Transalveolar sinus floor lift without bone grafting in atrophic maxilla: A meta-analysis.

Transalveolar sinus floor lift without bone grafting in atrophic maxilla: A meta-analysis.
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萎缩性上颌骨经牙槽窦底提升术无需植骨:一项荟萃分析

DOI:
10.1038/s41598-018-19515-7
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发表时间:
2018-01-23
期刊:
影响因子:
4.6
通讯作者:
Chen J
Chen J
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Yan M;Liu R;Bai S;Wang M;Xia H;Chen J

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我们进行了一项荟萃分析,旨在评估在萎缩的上颌骨不植骨的情况下,经牙槽窦底提升术后的临床结果。在PubMed、Embase和Cochrane图书馆进行了系统的电子文献搜索,然后进行了手动搜索。两名评价者独立提取研究数据并进行质量评估。10个非对照研究包括1484个种植体和8个对照研究(5个随机对照试验和3个前瞻性研究),包括817个种植体(非移植组451个种植体)。无植入法种植成活率为98%(95%可信区间为96%~100%)。非移植组和移植组的存活率差异无统计学意义(RR:1.02;p = 0.18)。在12个月(0.57,p = 0.07)和36个月(0.05,p = 0.61)组之间,边缘骨丢失的差异无统计学意义。术后12个月(−1.10,p = 0.0001)和36个月(−0.74,p = 0.02),非移植组鼻窦内骨增量显著低于移植组(P<0.05)。因此,现有的证据表明,在不植骨的情况下,通过经牙槽窦底提升术可以获得可预测的结果,而植骨可能会有更多的鼻窦内骨获得的趋势。
We performed a meta-analysis aimed to assess the clinical results after transalveolar sinus floor lift without bone grafting in the atrophic maxilla. A systematic electronic literature search was conducted in PubMed, Embase and The Cochrane Library, followed by a manual search. Two reviewers independently extracted study data and conducted quality assessments. Ten non-controlled studies including 1484 implants and eight controlled studies (5 RCTs and 3 prospective studies) including 817 implants (451 implants in the non-graft group) were enrolled in this study. The survival rate of implants via the graft-free method was 98% (95%CI 96% to 100%). There was no significant difference in the survival rate between the non-graft group and the graft group (RR: 1.02; p = 0.18). No statistically significant difference in marginal bone loss was detected between the groups at 12 months (0.57, p = 0.07) or 36 months (0.05, p = 0.61). The endo-sinus bone gain in the non-graft group was significantly lower than in the graft group at 12 months (−1.10, p = 0.0001) and 36 months (−0.74, p = 0.02). Hence, the available evidence suggests that predictable results could be acquired through transalveolar sinus floor lift without bone grafting, while there may be a trend toward more endo-sinus bone gain with bone grafts.
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