Putra Ramadhan Hardani, Cooray Upul, Nurrachman Aga Satria, Yoda Nobuhiro, Judge Roy, Putri Dina Karimah, Astuti Eha Renwi
Department of Dentomaxillofacial Radiology, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia.
Division of International and Community Oral Health, Graduate School of Dentistry, Tohoku University, Sendai, Japan.
Clin Oral Implants Res. 2024 Jan;35(1):1-20. doi: 10.1111/clr.14195. Epub 2023 Oct 15.
The radiographic examination of alveolar bone using 3D radiographic examination is essential in dental implant treatment planning. Our study aimed to systematically review and quantitatively analyze the correlation between alveolar bone parameters, specifically bone density and cortical bone thickness, assessed using cone beam computed tomography (CBCT) and/or multidetector computed tomography (MDCT); and primary implant stability (PIS) determined using implant stability quotient (ISQ), Periotest® value (PTV), and insertion torque value (ITV).
This review was registered in the PROSPERO database (registration number CRD42022307245). An electronic literature search was conducted on the PubMed, SCOPUS, and Web of Science databases for papers published until February 2022. The Quality Assessment in Prognostic Studies (QUIPS) tool was used to assess risk of bias. Meta-analyses were conducted to calculate the estimated average correlation coefficient based on a multilevel random-effects model, followed by subgroup analysis.
Twenty-six studies were included in this review, consisting of 17 prospective cohort studies, eight retrospective cohort studies, and one nonrandomized controlled trial. A total of 3109 implants placed in 1171 subjects were analyzed. Twenty-three studies were evaluated using meta-analysis. The alveolar bone condition was significantly correlated with ISQ (r = 0.60; p < .001), IT (r = 0.52; p < .001), and PTV (r = -0.42; p < .05).
Alveolar bone condition is significantly associated with PIS. Low bone density and thin cortical bone can lead to low PIS; therefore, modification of treatment planning and surgical procedures might be needed to avoid poor osseointegration.
在牙种植治疗计划中，使用三维放射检查对牙槽骨进行影像学检查至关重要。我们的研究旨在系统评价并定量分析使用锥形束计算机断层扫描（CBCT）和/或多排探测器计算机断层扫描（MDCT）评估的牙槽骨参数，特别是骨密度和皮质骨厚度；与使用种植体稳定性商数（ISQ）、Periotest®值（PTV）和植入扭矩值（ITV）确定的初始种植体稳定性（PIS）之间的相关性。
本综述已在PROSPERO数据库注册（注册号CRD42022307245）。在PubMed、SCOPUS和Web of Science数据库中进行电子文献检索，以查找截至2022年2月发表的论文。使用预后研究质量评估（QUIPS）工具评估偏倚风险。进行荟萃分析以基于多水平随机效应模型计算估计的平均相关系数，随后进行亚组分析。
本综述纳入了26项研究，包括17项前瞻性队列研究、8项回顾性队列研究和1项非随机对照试验。共分析了1171名受试者中植入的3109颗种植体。使用荟萃分析对23项研究进行了评估。牙槽骨状况与ISQ（r = 0.60；p <.001）、IT（r = 0.52；p <.001）和PTV（r = -0.42；p <.05）显著相关。
牙槽骨状况与PIS显著相关。骨密度低和皮质骨薄会导致PIS低；因此，可能需要修改治疗计划和手术程序以避免骨结合不良。
