Patient-centred outcomes and dental implant placement in computer-aided free flap mandibular reconstruction: a systematic review and meta-analysis
Computerised surgical planning (CSP) and computer-aided design and manufacturing (CAD/CAM) have been demonstrated to increase surgical accuracy and reduce operative time in free flap mandibular reconstruction, but evidence is lacking as to their impact on patient-centred outcomes. Implant-supported...
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| Veröffentlicht in: | British journal of oral & maxillofacial surgery 2022-12, Vol.60 (10), p.1283-1291 |
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| container_title | British journal of oral & maxillofacial surgery |
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| creator | Salinero, Lauren Boczar, Daniel Barrow, Brooke Berman, Zoe P. Diep, Gustave K. Trilles, Jorge Howard, Rachel Chaya, Bachar F. Rodriguez Colon, Ricardo Rodriguez, Eduardo D. |
| description | Computerised surgical planning (CSP) and computer-aided design and manufacturing (CAD/CAM) have been demonstrated to increase surgical accuracy and reduce operative time in free flap mandibular reconstruction, but evidence is lacking as to their impact on patient-centred outcomes. Implant-supported dental prostheses, however, have been associated with improved quality of life outcomes following free flap mandibular reconstruction. We aim to review reported patient-centred outcomes in mandibular reconstruction with CSP and CAD/CAM and determine whether use of these technologies is associated with higher rates of dental implant placement following free flap mandibular reconstruction. On December 20, 2020, a systematic review and meta-analysis were conducted according to PRISMA guidelines for studies reporting quality of life, functional outcomes, and rates of dental implant placement in computer-aided free flap mandibular reconstruction. A random-effects meta-analysis was performed to compare dental implant placement rates between surgeries using CSP and those using conventional freehand techniques. A total of 767 articles were screened. Nine articles reporting patient-centred outcomes and 16 articles reporting dental implant outcomes were reviewed. Of those reporting dental implant outcomes, five articles, representing a total of 302 cases, were included in the meta-analysis. Use of CSP was associated with a significant increase in the likelihood of dental implant placement, with an odds ratio of 2.70 (95% CI 1.52 to 4.79, p = 0.0007). Standardised reporting methods and controlled studies are needed to further investigate the impact of CSP and CAD/CAM technologies on functional outcomes and patient-reported quality of life in free flap mandibular reconstruction. Use of CSP and CAD/CAM technologies is associated with higher rates of dental implant placement in patients undergoing free flap mandibular reconstruction when compared to conventional freehand techniques. |
| doi_str_mv | 10.1016/j.bjoms.2022.09.006 |
| format | Article |
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Implant-supported dental prostheses, however, have been associated with improved quality of life outcomes following free flap mandibular reconstruction. We aim to review reported patient-centred outcomes in mandibular reconstruction with CSP and CAD/CAM and determine whether use of these technologies is associated with higher rates of dental implant placement following free flap mandibular reconstruction. On December 20, 2020, a systematic review and meta-analysis were conducted according to PRISMA guidelines for studies reporting quality of life, functional outcomes, and rates of dental implant placement in computer-aided free flap mandibular reconstruction. A random-effects meta-analysis was performed to compare dental implant placement rates between surgeries using CSP and those using conventional freehand techniques. A total of 767 articles were screened. Nine articles reporting patient-centred outcomes and 16 articles reporting dental implant outcomes were reviewed. Of those reporting dental implant outcomes, five articles, representing a total of 302 cases, were included in the meta-analysis. Use of CSP was associated with a significant increase in the likelihood of dental implant placement, with an odds ratio of 2.70 (95% CI 1.52 to 4.79, p = 0.0007). Standardised reporting methods and controlled studies are needed to further investigate the impact of CSP and CAD/CAM technologies on functional outcomes and patient-reported quality of life in free flap mandibular reconstruction. 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Of those reporting dental implant outcomes, five articles, representing a total of 302 cases, were included in the meta-analysis. Use of CSP was associated with a significant increase in the likelihood of dental implant placement, with an odds ratio of 2.70 (95% CI 1.52 to 4.79, p = 0.0007). Standardised reporting methods and controlled studies are needed to further investigate the impact of CSP and CAD/CAM technologies on functional outcomes and patient-reported quality of life in free flap mandibular reconstruction. Use of CSP and CAD/CAM technologies is associated with higher rates of dental implant placement in patients undergoing free flap mandibular reconstruction when compared to conventional freehand techniques.</description><subject>CAD-CAM</subject><subject>Computer-Aided Design</subject><subject>Computer-assisted surgery</subject><subject>Dental Implants</subject><subject>Fibula</subject><subject>free flap</subject><subject>Free Tissue Flaps - surgery</subject><subject>Humans</subject><subject>mandibular reconstruction</subject><subject>Mandibular Reconstruction - methods</subject><subject>Quality of Life</subject><subject>three-dimensional printing</subject><issn>0266-4356</issn><issn>1532-1940</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UU1v1TAQtBCIvhZ-ARLykUuCP2I7QeKAKqBIleAAZ8uxN5Kf4iTYDuj9jf5itn2FI5ddaXdmRztDyCvOWs64fntsx-OaSiuYEC0bWsb0E3LgSoqGDx17Sg5MaN10UukLclnKkTGmBFfPyYXUomdK9gdy983VCEttPJYMga579WuCQt0SaMChm2lM2-yWSrF6SDijcaGI2vYKuXExIG_KAHSa3UYTMuO4zy7TDH5dSs27r3Fd3lFHy6lUSKjpcfkrwu8HnQTVNW5x86nE8oI8m9xc4OVjvyI_Pn38fn3T3H79_OX6w23jpRpqMxqlBTNS98CdMqYLA-uHyUxyktqIgYFx0ngwEJTq5Ki56LwQWorR-yCEvCJvzne3vP7coVSbYvEw46uw7sUKI_pOK2l6hMoz1Oe1lAyT3XJMLp8sZ_Y-DHu0D2HY-zAsGyyGgazXjwL7mCD84_x1HwHvzwDAN9GMbIvHMDyEiM5VG9b4X4E_nAuezw</recordid><startdate>202212</startdate><enddate>202212</enddate><creator>Salinero, Lauren</creator><creator>Boczar, Daniel</creator><creator>Barrow, Brooke</creator><creator>Berman, Zoe P.</creator><creator>Diep, Gustave K.</creator><creator>Trilles, Jorge</creator><creator>Howard, Rachel</creator><creator>Chaya, Bachar F.</creator><creator>Rodriguez Colon, Ricardo</creator><creator>Rodriguez, Eduardo D.</creator><general>Elsevier Ltd</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>7X8</scope></search><sort><creationdate>202212</creationdate><title>Patient-centred outcomes and dental implant placement in computer-aided free flap mandibular reconstruction: a systematic review and meta-analysis</title><author>Salinero, Lauren ; 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| ispartof | British journal of oral & maxillofacial surgery, 2022-12, Vol.60 (10), p.1283-1291 |
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| language | eng |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | CAD-CAM Computer-Aided Design Computer-assisted surgery Dental Implants Fibula free flap Free Tissue Flaps - surgery Humans mandibular reconstruction Mandibular Reconstruction - methods Quality of Life three-dimensional printing |
| title | Patient-centred outcomes and dental implant placement in computer-aided free flap mandibular reconstruction: a systematic review and meta-analysis |
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