دورية أكاديمية
أعرض في EDS

Less marginal bone loss around bone-level implants restored with long abutments: A systematic review and meta-analysis.

التفاصيل البيبلوغرافية
العنوان: Less marginal bone loss around bone-level implants restored with long abutments: A systematic review and meta-analysis.
المؤلفون: Tajti P; Department of Prosthodontics, Semmelweis University, Budapest, Hungary.; Centre for Translational Medicine, Semmelweis University, Budapest, Hungary., Solyom E; Centre for Translational Medicine, Semmelweis University, Budapest, Hungary.; Department of Periodontology, Semmelweis University, Budapest, Hungary., Váncsa S; Centre for Translational Medicine, Semmelweis University, Budapest, Hungary., Mátrai P; Institute for Translational Medicine, Medical School, University of Pécs, Pécs, Hungary., Hegyi P; Centre for Translational Medicine, Semmelweis University, Budapest, Hungary.; Institute for Translational Medicine, Medical School, University of Pécs, Pécs, Hungary.; Institute of Pancreatic Diseases, Semmelweis University, Budapest, Hungary., Varga G; Centre for Translational Medicine, Semmelweis University, Budapest, Hungary.; Department of Oral Biology, Semmelweis University, Budapest, Hungary., Hermann P; Department of Prosthodontics, Semmelweis University, Budapest, Hungary.; Centre for Translational Medicine, Semmelweis University, Budapest, Hungary., Borbély J; Department of Prosthodontics, Semmelweis University, Budapest, Hungary.; Centre for Translational Medicine, Semmelweis University, Budapest, Hungary., Sculean A; Department of Periodontology, School of Dental Medicine, University of Bern, Bern, Switzerland., Mikulás K; Department of Prosthodontics, Semmelweis University, Budapest, Hungary.; Centre for Translational Medicine, Semmelweis University, Budapest, Hungary.
المصدر: Periodontology 2000 [Periodontol 2000] 2024 Feb; Vol. 94 (1), pp. 627-638. Date of Electronic Publication: 2023 Sep 28.
نوع المنشور: Journal Article; Meta-Analysis; Systematic Review
اللغة: English
بيانات الدورية: Publisher: Blackwell Munksgaard Country of Publication: Denmark NLM ID: 9313276 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1600-0757 (Electronic) Linking ISSN: 09066713 NLM ISO Abbreviation: Periodontol 2000 Subsets: MEDLINE
أسماء مطبوعة: Publication: Copenhagen : Blackwell Munksgaard
Original Publication: Copenhagen ; Cambridge, MA : Munksgarrd, c1993-
مواضيع طبية MeSH: Alveolar Bone Loss*/etiology , Dental Abutments*/adverse effects , Dental Implant-Abutment Design* , Dental Implants*/adverse effects, Humans ; Dental Implantation, Endosseous/adverse effects
مستخلص: The aim of this study was to investigate the biological outcomes of bone-level implants restored with long vs. short abutments, with regard to the 'one abutment at one time' protocol. The systematic search was performed in five databases: MEDLINE (PubMed), EMBASE, Web of Science, Scopus, and CENTRAL for randomized controlled trials up to January 14, 2023. Data were collected for marginal bone loss, bleeding on probing, and probing pocket depth by two reviewers. As effect size measure, mean difference (MD), and risk ratio (RR) were used for continuous and categorical outcomes, R-statistics software was used for conducting statistical analyses. For quality and certainty assessment, Risk of Bias Tool 2, ROBINS-I, and GRADE approach were used. The search resulted in 4055 records without any duplicates. After title, abstract, and full-text analysis, eight articles were found eligible for inclusion. Bone-level and platform-switched implants presented less marginal bone loss after 6 months and 1 year as well, when long abutments were used (MD 0.63, 95% CI: [-0.16; 1.42]) and (MD 0.26, 95% CI: [-0.02; 0.53]). However, subgroup analysis revealed no difference in marginal bone loss when applying 'one abutment at one time' protocol (p = 0.973). Bleeding on probing and probing pocket depth presented similarly good results in both groups without almost any differences (RR 0.97, 95% CI: [0.76; 1.23]) and (MD -0.05, 95% CI: [-1.11; 1.01]). Longer abutments on bone-level implants seem to be a favorable choice for decreasing early marginal bone loss, irrespective of connection timing.
(© 2023 The Authors. Periodontology 2000 published by John Wiley & Sons Ltd.)
