用于单个植入物修复的角基螺杆通道支柱:系统性审查和元分析
Paolo De Angelis1, Edoardo Rella1, Margherita Giorgia Liguori2
1Division of Oral Surgery and Implantology, Department of Head and Neck, Institute of Clinical Dentistry, Oral Surgery and Implantology Unit, A. Gemelli University Hospital Foundation (IRCCS) Catholic University of the Sacred Heart, Rome, Italy.
概括
角螺旋通道 (ASC) 支柱显示了单个植入冠的有希望的临床和放射性结果. 这项系统性审查发现,在骨损失,并发症和美学方面,可与水泥复原相比较的结果.
科学领域:
- 牙科植入物学 牙科植入物学
- 牙修复 牙修复 牙修复 牙修复 牙修复
- 生物材料科学 生物材料科学
背景情况:
- 螺丝固定植入物冠是无牙部位的标准.
- 角螺旋通道 (ASC) 支架提供了一种新的连接,用于管理植入物角化和访问孔的出现.
- ASC 支架旨在改善单个植入物康复中的恢复性结果.
研究的目的:
- 系统地审查有关ASC支柱在单个植入体皇冠修复中有效性的现有文献.
- 与传统方法相比,评估ASC支柱的临床和放射性性能.
主要方法:
- 进行了一项注册的系统审查和元分析 (PROSPERO ID:CRD42022295521).
- 搜索包括Cochrane,MEDLINE,SCOPUS和Web of Science直到2024年1月,并补充了手动搜索.
- 评估的结果包括边缘骨水平,探测口袋深度,并发症,生存率和美学,在p < 0.05时具有统计学意义.
主要成果:
- 十项研究被纳入了元分析.
- 平均植入物存活率为99%,假肢存活率为100%.
- 对于边缘骨损失 (p=0.22),探测口袋深度 (p=0.08),并发症 (p=0.53),或美学 (p=0.47),在ASC支柱和水泥修复之间没有发现统计学上显著的差异.
结论:
- 在单个植入物修复中,ASC支柱显示出有前途的临床和放射性结果.
- 结果表明,性能与传统的螺丝固定单个冠状相比,性能可比.
- 进一步的研究可能会验证ASC支柱的长期疗效和益处.
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