Clinical efficacy of anodized dental implants for implant-supported prostheses after different loading protocols: A systematic review and meta-analysis.
bone resorption
dental implants
immediate dental implant loading
meta-analysis
survival
Journal
Clinical oral implants research
ISSN: 1600-0501
Titre abrégé: Clin Oral Implants Res
Pays: Denmark
ID NLM: 9105713
Informations de publication
Date de publication:
Sep 2021
Sep 2021
Historique:
revised:
10
06
2021
received:
05
01
2021
accepted:
06
07
2021
pubmed:
6
8
2021
medline:
4
9
2021
entrez:
5
8
2021
Statut:
ppublish
Résumé
To summarize the clinical performance of anodized implants connected to different prostheses design after immediate/early (IL) or conventional loading (CL) protocols. Seven databases were surveyed for randomized (RCTs) and non-randomized controlled clinical trials (CCTs). Studies comparing IL vs. CL protocol of anodized implants supporting single crown, fixed partial denture (FPD), full-arch fixed dental prosthesis (FDP), or overdenture were included. Risk-of-bias was evaluated using Cochrane Collaboration tools. Meta-analyses for different follow-up were analyzed, followed by heterogeneity source assessment and GRADE approach. The outcomes included implant survival rate, marginal bone loss (MBL), implant stability quotient (ISQ), probing depth (PD), plaque index (PI), and peri-implantitis prevalence. From 24 eligible studies, 22 were included for quantitative evaluation. Most RCTs (58%, n = 11) and all the 5 CCTs had high and serious risk-of-bias, respectively. Overall, pooling all prosthesis design, no difference between IL vs. CL protocols was observed for all outcomes (p > .05). However, according to prosthesis type subgroups, CL reduced MBL for full-arch FDP (p < .05). In a point-in-time assessment, with overdenture, although IL presented higher PI (12 months), it showed lower MBL (≥24 months), higher ISQ (3 months), and lower PD (6 and 12 months) (p < .05). Conversely, PD was higher for IL in single crown (3 and 6 months) (p < .05). Regarding MBL, IL demonstrated higher mean difference for full-arch FDP (36 months) and FPD (12 and 36 months) (p < .05). Within the limitations of this study, overall, there is no significant difference in the outcomes between IL and CL loading protocols.
Substances chimiques
Dental Implants
0
Types de publication
Journal Article
Meta-Analysis
Systematic Review
Langues
eng
Pagination
1021-1040Subventions
Organisme : Conselho Nacional de Desenvolvimento Científico e Tecnológico
ID : 140282/2020-3
Organisme : Conselho Nacional de Desenvolvimento Científico e Tecnológico
ID : 304853/2018-6
Organisme : Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
ID : Financial code: 001
Organisme : State of Sao Paulo Research Foundation (FAPESP)
ID : 2019/17238-6
Organisme : State of Sao Paulo Research Foundation (FAPESP)
ID : 2020/05231-4
Informations de copyright
© 2021 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
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