.61); long-term external hex = 0.98 mm, 0.70, 1.25); long-term bone level, internal, narrow cone < 45 degrees = 0.44 mm (0.31, 0.57); long-term bone level, internal wide cone ≥ 45 degrees = 0.95 mm (0.68, 1.22); and long-term tissue level = 0.43 mm (0.24, 0.61). CSRs (95% CI) were: short-term external hex = 97% (96%, 98%); short-term bone level, internal, narrow cone < 45 degrees = 99% (99%, 99%); short-term bone level, internal wide cone ≥ 45 degrees = 98% (98%, 99%); short-term tissue level = 99% (98%, 100%); mid-term external hex = 97% (96%, 98%); mid-term bone level, internal, narrow cone < 45 degrees = 98% (98%, 99%); mid-term bone level, internal wide cone ≥ 45 degrees = 99% (98%, 99%); mid-term tissue level = 98% (97%, 99%); long-term external hex = 96% (95%, 98%); long-term bone level, internal, narrow cone < 45 degrees = 98% (98%, 99%); long-term bone level, internal wide cone ≥ 45 degrees = 99% (98%, 100%); and long-term tissue level = 99% (98%, 100%). Conclusion: The configuration of the implant-abutment interface has a measurable effect on the ΔMBL over time. These changes can be observed over a period of at least 3 to 5 years. 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引用次数: 0

摘要

目的:量化口腔种植体的累积存活率和基于种植体-基台连接类型配置的x线骨水平随时间的变化。材料和方法:在四个数据库(PubMed/MEDLINE、Cochrane Library、Web of Science和Embase)中进行电子文献检索，并根据纳入标准由两名独立审稿人进行审阅。纳入文献的数据按种植体-基台连接类型分为四类[1]外六角;[2]骨水平，内部，窄锥< 45度;[3]骨水平，内宽锥体≥45度或平整;[4]组织水平)和随访时间(短期1 ~ 2年，中期2 ~ 5年，长期> 5年)。从基线(负荷)到最后一次报告的随访，对累积存活率(CSR)和边缘骨水平(ΔMBL)的变化进行了荟萃分析。根据研究和试验设计中的植入物和随访时间适当拆分或合并研究。该研究是根据PRISMA 2020指南编制的，并在PROSPERO数据库中注册。结果:共筛选3082篇文献。全文综述465篇文章，共纳入270篇文章(代表16,448个受试者，45,347个植入物)进行定量综合和分析。平均ΔMBL (95% CI)如下:短期外六角= 0.68 mm (0.57, 0.79);短期骨水平，内部，窄锥体< 45度= 0.34 mm (0.25, 0.43);短期骨水平，内宽锥≥45度= 0.63 mm (0.52, 0.74);短期组织水平= 0.42 mm (0.27, 0.56);中期外六角= 1.03 mm (0.72, 1.34);中期骨水平，内部，窄锥体< 45度= 0.45 mm (0.34, 0.56);中期骨位，内宽锥体≥45度= 0.73 mm (0.58, 0.88);中期组织水平= 0.4 mm (0.21, 0.61);长期外六角= 0.98 mm, 0.70, 1.25);长期骨水平，内部，窄锥体< 45度= 0.44 mm (0.31, 0.57);长期骨水平，内宽锥体≥45度= 0.95 mm (0.68, 1.22);长期组织水平= 0.43 mm(0.24, 0.61)。CSRs (95% CI)为:短期外置hex = 97% (96%， 98%);短期骨水平，内部，窄锥体< 45度= 99% (99%，99%);短期骨水平，内宽锥体≥45度= 98% (98%，99%);短期组织水平= 99% (98%，100%);中期外六角= 97% (96%，98%);中期骨水平，内部，窄锥体< 45度= 98% (98%，99%);中期骨水平，内宽锥体≥45度= 99% (98%，99%);中期组织水平= 98% (97%，99%);长期外六角= 96% (95%，98%);长期骨水平，内部，窄锥体< 45度= 98% (98%，99%);长期骨水平，内宽锥体≥45度= 99% (98%，100%);长期组织水平= 99%(98%，100%)。结论:随着时间的推移，种植体-基台界面的结构对ΔMBL有显著的影响。这些变化可以在至少3至5年的时间内观察到。在所有测量的时间间隔内，对于外部六角和内部宽锥≥45度连接，以及内部，窄锥< 45度和组织级连接，都注意到类似的ΔMBL。

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Implant-Abutment Connections and Their Effect on Implant Survival Rates and Changes in Marginal Bone Levels (Δ): A Systematic Review and Meta-Analysis of 45,347 Oral Implants.

