Application of a vascularized bone free flap and survival rate of dental implants after transplantation: A systematic review and meta-analysis
As maxillofacial surgical techniques have advanced, vascularized bone free flap transplantation has become the standard treatment for repairing maxillofacial defects. In this meta-analysis, we summarize the survival rates of implants after VBFF surgery for maxillary and mandibular reconstructions an...
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Veröffentlicht in: | Journal of stomatology, oral and maxillofacial surgery oral and maxillofacial surgery, 2023-06, Vol.124 (3), p.101401-101401, Article 101401 |
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container_title | Journal of stomatology, oral and maxillofacial surgery |
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creator | Zhang, Xingkui Xiao, Tiepeng Yang, Lei Ning, Chunliu Guan, Shuai Li, Xiangjun |
description | As maxillofacial surgical techniques have advanced, vascularized bone free flap transplantation has become the standard treatment for repairing maxillofacial defects. In this meta-analysis, we summarize the survival rates of implants after VBFF surgery for maxillary and mandibular reconstructions and investigate the factors affecting patient outcomes.
The PubMed, Embase, and Wanfang databases were searched up to May 31, 2022. The results of the treatment effect are presented as the risk ratio or odds ratio, using 95% confidence intervals. Statistical significance was calculated at α = 0.05 (two-tailed z tests).
35 studies were included in our analysis. The results revealed a 3-year and 5-year implant survival rate of 95.2% and 85.4% in VBFFs, respectively. The location of jaw defects (maxilla or mandible) or timing of implantation was not found to have a statistically significant influence on the survival rate. However, statistically significant differences were observed in the failure of implants placed in irradiated bone tissue.
Statistically significant differences were not found in the implant survival rate between simultaneous and delayed implantation, or between maxillary and mandibular defects. However, dental implants placed in irradiated flaps tended to have a lower survival rate than those surgically placed in non-irradiated flaps. |
doi_str_mv | 10.1016/j.jormas.2023.101401 |
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The PubMed, Embase, and Wanfang databases were searched up to May 31, 2022. The results of the treatment effect are presented as the risk ratio or odds ratio, using 95% confidence intervals. Statistical significance was calculated at α = 0.05 (two-tailed z tests).
35 studies were included in our analysis. The results revealed a 3-year and 5-year implant survival rate of 95.2% and 85.4% in VBFFs, respectively. The location of jaw defects (maxilla or mandible) or timing of implantation was not found to have a statistically significant influence on the survival rate. However, statistically significant differences were observed in the failure of implants placed in irradiated bone tissue.
Statistically significant differences were not found in the implant survival rate between simultaneous and delayed implantation, or between maxillary and mandibular defects. However, dental implants placed in irradiated flaps tended to have a lower survival rate than those surgically placed in non-irradiated flaps.</description><identifier>ISSN: 2468-7855</identifier><identifier>EISSN: 2468-7855</identifier><identifier>DOI: 10.1016/j.jormas.2023.101401</identifier><identifier>PMID: 36717020</identifier><language>eng</language><publisher>France: Elsevier Masson SAS</publisher><subject>Deep circumflex iliac artery flap ; Dental Implants ; Free fibular flap ; Free Tissue Flaps - surgery ; Humans ; Implant survival rate ; Jaw defect ; Mandible - surgery ; Plastic Surgery Procedures ; Survival Rate ; Vascularized bone free flap</subject><ispartof>Journal of stomatology, oral and maxillofacial surgery, 2023-06, Vol.124 (3), p.101401-101401, Article 101401</ispartof><rights>2023 The Authors</rights><rights>Copyright © 2023 The Authors. Published by Elsevier Masson SAS.. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c408t-e71085dceeb9d6ad975acebf6bfea2d057c776fd6c1a4db40ba1416e0c5b6b773</citedby><cites>FETCH-LOGICAL-c408t-e71085dceeb9d6ad975acebf6bfea2d057c776fd6c1a4db40ba1416e0c5b6b773</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36717020$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhang, Xingkui</creatorcontrib><creatorcontrib>Xiao, Tiepeng</creatorcontrib><creatorcontrib>Yang, Lei</creatorcontrib><creatorcontrib>Ning, Chunliu</creatorcontrib><creatorcontrib>Guan, Shuai</creatorcontrib><creatorcontrib>Li, Xiangjun</creatorcontrib><title>Application of a vascularized bone free flap and survival rate of dental implants after transplantation: A systematic review and meta-analysis</title><title>Journal of stomatology, oral and maxillofacial surgery</title><addtitle>J Stomatol Oral Maxillofac Surg</addtitle><description>As maxillofacial surgical techniques have advanced, vascularized bone free flap transplantation has become the standard treatment for repairing maxillofacial defects. In this meta-analysis, we summarize the survival rates of implants after VBFF surgery for maxillary and mandibular reconstructions and investigate the factors affecting patient outcomes.
The PubMed, Embase, and Wanfang databases were searched up to May 31, 2022. The results of the treatment effect are presented as the risk ratio or odds ratio, using 95% confidence intervals. Statistical significance was calculated at α = 0.05 (two-tailed z tests).
35 studies were included in our analysis. The results revealed a 3-year and 5-year implant survival rate of 95.2% and 85.4% in VBFFs, respectively. The location of jaw defects (maxilla or mandible) or timing of implantation was not found to have a statistically significant influence on the survival rate. However, statistically significant differences were observed in the failure of implants placed in irradiated bone tissue.
