Impact of tilted implants for implant-supported fixed partial dentures: A systematic review with meta-analysis
The use of tilted implants has been considered a suitable option for completely edentulous patients. However, consensus on their clinical performance is lacking, specifically for partial rehabilitation. The purpose of this systematic review and meta-analysis was to evaluate the marginal bone loss an...
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| Veröffentlicht in: | The Journal of prosthetic dentistry 2024-11, Vol.132 (5), p.890-897 |
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| creator | Batista, Rhaslla Gonçalves Faé, Daniele Sorgatto Bento, Victor Augusto Alves Rosa, Cléber Davi Del Rey Daltro Souza Batista, Victor Eduardo de Pellizzer, Eduardo Piza Lemos, Cleidiel Aparecido Araujo |
| description | The use of tilted implants has been considered a suitable option for completely edentulous patients. However, consensus on their clinical performance is lacking, specifically for partial rehabilitation.
The purpose of this systematic review and meta-analysis was to evaluate the marginal bone loss and implant survival rate of tilted implants compared with those of axial implants for implant-supported fixed partial dentures (ISFPDs).
A systematic search of the MEDLINE/PubMed, Web of Science, Embase, Cochrane, and ProQuest databases and reference lists for articles published until May 2022 was performed by 2 independent reviewers without language or publication date restrictions. A meta-analysis was performed using the RevMan version 5.4 program. Quality assessments were performed using the Newcastle–Ottawa scale.
Nine studies were included, totaling 258 participants and 604 implants (269 tilted implants and 335 axial implants). No significant differences were found between the tilted and axial implants for the implant survival rate (P=.81; risk ratio: 1.14). However, higher marginal bone loss values were observed for tilted implants (P=.001; mean difference: 0.12 mm). No significant heterogeneity was observed in either analysis.
No significant relationship was found between tilted and axial implants for ISFPD rehabilitation. However, tilted implants presented greater risks of marginal bone loss than axial implants. |
| doi_str_mv | 10.1016/j.prosdent.2022.11.015 |
| format | Article |
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The purpose of this systematic review and meta-analysis was to evaluate the marginal bone loss and implant survival rate of tilted implants compared with those of axial implants for implant-supported fixed partial dentures (ISFPDs).
A systematic search of the MEDLINE/PubMed, Web of Science, Embase, Cochrane, and ProQuest databases and reference lists for articles published until May 2022 was performed by 2 independent reviewers without language or publication date restrictions. A meta-analysis was performed using the RevMan version 5.4 program. Quality assessments were performed using the Newcastle–Ottawa scale.
Nine studies were included, totaling 258 participants and 604 implants (269 tilted implants and 335 axial implants). No significant differences were found between the tilted and axial implants for the implant survival rate (P=.81; risk ratio: 1.14). However, higher marginal bone loss values were observed for tilted implants (P=.001; mean difference: 0.12 mm). No significant heterogeneity was observed in either analysis.
No significant relationship was found between tilted and axial implants for ISFPD rehabilitation. However, tilted implants presented greater risks of marginal bone loss than axial implants.</description><identifier>ISSN: 0022-3913</identifier><identifier>ISSN: 1097-6841</identifier><identifier>EISSN: 1097-6841</identifier><identifier>DOI: 10.1016/j.prosdent.2022.11.015</identifier><identifier>PMID: 36567158</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Alveolar Bone Loss - etiology ; Dental Implantation, Endosseous - methods ; Dental Implants ; Dental Prosthesis Design ; Dental Prosthesis, Implant-Supported ; Dental Restoration Failure ; Denture, Partial, Fixed ; Humans</subject><ispartof>The Journal of prosthetic dentistry, 2024-11, Vol.132 (5), p.890-897</ispartof><rights>2022 Editorial Council for The Journal of Prosthetic Dentistry</rights><rights>Copyright © 2022 Editorial Council for The Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c368t-793c587239c18f4248652826ba41bc2a1b58c54d09a2afe0337c5f8d425187893</citedby><cites>FETCH-LOGICAL-c368t-793c587239c18f4248652826ba41bc2a1b58c54d09a2afe0337c5f8d425187893</cites><orcidid>0000-0003-0558-4239 ; 0000-0002-7350-2525 ; 0000-0001-8273-489X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.prosdent.2022.11.015$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36567158$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Batista, Rhaslla Gonçalves</creatorcontrib><creatorcontrib>Faé, Daniele Sorgatto</creatorcontrib><creatorcontrib>Bento, Victor Augusto Alves</creatorcontrib><creatorcontrib>Rosa, Cléber Davi Del Rey Daltro</creatorcontrib><creatorcontrib>Souza Batista, Victor Eduardo de</creatorcontrib><creatorcontrib>Pellizzer, Eduardo Piza</creatorcontrib><creatorcontrib>Lemos, Cleidiel Aparecido Araujo</creatorcontrib><title>Impact of tilted implants for implant-supported fixed partial dentures: A systematic review with meta-analysis</title><title>The Journal of prosthetic dentistry</title><addtitle>J Prosthet Dent</addtitle><description>The use of tilted implants has been considered a suitable option for completely edentulous patients. However, consensus on their clinical performance is lacking, specifically for partial rehabilitation.
