Đánh giá hệ thống về thành công lâu dài của các implant răng được phủ plasma-calcium phosphate

Shigaku = Odontology - Tập 104 - Trang 347-356 - 2016
B. A. J. A. van Oirschot1, E. M. Bronkhorst2, J. J. J. P. van den Beucken1, G. J. Meijer3, J. A. Jansen1, R. Junker4
1Department of Biomaterials, College of Dental Sciences, Radboudumc, Nijmegen, The Netherlands
2Department of Preventive and Curative Dentistry, Radboudumc, Nijmegen, The Netherlands
3Department of Implantology and Periodontology, Radboudumc, Nijmegen, The Netherlands
4Department of Prosthodontics and Biomaterials, Danube Private University, Krems a.d. Donau, Austria

Tóm tắt

Các mục tiêu của bài đánh giá hiện tại là (1) đánh giá hệ thống, và (2) đánh giá dữ liệu thành công lâu dài của các implant răng được phủ plasma-calcium phosphate (CaP) trong các thử nghiệm lâm sàng có thời gian theo dõi ít nhất 5 năm. Để mô tả hiệu quả lâu dài của các implant chức năng, các biến kết quả được đưa ra là (a) tỷ lệ biến chứng hàng năm (ACR) và (b) tỷ lệ thành công tích lũy (CSR), như được trình bày trong các bài báo đã chọn. Tìm kiếm điện tử đã thu được 645 tiêu đề. Dựa trên các tiêu chí thu nhận, cuối cùng có 8 nghiên cứu được đưa vào. Tỷ lệ các implant hoạt động sau năm đầu tiên ước tính là 98,4% ở hàm trên và 99,2% ở hàm dưới. Các ước tính về tỷ lệ ACR trung bình gia quyền tăng dần theo từng năm, lên đến 2,6 (SE 0,7) trong năm thứ năm ở hàm trên và 9,4 (SE 8,4) ở hàm dưới trong năm thứ mười. Sau 10 năm, tỷ lệ thành công trung bình của các implant ước tính là 71,1% ở hàm trên và 72,2% ở hàm dưới. Các ước tính này dường như xác nhận mô hình mất xương tiến triển lâu dài đã được đề xuất của các implant răng phủ gốm CaP. Trong giới hạn của cách tiếp cận phân tích meta này đối với tài liệu, chúng tôi kết luận rằng: (1) dữ liệu thành công lâu dài đã được công bố cho các implant răng được phủ plasma-calcium phosphate còn hạn chế, (2) việc so sánh các dữ liệu là khó khăn do sự khác biệt trong các tiêu chí thành công giữa các nghiên cứu, và (3) tỷ lệ CSR lâu dài cho thấy bằng chứng rất yếu về các biến chứng tiến triển xung quanh các implant răng được phủ plasma-calcium phosphate.

Từ khóa

#implant răng #phospho canxi #plasma-spray #thành công lâu dài #biến chứng

Tài liệu tham khảo

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