Statistically significant differences were not found in the implant survival rate between simultaneous and delayed implantation, or between maxillary and mandibular defects. However, dental implants placed in irradiated flaps tended to have a lower survival rate than those surgically placed in non-irradiated flaps.</description><subject>Deep circumflex iliac artery flap</subject><subject>Dental Implants</subject><subject>Free fibular flap</subject><subject>Free Tissue Flaps - surgery</subject><subject>Humans</subject><subject>Implant survival rate</subject><subject>Jaw defect</subject><subject>Mandible - surgery</subject><subject>Plastic Surgery Procedures</subject><subject>Survival Rate</subject><subject>Vascularized bone free flap</subject><issn>2468-7855</issn><issn>2468-7855</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UU2LFDEQDaK4y7j_QCRHLz2bdKeTXg_CsKgrLHjRc6gk1ZChv0ylR8Yf4W-2e3oVT17qi_deJfUYey3FXgqpb4_745h6oH0pymodKSGfsetS6aYwTV0__6e-YjdERyGEbEqtVf2SXVXaSCNKcc1-Haapix5yHAc-thz4CcjPHaT4EwN344C8TbiEDiYOQ-A0p1M8QccTZFwpAYe8tLGfOhgycWgzJp4TDHSZXLTf8QOnM2Xsl9bzhKeIPy56PWYoYIDuTJFesRctdIQ3T3nHvn388PX-oXj88unz_eGx8Eo0uUAjRVMHj-jugoZwZ2rw6FrtWoQyiNp4Y3QbtJegglPCgVRSo_C1086YasfebrpTGr_PSNn2kTx2y3txnMmWxsiqUmvYMbVBfRqJErZ2SrGHdLZS2NUMe7SbGXY1w25mLLQ3Txtm12P4S_pz-gXwfgPg8s_lGsmSjzh4DDGhzzaM8f8bfgOKMqCU</recordid><startdate>202306</startdate><enddate>202306</enddate><creator>Zhang, Xingkui</creator><creator>Xiao, Tiepeng</creator><creator>Yang, Lei</creator><creator>Ning, Chunliu</creator><creator>Guan, Shuai</creator><creator>Li, Xiangjun</creator><general>Elsevier Masson SAS</general><scope>6I.</scope><scope>AAFTH</scope><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>202306</creationdate><title>Application of a vascularized bone free flap and survival rate of dental implants after transplantation: A systematic review and meta-analysis</title><author>Zhang, Xingkui ; Xiao, Tiepeng ; Yang, Lei ; Ning, Chunliu ; Guan, Shuai ; Li, Xiangjun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c408t-e71085dceeb9d6ad975acebf6bfea2d057c776fd6c1a4db40ba1416e0c5b6b773</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Deep circumflex iliac artery flap</topic><topic>Dental Implants</topic><topic>Free fibular flap</topic><topic>Free Tissue Flaps - surgery</topic><topic>Humans</topic><topic>Implant survival rate</topic><topic>Jaw defect</topic><topic>Mandible - surgery</topic><topic>Plastic Surgery Procedures</topic><topic>Survival Rate</topic><topic>Vascularized bone free flap</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhang, Xingkui</creatorcontrib><creatorcontrib>Xiao, Tiepeng</creatorcontrib><creatorcontrib>Yang, Lei</creatorcontrib><creatorcontrib>Ning, Chunliu</creatorcontrib><creatorcontrib>Guan, Shuai</creatorcontrib><creatorcontrib>Li, Xiangjun</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><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>Journal of stomatology, oral and maxillofacial surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhang, Xingkui</au><au>Xiao, Tiepeng</au><au>Yang, Lei</au><au>Ning, Chunliu</au><au>Guan, Shuai</au><au>Li, Xiangjun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Application of a vascularized bone free flap and survival rate of dental implants after transplantation: A systematic review and meta-analysis</atitle><jtitle>Journal of stomatology, oral and maxillofacial surgery</jtitle><addtitle>J Stomatol Oral Maxillofac Surg</addtitle><date>2023-06</date><risdate>2023</risdate><volume>124</volume><issue>3</issue><spage>101401</spage><epage>101401</epage><pages>101401-101401</pages><artnum>101401</artnum><issn>2468-7855</issn><eissn>2468-7855</eissn><abstract>As maxillofacial surgical techniques have advanced, vascularized bone free flap transplantation has become the standard treatment for repairing maxillofacial defects. In this meta-analysis, we summarize the survival rates of implants after VBFF surgery for maxillary and mandibular reconstructions and investigate the factors affecting patient outcomes.
The PubMed, Embase, and Wanfang databases were searched up to May 31, 2022. The results of the treatment effect are presented as the risk ratio or odds ratio, using 95% confidence intervals. Statistical significance was calculated at α = 0.05 (two-tailed z tests).
35 studies were included in our analysis. The results revealed a 3-year and 5-year implant survival rate of 95.2% and 85.4% in VBFFs, respectively. The location of jaw defects (maxilla or mandible) or timing of implantation was not found to have a statistically significant influence on the survival rate. However, statistically significant differences were observed in the failure of implants placed in irradiated bone tissue.
Statistically significant differences were not found in the implant survival rate between simultaneous and delayed implantation, or between maxillary and mandibular defects. However, dental implants placed in irradiated flaps tended to have a lower survival rate than those surgically placed in non-irradiated flaps.</abstract><cop>France</cop><pub>Elsevier Masson SAS</pub><pmid>36717020</pmid><doi>10.1016/j.jormas.2023.101401</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Deep circumflex iliac artery flap Dental Implants Free fibular flap Free Tissue Flaps - surgery Humans Implant survival rate Jaw defect Mandible - surgery Plastic Surgery Procedures Survival Rate Vascularized bone free flap |
title | Application of a vascularized bone free flap and survival rate of dental implants after transplantation: A systematic review and meta-analysis |
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