Assessing Dental Implant Success: A Systematic Review and Meta-Analysis of Primary Versus Secondary Implantation in Free Bone Flap Reconstruction for Malignant Tumors.

IF 2.3 3区医学 Q1 OTORHINOLARYNGOLOGY Head and Neck-Journal for the Sciences and Specialties of the Head and Neck Pub Date : 2024-12-31 DOI:10.1002/hed.28059

Sophie Dugast, Julie Longis, Marine Anquetil, Pierre Corre, Svetlana Komarova, Hélios Bertin

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Abstract

Background: Dental implantation of bone reconstructions in oncologic situations improves patients' orofacial function and quality of life. There are currently no recommendations on the timing of implantation.

Methods: This systematic review with meta-analysis aimed to compare primary and secondary dental implantation of free bone flaps in reconstructions for malignant tumors of the oral cavity. The primary objective was to evaluate the implant survival rate, with secondary criteria including time to prosthesis placement, postoperative complications, and data on quality of life. Results-Three databases were screened for articles published between January 1990 and April 2024. Out of 2438 studies, 16 met the eligibility criteria, encompassing 284 patients. In total, 319 implants were placed in the primary implantation group and 1108 in the second group. Implant survival rate was 92.5% in the primary implantation group compared to 88.5% in the secondary implantation group. This systematic review underscores a higher success rate for implants placed primarily in patients with oral cancer.

Conclusions: Given the rapid functional and aesthetic improvement offered by prosthetic rehabilitation, primary implantation should be systematically considered in the oncological population.

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评估植牙成功率：恶性肿瘤游离骨瓣重建中一次种植与二次种植的系统回顾与荟萃分析》。

背景：肿瘤患者种植骨重建可改善患者的口面部功能和生活质量。目前还没有关于植入时间的建议。方法：本系统综述与荟萃分析旨在比较游离骨瓣在口腔恶性肿瘤重建中的原发性和继发性牙种植。主要目的是评估种植体存活率，次要标准包括种植体放置时间、术后并发症和生活质量数据。结果：在三个数据库中筛选1990年1月至2024年4月间发表的文章。在2438项研究中，16项符合资格标准，包括284例患者。第一组共放置319颗种植体，第二组共放置1108颗种植体。第一次种植组种植体存活率为92.5%，第二次种植组为88.5%。该系统综述强调了主要用于口腔癌患者的种植成功率较高。结论：鉴于义肢康复能迅速改善功能和美观，肿瘤患者应系统地考虑初次植入术。

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来源期刊

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck 医学-耳鼻喉科学

CiteScore

7.00

自引率

6.90%

发文量

278

审稿时长

1.6 months

期刊介绍： Head & Neck is an international multidisciplinary publication of original contributions concerning the diagnosis and management of diseases of the head and neck. This area involves the overlapping interests and expertise of several surgical and medical specialties, including general surgery, neurosurgery, otolaryngology, plastic surgery, oral surgery, dermatology, ophthalmology, pathology, radiotherapy, medical oncology, and the corresponding basic sciences.

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