自体骨移植部位对牙种植体存活和供区并发症的影响:一项系统回顾和荟萃分析。基于Evid的凹痕实践[J] . 2022;22(3):101731

IF 4.1 4区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Journal of Evidence-Based Dental Practice Pub Date : 2023-09-16 DOI:10.1016/j.jebdp.2023.101927
Satheesh Elangovan (REVIEWER)
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引用次数: 0

摘要

在这篇荟萃分析的系统综述中,作者纳入了前瞻性的人类研究,这些研究报告了使用自体骨移植物在完全或部分无牙颌中放置2片微粗糙表面根状牙种植体的存活率。至少6个月的研究随访是纳入要求。其中包括关于术后并发症发生时间和性质的研究报告。将移植物放置于辐照骨或医学上有缺陷的患者的研究被排除在外。他们还排除了移植物与富血小板血浆或富血小板纤维蛋白结合的研究。他们将搜索限制在以下语言发表的研究:英语、法语、德语、挪威语、瑞典语和丹麦语。自体骨移植修复部分无牙或全无牙颌是关键的干预措施。该研究比较了使用口腔内部位(如下颌后磨牙区、支区或颏区)和口腔外部位(髂骨)的自体骨进行骨增强的种植体存活率。本研究比较了牙种植体放置在牙槽嵴的存活率(主要结果),这些牙种植体使用的是取自口腔内的骨和取自髂骨的骨。在以下时间点评估种植体存活:6、12、24、36、60和120个月。作为次要结果测量,作者还评估了自体骨摘取手术后供体部位特异性并发症发生的时间和性质。本综述共纳入了23项符合纳入标准的研究。基于对14项纳入研究的meta分析,这些研究报告了不同时间点种植体的生存数据,与放置在口腔内种植体(IOG)增强部位的种植体相比,放置在髂骨骨增强部位(ICG)的种植体存活率较低[ICG = 95.8% IOG = 98.4%;P < .001], 12 [icg = 97.0%, iog = 98.4%;P < .001], 24 [icg = 85.9%, iog = 98.2%;P < .001], 60 [icg = 90.0%, iog = 91.5%;P < 0.001], 120个月[ICG = 88.8%, IOG = 95.2%;P < 0.001]。在36个月的随访中,没有纳入的研究报告丁香嵴增强骨的种植体存活,因此无法进行比较。常见的并发症包括疼痛/不适、步态障碍和感觉障碍与髂骨移植供体收获部位有关。在口腔内供体中,精神区移植的并发症最多,主要表现为下唇和下颌前牙的感觉异常。与放置在髂骨骨增强部位的种植体相比,放置在口腔内骨移植增强部位的种植体存活率始终较高。从髂骨和下颌骨颏区取骨后,供体部位并发症时有报道。
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Implants Placed In Bone Augmented With Intra-Oral Grafts, Compared To Iliac Crest Grafts, May Have Better Survival Rates

Article Title and Bibliographic Information

Effect of autogenous bone graft site on dental implant survival and donor site complications: A systematic review and meta-analysis. J Evid Based Dent Pract. 2022 Sep;22(3):101731.

Source of Funding

Not reported.

Type of Study/Design

Systematic review with meta-analysis of data.

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来源期刊
Journal of Evidence-Based Dental Practice
Journal of Evidence-Based Dental Practice DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
6.00
自引率
16.70%
发文量
105
审稿时长
28 days
期刊介绍: The Journal of Evidence-Based Dental Practice presents timely original articles, as well as reviews of articles on the results and outcomes of clinical procedures and treatment. The Journal advocates the use or rejection of a procedure based on solid, clinical evidence found in literature. The Journal''s dynamic operating principles are explicitness in process and objectives, publication of the highest-quality reviews and original articles, and an emphasis on objectivity.
期刊最新文献
Table of Contents Editorial Board Statement of Purpose/Levels of Evidence Information for Readers Information for Authors
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