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唇腭裂患者骨移植区域牙种植体的有效性、美学效果及成功率:一项系统评价与荟萃分析

Effectiveness, Esthetics, and Success Rate of Dental Implants in Bone-Grafted Regions of Cleft Lip and Palate Patients: A Systematic Review and Meta-Analysis.

作者信息

Pathak Ankita, Dhamande Mithilesh M, Sathe Seema, Gujjelwar Smruti

机构信息

Prosthodontics and Crown & Bridge, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2023 Nov 20;15(11):e49101. doi: 10.7759/cureus.49101. eCollection 2023 Nov.

Abstract

Congenital clefts impair function and appearance, thus impacting a patient's social and mental health. A multidisciplinary team that can offer comprehensive treatment from infancy through maturity and beyond can successfully address these abnormalities. Dental rehabilitation is very important for these patients; these abnormalities should be identified and must be treated accordingly. Hence it is of utmost importance to know the success rate and changes in quality of life from patient satisfaction in order to plan future treatment goals when coming across such cases. The aim of this article is to determine success rate, esthetics, and patient satisfaction in implant-based oral rehabilitation in bone-grafted regions of cleft patients. Registration was carried out in PROSPERO (International Prospective Register of Systematic Review) with registration number CRD42022329861 on May 7, 2022. Medical Subject Headings (MeSH) terms such as cleft lip, cleft palate, survival rate, and dental implants were used to handpick articles via an electronic database. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed to compile all the data gathered from an electronic database. According to the collected data, 93.5% of the survival rate with dental implants was noted irrespective of the type of bone grafts used. Also, improvement in quality of life was achieved in these patients. Effectiveness, esthetics, and success rate are very well achievable with implants in cleft patients. Although the aesthetics are not equivalent to that of dental implants in normal patients, patient satisfaction is still satisfactory in patients with dental implants in bone-grafted regions of cleft lip and palate.

摘要

先天性腭裂会损害功能和外观,从而影响患者的社会和心理健康。一个能够提供从婴儿期到成年期及以后的综合治疗的多学科团队可以成功解决这些异常问题。牙齿修复对这些患者非常重要;应识别这些异常情况并进行相应治疗。因此,了解成功率以及患者满意度带来的生活质量变化对于遇到此类病例时规划未来治疗目标至关重要。本文的目的是确定腭裂患者骨移植区域基于种植体的口腔修复的成功率、美观效果和患者满意度。2022年5月7日在国际前瞻性系统评价注册库(PROSPERO)进行了注册,注册号为CRD42022329861。使用唇裂、腭裂、存活率和牙种植体等医学主题词(MeSH)通过电子数据库筛选文章。遵循系统评价和Meta分析的首选报告项目(PRISMA)指南来汇总从电子数据库收集的所有数据。根据收集的数据,无论使用何种骨移植类型,牙种植体的存活率均为93.5%。这些患者的生活质量也得到了改善。在腭裂患者中,种植体在有效性、美观效果和成功率方面都非常可观。虽然美观效果不如正常患者的牙种植体,但唇腭裂骨移植区域牙种植体患者的满意度仍然令人满意。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb49/10731392/e85f812a2e53/cureus-0015-00000049101-i01.jpg

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