经牙槽嵴窦底提升联合短种植体的生存率：一项观察性研究的系统评价和荟萃分析

The survival rate of transcrestal sinus floor elevation combined with short implants: a systematic review and meta-analysis of observational studies.

作者信息

Lin Zhe-Zhen, Jiao Yan-Qing, Ye Zhang-Yan, Wang Ge-Ge, Ding Xi

机构信息

Department of Stomatology, The First Affiliated Hospital of Wenzhou Medical University, Nanbaixiang Ouhai District, Wenzhou, 325000, Zhejiang, People's Republic of China.

出版信息

Int J Implant Dent. 2021 May 20;7(1):41. doi: 10.1186/s40729-021-00325-y.

BACKGROUND

Currently, insufficient bone volume always occurs in the posterior maxilla which makes implantation difficult. Short implants combined with transcrestal sinus floor elevation (TSFE) may be an option to address insufficient bone volume.

PURPOSE

The clinical performance of short implants combined with TSFE was compared with that of conventional implants combined with TSFE according to the survival rate.

METHOD

In this systematic review and meta-analysis, we followed the Meta-Analysis of Observational Studies in Epidemiology (MOOSE) guidelines. Articles were identified through PubMed, Embase, the Cochrane Library, and manual searching. Eligibility criteria included clinical human studies. The quality assessment was performed according to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines. The odds ratio (OR) with its confidence interval (CI) was considered the essential outcome for estimating the effect of short implants combined with TSFE.

RESULTS

The registration number is INPLASY202050092. Eleven studies met the inclusion criteria, including 1 cohort study and 10 cross-sectional studies. With respect to the 1-year survival rate, no significant effect was observed between short implants (length ≤ 8 mm) and conventional implants combined with TSFE (I=0%, OR=1.04, 95% CI: 0.55-1.96). Similarly, no difference was seen between the two groups regarding the survival rate during the healing period (I=10%, OR=0.74, 95% CI: 0.28-1.97) and 3-year loading (OR=1.76, 95% CI: 0.65-4.74).

CONCLUSION

There was no evidence that the survival rate of short implants combined with TSFE was lower or higher than that of conventional implants combined with TSFE when the residual bone height was poor and the implant protrusion length of short implants was less than or similar to conventional implants. Nevertheless, the results should be interpreted cautiously due to the lack of random controlled trials in our meta-analysis.

背景

目前，上颌后牙区骨量不足的情况较为常见，这给种植带来了困难。短种植体联合穿颧窦底提升术（TSFE）可能是解决骨量不足的一种选择。

目的

根据生存率比较短种植体联合TSFE与传统种植体联合TSFE的临床性能。

方法

在本系统评价和荟萃分析中，我们遵循了流行病学观察性研究的荟萃分析（MOOSE）指南。通过PubMed、Embase、Cochrane图书馆和手工检索来识别文章。纳入标准包括临床人体研究。根据加强流行病学观察性研究报告（STROBE）指南进行质量评估。优势比（OR）及其置信区间（CI）被视为评估短种植体联合TSFE效果的主要结果。

结果

注册号为INPLASY202050092。11项研究符合纳入标准，包括1项队列研究和10项横断面研究。关于1年生存率，短种植体（长度≤8mm）与传统种植体联合TSFE之间未观察到显著差异（I=0%，OR=1.04，95%CI：0.55-1.96）。同样，两组在愈合期生存率（I=10%，OR=0.74，95%CI：0.28-1.97）和3年负重期（OR=1.76，95%CI：0.65-4.74）方面也没有差异。