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一项至少 5 年观察期后无牙患者种植体支持固定义齿修复并发症发生率的荟萃分析。

A meta-analysis of prosthodontic complication rates of implant-supported fixed dental prostheses in edentulous patients after an observation period of at least 5 years.

机构信息

Department of Fixed Prosthesis and Implant Prosthodontics, School of Dentistry, Aristotle University of Thessaloniki, Greece.

出版信息

Int J Oral Maxillofac Implants. 2011 Mar-Apr;26(2):304-18.

PMID:21483883
Abstract

PURPOSE

To systematically review clinical studies on prosthodontic complication rates of implant fixed dental prostheses in edentulous patients after an observation period of at least 5 years.

MATERIALS AND METHODS

A literature search was conducted using different electronic databases. Specific terms were used for the database search, which spanned the years 1990 to 2008. The search was augmented by using the option of "related articles" as well as by hand searching of references and relevant journals. Relevant studies were selected according to predetermined inclusion and exclusion criteria. Agreement between reviewers was determined by using Cohen kappa coefficients.

RESULTS

The initial database search yielded 8,216 relevant titles. Following the filtering process, 19 studies were finally selected. No study directly compared the incidence of prosthodontic complications of complete implant-supported metal-ceramic versus metal-acrylic resin fixed prostheses in the completely edentulous patient. Studies of metal-ceramic prostheses were scarce and short term.

CONCLUSION

Metal-acrylic resin complete implant fixed prostheses presented with various prosthodontic complications after long-term function. The most frequent complications were veneer fracture and material wear.

摘要

目的

系统回顾至少观察 5 年的无牙颌患者种植固定义齿修复体的临床并发症发生率的研究。

材料与方法

使用不同的电子数据库进行文献检索。数据库搜索使用了特定的术语,时间跨度为 1990 年至 2008 年。通过“相关文章”选项以及对参考文献和相关期刊的手工搜索,对检索进行了补充。根据预先确定的纳入和排除标准选择相关研究。使用 Cohen kappa 系数确定审查员之间的一致性。

结果

最初的数据库搜索产生了 8216 个相关标题。经过过滤过程,最终选择了 19 项研究。没有研究直接比较完全种植体支持的金属陶瓷与金属丙烯酸树脂固定修复体在完全无牙患者中的修复体并发症发生率。金属陶瓷修复体的研究很少且短期。

结论

长期功能后,金属丙烯酸树脂全口种植固定修复体出现各种修复体并发症。最常见的并发症是贴面破裂和材料磨损。

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