Alanazi Sultan
Department of Preventive Dental Sciences, Faculty of Dentistry, Najran University, Najran, Saudi Arabia.
Saudi Dent J. 2024 Sep;36(9):1179-1183. doi: 10.1016/j.sdentj.2024.06.010. Epub 2024 Jun 3.
Patient satisfaction is a crucial indicator of a successful dental implant treatment. Attainment of an aesthetically acceptable final result is central to this success. Hence, the primary objective of this systematic review was to identify aesthetic concerns linked to dental implants within the aesthetic zone.
An electronic search was conducted on different databases such as PubMed, Medline, and Google Scholar using the key terms "tooth implant," "anterior implant," "dental implantation in the aesthetic zone," and "aesthetic area implant. Following the elimination of duplicate articles and adherence to the inclusion criteria, 14 articles (five randomized clinical trials, four prospective clinical trials, four case series, and one pilot study) published between 2007 and 2020 were deemed suitable for this review.
The selected studies highlighted several aesthetic issues, such as recession, marginal bone loss, gingival loss, and pink aesthetic scores related to dental implants placed in the aesthetic zone.
Addressing these challenges necessitates meticulous treatment planning, effective soft tissue management, regular follow-ups, patient education, expectation management, and collaborative efforts among specialists. A limitation of this systematic review is that it focused solely on studies conducted within a relatively short timeframe (2007-2020). However, it is essential to recognize that significant changes occurred in the treatment procedures and materials within the field during this period. These changes have resulted in notable variances in the treatment protocols utilized across studies, potentially affecting the generalizability of the findings.
患者满意度是种植牙治疗成功的关键指标。获得美学上可接受的最终结果是成功的核心。因此,本系统评价的主要目的是确定美学区域内与种植牙相关的美学问题。
使用关键词“牙齿种植体”“前牙种植体”“美学区域的牙种植术”和“美学区域种植体”在不同数据库(如PubMed、Medline和谷歌学术)上进行电子检索。在排除重复文章并遵循纳入标准后,2007年至2020年发表的14篇文章(5篇随机临床试验、4篇前瞻性临床试验、4篇病例系列和1篇试点研究)被认为适合本评价。
所选研究突出了几个美学问题,如美学区域种植牙的牙龈退缩、边缘骨丢失、牙龈丧失和粉色美学评分。
应对这些挑战需要精心的治疗计划、有效的软组织管理、定期随访、患者教育、期望管理以及专家之间的协作。本系统评价的一个局限性是它仅关注相对较短时间内(2007 - 2020年)进行的研究。然而,必须认识到在此期间该领域的治疗程序和材料发生了重大变化。这些变化导致各研究中使用的治疗方案存在显著差异,可能影响研究结果的普遍性。