Photofunctionalization as a suitable approach to improve the osseointegration of implants in animal models—A systematic review and meta‐analysis

Objectives To determine whether photofunctionalization influences dental implant osseointegration. Material and methods Data on osseointegration rates were extracted from 8 databases, based on bone‐to‐implant contact (BIC) and pushout tests. Internal validity was accessed through the SYRCLE risk of...

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Veröffentlicht in:Clinical oral implants research 2020-09, Vol.31 (9), p.785-802
Hauptverfasser: Dini, Caroline, Nagay, Bruna Egumi, Magno, Marcela Baraúna, Maia, Lucianne Cople, Barão, Valentim Adelino Ricardo
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container_end_page 802
container_issue 9
container_start_page 785
container_title Clinical oral implants research
container_volume 31
creator Dini, Caroline
Nagay, Bruna Egumi
Magno, Marcela Baraúna
Maia, Lucianne Cople
Barão, Valentim Adelino Ricardo
description Objectives To determine whether photofunctionalization influences dental implant osseointegration. Material and methods Data on osseointegration rates were extracted from 8 databases, based on bone‐to‐implant contact (BIC) and pushout tests. Internal validity was accessed through the SYRCLE risk of bias tool for animal experimental studies. Meta‐analyses were performed for investigation of the influence of photofunctionalization on implant osseointegration, with a random effect and a confidence interval of 95%. The certainty of evidence was accessed through the GRADE approach. Results Thirty‐four records were identified, and 10 were included in the meta‐analysis. Photofunctionalized implants showed higher mean values for BIC in rabbits (MD 6.92 [1.01, 12.82], p = .02), dogs (MD 23.70 [10.23, 37.16], p = .001), rats (MD 20.93 [12.91, 28.95], p 
doi_str_mv 10.1111/clr.13627
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Material and methods Data on osseointegration rates were extracted from 8 databases, based on bone‐to‐implant contact (BIC) and pushout tests. Internal validity was accessed through the SYRCLE risk of bias tool for animal experimental studies. Meta‐analyses were performed for investigation of the influence of photofunctionalization on implant osseointegration, with a random effect and a confidence interval of 95%. The certainty of evidence was accessed through the GRADE approach. Results Thirty‐four records were identified, and 10 were included in the meta‐analysis. Photofunctionalized implants showed higher mean values for BIC in rabbits (MD 6.92 [1.01, 12.82], p = .02), dogs (MD 23.70 [10.23, 37.16], p = .001), rats (MD 20.93 [12.91, 28.95], p &lt; .0001), and in the pooled BIC analyses (MD 14.23 [7.80, 20.66], p &lt; .0001) compared to those in control implants in the overall assay. Conversely, at late healing periods, the pooled BIC meta‐analyses showed no statistically significant differences (p &gt; .05) for photofunctionalized and control implants at 12 weeks of follow‐up. For pushout analysis, photofunctionalized implants presented greater bone strength integration (MD 19.92 [13.88, 25.96], p &lt; .0001) compared to that of control implants. The heterogeneity between studies ranged from “not important” to “moderate” for rabbits I2 = 24%, dogs I2 = 0%, rats I2 = 0%, and pooled BIC (I2 = 49%), while considerable heterogeneity was observed for pushouts (I2 = 90%). Conclusion Photofunctionalization improves osseointegration in the initial healing period of implants, as summarized from available data from rabbit, dog, and rat in vivo models.</description><identifier>ISSN: 0905-7161</identifier><identifier>EISSN: 1600-0501</identifier><identifier>DOI: 10.1111/clr.13627</identifier><identifier>PMID: 32564392</identifier><language>eng</language><publisher>Denmark: Wiley Subscription Services, Inc</publisher><subject>Animal models ; Animal research ; Animals ; Bone implants ; Bone strength ; Confidence intervals ; Dental Implants ; Dental materials ; Dental prosthetics ; Dogs ; Healing ; Heterogeneity ; In vivo methods and tests ; Meta-analysis ; Models, Animal ; Osseointegration ; photofunctionalization ; Rabbits ; Rats ; Statistical analysis ; Surface Properties ; Surgical implants ; Titanium ; ultraviolet rays</subject><ispartof>Clinical oral implants research, 2020-09, Vol.31 (9), p.785-802</ispartof><rights>2020 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd</rights><rights>2020 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd.