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缺乏角质化粘膜会增加围植入炎的风险
Kelvin I Afrashtehfar1,2,3, Kyung Chul Oh4, Carlos A Jurado5
1Adjunct Research Professor, Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland. kelvin.afrashtehfar@unibe.ch.
Evidence-based dentistry
|August 3, 2023
概括
牙植入物周围没有足够的质化粘膜,这显著增加了牙周植入炎的风险. 这一系统性审查强调了质化粘膜对长期植入成功的重要性.
科学领域:
- 牙科植入物学 牙科植入物学
- 牙周病学 牙周病学
- 基于证据的牙科.
背景情况:
- 牙周植入物炎是植入牙植入物放置后的一个普遍并发症.
- 角质化粘膜 (KM) 在周围植入物健康中的作用仍然是研究的主题.
- 有限的共识存在,关于有必要的足够的KM预防周植入炎.
研究的目的:
- 系统地审查和对现有的人类研究进行元分析.
- 为了确定植入物部位缺乏角质化粘膜是否会增加围植性炎的风险.
- 评估角质化粘膜尺寸和围植入炎流行率之间的关联.
主要方法:
- 在PubMed和Scopus数据库进行系统的文献搜索,截至2022年11月.
- 包括至少100个植入物的人类研究和至少一年的随访.
- 用几率比率 (OR) 和评估异质性的16项横截面研究的元分析.
主要成果:
- 在不充分的角质化粘膜和增加的周植入炎风险 (OR=2.78) 之间发现了显著的关联.
- 亚组分析证实了这种关联在不同的周植入炎定义和假肢类型中.
- 根据GRADE的评估,证据的整体确定性被确定为"中等".
结论:
- 不充分的角质化粘膜是发展围植入炎的重要危险因素.
- 在牙植入物规划和放置过程中,考虑质化粘膜至关重要.
- 需要进一步进行高质量的研究,使用一致的方法来完善理解并确定额外的风险指标.
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