Marginal Bone Level and Clinical Parameter Analysis Comparing External Hexagon and Morse Taper Implants: A Systematic Review and Meta-Analysis

被引:9
|
作者
Fuda, Samuele [1 ]
Martins, Bruno Gomes dos Santos [1 ]
Castro, Filipe Correia de [2 ]
Heboyan, Artak [3 ]
Gehrke, Sergio Alexandre [4 ,5 ,6 ]
Fernandes, Juliana Campos Hasse [7 ]
Mello-Moura, Anna Carolina Volpi [1 ,8 ]
Fernandes, Gustavo Vicentis Oliveira [7 ,8 ]
机构
[1] Univ Catolica Portuguesa, Fac Dent Med, P-3504505 Viseu, Portugal
[2] Univ Fernando Pessoa, FCS, FP I3ID, P-4249004 Porto, Portugal
[3] Yerevan State Med Univ Mkhitar Heratsi, Fac Stomatol, Dept Prosthodont, Str Koryun 2, Yerevan 0025, Armenia
[4] UCAM, Dept Res Bioface, PgO, Calle Cuareim 1483, Montevideo 11100, Uruguay
[5] Univ Miguel Hernandez, Inst Bioingn, Elche 03202, Spain
[6] Univ Catolica Murcia UCAM, Dept Biotechnol, Murcia 30107, Spain
[7] Univ Michigan, Periodont & Oral Med Dept, Sch Dent, Ann Arbor, MI 48109 USA
[8] Univ Catolica Portuguesa, Ctr Interdisciplinary Res Hlth CIIS, P-3504505 Viseu, Portugal
关键词
clinical parameters; dental implants; dental implant-abutment connection; marginal bone loss; systematic review; BACTERIAL-COLONIZATION; ABUTMENT CONNECTIONS; TITANIUM IMPLANTS; DENTAL IMPLANTS; SPLIT-MOUTH; DISTANCE; BRANEMARK; HEIGHT; CREST; NECK;
D O I
10.3390/diagnostics13091587
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The goal of this systematic review was to verify the marginal bone loss (MBL) and other clinical parameters comparing external hexagon (EH) and Morse taper (MT) implants when they were evaluated within the same study. The focused question was, "For patients (P) treated with external connection (I) or Morse taper (C) dental implants, were there differences in the marginal bone crest maintenance after at least three months in occlusal function (O)"? As for the inclusion criteria that were considered, they included clinical studies in English that compared the MBL in implants with EH and MT, with follow-up of at least three months, that were published between 2011 and 2022; as for the exclusion criteria, they included publications investigating only one type of connection that analyzed other variables and did not report results for the MBL, reports based on questionnaires, interviews, and case reports/series, systematic reviews, or studies involving patients with a significant health problem (ASA Physical Status 3 and above). The PubMed/MEDLINE, Embase, and Web of Science databases were screened, and all of the data obtained were registered in a spreadsheet (Excel (R)). The Jadad scale was used to assess the quality of the studies. A total of 110 articles were initially identified; 11 were considered for full-text reading. Then, six articles (four RCTs and two prospective studies) met the eligibility criteria and were included in this study. A total of 185 patients (mean age of 59.71) were observed, and the follow-up ranged from 3 months to 36 months. A total of 541 implants were registered (267 EH and 274 MT). The survival rate ranged between 96% and 100% (the average was 97.82%). The MBL was compared among all periods studied; therefore, the common assessment period was the 12-month follow-up, presenting greater MBL for EH than for MT (p < 0.001). A mean MBL of 0.60 mm (95% CI 0.43-0.78) was found after the same period. BoP was reported in 5 studies and plaque index was reported in 4 (2 with more than 30%). Deep PD was observed in three studies. High heterogeneity was observed (I-2 = 85.06%). Thus, within the limitation of this review, it was possible to conclude that there is higher bone loss in EH than in MT implants when evaluating and comparing this variable within the same study. However, the results must be carefully interpreted because of this review's limited number of clinical studies, the short assessment period, and the high heterogeneity found.
引用
收藏
页数:16
相关论文
共 50 条
  • [31] Marginal Bone Level Changes at Dental Implants after 5 Years in Function: A Meta-Analysis
    Laurell, Lars
    Lundgren, Dan
    CLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH, 2011, 13 (01) : 19 - 28
  • [32] Implant insertion torque and marginal bone loss: A systematic review and meta-analysis
    Roca-Millan, Elisabet
    Gonzalez-Navarro, Beatriz
    Dominguez-Minger, Judith
    Mari-Roig, Antonio
    Jane-Salas, Enric
    Lopez-Lopez, Jose
    INTERNATIONAL JOURNAL OF ORAL IMPLANTOLOGY, 2020, 13 (04) : 345 - 353
  • [33] Dental implants in the elderly population: a systematic review and meta-analysis
    Srinivasan, Murali
    Meyer, Simon
    Mombelli, Andrea
    Mueller, Frauke
    CLINICAL ORAL IMPLANTS RESEARCH, 2017, 28 (08) : 920 - 930
  • [34] Effects of immediate and delayed loading protocols on marginal bone loss around implants in unsplinted mandibular implant-retained overdentures: a systematic review and meta-analysis
    Liu, Wei
    Cai, He
    Zhang, Junjiang
    Wang, Jian
    Sui, Lei
    BMC ORAL HEALTH, 2021, 21 (01)
  • [35] Mini-implants and narrow diameter implants as mandibular overdenture retainers: A systematic review and meta-analysis of clinical and radiographic outcomes
    Marcello-Machado, R. M.
    Faot, F.
    Schuster, A. J.
    Nascimento, G. G.
    Del Bel Cury, A. A.
    JOURNAL OF ORAL REHABILITATION, 2018, 45 (02) : 161 - 183
  • [36] Platform-switching implants and bone preservation: a systematic review and meta-analysis
    Santiago Junior, J. F.
    de Souza Batista, V. E.
    Verri, F. R.
    Honorio, H. M.
    de Mello, C. C.
    Almeida, D. A. dF.
    Pellizzer, E. P.
    INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2016, 45 (03) : 332 - 345
  • [37] Impact of platform switching on marginal peri-implant bone-level changes. A systematic review and meta-analysis
    Strietzel, Frank Peter
    Neumann, Konrad
    Hertel, Moritz
    CLINICAL ORAL IMPLANTS RESEARCH, 2015, 26 (03) : 342 - 358
  • [38] Antiosteoporotic Drugs to Promote Bone Regeneration Related to Titanium Implants: A Systematic Review and Meta-analysis
    Basudan, Amani M.
    Shaheen, Marwa Y.
    de Vries, Rob B.
    van den Beucken, Jeroen J. J. P.
    Jansen, John A.
    Alghamdi, Hamdan S.
    TISSUE ENGINEERING PART B-REVIEWS, 2019, 25 (02) : 89 - 99
  • [39] Dental implants in growing patients: A systematic review and meta-analysis
    Elagib, Mohamed Fadul A.
    Alqaysi, Moayad Abdullah H.
    Almushayt, Mussab Omar S.
    Nagate, Raghavendra Reddy
    Gokhale, Shankar T.
    Chaturvedi, Saurabh
    TECHNOLOGY AND HEALTH CARE, 2023, 31 (03) : 1051 - 1064
  • [40] Dental implants in patients with osteoporosis: a systematic review with meta-analysis
    de Medeiros, F. C. F. L.
    Kudo, G. A. H.
    Leme, B. G.
    Saraiva, P. P.
    Verri, F. R.
    Honorio, H. M.
    Pellizzer, E. P.
    Santiago Junior, J. F.
    INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2018, 47 (04) : 480 - 491