References: Renvert S, Persson GR, Pirih FQ, Camargo PM. Peri‐implant health, peri‐implant mucositis, and peri‐implantitis: case definitions and diagnostic considerations. J Clin Periodontol. 2018;45:S278‐S285.
Jung RE, Zembic A, Pjetursson BE, Zwahlen M, Thoma DS. Systematic review of the survival rate and the incidence of biological, technical, and aesthetic complications of single crowns on implants reported in longitudinal studies with a mean follow‐up of 5 years. Clin Oral Implants Res. 2012;23:2‐21.
Joda T, Bragger U. Complete digital workflow for the production of implant‐supported single‐unit monolithic crowns. Clin Oral Implants Res. 2014;25(11):1304‐1306.
Wittneben JG, Buser D, Salvi GE, Burgin W, Hicklin S, Bragger U. Complication and failure rates with implant‐supported fixed dental prostheses and single crowns: a 10‐year retrospective study. Clin Implant Dent Relat Res. 2014;16(3):356‐364.
Pjetursson BE, Valente NA, Strasding M, Zwahlen M, Liu S, Sailer I. A systematic review of the survival and complication rates of zirconia‐ceramic and metal‐ceramic single crowns. Clin Oral Implants Res. 2018;29:199‐214.
Alqutaibi AY, Alnazzawi AA, Algabri R, Aboalrejal AN, AbdElaziz MH. Clinical performance of single implant‐supported ceramic and metal‐ceramic crowns: a systematic review and meta‐analysis of randomized clinical trials. J Prosthet Dent. 2021;126(3):369‐376.
Donker VJJ, Raghoebar GM, Jensen‐Louwerse C, Vissink A, Meijer HJA. Monolithic zirconia single tooth implant‐supported restorations with CAD/CAM titanium abutments in the posterior region: a 1‐year prospective case series study. Clin Implant Dent Relat Res. 2022;24(1):125‐132.
Roccuzzo A, Imber J‐C, Salvi GE, Roccuzzo M. Peri‐implantitis as the consequence of errors in implant therapy. Periodontol 2000. 2023;92:350‐361.
Schwarz F, Ramanauskaite A. It is all about peri‐implant tissue health. Periodontol 2000. 2022;88:9‐12.
Cochran DL, Hermann JS, Schenk RK, Higginbottom FL, Buser D. Biologic width around titanium implants. A histometric analysis of the implanto‐gingival junction around unloaded and loaded nonsubmerged implants in the canine mandible. J Periodontol. 1997;68(2):186‐198.
Jepsen S, Caton JG, Albandar JM, et al. Periodontal manifestations of systemic diseases and developmental and acquired conditions: consensus report of workgroup 3 of the 2017 world workshop on the classification of periodontal and peri‐implant diseases and conditions. J Clin Periodontol. 2018;45:S219‐S229.
Berglundh T, Lindhe J. Dimension of the periimplant mucosa. Biological width revisited. J Clin Periodontol. 1996;23(10):971‐973.
Galindo‐Moreno P, Leon‐Cano A, Ortega‐Oller I, Monje A, O Valle F, Catena A. Marginal bone loss as success criterion in implant dentistry: beyond 2 mm. Clin Oral Implants Res. 2015;26(4):e28‐e34.
Albrektsson T, Zarb G, Worthington P, Eriksson AR. The long‐term efficacy of currently used dental implants: a review and proposed criteria of success. Int J Oral Maxillofac Implants. 1986;1(1):11‐25.
Manz MC. Factors associated with radiographic vertical bone loss around implants placed in a clinical study. Ann Periodontol. 2000;5(1):137‐151.
Linkevicius T, Puisys A, Steigmann M, Vindasiute E, Linkeviciene L. Influence of vertical soft tissue thickness on crestal bone changes around implants with platform switching: a comparative clinical study. Clin Implant Dent Relat Res. 2015;17(6):1228‐1236.
Quirynen M, Naert I, van Steenberghe D. Fixture design and overload influence marginal bone loss and fixture success in the Branemark system. Clin Oral Implants Res. 1992;3(3):104‐111.
Albrektsson T, Dahlin C, Jemt T, Sennerby L, Turri A, Wennerberg A. Is marginal bone loss around oral implants the result of a provoked foreign body reaction? Clin Implant Dent Relat Res. 2014;16(2):155‐165.
Sutter W, Sorensen B. The new restorative concept of the ITI dental implant system: design and engineering. Int J Periodontics Restorative Dent. 1993;13(5):409‐431.
