The influence of crown-to-implant ratio in single crowns on clinical outcomes: A systematic review and meta-analysis

A consensus about the effect of crown-to-implant (C/I) ratio in single crowns regarding the implant survival rate and marginal bone loss (MBL) is lacking. The purpose of this systematic review and meta-analysis was to evaluate the influence of C/I ratio in implant-supported single crowns on clinical...

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Veröffentlicht in:The Journal of prosthetic dentistry 2021-10, Vol.126 (4), p.497-502
Hauptverfasser: Pellizzer, Eduardo Piza, Marcela de Luna Gomes, Jéssica, Araújo Lemos, Cleidiel Aparecido, Minatel, Lurian, Justino de Oliveira Limírio, João Pedro, Dantas de Moraes, Sandra Lúcia
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container_issue 4
container_start_page 497
container_title The Journal of prosthetic dentistry
container_volume 126
creator Pellizzer, Eduardo Piza
Marcela de Luna Gomes, Jéssica
Araújo Lemos, Cleidiel Aparecido
Minatel, Lurian
Justino de Oliveira Limírio, João Pedro
Dantas de Moraes, Sandra Lúcia
description A consensus about the effect of crown-to-implant (C/I) ratio in single crowns regarding the implant survival rate and marginal bone loss (MBL) is lacking. The purpose of this systematic review and meta-analysis was to evaluate the influence of C/I ratio in implant-supported single crowns on clinical outcomes. The search was made in the PubMed/MEDLINE, Scopus, and the Cochrane Library databases following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses criteria and registered with the International Prospective Register of Systematic Reviews (PROSPERO: CRD42018095711). The focused question was “Does the crown-to-implant ratio influence clinical outcomes for implant-supported single crowns?” Five direct comparative studies were included (C/I ratio ≤1 or >1, or ≤2 or >2), including a total of 262 participants with a mean age of 54.5 years. The meta-analysis comparing C/I ratio between ≤1 or >1 revealed no significant differences (P=.18; risk difference:-0.05; 95% confidence interval: -0.11 to 0.02) in terms of implant survival rate; the same was true for C/I ratio between 1 (0.07 mm [-0.29 to 0.22]); 
doi_str_mv 10.1016/j.prosdent.2020.06.010
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The purpose of this systematic review and meta-analysis was to evaluate the influence of C/I ratio in implant-supported single crowns on clinical outcomes. The search was made in the PubMed/MEDLINE, Scopus, and the Cochrane Library databases following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses criteria and registered with the International Prospective Register of Systematic Reviews (PROSPERO: CRD42018095711). The focused question was “Does the crown-to-implant ratio influence clinical outcomes for implant-supported single crowns?” Five direct comparative studies were included (C/I ratio ≤1 or &gt;1, or ≤2 or &gt;2), including a total of 262 participants with a mean age of 54.5 years. The meta-analysis comparing C/I ratio between ≤1 or &gt;1 revealed no significant differences (P=.18; risk difference:-0.05; 95% confidence interval: -0.11 to 0.02) in terms of implant survival rate; the same was true for C/I ratio between &lt;2 or ≥2 (P=.05; risk difference:-0.06; 95% confidence interval: -0.12 to -0.00), both analysis were made with a mean follow-up period was 36 months. The mean MBL was calculated based in the qualitative data for each C/I ratio: ≤1 (0.15 mm [-0.34 to 0.34]); &gt;1 (0.07 mm [-0.29 to 0.22]); &lt;2 (1.32 mm [0.38-0.9]); and ≥2 (1.37 mm [-0.02 to 0.91]). The qualitative data reported that the most common mechanical complication was screw loosening, and the most common biological complication was peri-implantitis. The meta-analysis revealed no relationship between categories of C/I ratio for implant survival rate. 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The meta-analysis comparing C/I ratio between ≤1 or &gt;1 revealed no significant differences (P=.18; risk difference:-0.05; 95% confidence interval: -0.11 to 0.02) in terms of implant survival rate; the same was true for C/I ratio between &lt;2 or ≥2 (P=.05; risk difference:-0.06; 95% confidence interval: -0.12 to -0.00), both analysis were made with a mean follow-up period was 36 months. The mean MBL was calculated based in the qualitative data for each C/I ratio: ≤1 (0.15 mm [-0.34 to 0.34]); &gt;1 (0.07 mm [-0.29 to 0.22]); &lt;2 (1.32 mm [0.38-0.9]); and ≥2 (1.37 mm [-0.02 to 0.91]). The qualitative data reported that the most common mechanical complication was screw loosening, and the most common biological complication was peri-implantitis. The meta-analysis revealed no relationship between categories of C/I ratio for implant survival rate. 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source MEDLINE; ScienceDirect Journals (5 years ago - present)
subjects Crowns
Dental Implants
Dental Prosthesis Design
Dental Prosthesis, Implant-Supported
Dental Restoration Failure
Humans
Middle Aged
title The influence of crown-to-implant ratio in single crowns on clinical outcomes: A systematic review and meta-analysis
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