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在垂直增强中过早的骨吸收:随机临床试验的系统审查和网络元分析

Faisal Faihan Alotaibi^1,2, Jacopo Buti¹, Isabella Rocchietta¹

¹Unit of Periodontology, UCL Eastman Dental Institute, London, UK.

Clinical oral implants research

|March 21, 2025

概括

保护周骨的垂直脊增强 (VRA) 技术,如内嵌,分心骨质生成 (DO) 和组织扩张+道化 (TET),显示较少的早产骨再吸收 (PBR). 临床医生应用全升高技术来计算体积损失.

科学领域:

口腔和牙面部外科手术
牙周病学牙周病学
恢复性牙科恢复性牙科

背景情况:

垂直脊增强 (VRA) 对于在缩的下巴中放置牙植入物至关重要.
在VRA之后的早发性骨复苏 (PBR) 可能会影响治疗结果.
关于PBR的各种VRA技术进行比较的证据有限.

研究的目的:

在使用不同的VRA技术后,系统地审查和评估PBR的证据.
使用贝叶斯网络元分析 (NMA) 识别和排名具有最低PBR的VRA技术.

主要方法:

在六个数据库中系统搜索随机临床试验 (RCT) 阶段性VRA.
结果包括总体PBR%和PBR%在没有事件和复杂愈合的部位.
贝叶斯的NMA被用来估计治疗效果和排名;偏差风险和证据确定性被评估.

主要成果:

纳入了10个RCT (220名参与者);平均PBR范围从6%到44% (平均26%).
嵌入式,分心骨质生成 (DO) 和组织扩张+道化 (TET) 显示在最低的PBR中排名第一的概率最高.
愈合并发症显著增加了PBR (10%的差异).

结论:

保护周骨的VRA技术 (内置,DO,TET) 显示了减少的PBR.
涉及全升的技术需要预测体积损失和可能更大的移植体积.
了解PBR对于优化VRA结果和长期植入成功至关重要.

关键词:

发生并发症,并发症.网络元分析网络元分析过早的再吸收过早的再吸收脊梁增强增强是一种增强.系统性审查系统性审查

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