Effect of laser-microtextured abutments on peri-implant outcomes: a systematic review and meta-analysis
Objectives To evaluate the potential of laser-microtextured abutments (LMAs) compared to machined abutments (MAs) in peri-implant clinical and radiographic outcomes. Materials and methods Eligible studies consisted of randomized clinical trials (RCTs) retrieved from MEDLINE, Web of Science, Scopus,...
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| Veröffentlicht in: | Clinical oral investigations 2024-06, Vol.28 (7), p.388, Article 388 |
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| creator | Huamán-Mendoza, Aldrin Bommarito, Renata Hagy, Marcos Hideki Vilela, Nathalia Romano, Marcelo Munhóes Braga, Mariana Minatel Pannuti, Claudio Mendes Holzhausen, Marinella |
| description | Objectives
To evaluate the potential of laser-microtextured abutments (LMAs) compared to machined abutments (MAs) in peri-implant clinical and radiographic outcomes.
Materials and methods
Eligible studies consisted of randomized clinical trials (RCTs) retrieved from MEDLINE, Web of Science, Scopus, and Embase databases. The study adhered to the PRISMA statement, and the protocol was registered at the PROSPERO (registration number CRD42023443112). The risk of bias was evaluated according to version 2 of the Cochrane risk of bias tool (RoB 2). Meta-analyses were performed using random effect models. Afterward, the GRADE approach was used to determine the certainty of evidence.
Results
Four RCTs were included from a total of 2,876 studies. LMAs had lower peri-implant sulcus depth at 6–8 weeks (WMD: -0.69 mm; 95% CI: -0.97, -0.40; p = 0.15, I
2
= 53%) and at one year (WMD: -0.75 mm; 95% CI: -1.41, -0.09; p = 0.09, I
2
= 65%), but the certainty of evidence was low. In addition, the marginal bone loss favored the LMAs group (WMD: -0.29 mm; 95% CI: -0.36, -0.21; p = 0.69, I
2
= 0%) with moderate evidence. There were fewer sites with bleeding on probing in the LMAs group (WMD: -1.10; 95% CI: -1.43, -0.77; p = 0.88, i
2
= 0%). There was no statistical difference between groups for the modified gingival index and modified plaque index. Furthermore, all studies were classified as having some concerns risk of bias.
Conclusions
There was low to moderate certainty evidence that LMAs can favor peri-implant clinical and radiographic parameters compared to MAs.
Clinical Relevance
Laser-microtextured abutments may benefit peri-implant clinical and radiographic outcomes. |
| doi_str_mv | 10.1007/s00784-024-05785-1 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3070825040</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3070825040</sourcerecordid><originalsourceid>FETCH-LOGICAL-c326t-9b354f45b6df09da1a0de3e635931caa5de2be9591f7ce66e40543d0bf2c3ecb3</originalsourceid><addsrcrecordid>eNp9kUtv1TAQhS0Eoi_-QBeVJTbduIzj2Em6Q1VfUiU2dG05zrhKFScXjwPcf4_LLQWx6MJjS_Od49Ecxo4lnEmA5hOV0tYCqnJ002oh37B9WSsjVNPIt_-899gB0SOArE2j3rM91bZdq0Dvs4fLENBnvgQ-OcIk4ujTkvFnXhMO3PVrjjhn4svMN5hGMcbN5OYiWLNfItI5d5y2lDG6PHqe8PuIP7ibBx4xO-FmN21ppCP2LriJ8MPzfcjury6_XtyIuy_Xtxef74RXlcmi65WuQ617MwToBicdDKjQKN0p6Z3TA1Y9drqTofFoDNagazVAHyqv0PfqkJ3ufDdp-bYiZRtH8jiVmXFZySpooK001FDQj_-hj8uayrxPlOmM1i2oQlU7qqyFKGGwmzRGl7ZWgn2Kwe5isCUG-zsGK4vo5Nl67SMOL5I_ey-A2gFUWvMDpr9_v2L7CzYulG8</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3069655803</pqid></control><display><type>article</type><title>Effect of laser-microtextured abutments on peri-implant outcomes: a systematic review and meta-analysis</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Huamán-Mendoza, Aldrin ; Bommarito, Renata ; Hagy, Marcos Hideki ; Vilela, Nathalia ; Romano, Marcelo Munhóes ; Braga, Mariana Minatel ; Pannuti, Claudio Mendes ; Holzhausen, Marinella</creator><creatorcontrib>Huamán-Mendoza, Aldrin ; Bommarito, Renata ; Hagy, Marcos Hideki ; Vilela, Nathalia ; Romano, Marcelo Munhóes ; Braga, Mariana Minatel ; Pannuti, Claudio Mendes ; Holzhausen, Marinella</creatorcontrib><description>Objectives
To evaluate the potential of laser-microtextured abutments (LMAs) compared to machined abutments (MAs) in peri-implant clinical and radiographic outcomes.
