Quality assessment of systematic reviews regarding dental implant placement on diabetic patients: an overview of systematic reviews
| Autor: | Fernando-José C. de Lima, Célio-Fernando de Sousa-Rodrigues, Fabiano-Timbó Barbosa, Isabelle-Oliveira Santos, Olavo-Barbosa de Oliveira-Neto |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Dental Restoration Failure
medicine.medical_specialty medicine.medical_treatment MEDLINE Review 03 medical and health sciences 0302 clinical medicine Diabetes mellitus medicine Diabetes Mellitus Humans Dental implant General Dentistry Survival rate Dental Implants business.industry 030206 dentistry CIENCIAS MÉDICAS [UNESCO] medicine.disease Medically compromised patients in Dentistry Systematic review Otorhinolaryngology Meta-analysis UNESCO::CIENCIAS MÉDICAS Physical therapy Surgery Implant business |
| Zdroj: | Medicina Oral, Patología Oral y Cirugía Bucal de Oliveira-Neto, Olavo-Barbosa ; Santos, Isabelle-Oliveira ; Barbosa, Fabiano-Timbó ; de Sousa-Rodrigues, Célio-Fernando ; de Lima, Fernando-José C.. Quality assessment of systematic reviews regarding dental implant placement on diabetic patients : an overview of systematic reviews. En: Medicina oral, patología oral y cirugía bucal. Ed. inglesa, 24 4 2019: 2 RODERIC. Repositorio Institucional de la Universitat de Valéncia instname |
| ISSN: | 1698-6946 1698-4447 |
| Popis: | Background Since implant placement on diabetic patients still is a controversial topic and systematic reviews are at the top of scientific evidence hierarchy, a thorough assessment of the methodological quality of these reviews must be performed to inform clinicians if their conclusions and recommendations can be followed on clinical practice. An overview of systematic reviews was performed with the purpose to assess the methodological quality of systematic reviews regarding dental implant placement on diabetic patients. In addition, we presented a synthesis of clinical outcomes about the focused theme. Material and Methods An online search was performed on MEDLINE via PubMed, EMBASE, DARE-Cochrane, Scopus, Web of Science, LILACS, and SIGLE via Open Grey. Searches were conducted from database inception to May 2018. Systematic review articles with or without meta-analysis about the placement of dental implants on diabetic patients were included. Exclusion criteria were: articles whose primary outcome was not the survival/success rate of dental implants on diabetic patients; studies that do not relate the survival/success rate of dental implants with diabetes; duplicated papers. Methodological quality assessment was performed with AMSTAR. A descriptive synthesis of clinical outcomes was performed. Results We identified 1.661 initial hits and eight articles were selected for overview (kappa=0.83; strong agreement). Six studies presented moderate methodological quality and two showed high methodological quality. Implant survival rate ranged from 31.8% to 100% and data from four meta-analysis showed that diabetes does not affect implant survival rate. On the other hand, data from two meta-analysis for marginal bone loss showed that diabetes statistically affects this outcome. Conclusions Two of the eight included studies presented high methodological quality and their meta-analysis showed that implant placement on diabetic patients does not affect implant survival rate and statistically affects marginal bone loss. However, clinicians must be aware that marginal bone loss values were not clinically relevant and may not be safe to follow the conclusions and recommendations of these studies. Key words:Dental implants, diabetes, systematic review, meta-analysis, survival rate. |
| Databáze: | OpenAIRE |
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