新鲜拔牙窝种植体植入时用于种植前组织愈合的定制愈合基台与钛愈合基台：一项系统评价。

Customized versus titanium healing abutments for preimplant tissue healing in fresh socket implants: A systematic review.

作者信息

Mosharraf Ramin, Fathi Amirhossein, Rismanchian Mansour, Ghasemi Ehsan, Givehchian Pirooz

机构信息

Department of Prosthodontics, Dental Materials Research Center, Dental Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.

Department of Prosthodontics, Dental Implants Research Center, Dental Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Dent Res J (Isfahan). 2025 May 22;22:20. doi: 10.4103/drj.drj_479_23. eCollection 2025.

DOI:10.4103/drj.drj_479_23

PMID:40502444

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12155395/

Abstract

BACKGROUND

It is suggested to use a customized abutment confirming to the configuration of the new extraction socket. Since there are no systematic reviews regarding this issue, the aim of this systematic review was to assess the efficacy of customized healing abutments versus titanium healing abutments on peri-implant tissue healing in fresh socket implants to improve the treatment prognosis in the clinic.

MATERIALS AND METHODS

Electronic searches were conducted on PubMed/MEDLINE, Embase, Cochrane, and Google Scholar databases by the end of June 2022. All randomized controlled studies, prospective, retrospective, human studies of preimplant tissue healing around customized or titanium healing abutments, follow-up studies of more than 6 months, and in English were included in this study. The exclusion criteria were studies that were not clinical, with a follow-up period of <6 months, and those that assessed abutment healing.

RESULTS

Forty-six studies were obtained following database research. Based on the eligibility criteria, five studies were finally included. Qualitative data analysis showed that two studies reported that customized abutments caused a significant decrease in a buccolingual width while two others did not report accurate results. Furthermore, one study only pointed to the significance of this change within 1 month after implant placement. Consequently, customized healing abutments may cause higher volume changes in the presence of thin bone phenotypes and facilitate the closure of large sockets. In addition, these investigations reported the same implant survival rate during the follow-up period for both methods.

CONCLUSION

Customized healing abutments exhibit efficacy in sealing immediate implant sockets, particularly in cases with thin bone phenotypes. These abutments induce significant volume changes, aiding in the closure of larger sockets and thereby preserving the socket volume.

摘要

背景

建议使用符合新拔牙窝形态的定制基台。由于尚无关于此问题的系统评价，本系统评价的目的是评估定制愈合基台与钛愈合基台对新鲜拔牙窝种植体周围种植体周组织愈合的疗效，以改善临床治疗预后。

材料与方法

截至2022年6月底，在PubMed/MEDLINE、Embase、Cochrane和谷歌学术数据库进行了电子检索。本研究纳入所有随机对照研究、前瞻性、回顾性、关于定制或钛愈合基台周围种植前组织愈合的人体研究、随访时间超过6个月且为英文的研究。排除标准为非临床研究、随访期<6个月的研究以及评估基台愈合的研究。

结果

数据库检索后共获得46项研究。根据纳入标准，最终纳入5项研究。定性数据分析显示，两项研究报告定制基台导致颊舌向宽度显著减小，而另外两项研究未报告准确结果。此外，一项研究仅指出种植体植入后1个月内这种变化的显著性。因此，在存在薄骨表型的情况下，定制愈合基台可能会导致更大的体积变化，并有助于封闭大的拔牙窝。此外，这些研究报告两种方法在随访期间的种植体存活率相同。