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质子泵抑制剂会影响植入物的生物力学效率吗?——一项系统综述。

Do proton pump inhibitors affect the biomechanical efficiency of implant?- a systematic review.

作者信息

Verma Varsha

机构信息

People's Dental Academy, Bhopal, Madhya Pradesh, India.

出版信息

J Oral Biol Craniofac Res. 2022 Sep-Oct;12(5):656-661. doi: 10.1016/j.jobcr.2022.08.016. Epub 2022 Aug 17.

Abstract

PURPOSE

This systematic review was executed to determine the influence of proton pump inhibitors on biomechanical efficiency of dental implants.

MATERIALS AND METHODS

The comprehensive online literature search was conducted on digital database of Pubmed, Cochrane database and EBSCO host, Web of Science and Scopus from 2010 to 2021(Dec).The studies included in our research comprised of randomized controlled trials and animal studies. Literature review, Letter to the editor, short communication and studies not related to the dental implants were excluded. A total of 6 studies were finalized and included in the systemic review.

RESULT

The proton pump inhibitors have a negative influence on the bone metabolism and adversely affect the Osseointegration of the dental implants. Further they reduce the biomechanical efficiency of dental implant which ultimately results in their failure.

CONCLUSION

Proton pump inhibitors are a risk factor for dental implant survival. This conclusion has been drawn from the limited research available. Hence well designed prospective randomized controlled trials should be carried out on a large population including the users and non-users, to more thoroughly elucidate the effect of proton pump inhibitor on osseointegration process of dental implants.

摘要

目的

进行这项系统评价以确定质子泵抑制剂对牙种植体生物力学效率的影响。

材料与方法

于2010年至2021年12月在Pubmed、Cochrane数据库、EBSCO主机、科学网和Scopus的数字数据库上进行全面的在线文献检索。我们研究纳入的研究包括随机对照试验和动物研究。排除文献综述、致编辑信、简短通讯以及与牙种植体无关的研究。总共确定了6项研究并纳入系统评价。

结果

质子泵抑制剂对骨代谢有负面影响,并对牙种植体的骨整合产生不利影响。此外,它们会降低牙种植体的生物力学效率,最终导致其失败。

结论

质子泵抑制剂是牙种植体存留的一个风险因素。这一结论是基于现有有限的研究得出的。因此,应针对包括使用者和非使用者在内的大量人群开展设计良好的前瞻性随机对照试验,以更全面地阐明质子泵抑制剂对牙种植体骨整合过程的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5eb4/9425020/1ce30cef4e18/ga1.jpg

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