Thanissorn Charn, Guo Jason, Jing Ying Chan Dianna, Koyi Bryar, Kujan Omar, Khzam Nabil, Miranda Leticia Algarves
UWA Dental School, The University of Western Australia, 17 Monash Ave, Nedlands, WA 6009, Australia.
Independent Researcher, London W11 3LF, UK.
Dent J (Basel). 2022 Feb 21;10(2):31. doi: 10.3390/dj10020031.
This study examined the success rates of single immediate implants and their associated biological, hardware and aesthetic complications. Using a developed search strategy, randomized controlled trials (RCTs) on single-unit immediate implants with at least six human participants, a minimum follow-up time of 12 months and published between January 1999 and January 2021 were identified. Data was extracted independently using pre-designed data extraction forms. Information on success rates and associated biological, hardware and aesthetic complications were obtained and assessed. Out of 191 potentially eligible studies, 26 RCTs assessing 1270 patients with a total of 1326 single implants were included and further evaluated. In this review, success rate was reported to be 96.7-100% over a total of 9 studies. However, there was a lack of consensus on a universal success criterion between authors emphasizing the need for agreement. The average follow up was 29 months and most reported complications were aesthetic (63 cases, 4.7%), whilst there were relatively fewer biological, (20 cases, 1.5%), and hardware complications (24 cases, 1.8%). Success rate is an uncommon clinical outcome with 9 out of 26 of the selected RCTs reporting it. In these studies, single immediate implants showed a high success rate with low numbers of biological and hardware complications, and high patient satisfaction with aesthetics were reported in the short-term follow-up of one year.
本研究考察了单颗即刻种植体的成功率及其相关的生物学、器械和美学并发症。采用制定的检索策略，识别出1999年1月至2021年1月期间发表的、关于单颗即刻种植体且至少有6名人类参与者、最短随访时间为12个月的随机对照试验（RCT）。使用预先设计的数据提取表独立提取数据。获取并评估了关于成功率以及相关生物学、器械和美学并发症的信息。在191项可能符合条件的研究中，纳入了26项评估1270例患者共1326颗单颗种植体的RCT，并进行了进一步评估。在本综述中，9项研究报告的成功率为96.7%-100%。然而，作者之间对于通用的成功标准缺乏共识，强调需要达成一致。平均随访时间为29个月，报告的大多数并发症为美学方面（63例，4.7%），而生物学并发症（20例，1.5%）和器械并发症（24例，1.8%）相对较少。成功率是一种不常见的临床结果，26项入选的RCT中有9项报告了这一结果。在这些研究中，单颗即刻种植体显示出较高的成功率，生物学和器械并发症数量较少，并且在一年的短期随访中报告患者对美学的满意度较高。