The purpose of this systematic review and meta-analysis was to evaluate the marginal bone loss and implant survival rate of tilted implants compared with those of axial implants for implant-supported fixed partial dentures (ISFPDs).
A systematic search of the MEDLINE/PubMed, Web of Science, Embase, Cochrane, and ProQuest databases and reference lists for articles published until May 2022 was performed by 2 independent reviewers without language or publication date restrictions. A meta-analysis was performed using the RevMan version 5.4 program. Quality assessments were performed using the Newcastle–Ottawa scale.
Nine studies were included, totaling 258 participants and 604 implants (269 tilted implants and 335 axial implants). No significant differences were found between the tilted and axial implants for the implant survival rate (P=.81; risk ratio: 1.14). However, higher marginal bone loss values were observed for tilted implants (P=.001; mean difference: 0.12 mm). No significant heterogeneity was observed in either analysis.
No significant relationship was found between tilted and axial implants for ISFPD rehabilitation. However, tilted implants presented greater risks of marginal bone loss than axial implants.</description><subject>Alveolar Bone Loss - etiology</subject><subject>Dental Implantation, Endosseous - methods</subject><subject>Dental Implants</subject><subject>Dental Prosthesis Design</subject><subject>Dental Prosthesis, Implant-Supported</subject><subject>Dental Restoration Failure</subject><subject>Denture, Partial, Fixed</subject><subject>Humans</subject><issn>0022-3913</issn><issn>1097-6841</issn><issn>1097-6841</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1PHDEMhqMKVLa0fwHlyGWmcT5mMpxACCgSUi_tOcpmPGpW80WSAfbfk9GyXHuxZfm1X_sh5AJYCQyqn7tyDlNscUwlZ5yXACUD9YVsgDV1UWkJJ2TDcqcQDYgz8i3GHWNMqxq-kjNRqaoGpTdkfBxm6xKdOpp8n7Clfph7O6ZIuykciyIu8zyFtd35txxnG5K3PV0PWALGK3pD4z4mHGzyjgZ88fhKX336RwdMtrCj7ffRx-_ktLN9xB8f-Zz8vb_7c_urePr98Hh781Q4UelU1I1wStdcNA50J7nUleKaV1srYeu4ha3STsmWNZbbDpkQtVOdbiVXoGvdiHNyedibKT0vGJMZfHTY52dwWqLhtdJCSSlXaXWQugw0BuzMHPxgw94AMytrszNH1mZlbQBMZp0HLz48lu2A7efYEW4WXB8EmD_NQIKJzuPosPUBXTLt5P_n8Q6ZwpTg</recordid><startdate>20241101</startdate><enddate>20241101</enddate><creator>Batista, Rhaslla Gonçalves</creator><creator>Faé, Daniele Sorgatto</creator><creator>Bento, Victor Augusto Alves</creator><creator>Rosa, Cléber Davi Del Rey Daltro</creator><creator>Souza Batista, Victor Eduardo de</creator><creator>Pellizzer, Eduardo Piza</creator><creator>Lemos, Cleidiel Aparecido Araujo</creator><general>Elsevier 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>7X8</scope><orcidid>https://orcid.org/0000-0003-0558-4239</orcidid><orcidid>https://orcid.org/0000-0002-7350-2525</orcidid><orcidid>https://orcid.org/0000-0001-8273-489X</orcidid></search><sort><creationdate>20241101</creationdate><title>Impact of tilted implants for implant-supported fixed partial dentures: A systematic review with meta-analysis</title><author>Batista, Rhaslla Gonçalves ; Faé, Daniele Sorgatto ; Bento, Victor Augusto Alves ; Rosa, Cléber Davi Del Rey Daltro ; Souza Batista, Victor Eduardo de ; Pellizzer, Eduardo Piza ; Lemos, Cleidiel Aparecido Araujo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c368t-793c587239c18f4248652826ba41bc2a1b58c54d09a2afe0337c5f8d425187893</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Alveolar Bone Loss - etiology</topic><topic>Dental Implantation, Endosseous - methods</topic><topic>Dental Implants</topic><topic>Dental Prosthesis Design</topic><topic>Dental