Materials and methods
Eligible studies consisted of randomized clinical trials (RCTs) retrieved from MEDLINE, Web of Science, Scopus, and Embase databases. The study adhered to the PRISMA statement, and the protocol was registered at the PROSPERO (registration number CRD42023443112). The risk of bias was evaluated according to version 2 of the Cochrane risk of bias tool (RoB 2). Meta-analyses were performed using random effect models. Afterward, the GRADE approach was used to determine the certainty of evidence.
Results
Four RCTs were included from a total of 2,876 studies. LMAs had lower peri-implant sulcus depth at 6–8 weeks (WMD: -0.69 mm; 95% CI: -0.97, -0.40; p = 0.15, I
2
= 53%) and at one year (WMD: -0.75 mm; 95% CI: -1.41, -0.09; p = 0.09, I
2
= 65%), but the certainty of evidence was low. In addition, the marginal bone loss favored the LMAs group (WMD: -0.29 mm; 95% CI: -0.36, -0.21; p = 0.69, I
2
= 0%) with moderate evidence. There were fewer sites with bleeding on probing in the LMAs group (WMD: -1.10; 95% CI: -1.43, -0.77; p = 0.88, i
2
= 0%). There was no statistical difference between groups for the modified gingival index and modified plaque index. Furthermore, all studies were classified as having some concerns risk of bias.
Conclusions
There was low to moderate certainty evidence that LMAs can favor peri-implant clinical and radiographic parameters compared to MAs.
Clinical Relevance
Laser-microtextured abutments may benefit peri-implant clinical and radiographic outcomes.</description><identifier>ISSN: 1436-3771</identifier><identifier>ISSN: 1432-6981</identifier><identifier>EISSN: 1436-3771</identifier><identifier>DOI: 10.1007/s00784-024-05785-1</identifier><identifier>PMID: 38898305</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Bone loss ; Clinical outcomes ; Clinical trials ; Dental Abutments ; Dental Implant-Abutment Design ; Dentistry ; Gingival index ; Health risks ; Humans ; Lasers ; Medicine ; Meta-analysis ; Plaque index ; Radiography ; Randomized Controlled Trials as Topic ; Review</subject><ispartof>Clinical oral investigations, 2024-06, Vol.28 (7), p.388, Article 388</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c326t-9b354f45b6df09da1a0de3e635931caa5de2be9591f7ce66e40543d0bf2c3ecb3</cites><orcidid>0000-0001-9792-8144 ; 0000-0003-4181-3975 ; 0000-0002-6374-511X ; 0000-0002-6308-8332 ; 0000-0002-4469-6500 ; 0000-0002-2672-2066 ; 0000-0001-9413-5253 ; 0000-0002-0111-2309</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00784-024-05785-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00784-024-05785-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38898305$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Huamán-Mendoza, Aldrin</creatorcontrib><creatorcontrib>Bommarito, Renata</creatorcontrib><creatorcontrib>Hagy, Marcos Hideki</creatorcontrib><creatorcontrib>Vilela, Nathalia</creatorcontrib><creatorcontrib>Romano, Marcelo Munhóes</creatorcontrib><creatorcontrib>Braga, Mariana Minatel</creatorcontrib><creatorcontrib>Pannuti, Claudio Mendes</creatorcontrib><creatorcontrib>Holzhausen, Marinella</creatorcontrib><title>Effect of laser-microtextured abutments on peri-implant outcomes: a systematic review and meta-analysis</title><title>Clinical oral investigations</title><addtitle>Clin Oral Invest</addtitle><addtitle>Clin Oral Investig</addtitle><description>Objectives
To evaluate the potential of laser-microtextured abutments (LMAs) compared to machined abutments (MAs) in peri-implant clinical and radiographic outcomes.
Materials and methods
Eligible studies consisted of randomized clinical trials (RCTs) retrieved from MEDLINE, Web of Science, Scopus, and Embase databases. The study adhered to the PRISMA statement, and the protocol was registered at the PROSPERO (registration number CRD42023443112). The risk of bias was evaluated according to version 2 of the Cochrane risk of bias tool (RoB 2). Meta-analyses were performed using random effect models. Afterward, the GRADE approach was used to determine the certainty of evidence.
