ETEP Research Group, Faculty of Odontology, University Complutense of Madrid, Madrid, Spain.
Clinica Noguerol, Granada, Spain.
Clin Oral Implants Res. 2019 May;30(5):476-486. doi: 10.1111/clr.13431. Epub 2019 Apr 29.
To assess the potential trends for the year 2030 in dental implant dentistry in Europe using the Delphi methodology.
A steering committee and a management team of experts in implant dentistry were created and validated a questionnaire including 60 questions, divided in eight topics. The survey was conducted in two rounds using an anonymous questionnaire, which provided the participants in the second round with the results of the first. Each question had three possible answers, and the results were expressed as percentages.
A total of 138 experts were invited to participate in the survey. From all the invited experts, 52 answered in both the first and second rounds. Three different consensus categories were established based on the percentage of agreement: no consensus (<65%); moderate consensus (65%-85%); and high consensus (≥86%). Within the topic categories, a consensus was reached (mainly moderate consensus) for the majority of questions discussed among experts during a face to face consensus meeting. However, consensus was not reached for a small number of questions/topics.
About 82% of the questions reached consensus. The consensus points towards a lower number of implants to replace chewing units, with implants surfaces made of bioactive materials with reduced micro-roughness using mainly customized abutments with polished surfaces and an internal implant-abutment connection (85%). CBCT-3D technologies will be the main tool for pre-surgical implant placement diagnosis together with direct digital restorative workflows. There will be an increase in the incidence of peri-implantitis, although there will be more efficient interventions its treatment and prevention.
使用德尔菲法评估 2030 年欧洲牙科植入物领域的潜在趋势。
成立了一个由种植专家组成的指导委员会和管理团队,并对包括 60 个问题的问卷进行了验证,该问卷分为八个主题。该调查分两轮进行,使用匿名问卷,第二轮向参与者提供第一轮的结果。每个问题有三个可能的答案,结果以百分比表示。
共邀请 138 名专家参与调查。在所有受邀的专家中,有 52 名专家在第一轮和第二轮都进行了回答。根据一致性百分比,确定了三种不同的共识类别:无共识(<65%);中度共识(65%-85%);高度共识(≥86%)。在主题类别中,在面对面共识会议上专家讨论的大多数问题达成了共识(主要是中度共识)。然而,仍有少数问题/主题未达成共识。
约 82%的问题达成了共识。共识点表明,用于替代咀嚼单位的种植体数量将会减少,使用具有减少微观粗糙度的生物活性材料制成的种植体表面,主要使用带有抛光表面的定制基台和内部种植体-基台连接(85%)。CBCT-3D 技术将成为主要的术前种植体放置诊断工具,与直接数字化修复工作流程相结合。种植体周围炎的发病率将会增加,尽管其治疗和预防会更有效。