Bohner L, Hanisch M, Kleinheinz J, Jung S
Department of Cranio-Maxillofacial Surgery, University Hospital Münster, Albert-Schweitzer-Campus 1, Gebäude W 30, D-48149 Münster, Germany.
Department of Cranio-Maxillofacial Surgery, University Hospital Münster, Albert-Schweitzer-Campus 1, Gebäude W 30, D-48149 Münster, Germany.
Br J Oral Maxillofac Surg. 2019 Jun;57(5):397-406. doi: 10.1016/j.bjoms.2019.04.011. Epub 2019 May 7.
The aim of this systematic review (for which we followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines) was to provide an overview of the protocols and clinical outcomes of dental implants placed in growing jaws. We searched the MEDLINE/PubMed, Embase, Scopus, and Science Direct databases in October and November, 2017. A total of 3492 studies were identified, and all the studies reporting the outcomes of dental implants placed during the growth phase were included in the study. After duplicates had been removed, 2133 studies were screened based on their titles and abstracts, and 162 were selected for reading. Finally, 28 studies were included in the review. Overall, 493 dental implants were placed in 147 patients aged from 3-18 years old with follow-up being from 1-20 years. The most common disorders seen that were associated with missing teeth were ectodermal dysplasia and dental trauma. The main complications reported were the infraocclusion positioning of dental implants in the maxillary arch and the rotation of dental implants in the mandibular arch. Dental implants were indicated for the anterior regions of the maxilla and mandible in patients over 10 years old, and placement of maxillary implants in a more coronal position was recommended. Consultations and adjustments to prostheses were required until growth had ceased. In growing jaws, dental implants require positional modifications, and they should be considered only under special circumstances.
本系统评价（我们遵循系统评价和Meta分析的首选报告项目指南）的目的是概述在生长中的颌骨中植入牙种植体的方案和临床结果。我们于2017年10月和11月检索了MEDLINE/PubMed、Embase、Scopus和Science Direct数据库。共识别出3492项研究，所有报告生长阶段植入牙种植体结果的研究均纳入本研究。去除重复项后，根据标题和摘要筛选了2133项研究，选择了162项进行阅读。最后，28项研究纳入本评价。总体而言，在147例3至18岁患者中植入了493颗牙种植体，随访时间为1至20年。与缺牙相关的最常见疾病是外胚层发育不全和牙外伤。报告的主要并发症是上颌牙种植体的咬合过低定位和下颌牙种植体的旋转。10岁以上患者的上颌和下颌前部区域可植入牙种植体，建议将上颌种植体放置在更靠近冠方的位置。在生长停止前需要进行咨询和义齿调整。在生长中的颌骨中，牙种植体需要进行位置调整，并且仅在特殊情况下才应考虑使用。