Results
Four RCTs were included from a total of 2,876 studies. LMAs had lower peri-implant sulcus depth at 6–8 weeks (WMD: -0.69 mm; 95% CI: -0.97, -0.40; p = 0.15, I
2
= 53%) and at one year (WMD: -0.75 mm; 95% CI: -1.41, -0.09; p = 0.09, I
2
= 65%), but the certainty of evidence was low. In addition, the marginal bone loss favored the LMAs group (WMD: -0.29 mm; 95% CI: -0.36, -0.21; p = 0.69, I
2
= 0%) with moderate evidence. There were fewer sites with bleeding on probing in the LMAs group (WMD: -1.10; 95% CI: -1.43, -0.77; p = 0.88, i
2
= 0%). There was no statistical difference between groups for the modified gingival index and modified plaque index. Furthermore, all studies were classified as having some concerns risk of bias.
Conclusions
There was low to moderate certainty evidence that LMAs can favor peri-implant clinical and radiographic parameters compared to MAs.
Clinical Relevance
Laser-microtextured abutments may benefit peri-implant clinical and radiographic outcomes.</description><subject>Bone loss</subject><subject>Clinical outcomes</subject><subject>Clinical trials</subject><subject>Dental Abutments</subject><subject>Dental Implant-Abutment Design</subject><subject>Dentistry</subject><subject>Gingival index</subject><subject>Health risks</subject><subject>Humans</subject><subject>Lasers</subject><subject>Medicine</subject><subject>Meta-analysis</subject><subject>Plaque index</subject><subject>Radiography</subject><subject>Randomized Controlled Trials as Topic</subject><subject>Review</subject><issn>1436-3771</issn><issn>1432-6981</issn><issn>1436-3771</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUtv1TAQhS0Eoi_-QBeVJTbduIzj2Em6Q1VfUiU2dG05zrhKFScXjwPcf4_LLQWx6MJjS_Od49Ecxo4lnEmA5hOV0tYCqnJ002oh37B9WSsjVNPIt_-899gB0SOArE2j3rM91bZdq0Dvs4fLENBnvgQ-OcIk4ujTkvFnXhMO3PVrjjhn4svMN5hGMcbN5OYiWLNfItI5d5y2lDG6PHqe8PuIP7ibBx4xO-FmN21ppCP2LriJ8MPzfcjury6_XtyIuy_Xtxef74RXlcmi65WuQ617MwToBicdDKjQKN0p6Z3TA1Y9drqTofFoDNagazVAHyqv0PfqkJ3ufDdp-bYiZRtH8jiVmXFZySpooK001FDQj_-hj8uayrxPlOmM1i2oQlU7qqyFKGGwmzRGl7ZWgn2Kwe5isCUG-zsGK4vo5Nl67SMOL5I_ey-A2gFUWvMDpr9_v2L7CzYulG8</recordid><startdate>20240619</startdate><enddate>20240619</enddate><creator>Huamán-Mendoza, Aldrin</creator><creator>Bommarito, Renata</creator><creator>Hagy, Marcos Hideki</creator><creator>Vilela, Nathalia</creator><creator>Romano, Marcelo Munhóes</creator><creator>Braga, Mariana Minatel</creator><creator>Pannuti, Claudio Mendes</creator><creator>Holzhausen, Marinella</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</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>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-9792-8144</orcidid><orcidid>https://orcid.org/0000-0003-4181-3975</orcidid><orcidid>https://orcid.org/0000-0002-6374-511X</orcidid><orcidid>https://orcid.org/0000-0002-6308-8332</orcidid><orcidid>https://orcid.org/0000-0002-4469-6500</orcidid><orcidid>https://orcid.org/0000-0002-2672-2066</orcidid><orcidid>https://orcid.org/0000-0001-9413-5253</orcidid><orcidid>https://orcid.org/0000-0002-0111-2309</orcidid></search><sort><creationdate>20240619</creationdate><title>Effect of laser-microtextured abutments on peri-implant outcomes: a systematic review and meta-analysis</title><author>Huamán-Mendoza, Aldrin ; Bommarito, Renata ; Hagy, Marcos Hideki ; Vilela, Nathalia ; Romano, Marcelo Munhóes ; Braga, Mariana Minatel ; Pannuti, Claudio Mendes ; Holzhausen, Marinella</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-9b354f45b6df09da1a0de3e635931caa5de2be9591f7ce66e40543d0bf2c3ecb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Bone loss</topic><topic>Clinical outcomes</topic><topic>Clinical trials</topic><topic>Dental Abutments</topic><topic>Dental Implant-Abutment Design</topic><topic>Dentistry</topic><topic>Gingival index</topic><topic>Health risks</topic><topic>Humans</topic><topic>Lasers</topic><topic>Medicine</topic><topic>Meta-analysis</topic><topic>Plaque index</topic><topic>Radiography</topic><topic>Randomized Controlled Trials as