Purpose: To quantify the cumulative oral implant survival rates and changes in radiographic bone levels based on the configuration of the implant-abutment connection type over time. Materials and Methods: An electronic literature search was conducted in four databases (PubMed/MEDLINE, Cochrane Library, Web of Science, and Embase), and records were refereed by two independent reviewers based on the inclusion criteria. Data from included articles were grouped by implant-abutment connection type into four categories ([1] external hex; [2] bone level, internal, narrow cone < 45 degrees; [3] bone level, internal wide cone ≥ 45 degrees or flat; and [4] tissue level) and duration of follow-up (short-term 1 to 2 years, mid-term 2 to 5 years, and long-term > 5 years). Meta-analyses were performed for cumulative survival rate (CSR) and changes in marginal bone level (ΔMBL) from baseline (loading) to last reported follow-up. Studies were split or merged as appropriate based on the implants and follow-up duration in the study and trial design. The study was compiled under PRISMA 2020 guidelines and registered in the PROSPERO database. Results: A total of 3,082 articles were screened. Full-text review of 465 articles resulted in a total of 270 articles (representing 16,448 subjects with 45,347 implants) included for quantitative synthesis and analysis. Mean ΔMBL (95% CI) was as follows: short-term external hex = 0.68 mm (0.57, 0.79); short-term bone level, internal, narrow cone < 45 degrees = 0.34 mm (0.25, 0.43); short-term bone level, internal wide cone ≥ 45 degrees = 0.63 mm (0.52, 0.74); short-term tissue level = 0.42 mm (0.27, 0.56); mid-term external hex = 1.03 mm (0.72, 1.34); mid-term bone level, internal, narrow cone < 45 degrees = 0.45 mm (0.34, 0.56); mid-term bone level, internal wide cone ≥ 45 degrees = 0.73 mm (0.58, 0.88); mid-term tissue level = 0.4 mm (0.21, 0.61); long-term external hex = 0.98 mm, 0.70, 1.25); long-term bone level, internal, narrow cone < 45 degrees = 0.44 mm (0.31, 0.57); long-term bone level, internal wide cone ≥ 45 degrees = 0.95 mm (0.68, 1.22); and long-term tissue level = 0.43 mm (0.24, 0.61). CSRs (95% CI) were: short-term external hex = 97% (96%, 98%); short-term bone level, internal, narrow cone < 45 degrees = 99% (99%, 99%); short-term bone level, internal wide cone ≥ 45 degrees = 98% (98%, 99%); short-term tissue level = 99% (98%, 100%); mid-term external hex = 97% (96%, 98%); mid-term bone level, internal, narrow cone < 45 degrees = 98% (98%, 99%); mid-term bone level, internal wide cone ≥ 45 degrees = 99% (98%, 99%); mid-term tissue level = 98% (97%, 99%); long-term external hex = 96% (95%, 98%); long-term bone level, internal, narrow cone < 45 degrees = 98% (98%, 99%); long-term bone level, internal wide cone ≥ 45 degrees = 99% (98%, 100%); and long-term tissue level = 99% (98%, 100%). Conclusion: The configuration of the implant-abutment interface has a measurable effect on the ΔMBL over time. These changes can be observed over a period of at least 3 to 5 years. At all measured time intervals, similar ΔMBL was noted for external hex and internal wide cone ≥ 45-degree connections, as were internal, narrow cone < 45-degree and tissue-level connections.

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来源期刊

International Journal of Oral & Maxillofacial Implants 医学-牙科与口腔外科

CiteScore

3.30

自引率

5.00%

发文量

115

审稿时长

6 months

期刊介绍： Edited by Steven E. Eckert, DDS, MS ISSN (Print): 0882-2786 ISSN (Online): 1942-4434 This highly regarded, often-cited journal integrates clinical and scientific data to improve methods and results of oral and maxillofacial implant therapy. It presents pioneering research, technology, clinical applications, reviews of the literature, seminal studies, emerging technology, position papers, and consensus studies, as well as the many clinical and therapeutic innovations that ensue as a result of these efforts. The editorial board is composed of recognized opinion leaders in their respective areas of expertise and reflects the international reach of the journal. Under their leadership, JOMI maintains its strong scientific integrity while expanding its influence within the field of implant dentistry. JOMI’s popular regular feature "Thematic Abstract Review" presents a review of abstracts of recently published articles on a specific topical area of interest each issue.