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种植体在多大程度上能够保留剩余牙槽嵴?一项系统评价。

To what extent residual alveolar ridge can be preserved by implant? A systematic review.

作者信息

Khalifa Ahmed Khalifa, Wada Masahiro, Ikebe Kazunori, Maeda Yoshinobu

机构信息

Department of Prosthodontics, Faculty of Dentistry, Mansoura University, 68 ElGomhoria Street, ElMansoura, 35516, Egypt.

Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate School of Dentistry, 1-8 Yamadaoka, Suita, Osaka, 565-0871, Japan.

出版信息

Int J Implant Dent. 2016 Dec;2(1):22. doi: 10.1186/s40729-016-0057-z. Epub 2016 Nov 23.

Abstract

BACKGROUND

It has been reported that the load for (or to) implant-supported restoration may lead to bone remodeling as bone resorption and/or formation. While many authors supported the process of bone resorption, others elaborated bone apposition and increasing bone density close and remote to implant body (or fixture). This may suggest the role of the implant to reserve alveolar ridge from physiologic/pathologic resorption. The aim of this systematic review was to predict to how extend dental implants can preserve the residual alveolar ridge based on previous clinical investigations.

METHODS

This systematic review based on the retrospective and prospective studies, randomized clinical trial, and case reports. The process of searching for proposed articles included PubMed, Ovid, and Web of Science databases, with specific inclusion and exclusion criterion.

RESULTS

A total 2139 citations were identified. After expunging the repeated articles between databases and application of exclusion and inclusion criteria, 18 articles were found to meet the topic of this systematic review. Many of the articles reported bone preservation with implant-assisted restorations, and the rest denoted noticeable bone apposition.

CONCLUSION

According to the published clinical studies, the behavior of bone remodeling around implant predicts a sort of residual alveolar bone preservation.

摘要

背景

据报道,种植体支持修复体的负荷可能会导致骨重塑,即骨吸收和/或形成。虽然许多作者支持骨吸收过程,但也有其他作者阐述了种植体周围及远离种植体部位(或种植体)的骨附着和骨密度增加情况。这可能提示种植体在保留牙槽嵴免受生理性/病理性吸收方面的作用。本系统评价的目的是根据以往的临床研究预测牙种植体在多大程度上能够保留剩余牙槽嵴。

方法

本系统评价基于回顾性和前瞻性研究、随机临床试验及病例报告。检索拟定文章的过程包括PubMed、Ovid和Web of Science数据库,并设定了具体的纳入和排除标准。

结果

共识别出2139条引文。在剔除数据库之间的重复文章并应用排除和纳入标准后,发现有18篇文章符合本系统评价的主题。许多文章报道了种植体辅助修复体对骨的保留作用,其余文章则表明有明显的骨附着。

结论

根据已发表的临床研究,种植体周围骨重塑的行为预示着某种程度的剩余牙槽骨保留。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abbf/5120622/b842b15fe793/40729_2016_57_Fig1_HTML.jpg

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