Topic</topic><topic>Review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Huamán-Mendoza, Aldrin</creatorcontrib><creatorcontrib>Bommarito, Renata</creatorcontrib><creatorcontrib>Hagy, Marcos Hideki</creatorcontrib><creatorcontrib>Vilela, Nathalia</creatorcontrib><creatorcontrib>Romano, Marcelo Munhóes</creatorcontrib><creatorcontrib>Braga, Mariana Minatel</creatorcontrib><creatorcontrib>Pannuti, Claudio Mendes</creatorcontrib><creatorcontrib>Holzhausen, Marinella</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical oral investigations</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Huamán-Mendoza, Aldrin</au><au>Bommarito, Renata</au><au>Hagy, Marcos Hideki</au><au>Vilela, Nathalia</au><au>Romano, Marcelo Munhóes</au><au>Braga, Mariana Minatel</au><au>Pannuti, Claudio Mendes</au><au>Holzhausen, Marinella</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of laser-microtextured abutments on peri-implant outcomes: a systematic review and meta-analysis</atitle><jtitle>Clinical oral investigations</jtitle><stitle>Clin Oral Invest</stitle><addtitle>Clin Oral Investig</addtitle><date>2024-06-19</date><risdate>2024</risdate><volume>28</volume><issue>7</issue><spage>388</spage><pages>388-</pages><artnum>388</artnum><issn>1436-3771</issn><issn>1432-6981</issn><eissn>1436-3771</eissn><abstract>Objectives
To evaluate the potential of laser-microtextured abutments (LMAs) compared to machined abutments (MAs) in peri-implant clinical and radiographic outcomes.
Materials and methods
Eligible studies consisted of randomized clinical trials (RCTs) retrieved from MEDLINE, Web of Science, Scopus, and Embase databases. The study adhered to the PRISMA statement, and the protocol was registered at the PROSPERO (registration number CRD42023443112). The risk of bias was evaluated according to version 2 of the Cochrane risk of bias tool (RoB 2). Meta-analyses were performed using random effect models. Afterward, the GRADE approach was used to determine the certainty of evidence.
Results
Four RCTs were included from a total of 2,876 studies. LMAs had lower peri-implant sulcus depth at 6–8 weeks (WMD: -0.69 mm; 95% CI: -0.97, -0.40; p = 0.15, I
2
= 53%) and at one year (WMD: -0.75 mm; 95% CI: -1.41, -0.09; p = 0.09, I
2
= 65%), but the certainty of evidence was low. In addition, the marginal bone loss favored the LMAs group (WMD: -0.29 mm; 95% CI: -0.36, -0.21; p = 0.69, I
2
= 0%) with moderate evidence. There were fewer sites with bleeding on probing in the LMAs group (WMD: -1.10; 95% CI: -1.43, -0.77; p = 0.88, i
2
= 0%). There was no statistical difference between groups for the modified gingival index and modified plaque index. Furthermore, all studies were classified as having some concerns risk of bias.
Conclusions
There was low to moderate certainty evidence that LMAs can favor peri-implant clinical and radiographic parameters compared to MAs.
Clinical Relevance
Laser-microtextured abutments may benefit peri-implant clinical and radiographic outcomes.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>38898305</pmid><doi>10.1007/s00784-024-05785-1</doi><orcidid>https://orcid.org/0000-0001-9792-8144</orcidid><orcidid>https://orcid.org/0000-0003-4181-3975</orcidid><orcidid>https://orcid.org/0000-0002-6374-511X</orcidid><orcidid>https://orcid.org/0000-0002-6308-8332</orcidid><orcidid>https://orcid.org/0000-0002-4469-6500</orcidid><orcidid>https://orcid.org/0000-0002-2672-2066</orcidid><orcidid>https://orcid.org/0000-0001-9413-5253</orcidid><orcidid>https://orcid.org/0000-0002-0111-2309</orcidid></addata></record> |
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| ispartof | Clinical oral investigations, 2024-06, Vol.28 (7), p.388, Article 388 |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Bone loss Clinical outcomes Clinical trials Dental Abutments Dental Implant-Abutment Design Dentistry Gingival index Health risks Humans Lasers Medicine Meta-analysis Plaque index Radiography Randomized Controlled Trials as Topic Review |
| title | Effect of laser-microtextured abutments on peri-implant outcomes: a systematic review and meta-analysis |
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