*Associate Professor, Discipline Lead and Program Convenor, Periodontics and Implantology, Oral Health Centre of Western Australia, University of Western Australia, Nedlands, WA, Australia. †Private Practice, Auckland, New Zealand. ‡Research Fellow, Department of Medical, Oral and Biotechnological Sciences, University G. d'Annunzio Chieti-Pescara, Italy. §Associate Professor, Division of Periodontology, Department of Oral Sciences, Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, Dunedin, New Zealand.
Implant Dent. 2017 Jun;26(3):465-474. doi: 10.1097/ID.0000000000000593.
To perform a systematic review on the impact of residual subgingival cement on peri-implant diseases and crestal bone loss.
MEDLINE, SCOPUS, ISI Web of Knowledge and Cochrane Central Register of Controlled Trials (CENTRAL) databases were used to identify articles published without time limits.
A total of 6 articles were selected for a total of 389 patients (687 implants). The studies were heterogeneous and had a moderate-to-high risk of bias, but met the inclusion criteria. Four of 6 studies were published by the same research group and assessed similar populations over time. A positive relationship between residual cement and peri-implant inflammation was observed. Data on peri-implant probing depths and crestal bone loss were reported in 1 study.
Residual subgingival cement seems to be strongly associated with peri-implant mucositis which is a risk factor for increased probing depths crestal bone loss and peri-implantitis. Zinc oxide eugenol cements should be preferred to resin cements especially in patients with a history of periodontitis.
系统评价龈下残留粘结剂对种植体周围疾病和牙槽骨吸收的影响。
检索 MEDLINE、SCOPUS、ISI Web of Knowledge 和 Cochrane 中央对照试验注册库（CENTRAL）数据库，未设置时间限制。
共纳入 6 项研究，总计 389 名患者（687 个种植体）。这些研究存在异质性，且偏倚风险较高，但均符合纳入标准。其中 4 项研究来自同一研究组，在不同时间评估了相似的人群。龈下残留粘结剂与种植体周围炎症之间存在正相关关系。有 1 项研究报告了种植体探诊深度和牙槽骨丧失的数据。
龈下残留粘结剂似乎与种植体周围黏膜炎密切相关，而后者是种植体探诊深度增加、牙槽骨丧失和种植体周围炎的危险因素。氧化锌丁香酚粘结剂应优先于树脂粘结剂，尤其是在患有牙周炎病史的患者中。