Pozzi A, Agliardi E, Tallarico M, Barlattani A. Clinical and radiological outcomes of two implants with different prosthetic interfaces and neck configurations: randomized, controlled, split‐mouth clinical trial. Clin Implant Dent Relat Res. 2014;16(1):96‐106.
Chappuis V, Bornstein MM, Buser D, Belser U. Influence of implant neck design on facial bone crest dimensions in the esthetic zone analyzed by cone beam CT: a comparative study with a 5‐to‐9‐year follow‐up. Clin Oral Implants Res. 2016;27(9):1055‐1064.
Sailer I, Muhlemann S, Zwahlen M, Hammerle CH, Schneider D. Cemented and screw‐retained implant reconstructions: a systematic review of the survival and complication rates. Clin Oral Implants Res. 2012;23:163‐201.
Chen Z, Lin CY, Li J, Wang HL, Yu H. Influence of abutment height on peri‐implant marginal bone loss: a systematic review and meta‐analysis. J Prosthet Dent. 2019;122(1):14‐21.
Souza AB, Alshihri A, Kammerer PW, Araujo MG, Gallucci GO. Histological and micro‐CT analysis of peri‐implant soft and hard tissue healing on implants with different healing abutments configurations. Clin Oral Implants Res. 2018;29(10):1007‐1015.
Lazzara RJ, Porter SS. Platform switching: a new concept in implant dentistry for controlling postrestorative crestal bone levels. Int J Periodontics Restorative Dent. 2006;26(1):9‐17.
Abrahamsson I, Berglundh T, Lindhe J. The mucosal barrier following abutment dis/reconnection. An experimental study in dogs. J Clin Periodontol. 1997;24(8):568‐572.
Liu Y, Wang J. Influences of microgap and micromotion of implant‐abutment interface on marginal bone loss around implant neck. Arch Oral Biol. 2017;83:153‐160.
Koutouzis T. Implant‐abutment connection as contributing factor to peri‐implant diseases. Periodontol 2000. 2019;81:152‐166.
Romanos GE, Delgado‐Ruiz R, Sculean A. Concepts for prevention of complications in implant therapy. Periodontol 2000. 2019;81:7‐17.
Thoma DS, Sanz Martin I, Benic GI, Roos M, Hammerle CH. Prospective randomized controlled clinical study comparing two dental implant systems: demographic and radiographic results at one year of loading. Clin Oral Implants Res. 2014;25(2):142‐149.
Liu M, He L, Wang H. Clinical and radiographic performance of one‐piece and two‐piece implant: a systematic review and meta‐analysis. J Prosthodont Res. 2021;65(1):56‐66.
Finelle G, Papadimitriou DEV, Souza AB, Katebi N, Gallucci GO, Araujo MG. Peri‐implant soft tissue and marginal bone adaptation on implant with non‐matching healing abutments: micro‐CT analysis. Clin Oral Implants Res. 2015;26(4):e42‐e46.
Atieh MA, Tawse‐Smith A, Alsabeeha NHM, Ma S, Duncan WJ. The one abutment‐one time protocol: a systematic review and meta‐analysis. J Periodontol. 2017;88(11):1173‐1185.
Koutouzis T, Gholami F, Reynolds J, Lundgren T, Kotsakis GA. Abutment disconnection/reconnection affects peri‐implant marginal bone levels: a meta‐analysis. Int J Oral Maxillofac Implants. 2017;32(3):575‐581.
Degidi M, Nardi D, Piattelli A. One abutment at one time: non‐removal of an immediate abutment and its effect on bone healing around subcrestal tapered implants. Clin Oral Implants Res. 2011;22(11):1303‐1307.
Grandi T, Guazzi P, Samarani R, Garuti G. Immediate positioning of definitive abutments versus repeated abutment replacements in immediately loaded implants: effects on bone healing at the 1‐year follow‐up of a multicentre randomised controlled trial. Eur J Oral Implantol. 2012;5(1):9‐16.
Pommer B, Danzinger M, Leite Aiquel L, Pitta J, Haas R. Long‐term outcomes of maxillary single‐tooth implants in relation to timing protocols of implant placement and loading: systematic review and meta‐analysis. Clin Oral Implants Res. 2021;32:56‐66.
Vatenas I, Linkevicius T. One abutment one time vs. repeatable abutment disconnections in implants, restored with cemented / screw retained fixed partial dentures: marginal bone level changes. A systematic review and meta‐analysis. Stomatologija. 2021;23(2):35‐40.
Spinato S, Galindo‐Moreno P, Bernardello F, Zaffe D. Minimum abutment height to eliminate bone loss: influence of implant neck design and platform switching. Int J Oral Maxillofac Implants. 2018;33(2):405‐411.
