Oral and Maxillofacial Department, Santa Casa Hospital of São Miguel dos Campos, Alagoas, Brazil.
Department of Morphology, Anatomy Area Piracicaba Dental School, University of Campinas, Brazil.
Int J Oral Maxillofac Surg. 2019 Aug;48(8):1109-1114. doi: 10.1016/j.ijom.2019.01.023. Epub 2019 Feb 15.
The purpose of this study was to determine the effectiveness of dental implants placed in the bone graft area of cleft patients. Electronic databases and relevant journals were searched to the end of August 2018. A total of 11 articles were eligible for systematic review considering the previously established inclusion and exclusion criteria, and then underwent risk of bias assessment. A total of 483 implants were placed and showed a survival rate of 93% after a mean follow-up of 60.5 months. The iliac bone was the most used for the reconstructive surgery in cleft patients, followed by the mandible. There is a high survival rate of dental implants placed in areas of bone grafts in patients with alveolar clefts. However, more studies with high methodological quality and with a longer follow-up are needed to offer more safety for practitioners and patients regarding the placement of dental implants in areas of alveolar clefts with bone grafting.
本研究旨在确定在牙槽裂患者骨移植区域中植入的牙种植体的有效性。截至 2018 年 8 月底，电子数据库和相关期刊进行了检索。考虑到先前建立的纳入和排除标准，共有 11 篇文章符合系统评价的条件，然后进行了偏倚风险评估。共植入 483 个种植体，平均随访 60.5 个月后，存活率为 93%。在牙槽裂患者的重建手术中，最常使用的是髂骨，其次是下颌骨。在牙槽裂骨移植区植入牙种植体的存活率较高。然而，需要更多高质量方法学和更长随访时间的研究，为临床医生和患者在牙槽裂骨移植区植入牙种植体提供更多安全性。
