Clinical Outcomes of Metal-Ceramic versus Metal-Acrylic Resin Implant-Supported Fixed Complete Dental Prostheses: A Systematic Review and Meta-analysis.

IF 2.1 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE International Journal of Prosthodontics Pub Date : 2023-05-01 DOI:10.11607/ijp.7592

Nathan Estrin, Kyung Nam, Georgios E Romanos, Jamie Saragossi, Vincent J Iacono, Seyed Hossein Bassir

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引用次数: 3

Abstract

Purpose: To compare the clinical outcomes of metal-ceramic vs metal-acrylic resin implant-supported fixed complete denture prostheses (IFCDPs).

Materials and methods: An electronic literature database search was conducted in the CINAHL, EMBASE, PubMed, and Web of Science databases. Additionally, a manual search of the literature was performed. Studies conducted in edentulous human subjects comparing clinical outcomes of metal-acrylic resin IFCDPs to those of metal-ceramic IFCDPs were included if quantitative outcomes for the following variables were reported: implant failure, prosthetic failure, incidence of peri-implantitis, incidence of peri-implant mucositis, incidence of peri-implant mucosal recession, prosthetic complications, and any patient-centered outcomes. Data from included studies were pooled to estimate effect size.

Results: Five studies met the inclusion criteria. A quantitative analysis was possible for risk of implant failure, prosthesis failure, and incidence of peri-implantitis. Meta-analysis showed no statistically significant differences in the risk of implant or prosthesis failure between the two groups. However, meta-analysis showed a significantly greater risk of developing peri-implantitis at the implant level in the metal-acrylic group when compared to the metal-ceramic group (risk difference = 0.069; 95% CI = 0.028 to 0.06; P = .001; fixed-effects model). Furthermore, descriptive analysis of the literature indicated a higher incidence of other biologic complications such as peri-implant mucositis and peri-implant mucosal recession, as well as prosthetic complications such as abrasion and veneer fracture, in metal-acrylic resin IFCDPs compared to metal-ceramic IFCDPs.

Conclusion: The available evidence suggests that a higher incidence of biologic and prosthetic complications, including a higher risk of peri-implantitis, are present with metal-acrylic resin IFCDPs compared to metal-ceramic IFCDPs.

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金属-陶瓷与金属-丙烯酸树脂种植体支持的固定全牙修复体的临床结果:系统回顾和荟萃分析。

目的:比较金属-陶瓷与金属-丙烯酸树脂种植支撑固定全口义齿(ifcdp)的临床效果。材料和方法:在CINAHL、EMBASE、PubMed和Web of Science数据库中进行电子文献数据库检索。此外，还进行了文献的手动检索。在无牙人类受试者中进行的比较金属-丙烯酸树脂ifcdp与金属-陶瓷ifcdp临床结果的研究，如果报告了以下变量的定量结果:种植体失败、假体失败、种植体周围炎发生率、种植体周围粘膜炎发生率、种植体周围粘膜萎缩发生率、假体并发症和任何以患者为中心的结果。纳入研究的数据汇总以估计效应大小。结果:5项研究符合纳入标准。可以对种植体失败、假体失败和种植体周围炎的发生率进行定量分析。meta分析显示两组间种植体或假体失败的风险无统计学差异。然而，荟萃分析显示，与金属-陶瓷组相比，金属-丙烯酸组在种植体水平发生种植体周围炎的风险明显更高(风险差异= 0.069;95% CI = 0.028 ~ 0.06;P = .001;固定后果模型)。此外，文献的描述性分析表明，与金属-陶瓷ifcdp相比，金属-丙烯酸树脂ifcdp的其他生物并发症(如种植体周围粘膜炎和种植体周围粘膜退缩)以及假体并发症(如磨损和贴面骨折)的发生率更高。结论:现有证据表明，与金属陶瓷ifcdp相比，金属丙烯酸树脂ifcdp具有更高的生物和假体并发症发生率，包括种植体周围炎的风险更高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Prosthodontics 医学-牙科与口腔外科

CiteScore

3.20

自引率

4.30%

发文量

审稿时长

6-12 weeks

期刊介绍： Official Journal of the European Association for Osseointegration (EAO), the International College of Prosthodontists (ICP), the German Society of Prosthodontics and Dental Materials Science (DGPro), and the Italian Academy of Prosthetic Dentistry (AIOP) Prosthodontics demands a clinical research emphasis on patient- and dentist-mediated concerns in the management of oral rehabilitation needs. It is about making and implementing the best clinical decisions to enhance patients'' quality of life via applied biologic architecture - a role that far exceeds that of traditional prosthetic dentistry, with its emphasis on materials and techniques. The International Journal of Prosthodontics is dedicated to exploring and developing this conceptual shift in the role of today''s prosthodontist, clinician, and educator alike. The editorial board is composed of a distinguished team of leading international scholars.