Blanco J, Pico A, Caneiro L, Novoa L, Batalla P, Martin‐Lancharro P. Effect of abutment height on interproximal implant bone level in the early healing: a randomized clinical trial. Clin Oral Implants Res. 2018;29(1):108‐117.
Vervaeke S, Collaert B, Cosyn J, De Bruyn H. A 9‐year prospective case series using multivariate analyses to identify predictors of early and late peri‐implant bone loss. Clin Implant Dent Relat Res. 2016;18(1):30‐39.
Del Amo FS, Romero‐Bustillos M, Catena A, Galindo‐Moreno P, Sanchez‐Suarez JM, Garaicoa‐Pazmino C. Effect of abutment height on marginal bone loss around dental implants: a systematic review. Int J Prosthodont. 2022. doi:10.11607/ijp.8174.
Linkevicius T, Alkimavicius J, Linkevicius R, Gineviciute E, Linkeviciene L. Effect of ti‐base abutment gingival height on maintenance of crestal bone in thick biotype patients: a randomized clinical trial with 1‐year follow‐up. Int J Oral Maxillofac Implants. 2022;37(2):320‐327.
Munoz M, Vilarrasa J, Ruiz‐Magaz V, Albertini M, Nart J. Influence of the abutment height on marginal bone level changes around two‐piece dental implants: meta‐analysis and trial sequential analysis of randomized clinical trials. Clin Oral Implants Res. 2022;34(2):81‐94.
Spinato S, Stacchi C, Lombardi T, et al. Influence of abutment height and vertical mucosal thickness on early marginal bone loss around implants: a randomised clinical trial with an 18‐month post‐loading clinical and radiographic evaluation. Int J Oral Implantol (Berl). 2020;13(3):279‐290.
Spinato S, Stacchi C, Lombardi T, Bernardello F, Messina M, Zaffe D. Biological width establishment around dental implants is influenced by abutment height irrespective of vertical mucosal thickness: a cluster randomized controlled trial. Clin Oral Implants Res. 2019;30(7):649‐659.
Page MJ, McKenzie JE, Bossuyt PM, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71.
Higgins JP, Thomas J, Chandler J, et al. Cochrane Handbook for Systematic Reviews of Interventions. Version 6.3. (updated February 2022). Cochrane; 2022.
EndNote. Version EndNote 20. Clarivate 2013.
Higgins JP, Altman DG, Gotzsche PC, et al. The Cochrane Collaboration's tool for assessing risk of bias in randomised trials. BMJ. 2011;343:d5928.
R Core Team. R: A Language and Environment for Statistical Computing. R Foundation for Statistical Computing; 2021.
Schwarzer G. Meta‐Analysis in R. In: Egger M, Higgins JPT, Smith GD, eds. Systematic Reviews in Health Research. BMJ Books; 2022.
Harrer M, Cuijpers P, Kanzawa T, Ebert DD, Taylor F. Doing Meta‐Analysis with R: A Hands‐on Guide. 1st ed. CRC Press; 2021.
Higgins JP, Thompson SG. Quantifying heterogeneity in a meta‐analysis. Stat Med. 2002;21(11):1539‐1558.
Munoz M, Busoms E, Vilarrasa J, Albertini M, Ruiz‐Magaz V, Nart J. Bone‐level changes around implants with 1‐ or 3‐mm‐high abutments and their relation to crestal mucosal thickness: a 1‐year randomized clinical trial. J Clin Periodontol. 2021;48(10):1302‐1311.
Pico A, Martin‐Lancharro P, Caneiro L, Novoa L, Batalla P, Blanco J. Influence of abutment height and implant depth position on interproximal peri‐implant bone in sites with thin mucosa: a 1‐year randomized clinical trial. Clin Oral Implants Res. 2019;30(7):595‐602.
Borges T, Leitao B, Pereira M, Carvalho A, Galindo‐Moreno P. Influence of the abutment height and connection timing in early peri‐implant marginal bone changes: a prospective randomized clinical trial. Clin Oral Implants Res. 2018;29(9):907‐914.
Spinato S, Bernardello F, Sassatelli P, Zaffe D. Hybrid implants in healthy and periodontally compromised patients: a preliminary clinical and radiographic study. Int J Periodontics Restorative Dent. 2017;37(2):195‐202.
GRADEpro Guideline Development Tool [Software]. McMaster University and Evidence Prime. 2021. gradepro.org.
