Hussein Ahmad, Shah Maanas, Atieh Momen A, Alhimairi Sara, Amir-Rad Fatemeh, Elbishari Haitham
Hamdan Bin Mohammed College of Dental Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai Health, Dubai, United Arab Emirates.
Hamdan Bin Mohammed College of Dental Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai Health, Dubai, United Arab Emirates; Honorary Senior Lecturer, the Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK.
Int Dent J. 2025 Feb;75(1):75-85. doi: 10.1016/j.identj.2024.10.007. Epub 2024 Nov 12.
The aim of this systematic review and meta-analysis was to evaluate the current literature on the effect of implant surface characteristics on peri-implant marginal bone levels (MBL), soft tissue periodontal parameters, peri-implantitis, and implant failure rates.
Randomized controlled trials were searched in electronic databases. Risk of bias within the selected studies was assessed using the Risk of Bias Tool 2. Meta-analyses were performed using Review Manager software for studies with similar comparisons reporting same outcome measures.
Ten randomized control trials were included in the present review. The primary outcome of changes in peri-implant MBL favoured implants with machined surfaces, however, the difference was not statistically significant (P = .18). The changes in probing pocket depths significantly favoured the use of machined surfaces (P = .01), while the implant failure rates favoured roughened surface implants. However, the difference was not statistically significant (P = .09).
Machined surface implants were favoured in terms of lesser peri-implant MBL, though the difference was not significant. The analysis also demonstrated limited favourable outcomes in terms of periodontal parameters for machined surfaces, with slightly significantly better outcomes in terms of probing pocket depths. However, rough surface implants tended to display a lower implant failure.
本系统评价和荟萃分析旨在评估当前关于种植体表面特性对种植体周围边缘骨水平（MBL）、软组织牙周参数、种植体周围炎和种植体失败率影响的文献。
在电子数据库中检索随机对照试验。使用偏倚风险工具2评估所选研究中的偏倚风险。对于报告相同结局指标的类似比较的研究，使用Review Manager软件进行荟萃分析。
本评价纳入了10项随机对照试验。种植体周围MBL变化的主要结果显示机加工表面种植体更具优势，然而，差异无统计学意义（P = 0.18）。探诊深度的变化显著支持使用机加工表面（P = 0.01），而种植体失败率则支持表面粗糙的种植体。然而，差异无统计学意义（P = 0.09）。
机加工表面种植体在减少种植体周围MBL方面更具优势，尽管差异不显著。分析还表明，机加工表面在牙周参数方面的有利结果有限，在探诊深度方面的结果略好。然而，表面粗糙的种植体往往显示出较低的种植体失败率。
