Pissu Giovanni, Flores-Fraile Javier, Zubizarreta-Macho Álvaro, Montiel-Company José María, Lobo-Galindo Ana Belén
Faculty of Dentistry, Alfonso X. El Sabio University, Madrid, Spain.
Department of Surgery, Faculty of Medicine and Dentistry, University of Salamanca, Salamanca, Spain.
Front Dent Med. 2025 May 15;6:1568465. doi: 10.3389/fdmed.2025.1568465. eCollection 2025.
The aim of this systematic review and meta-analysis was to analyze and compare the effect of diamond drill, tungsten carbide drill and ultrasound tips for implantoplasty procedures on the fracture resistance of dental implants affected by periimplant disease.
This systematic review of the scientific literature and meta-analysis was carried out based on the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), analyzing all studies that evaluated the fracture resistance of dental implants submitted to implantoplasty through diamond drill, tungsten carbide drill and ultrasound tips for implantoplasty procedures, comparing with the fracture resistance values of non-treated dental implants. A total of 4 databases were searched in the literature: Pubmed, Scopus, Cochrane and Web of Science. After eliminating duplicate articles and applying certain inclusion criteria, a total of 9 articles were selected and compared using the random effects model and inverse variance method. The significance of the effect size was measured with the test, the heterogeneity using the test and the and publication bias was analyzed using the trim-and-fill method.
The difference in means between the treatment and control groups was estimated as the effect size, obtaining a statistically significant difference of -232.01 MPa., with a 95% confidence interval of the difference between -417.3 and -44.71 ( test = -2.43; -value = 0.015). The meta-analysis has presented high heterogeneity with an = 99.3% and a test = 2,195.7; -value < 0.001. No significant differences were found between the three subgroups with the test = 0.20: -value = 0.903.
the tungsten carbide drills resulted in less fracture resistance loss than the diamond and tungsten carbide drills for the dental implants submitted to implantoplasty procedures. : [http://www.prisma-statement.org], identifier [INPLASY202460018].
本系统评价和荟萃分析的目的是分析和比较金刚石钻、碳化钨钻和超声尖在种植体成形术对受种植体周围疾病影响的牙种植体抗折性的作用。
本科学文献系统评价和荟萃分析是根据系统评价和荟萃分析的首选报告项目（PRISMA）的建议进行的，分析了所有评估通过金刚石钻、碳化钨钻和超声尖进行种植体成形术的牙种植体抗折性的研究，并与未治疗的牙种植体的抗折性值进行比较。在文献中总共检索了4个数据库：PubMed、Scopus、Cochrane和科学网。在剔除重复文章并应用某些纳入标准后，共选择了9篇文章，并使用随机效应模型和逆方差法进行比较。效应大小的显著性用t检验测量，异质性用Q检验测量，并用修剪填充法分析I²和发表偏倚。
治疗组和对照组之间的平均差异估计为效应大小，获得统计学显著差异-232.01MPa，差异的95%置信区间为-417.3至-44.71（t检验=-2.43；P值=0.015）。荟萃分析呈现出高度异质性，I²=99.3%，Q检验=2195.7；P值<0.001。在三个亚组之间未发现显著差异，Q检验=0.20；P值=0.903。
对于接受种植体成形术的牙种植体，碳化钨钻导致的抗折性损失比金刚石钻和超声尖少。：[http://www.prisma-statement.org]，标识符[INPLASY202460018]
