Jing Wen Li, Wai Ying Kot, Colman Patrick McGrath, Bik Wan Amy Chan, Li Wu Zheng
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引用次数: 0
摘要
背景本研究旨在评估口腔扁平苔藓（OLP）患者种植失败的发生率，并调查OLP与种植体周围疾病之间的潜在关联：在Embase、Web of Science、PubMed和Scopus数据库中搜索无时间限制的研究。使用固定效应模型计算种植体周围炎（PI）、种植体周围粘膜炎（PIM）和探诊出血（BOP）患病率的汇总比例，并进行 Meta 分析。与健康对照组相比，计算了OLP种植牙患者发生PI、PIM和BOP的潜在风险的比值比和相应的95% CI：患者种植失败率为 4.38%，种植体失败率为 4.37%。五项研究中有六名患者（3.92%）在接受种植后被诊断出患有口腔癌。在种植体层面，PI、PIM 和 BOP 的发生率分别为 14.00%、20.00% 和 40.00%。OLP患者与健康对照组的PI和PIM发生率无明显差异：稳定的OLP不被认为是种植体周围疾病的重要风险因素。建议不要在疾病的急性期植入种植体或修复体。组织病理学检查是区分OLP和口腔苔藓样发育不良的关键。
Stabilized oral lichen planus does not compromise dental implants survival: A systematic review and meta-analysis.
Background: This study aimed to evaluate the incidence of implant failure in patients with oral lichen planus (OLP) and investigate the potential association between OLP and peri-implant diseases.
Materials and methods: Embase, Web of Science, PubMed, and Scopus databases were searched for studies with no time restrictions. Meta-analysis was performed calculating pooled proportion of peri-implantitis (PI), peri-implant mucositis (PIM), and bleeding on probing (BOP) prevalence using fixed-effects model. Odds ratio and corresponding 95% CI were calculated to assess the potential risk of PI, PIM, and BOP in dental implant patients with OLP compared to healthy controls.
Results: Implant failure rate was 4.38% at the patient level and 4.37% at the implant level. Six patients (3.92%) from five studies were diagnosed with oral cancer after receiving implant. The prevalence of PI, PIM, and BOP at the implant level were 14.00%, 20.00%, and 40.00%, respectively. There was no significant difference in the occurrence of PI and PIM between OLP patients and healthy controls.
Conclusions: Stabilized OLP is not considered a significant risk factor for peri-implant diseases. It is advised against placing implants or prostheses during the acute phase of the disease. Histopathological investigation to differentiate OLP from oral lichenoid dysplasia is crucial.
期刊介绍：
Oral Diseases is a multidisciplinary and international journal with a focus on head and neck disorders, edited by leaders in the field, Professor Giovanni Lodi (Editor-in-Chief, Milan, Italy), Professor Stefano Petti (Deputy Editor, Rome, Italy) and Associate Professor Gulshan Sunavala-Dossabhoy (Deputy Editor, Shreveport, LA, USA). The journal is pre-eminent in oral medicine. Oral Diseases specifically strives to link often-isolated areas of dentistry and medicine through broad-based scholarship that includes well-designed and controlled clinical research, analytical epidemiology, and the translation of basic science in pre-clinical studies. The journal typically publishes articles relevant to many related medical specialties including especially dermatology, gastroenterology, hematology, immunology, infectious diseases, neuropsychiatry, oncology and otolaryngology. The essential requirement is that all submitted research is hypothesis-driven, with significant positive and negative results both welcomed. Equal publication emphasis is placed on etiology, pathogenesis, diagnosis, prevention and treatment.
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