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遗传因素会影响牙种植体的成功率吗?一项系统评价与荟萃分析

Can Genetic Factors Compromise the Success of Dental Implants? A Systematic Review and Meta-Analysis.

作者信息

Santiago Junior Joel Ferreira, Biguetti Claudia Cristina, Matsumoto Mariza Akemi, Abu Halawa Kudo Guilherme, Parra da Silva Raquel Barroso, Pinto Saraiva Patrícia, Fakhouri Walid D

机构信息

Pró⁻Reitoria de Pesquisa e Pós-graduação (PRPPG), Universidade do Sagrado Coração, USC, 10⁻50 Irmã Arminda, Jardim Brasil, Bauru, SP 17011⁻160, Brazil.

Department of Basic Sciences, São Paulo State University (Unesp), School of Dentistry, Araçatuba, SP 16015-050, Brazil.

出版信息

Genes (Basel). 2018 Sep 6;9(9):444. doi: 10.3390/genes9090444.

Abstract

Dental implants provide a predictable treatment option for partial and complete edentulism via the placement of a fixed permanent artificial root to support prosthetic dental crowns. Despite the high survival rates, long-term dental implant failures are still reported, leading to implant removals and additional financial and health burdens. While extrinsic factors that improve the success rate of implants have been well explored, the impact of genetic factors on this matter is poorly understood. A systematic review and meta-analysis study was conducted to determine whether genetic factors contribute to an increased risk of dental implant failures. A comprehensive search for peer-reviewed articles on dental implants and genetic factors was performed using various literature database libraries. The study design was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines, and the obtained records were registered in the International Prospective Register of Systematic Reviews (PROSPERO) database. According to the exclusion/inclusion criteria, 13 studies were eligible for this study out of 809 articles. The meta-analysis of the combined association studies of DNA variations and dental implants did not indicate an increased risk for implant failure due to DNA variations in , and . This study emphasizes the need for larger randomized controlled clinical trials to inform clinicians and patients about the role of genetic factors on dental implant survival and the success rate in healthy and compromised patients.

摘要

牙种植体通过植入固定的永久性人工牙根来支持义齿牙冠,为部分和完全无牙症提供了一种可预测的治疗选择。尽管牙种植体的存活率很高,但仍有长期牙种植体失败的报道,这导致种植体被移除,并带来额外的经济和健康负担。虽然改善种植体成功率的外在因素已得到充分研究,但遗传因素对此的影响却知之甚少。进行了一项系统综述和荟萃分析研究,以确定遗传因素是否会增加牙种植体失败的风险。使用各种文献数据库对有关牙种植体和遗传因素的同行评审文章进行了全面检索。该研究设计遵循系统综述和荟萃分析的首选报告项目(PRISMA)指南,所获得的记录已登记在国际前瞻性系统综述注册库(PROSPERO)数据库中。根据排除/纳入标准,在809篇文章中,有13项研究符合本研究的要求。对DNA变异与牙种植体的联合关联研究进行的荟萃分析并未表明,由于 、 和 中的DNA变异,种植体失败的风险会增加。本研究强调需要进行更大规模的随机对照临床试验,以便让临床医生和患者了解遗传因素对健康和身体状况不佳患者牙种植体存活及成功率的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50de/6162655/4d1fa45e5073/genes-09-00444-g001.jpg

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