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双膦酸盐局部应用是否能改善口腔种植学中的骨形成?一项系统评价。

Do topical applications of bisphosphonates improve bone formation in oral implantology? A systematic review.

作者信息

Lozano-Carrascal N, Salomó-Coll O, Hernández-Alfaro F, Gehrke S-A, Gargallo-Albiol J, Calvo-Guirado J-L

机构信息

Faculty of Medicine and Dentistry, Universitat Internacional de Catalunya, Carrer de Josep Trueta s/n, 08195 Sant Cugat del Vallés Barcelona, Spain,

出版信息

Med Oral Patol Oral Cir Bucal. 2017 Jul 1;22(4):e512-e519. doi: 10.4317/medoral.21887.

DOI:10.4317/medoral.21887
PMID:28624840
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5549526/
Abstract

BACKGROUND

The aim of this systematic literature review was to evaluate the feasibility of topical bisphosphonate application for preserving/enhancing alveolar bone in oral implantology.

MATERIAL AND METHODS

An electronic search was conducted in the PubMed/Medline, EMBASE, Scopus, Web of knowledge, and Google-Scholar databases for articles dated from January 2000 to December 2016. Two reviewers assessed the quality of the studies independently.

RESULTS

A total of 154 abstracts were identified, of which 18 potentially relevant articles were selected; a final total of nine papers were included for analysis. Comparison of the findings of the selected studies was made difficult by the heterogeneity of the articles, all of them animal research papers that showed heterogeneity in the methodologies used and a high or moderate risk of bias.

CONCLUSIONS

The topical application of bisphosphonate solution would appear to favor new bone formation in alveolar defects, and boosts the regenerative capacities of biomaterials resulting in increased bone density.

摘要

背景

本系统文献综述的目的是评估在口腔种植学中局部应用双膦酸盐以保留/增强牙槽骨的可行性。

材料与方法

在PubMed/Medline、EMBASE、Scopus、Web of knowledge和谷歌学术数据库中进行电子检索,检索2000年1月至2016年12月期间发表的文章。两名评审员独立评估研究质量。

结果

共识别出154篇摘要,其中筛选出18篇可能相关的文章;最终纳入9篇论文进行分析。由于文章的异质性,所选研究结果的比较存在困难,所有文章均为动物研究论文,在所用方法上存在异质性,且存在高或中度偏倚风险。

结论

双膦酸盐溶液的局部应用似乎有利于牙槽骨缺损处的新骨形成,并增强生物材料的再生能力,从而提高骨密度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b1a/5549526/9fac62b18a00/medoral-22-e512-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b1a/5549526/50309d22f475/medoral-22-e512-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b1a/5549526/9fac62b18a00/medoral-22-e512-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b1a/5549526/50309d22f475/medoral-22-e512-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b1a/5549526/9fac62b18a00/medoral-22-e512-g002.jpg

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Clin Oral Implants Res. 2016 Feb;27(2):149-55. doi: 10.1111/clr.12550. Epub 2015 Jan 30.
2
Mevalonates restore zoledronic acid-induced osteoclastogenesis inhibition.甲羟戊酸恢复唑来膦酸诱导的破骨细胞生成抑制作用。
J Dent Res. 2015 Apr;94(4):594-601. doi: 10.1177/0022034514564187. Epub 2014 Dec 22.
3
Bisphosphonate uptake in areas of tooth extraction or periapical disease.
双膦酸盐在拔牙区或根尖周病区域的摄取。
J Oral Maxillofac Surg. 2014 Dec;72(12):2461-8. doi: 10.1016/j.joms.2014.07.004. Epub 2014 Jul 12.
4
Influence of local administration of pamidronate on extraction socket healing--a histomorphometric proof-of-principle pre-clinical in vivo evaluation.帕米膦酸局部给药对拔牙创愈合的影响——一项组织形态计量学原理验证的临床前体内评估。
Clin Oral Implants Res. 2015 Oct;26(10):1135-42. doi: 10.1111/clr.12483. Epub 2014 Sep 15.
5
Prevention of the surface resorption of bone grafts by topical application of bisphosphonate on different carrier materials.通过在不同载体材料上局部应用双膦酸盐预防骨移植的表面吸收。
Clin Oral Investig. 2014 Dec;18(9):2203-11. doi: 10.1007/s00784-014-1202-9. Epub 2014 Feb 23.
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