Wadde Kavita, Kri Mrimingsi, Venkatakrishnan Lakshmi, Landge Jayant, Nadkarni Shambhavi
Department of Oral and Maxillofacial Surgery, Government Dental College and Hospital, 49 PD'Mello Road, Near CSMT, Fort, Mumbai, Maharashtra 400001 India.
J Maxillofac Oral Surg. 2023 Sep;22(3):672-679. doi: 10.1007/s12663-023-01943-2. Epub 2023 Jun 13.
The aim of this systematic review was to systematically assess the papers comparing the surgical techniques of Alveolar Distraction Osteogenesis(ADO) and Autogenous Bone grafting (ABG) for Vertical Ridge Augmentation in terms of bone gain, bone resorption and incidences of complications.
The review was registered on PROSPERO with the ID : CRD42021237671. A broad electronic survey was conducted in the PubMed, Scopus, Web of Science, Cochrane Library, and Virtual Health Library databases of all studies published till 08/03/2022. Four studies fulfilled the criteria to carry out a meta-analysis a in which a total of 58 patients underwent ADO and 43 patients for ABG. A total of 133 implants were placed in the ABG group and 124 in the ADO group.
DerSimonian-Laird estimator of variance was used for Random effect meta-analysis. The estimates of an intervention were expressed as the odds ratio (OR) and standard mean difference (SMD) in millimeters.
There was statistically significant difference in terms of bone height gain with SMD of - 0.78 (95% 0.04-1.55) in ABG. Bone resorption and complications were statistically insignificant with SMD of 0.52 (95% - 1.59 to 0.56) and OR 0.55 (95% 0.18-1.70), respectively.: CRD42021237671.
本系统评价旨在系统评估比较牙槽骨牵张成骨术（ADO）和自体骨移植术（ABG）用于垂直牙槽嵴增高的手术技术在骨增量、骨吸收和并发症发生率方面的相关论文。
该评价已在国际前瞻性系统评价注册库（PROSPERO）注册，注册号为：CRD42021237671。对截至2022年3月8日在PubMed、Scopus、科学网、Cochrane图书馆和虚拟健康图书馆数据库中发表的所有研究进行了广泛的电子检索。四项研究符合进行荟萃分析的标准，其中共有58例患者接受了ADO，43例患者接受了ABG。ABG组共植入133颗种植体，ADO组共植入124颗。
采用DerSimonian-Laird方差估计器进行随机效应荟萃分析。干预效应估计值以比值比（OR）和以毫米为单位的标准均差（SMD）表示。
ABG组在骨高度增加方面存在统计学显著差异，SMD为-0.78（95%置信区间为0.04 - 1.55）。骨吸收和并发症在统计学上无显著差异，SMD分别为0.52（95%置信区间为-1.59至0.56）和OR为0.55（95%置信区间为0.18 - 1.70）。注册号：CRD42021237671。
