Assistant Professor, Department of Medical, Oral and Biotechnological Sciences, G. D'Annunzio University of Chieti-Pescara, Chieti, Italy.
DMD, Research Program in Oral Implantology and Periodontics, Dental School, University of Western Australia, Perth, Australia.
Implant Dent. 2019 Dec;28(6):603-612. doi: 10.1097/ID.0000000000000931.
The primary aim of the present article was to review the effect and the clinical significance of abutment dis- and reconnection on the peri-implant marginal bone levels.
English articles published from 2009 to April 2019 were identified on the MEDLINE, Cochrane Library, and PubMed databases, according to the PRISMA guidelines. Comparative in vivo studies on humans were included.
A total of 4 studies with different levels of bias were included in this review. A significant heterogeneity of the reported data was observed, which limited the comparison of the findings. The only parameter that was homogenous throughout all 4 studies was the marginal bone level measurement.
Within the limitations of the present review, it can be suggested that minimizing the number of abutment dis- and reconnections would be beneficial to ensure minimal disruption to the peri-implant tissue and marginal bone level. However, the clinical significance of the marginal bone level changes is still inconclusive.
本文的主要目的是回顾基台的拆卸和重新连接对种植体边缘骨水平的影响及其临床意义。
根据 PRISMA 指南,我们在 MEDLINE、Cochrane 图书馆和 PubMed 数据库中检索了 2009 年至 2019 年 4 月发表的英文文章。纳入了关于人类的对照性体内研究。
本综述共纳入了 4 项具有不同偏倚程度的研究。观察到所报告数据存在显著异质性,这限制了研究结果的比较。在所有 4 项研究中,唯一同质的参数是边缘骨水平测量。
在本综述的局限性范围内,可以提出尽量减少基台的拆卸和重新连接的次数将有利于确保对种植体周围组织和边缘骨水平的最小干扰。然而,边缘骨水平变化的临床意义仍不确定。