This review evaluates the effect of magnesium (Mg)-doped coatings on the osseointegration of titanium (Ti)-based implants. The recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses and the PRISMA 2020 Statement were followed, with registration in PROSPERO (CRD42024572571). The PICOS strategy was based on population: dental implants; intervention: Mg coatings; control: surfaces without Mg; outcomes: bone–implant contact (BIC), bone area (BA), implant stability coefficient (ISQ), and removal torque (RTQ); and study Design: in vivo studies. The SYRCLE tool was used to assess the risk of bias of animal studies. Meta-analyses were performed, using a random-effect model and 95% confidence interval. Twenty-three records were included, and 21 were enrolled in the meta-analyses. The most commonly used Mg doping method was microarc oxidation. The Mg-doped coatings, significantly favored pooled BIC values in animals [−6.09 (−8.35, −3.82), I2: 50%, p < 0.00001], especially up to 3, 4, 6, and 8 weeks compared to surfaces without Mg. Interestingly, Mg-doped coatings favored BA up to 6 weeks [−8.20 (−14.31, −2.09), I2: 0%, p = 0.008], and RTQ up to 3 [−8.44 (−12.33, −4.56), I2: 63%, p < 0.0001]. Conversely, it did not influence ISQ [−0.24 (−2.05, 1.58), I2: 88%, p = 0.80]. Mg-doped coatings significantly enhanced osseointegration in dental implants by improving BIC, BA, and RTQ, while showing no impact on ISQ. Supported by studies across various animal species, these results confirm that such coatings represent an effective and safe approach for promoting bone integration.
本文综述了镁(Mg)掺杂涂层对钛基种植体骨整合的影响。遵循系统评价和荟萃分析首选报告项目的建议以及PRISMA 2020声明,并在PROSPERO注册(CRD42024572571)。PICOS策略基于人群:种植牙;干预:Mg涂层;控制:不含Mg的表面;结果:骨-种植体接触(BIC)、骨面积(BA)、种植体稳定系数(ISQ)和移除扭矩(RTQ);研究设计:体内研究。使用sycle工具评估动物研究的偏倚风险。采用随机效应模型和95%置信区间进行meta分析。23条记录被纳入meta分析,21条被纳入meta分析。最常用的Mg掺杂方法是微弧氧化。与不含Mg的涂层相比,Mg掺杂涂层显著有利于动物体内的混合BIC值[- 6.09 (- 8.35,- 3.82),I2: 50%, p < 0.00001],特别是在3、4、6和8周内。有趣的是,掺杂mg的涂层有利于BA长达6周[- 8.20 (- 14.31,- 2.09),I2: 0%, p = 0.008], RTQ高达3 [- 8.44 (- 12.33,- 4.56),I2: 63%, p < 0.0001]。相反,对ISQ没有影响[- 0.24 (- 2.05,1.58),I2: 88%, p = 0.80]。mg掺杂涂层通过改善BIC、BA和RTQ显著增强牙种植体的骨整合,而对ISQ没有影响。通过对各种动物物种的研究,这些结果证实了这种涂层是一种有效和安全的促进骨整合的方法。
{"title":"Magnesium-Doped Coatings as a Suitable Approach to Improve Osseointegration of Titanium-Based Implants: A Systematic Review and Meta-Analyses of Animal Studies","authors":"Cícero Andrade Sigilião Celles, Conrado Aparicio, Valentim Adelino Ricardo Barão, Caroline Dini","doi":"10.1002/jbm.b.35681","DOIUrl":"https://doi.org/10.1002/jbm.b.35681","url":null,"abstract":"<p>This review evaluates the effect of magnesium (Mg)-doped coatings on the osseointegration of titanium (Ti)-based implants. The recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses and the PRISMA 2020 Statement were followed, with registration in PROSPERO (CRD42024572571). The PICOS strategy was based on population: dental implants; intervention: Mg coatings; control: surfaces without Mg; outcomes: bone–implant contact (BIC), bone area (BA), implant stability coefficient (ISQ), and removal torque (RTQ); and study Design: in vivo studies. The SYRCLE tool was used to assess the risk of bias of animal studies. Meta-analyses were performed, using a random-effect model and 95% confidence interval. Twenty-three records were included, and 21 were enrolled in the meta-analyses. The most commonly used Mg doping method was microarc oxidation. The Mg-doped coatings, significantly favored pooled BIC values in animals [−6.09 (−8.35, −3.82), <i>I</i><sup>2</sup>: 50%, <i>p</i> < 0.00001], especially up to 3, 4, 6, and 8 weeks compared to surfaces without Mg. Interestingly, Mg-doped coatings favored BA up to 6 weeks [−8.20 (−14.31, −2.09), <i>I</i><sup>2</sup>: 0%, <i>p</i> = 0.008], and RTQ up to 3 [−8.44 (−12.33, −4.56), <i>I</i><sup>2</sup>: 63%, <i>p</i> < 0.0001]. Conversely, it did not influence ISQ [−0.24 (−2.05, 1.58), <i>I</i><sup>2</sup>: 88%, <i>p</i> = 0.80]. Mg-doped coatings significantly enhanced osseointegration in dental implants by improving BIC, BA, and RTQ, while showing no impact on ISQ. Supported by studies across various animal species, these results confirm that such coatings represent an effective and safe approach for promoting bone integration.</p>","PeriodicalId":15269,"journal":{"name":"Journal of biomedical materials research. Part B, Applied biomaterials","volume":"113 11","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jbm.b.35681","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145406530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}