</rights><rights>Copyright © 2020 John Wiley &amp; Sons A/S</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4897-e4a78750319fdba59c910f36d636af72f6c73c24326221482f87865416ee68153</citedby><cites>FETCH-LOGICAL-c4897-e4a78750319fdba59c910f36d636af72f6c73c24326221482f87865416ee68153</cites><orcidid>0000-0003-3618-190X ; 0000-0002-6391-9917</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fclr.13627$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fclr.13627$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32564392$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dini, Caroline</creatorcontrib><creatorcontrib>Nagay, Bruna Egumi</creatorcontrib><creatorcontrib>Magno, Marcela Baraúna</creatorcontrib><creatorcontrib>Maia, Lucianne Cople</creatorcontrib><creatorcontrib>Barão, Valentim Adelino Ricardo</creatorcontrib><title>Photofunctionalization as a suitable approach to improve the osseointegration of implants in animal models—A systematic review and meta‐analysis</title><title>Clinical oral implants research</title><addtitle>Clin Oral Implants Res</addtitle><description>Objectives To determine whether photofunctionalization influences dental implant osseointegration. Material and methods Data on osseointegration rates were extracted from 8 databases, based on bone‐to‐implant contact (BIC) and pushout tests. Internal validity was accessed through the SYRCLE risk of bias tool for animal experimental studies. Meta‐analyses were performed for investigation of the influence of photofunctionalization on implant osseointegration, with a random effect and a confidence interval of 95%. The certainty of evidence was accessed through the GRADE approach. Results Thirty‐four records were identified, and 10 were included in the meta‐analysis. Photofunctionalized implants showed higher mean values for BIC in rabbits (MD 6.92 [1.01, 12.82], p = .02), dogs (MD 23.70 [10.23, 37.16], p = .001), rats (MD 20.93 [12.91, 28.95], p &lt; .0001), and in the pooled BIC analyses (MD 14.23 [7.80, 20.66], p &lt; .0001) compared to those in control implants in the overall assay. Conversely, at late healing periods, the pooled BIC meta‐analyses showed no statistically significant differences (p &gt; .05) for photofunctionalized and control implants at 12 weeks of follow‐up. For pushout analysis, photofunctionalized implants presented greater bone strength integration (MD 19.92 [13.88, 25.96], p &lt; .0001) compared to that of control implants. The heterogeneity between studies ranged from “not important” to “moderate” for rabbits I2 = 24%, dogs I2 = 0%, rats I2 = 0%, and pooled BIC (I2 = 49%), while considerable heterogeneity was observed for pushouts (I2 = 90%). Conclusion Photofunctionalization improves osseointegration in the initial healing period of implants, as summarized from available data from rabbit, dog, and rat in vivo models.</description><subject>Animal models</subject><subject>Animal research</subject><subject>Animals</subject><subject>Bone implants</subject><subject>Bone strength</subject><subject>Confidence intervals</subject><subject>Dental Implants</subject><subject>Dental materials</subject><subject>Dental prosthetics</subject><subject>Dogs</subject><subject>Healing</subject><subject>Heterogeneity</subject><subject>In vivo methods and tests</subject><subject>Meta-analysis</subject><subject>Models, Animal</subject><subject>Osseointegration</subject><subject>photofunctionalization</subject><subject>Rabbits</subject><subject>Rats</subject><subject>Statistical analysis</subject><subject>Surface Properties</subject><subject>Surgical implants</subject><subject>Titanium</subject><subject>ultraviolet rays</subject><issn>0905-7161</issn><issn>1600-0501</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1uFDEQhS0EIkNgwQWQJTaw6MT_7l5GI_6kkUAI1i2Pu8w4crcH251oWOUILHLCnAQPHVggURuX5K-eXtVD6DklZ7TWuQ3pjHLF9AO0ooqQhkhCH6IV6YhsNFX0BD3J-ZIQorq2e4xOOJNK8I6t0O2nXSzRzZMtPk4m-B_m2GCTscF59sVsA2Cz36do7A6XiP1Y-yvAZQc45gzRTwW-pWUsuuN_MFPJ2FeVyY8m4DEOEPLdze0FzodcYKywxQmuPFxXZsAjFHN389NUA4fs81P0yJmQ4dn9e4q-vn3zZf2-2Xx892F9sWmsaDvdgDC61ZJw2rlha2RnO0ocV4PiyjjNnLKaWyY4U4xR0TLX6lZJQRWAaqnkp-jVols3-j5DLv3os4VQ_UOcc88ElS1XhOmKvvwHvYxzqn6PlCBMCkVJpV4vlE31NAlcv0_1AunQU9Ifo-prVP3vqCr74l5x3o4w_CX_ZFOB8wW49gEO_1fq15vPi-Qv5Z6hDg</recordid><startdate>202009</startdate><enddate>202009</enddate><creator>Dini, Caroline</creator><creator>Nagay, Bruna Egumi</creator><creator>Magno, Marcela Baraúna</creator><creator>Maia, Lucianne Cople</creator><creator>Barão, Valentim Adelino Ricardo</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>7QP</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-3618-190X</orcidid><orcidid>https://orcid.org/0000-0002-6391-9917</orcidid></search><sort><creationdate>202009</creationdate><title>Photofunctionalization as a suitable approach to improve the osseointegration of implants in animal models—A systematic review and meta‐analysis</title><author>Dini, Caroline ; Nagay, Bruna Egumi ; Magno, Marcela Baraúna ; Maia, Lucianne Cople ; Barão, Valentim Adelino Ricardo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4897-e4a78750319fdba59c910f36d636af72f6c73c24326221482f87865416ee68153</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Animal models</topic><topic>Animal research</topic><topic>Animals</topic><topic>Bone implants</topic><topic>Bone strength</topic><topic>Confidence intervals</topic><topic>Dental Implants</topic><topic>Dental materials</topic><topic>Dental prosthetics</topic><topic>Dogs</topic><topic>Healing</topic><topic>Heterogeneity</topic><topic>In vivo methods and tests</topic><topic>Meta-analysis</topic><topic>Models, Animal</topic><topic>Osseointegration</topic><topic>photofunctionalization</topic><topic>Rabbits</topic><topic>Rats</topic><topic>Statistical analysis</topic><topic>Surface Properties</topic><topic>Surgical implants</topic><topic>Titanium</topic><topic>ultraviolet rays</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dini, Caroline</creatorcontrib><creatorcontrib>Nagay, Bruna Egumi</creatorcontrib><creatorcontrib>Magno, Marcela Baraúna</creatorcontrib><creatorcontrib>Maia, Lucianne Cople</creatorcontrib><creatorcontrib>Barão, Valentim Adelino Ricardo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical oral implants research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dini, Caroline</au><au>Nagay, Bruna Egumi</au><au>Magno, Marcela Baraúna</au><au>Maia, Lucianne Cople</au><au>Barão, Valentim Adelino Ricardo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Photofunctionalization as a suitable approach to improve the osseointegration of implants in animal models—A systematic review and meta‐analysis</atitle><jtitle>Clinical oral implants research</jtitle><addtitle>Clin Oral Implants Res</addtitle><date>2020-09</date><risdate>2020</risdate><volume>31</volume><issue>9</issue><spage>785</spage><epage>802</epage><pages>785-802</pages><issn>0905-7161</issn><eissn>1600-0501</eissn><abstract>Objectives To determine whether photofunctionalization influences dental implant osseointegration. Material and methods Data on osseointegration rates were extracted from 8 databases, based on bone‐to‐implant contact (BIC) and pushout tests. Internal validity was accessed through the SYRCLE risk of bias tool for animal experimental studies. Meta‐analyses were performed for investigation of the influence of photofunctionalization on implant osseointegration, with a random effect and a confidence interval of 95%. The certainty of evidence was accessed through the GRADE approach. Results Thirty‐four records were identified, and 10 were included in the meta‐analysis. Photofunctionalized implants showed higher mean values for BIC in rabbits (MD 6.92 [1.01, 12.82], p = .02), dogs (MD 23.70 [10.23, 37.16], p = .001), rats (MD 20.93 [12.91, 28.95], p &lt; .0001), and in the pooled BIC analyses (MD 14.23 [7.80, 20.66], p &lt; .0001) compared to those in control implants in the overall assay. Conversely, at late healing periods, the pooled BIC meta‐analyses showed no statistically significant differences (p &gt; .05) for photofunctionalized and control implants at 12 weeks of follow‐up. For pushout analysis, photofunctionalized implants presented greater bone strength integration (MD 19.92 [13.88, 25.96], p &lt; .0001) compared to that of control implants. The heterogeneity between studies ranged from “not important” to “moderate” for rabbits I2 = 24%, dogs I2 = 0%, rats I2 = 0%, and pooled BIC (I2 = 49%), while considerable heterogeneity was observed for pushouts (I2 = 90%). Conclusion Photofunctionalization improves osseointegration in the initial healing period of implants, as summarized from available data from rabbit, dog, and rat in vivo models.</abstract><cop>Denmark</cop><pub>Wiley Subscription Services, Inc</pub><pmid>32564392</pmid><doi>10.1111/clr.13627</doi><tpages>18</tpages><orcidid>https://orcid.org/0000-0003-3618-190X</orcidid><orcidid>https://orcid.org/0000-0002-6391-9917</orcidid></addata></record>
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source MEDLINE; Access via Wiley Online Library
subjects Animal models
Animal research
Animals
Bone implants
Bone strength
Confidence intervals
Dental Implants
Dental materials
Dental prosthetics
Dogs
Healing
Heterogeneity
In vivo methods and tests
Meta-analysis
Models, Animal
Osseointegration
photofunctionalization
Rabbits
Rats
Statistical analysis
Surface Properties
Surgical implants
Titanium
ultraviolet rays
title Photofunctionalization as a suitable approach to improve the osseointegration of implants in animal models—A systematic review and meta‐analysis
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