骨增生钻孔与传统钻孔技术对牙科种植体稳定性的比较评估:系统性综述。

IF 1 Q3 DENTISTRY, ORAL SURGERY & MEDICINE The Journal of Indian Prosthodontic Society Pub Date : 2024-07-01 DOI:10.4103/jips.jips_480_23
Saurav Banerjee, Dolanchanpa Dasgupta, Nikita Parasrampuria, Dipankar Pal, Udey Vir Gandhi
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引用次数: 0

摘要

目的:本系统综述比较了骨增量(OD)钻孔技术与传统钻孔方法在种植牙植入过程中的稳定性、骨嵴水平和有效性:研究使用了 Cochrane 在线图书馆、PubMed、Scopus 和其他知名在线资源。本研究采用系统综述的设计,对已发表的定性研究进行了重点分析:根据 PRISMA 标准,使用精确的关键词对相关数据库进行了全面搜索。纳入标准包括测试牙科植入物稳定性、骨嵴水平以及使用开放式和传统程序的临床结果的研究:采用纽卡斯尔-渥太华量表(Newcastle-Ottawa Scale)评估观察性研究的偏倚风险和纳入研究的质量,采用科克伦偏倚风险工具(Cochrane Risk of Bias)评估随机对照试验的质量:共有来自埃及、印度和巴西的 170 名患者和 334 个种植体被纳入系统综述的 8 篇论文中。在几种临床情况下,就种植体耐久性、骨质发育和扭矩数据而言,骨质增生优于标准钻孔。统计分析的风险最低,而盲法结果评估、分配隐藏、随机序列生成、不完整结果数据和实验技术的风险较高。偏倚评估在不同的组成部分中发现了不同的风险:对八篇论文的深入研究表明,骨质增生技术在牙科种植领域大有可为。与传统钻孔相比,它在扭矩值、骨发育和稳定性方面都表现出了优势。总体结果凸显了骨质增生技术在改善临床效果和推动牙科种植学科学发展方面的潜力,即使面对不同的偏见也是如此。
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Comparative evaluation of osseodensification drilling versus conventional drilling technique on dental implant stability: A systematic review.

Aim: The present systematic review compares the stability, crestal bone levels and efficacy of osseodensification (OD) drilling techniques for dental implant placement to traditional drilling methods.

Settings and design: The Cochrane online library, PubMed, Scopus, and other well-known online resources are used in the research. Using a systematic review design, the current study examines published qualitative studies with an emphasis on analysis.

Materials and methods: Using precise keywords, a thorough search of pertinent databases was carried out in accordance with PRISMA standards. Studies testing dental implant stability, crestal bone levels and clinical results using both OD and traditional procedures were covered by the inclusion criteria.

Statistical analysis used: The risk of bias and quality of included studies was assessed using the Newcastle-Ottawa Scale for observational studies and the Cochrane Risk of Bias tool for randomized controlled trials.

Results: A total of 170 patients and 334 implants from Egypt, India, and Brazil were included in eight papers that made up the systematic review. In several clinical situations, osseodensification outperformed standard drilling in terms of implant durability, bone development, and torque data. Statistical analysis presented the lowest risks, while blinded outcome assessment, allocation concealment, random sequence generation, incomplete outcome data and experimental technique revealed higher risks. Bias assessment found various risks across different components.

Conclusion: The thorough examination of eight papers demonstrates that osseodensification is a technique with great promise in the field of dental implants. It exhibits superior torque values, bone development, and stability when compared to traditional drilling. The overall results highlight the potential of osseodensification to improve clinical outcomes and advance the science of dental implantology, even in the face of variances in bias concerns.

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来源期刊
The Journal of Indian Prosthodontic Society
The Journal of Indian Prosthodontic Society DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
2.20
自引率
8.30%
发文量
26
审稿时长
20 weeks
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