角质化粘膜植入对功能性植牙的治疗效果:系统回顾与荟萃分析。

IF 4.3 3区 材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC ACS Applied Electronic Materials Pub Date : 2024-05-22 DOI:10.2186/jpr.JPR_D_24_00002
Se-Lim Oh, Shahriar Shahami, Lilia J Bernal-Cepeda, Yunting Fu, Man-Kyo Chung
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引用次数: 0

摘要

目的:本研究旨在提供使用自体软组织移植物进行角化粘膜(KM)增量的最新治疗效果:研究选择:对电子数据库中有关自体软组织移植用于创建和/或增强功能性牙科种植体的角化粘膜的内容进行了系统性检索。两名研究人员从最初检索到的 573 篇文献中独立提取了 11 项临床研究的数据,其中包括 290 名参与者:结果:牙科种植体周围缺乏KM与更严重的粘膜炎症有关。游离龈移植(FGG)可增加KM宽度,结缔组织移植(CTG)可控制种植体周围粘膜衰退(MR)。在选定的 FGG 研究中,KM 的加权平均增量为 2.6 毫米,粘膜炎症明显减少,骨嵴水平在长达 4 年的时间里没有变化。在选定的 CTG 研究中,MR 的加权平均减少量为 2 毫米:结论:缺乏KM会对牙科种植体周围的软组织健康产生负面影响。FGG能有效增加KM和减少粘膜炎症,而CTG能有效减少MR。
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Therapeutic effectiveness of keratinized mucosa augmentation for functioning dental implants: A systematic review and meta-analysis.

Purpose: This study aimed to provide the latest updates on the therapeutic effectiveness of keratinized mucosa (KM) augmentation using autogenous soft tissue grafts for dental implants retaining prostheses.

Study selection: A systematic search of electronic databases was conducted on autogenous soft tissue grafts to create and/or augment KM for functioning dental implants. Two investigators independently extracted data from the selected 11 clinical studies, including 290 participants, from the initially retrieved 573 publications.

Results: A lack of KM surrounding dental implants was associated with greater mucosal inflammation. A free gingival graft (FGG) was used to increase the KM width, and a connective tissue graft (CTG) was used to manage peri-implant mucosal recession (MR). The weighted mean gain in KM was 2.6 mm from the selected FGG studies, with a significant reduction in mucosal inflammation and no changes in crestal bone levels for up to 4 years. The weighted mean reduction in MR was 2 mm in selected CTG studies.

Conclusions: A lack of KM negatively affects soft tissue health around dental implants. FGG was effective in increasing KM and reducing mucosal inflammation, whereas CTG was effective in decreasing MR.

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来源期刊
CiteScore
7.20
自引率
4.30%
发文量
567
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