Borges T, Montero J, Leitao B, Pereira M, Galindo‐Moreno P. Periimplant bone changes in different abutment heights and insertion timing in posterior mandibular areas: three‐year results from a randomized prospective clinical trial. Clin Oral Implants Res. 2021;32(2):203‐211.
Insua A, Monje A, Wang HL, Miron RJ. Basis of bone metabolism around dental implants during osseointegration and peri‐implant bone loss. J Biomed Mater Res A. 2017;105(7):2075‐2089.
Lombardi T, Berton F, Salgarello S, et al. Factors influencing early marginal bone loss around dental implants positioned subcrestally: a multicenter prospective clinical study. J Clin Med. 2019;8(8):1168.
Smith DE, Zarb GA. Criteria for success of osseointegrated endosseous implants. J Prosthet Dent. 1989;62(5):567‐572.
Donos N, Akcali A, Padhye N, Sculean A, Calciolari E. Bone regeneration in implant dentistry: which are the factors affecting the clinical outcome? Periodontol 2000. 2023;00:1‐30.
Suarez‐Lopez Del Amo F, Lin GH, Monje A, Galindo‐Moreno P, Wang HL. Influence of soft tissue thickness on peri‐implant marginal bone loss: a systematic review and meta‐analysis. J Periodontol. 2016;87(6):690‐699.
Hermann JS, Cochran DL, Nummikoski PV, Buser D. Crestal bone changes around titanium implants. A radiographic evaluation of unloaded nonsubmerged and submerged implants in the canine mandible. J Periodontol. 1997;68(11):1117‐1130.
Boynuegri AD, Yalim M, Nemli SK, Erguder BI, Gokalp P. Effect of different localizations of microgap on clinical parameters and inflammatory cytokines in peri‐implant crevicular fluid: a prospective comparative study. Clin Oral Investig. 2012;16(2):353‐361.
Canullo L, Bignozzi I, Cocchetto R, Cristalli MP, Iannello G. Immediate positioning of a definitive abutment versus repeated abutment replacements in post‐extractive implants: 3‐year follow‐up of a randomised multicentre clinical trial. Eur J Oral Implantol. 2010;3(4):285‐296.
Soliman G, Guazzato M, Klineberg I, Chang MC, Ellakwa A. Influence of platform switching, abutment design and connection protocols on the stability of peri‐implant tissues. A systematic review. Eur J Prosthodont Restor Dent. 2021;29(4):194‐207.
Perrotti V, Zhang D, Liang A, Wong J, Quaranta A. The effect of one‐abutment at one‐time on marginal bone loss around implants placed in healed bone: a systematic review of human studies. Implant Dent. 2019;28(6):603‐612.
Lang NP, Bartold PM. Periodontal health. J Periodontol. 2018;89:S9‐S16.
Serino G, Strom C. Peri‐implantitis in partially edentulous patients: association with inadequate plaque control. Clin Oral Implants Res. 2009;20(2):169‐174.
Yi Y, Koo KT, Schwarz F, Ben Amara H, Heo SJ. Association of prosthetic features and peri‐implantitis: a cross‐sectional study. J Clin Periodontol. 2020;47(3):392‐403.
Katafuchi M, Weinstein BF, Leroux BG, Chen YW, Daubert DM. Restoration contour is a risk indicator for peri‐implantitis: a cross‐sectional radiographic analysis. J Clin Periodontol. 2018;45(2):225‐232.
Giglio GD. Abutment selection in implant‐supported fixed prosthodontics. Int J Periodontics Restorative Dent. 1999;19:233‐241.
Hegyi P, Erőss B, Izbéki F, Párniczky A, Szentesi A. Accelerating the translational medicine cycle: the academia Europaea pilot. Nat Med. 2021;27(8):1317‐1319.
Hegyi P, Petersen OH, Holgate S, et al. Academia europaea position paper on translational medicine: the cycle model for translating scientific results into community benefits. J Clin Med. 2020;9(5):1532.
معلومات مُعتمدة: Centre for Translational Medicine, Semmelweis University
فهرسة مساهمة: Keywords: abutment height; dental implant; marginal bone loss; meta‐analysis; systematic review
المشرفين على المادة: 0 (Dental Implants)
تواريخ الأحداث: Date Created: 20230928 Date Completed: 20240517 Latest Revision: 20240529
رمز التحديث: 20240529
DOI: 10.1111/prd.12534
PMID: 37766634
قاعدة البيانات: MEDLINE
الوصف
تدمد:1600-0757
DOI:10.1111/prd.12534