Merchán Karina Espinoza, Grossi Márcio Lima, Kunrath Marcel Ferreira, Teixeira Eduardo Rolim
Int J Periodontics Restorative Dent. 2025 Apr 25;45(3):413-424. doi: 10.11607/prd.7037.
The purpose of this review was to evaluate the periodontal and peri-implant tissue responses to restorative approaches with and without a cervical finish line on teeth and dental implants. An electronic search was performed in PubMed/MEDLINE, Embase, Cochrane Library, LILACS, Web of Science, and Scopus databases and in the gray literature. Controlled clinical trials and prospective cohort studies were included. Analyzed outcomes included Gingival Index (GI), bleeding on probing (BOP), probing depth (PD), gingival thickness (GT), marginal stability (MS), and marginal bone loss (MBL). A meta-analysis was then performed in two parts: The first compared the results of restorations on teeth with and without a cervical finish line, and the second compared results of restorations on implant abutments with and without a cervical finish line. Regarding the tooth-based restoration analysis, 7 out of 1,388 selected articles were included in the systematic review, 2 of which were selected for the meta-analysis. For implant-based restorations on abutments with and without a cervical finish line, 6 out of 707 selected articles were included in the systematic review, with 3 included in the meta-analysis. No significant differences in periodontal and peri-implant indices were identified between either prosthetic approach in situations with and without cervical finish lines.
本综述的目的是评估牙齿和牙种植体上有无颈部终止线的修复方法对牙周组织和种植体周围组织的反应。在PubMed/MEDLINE、Embase、Cochrane图书馆、LILACS、科学网和Scopus数据库以及灰色文献中进行了电子检索。纳入了对照临床试验和前瞻性队列研究。分析的结果包括牙龈指数（GI）、探诊出血（BOP）、探诊深度（PD）、牙龈厚度（GT）、边缘稳定性（MS）和边缘骨丢失（MBL）。然后进行了两部分的荟萃分析：第一部分比较了有无颈部终止线的牙齿修复结果，第二部分比较了有无颈部终止线的种植体基台修复结果。关于基于牙齿的修复分析，在1388篇选定文章中有7篇被纳入系统评价，其中2篇被选入荟萃分析。对于有无颈部终止线的种植体基台修复，在707篇选定文章中有6篇被纳入系统评价，3篇被纳入荟萃分析。在有无颈部终止线的情况下，两种修复方法之间在牙周和种植体周围指数上均未发现显著差异。
