The rehabilitation of posterior atrophic maxilla by using the graftless option of short implant versus conventional long implant with sinus graft: A systematic review and meta-analysis of randomized controlled clinical trial
| Autor: | Smruti Tushar Thakkar, Ajit Suryakant Jankar, Sidesh Borse, Ritu Chaudhary, Sachin Chaware, Vrushali Thakare |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Sinus Floor Augmentation Review law.invention pours bone 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Maxilla medicine Atrophic maxilla Animals Humans sinus graft textured implant Horses General Dentistry Survival rate Sinus (anatomy) Randomized Controlled Trials as Topic Rehabilitation business.industry Alveolar Ridge Augmentation Prostheses and Implants 030206 dentistry short implant Surgery lcsh:RK1-715 Clinical trial medicine.anatomical_structure lcsh:Dentistry Meta-analysis Cattle Female Implant Atrophy Oral Surgery Bone augmentation business |
| Zdroj: | The Journal of the Indian Prosthodontic Society The Journal of Indian Prosthodontic Society, Vol 21, Iss 1, Pp 28-44 (2021) |
| ISSN: | 0972-4052 |
| DOI: | 10.4103/jips.jips_400_20 |
| Popis: | Aim: The purpose of systematic review and meta-analysis was to compare the efficacy of short implant versus conventional long implant with sinus graft in patients rehabilitated for posterior atrophic maxilla. Setting and Design: Systematic review and meta analysis. Materials and Methods: Electronic searches were conducted in Pub Med, Embase, and Medline with supplemented by manual search up to December 2019. The randomized controlled trial (RCTs) comparing short implant (8.5 mm) with sinus graft were included. (Prospero CRD42020186972). Statistical Analysis Used: Random-effect model, fixed-effect model, A funnel plot and the Egger's test. Results: Twenty-two Randomized controlled trials (RCTs) were assessed with 667 patients and 1595 implants (short implant:767, Long implant:835). No significant difference of implant survival rate was recorded for short and long implant (at patient level: RR: 1.01, 95% CI = 0.52-2.0, P = 0.87, I2 = 0%, at implant level RR = 1.09, 95% CI = 0.6-2.0, P = 0.7, I2 = 0%). Similarly marginal bone resorption was reported no difference for short and long implant (MD = 0.16. 95% CI: -0.23 = -0.08, P = 0.00, I2 = 74.83%). Biological complications were marginally higher for long implant (RR = 0.48, 95% CI = 0.23-0.8, P = 0.13, I2 = 29.11%). and prosthetic complications were marginally higher for short implants (RR=1.56, 95% CI=0.85-3.15, P = 0.43, I2 = 0%). Conclusion: There was no significance difference in implant survival rate and marginal bone resorption recorded for both the short implant and long implant with sinus graft, in the patients rehabilitated with posterior atrophic maxilla. Hence, short implant is a suitable alternative to long implant with sinus graft, for the rehabilitation posterior atrophic maxilla. |
| Databáze: | OpenAIRE |
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