植入物表面粗度与植入物稳定性之间的相关性:系统性审查
Marta Romero-Serrano1, Manuel-María Romero-Ruiz1, Mariano Herrero-Climent1,2
1Department of Periodontology, School of Dentistry, Universidad de Seville, C/Avicena S/N, 41009 Seville, Spain.
Dentistry journal
|September 27, 2024
概括
牙植入物表面粗度与主要稳定性没有显著的相关性. 然而,增加的粗度似乎与更好的骨融合和二次稳定性有关,尽管需要更多的研究.
科学领域:
- 生物材料科学 生物材料科学
- 牙科植入物学 牙科植入物学
- 再生医学是一种再生医学.
背景情况:
- 牙植入物表面特征显著影响骨质整合和稳定性.
- 了解植入物表面粗度和稳定性之间的关系对于成功的牙科修复至关重要.
- 现有的文献提出了各种各样的发现,关于表面粗度对早期植入物稳定性的影响.
研究的目的:
- 系统地审查和综合有关牙植入物表面粗度和植入物稳定性之间的相关性现有的数据.
- 为了确定特定的表面粗度参数是否更有利于实现最佳的植入物稳定性和骨质整合.
- 评估植入物从安置到安置后三个月的稳定性.
主要方法:
- 按照PRISMA 2020指南进行系统审查.
- 在Medline (PubMed),Scopus,Web of Science和Cochrane图书馆进行文献搜索,截至2023年10月.
- 包括11项研究,涉及1331个牙科植入物安置 (体内和体外).
主要成果:
- 在11项研究中,有10项没有发现植入物表面粗度和初级稳定性之间的统计学意义上的相关性,这是通过共振频率分析 (RFA) 测量的.
- 在植入物粗度和骨整合之间观察到相关性,特别是关于二次稳定性,由骨植入物接触值表明.
- 在研究中显著的方法变化阻碍了直接比较和最终结论.
结论:
- 植入物表面粗度似乎不是实现初级植入物稳定的关键因素.
- 表面粗度可能在二次稳定性和骨质整合程度上发挥更重要的作用.
- 建议在未来的研究中对方法进行标准化,以便在植入物表面特性和稳定性方面得出更有力的结论.
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