Prosthesis, Implant-Supported</topic><topic>Dental Restoration Failure</topic><topic>Denture, Partial, Fixed</topic><topic>Humans</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Batista, Rhaslla Gonçalves</creatorcontrib><creatorcontrib>Faé, Daniele Sorgatto</creatorcontrib><creatorcontrib>Bento, Victor Augusto Alves</creatorcontrib><creatorcontrib>Rosa, Cléber Davi Del Rey Daltro</creatorcontrib><creatorcontrib>Souza Batista, Victor Eduardo de</creatorcontrib><creatorcontrib>Pellizzer, Eduardo Piza</creatorcontrib><creatorcontrib>Lemos, Cleidiel Aparecido Araujo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of prosthetic dentistry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Batista, Rhaslla Gonçalves</au><au>Faé, Daniele Sorgatto</au><au>Bento, Victor Augusto Alves</au><au>Rosa, Cléber Davi Del Rey Daltro</au><au>Souza Batista, Victor Eduardo de</au><au>Pellizzer, Eduardo Piza</au><au>Lemos, Cleidiel Aparecido Araujo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of tilted implants for implant-supported fixed partial dentures: A systematic review with meta-analysis</atitle><jtitle>The Journal of prosthetic dentistry</jtitle><addtitle>J Prosthet Dent</addtitle><date>2024-11-01</date><risdate>2024</risdate><volume>132</volume><issue>5</issue><spage>890</spage><epage>897</epage><pages>890-897</pages><issn>0022-3913</issn><issn>1097-6841</issn><eissn>1097-6841</eissn><abstract>The use of tilted implants has been considered a suitable option for completely edentulous patients. However, consensus on their clinical performance is lacking, specifically for partial rehabilitation.
The purpose of this systematic review and meta-analysis was to evaluate the marginal bone loss and implant survival rate of tilted implants compared with those of axial implants for implant-supported fixed partial dentures (ISFPDs).
A systematic search of the MEDLINE/PubMed, Web of Science, Embase, Cochrane, and ProQuest databases and reference lists for articles published until May 2022 was performed by 2 independent reviewers without language or publication date restrictions. A meta-analysis was performed using the RevMan version 5.4 program. Quality assessments were performed using the Newcastle–Ottawa scale.
Nine studies were included, totaling 258 participants and 604 implants (269 tilted implants and 335 axial implants). No significant differences were found between the tilted and axial implants for the implant survival rate (P=.81; risk ratio: 1.14). However, higher marginal bone loss values were observed for tilted implants (P=.001; mean difference: 0.12 mm). No significant heterogeneity was observed in either analysis.
No significant relationship was found between tilted and axial implants for ISFPD rehabilitation. However, tilted implants presented greater risks of marginal bone loss than axial implants.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>36567158</pmid><doi>10.1016/j.prosdent.2022.11.015</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-0558-4239</orcidid><orcidid>https://orcid.org/0000-0002-7350-2525</orcidid><orcidid>https://orcid.org/0000-0001-8273-489X</orcidid></addata></record> |
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| subjects | Alveolar Bone Loss - etiology Dental Implantation, Endosseous - methods Dental Implants Dental Prosthesis Design Dental Prosthesis, Implant-Supported Dental Restoration Failure Denture, Partial, Fixed Humans |
| title | Impact of tilted implants for implant-supported fixed partial dentures: A systematic review with meta-analysis |
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