摘要
目的系统评价牙科盾构技术与传统即刻种植术的临床效果。方法检索的数据库包括:Cochrane library、ScienceDirect、Pubmed、万方、维普、中国期刊全文、中国科技期刊和中国生物医学文献数据库等,文献时间从各数据库建库至2021-02-10。统计分析采用Revman 5.4.1版软件。结果共纳入7个RCT,238枚种植体。采用盾构技术的种植体有着和传统即刻种植术一样的成功率(100%)和初期稳定性MD=0.58[-0.24,1.41],P=0.16;术后6个月垂直[MD=-0.49(-0.54,-0.45),P<0.05]和水平[MD=-0.26(-0.39,-0.12),P<0.05]骨吸收量均小于传统即刻,术后12个月的水平骨吸收量小于传统即刻MD=-0.83[-0.91,-0.75],P<0.05;而且在术后12个月时取得了更好的种植体周围粉红色美学效果MD=1.30[0.93,1.66],P<0.05。结论盾构技术可以减少美学区种植术后唇颊侧骨板的吸收,提高美学效果。
Objective To assess the clinical outcomes of the socket-shield technique and conventional immediate implantation.Methods Such electronic databases as Cochrane library,Science Direct,Pubmed,Wanfang,CJFD,VIP,CQVIP and CBM were searched.Meta-analysis was performed by using Revman 5.4.1.Results Seven randomized controlled trials(RCTs)involving 238 implants were included.The socket-shield technique had the same success rate(100%)and initial stability[MD=0.58(-0.24,1.41),P=0.16>0.05]as the conventional immediate implantation(CII).The amount of vertical[MD=-0.49(-0.54,-0.45),P<0.05]and horizontal[MD=-0.26(-0.39,-0.12),P<0.05]bone resorption at 6 months after operation was smaller than that of CII,so was the amount of horizontal bone resorption at 12 months MD=-0.83[-0.91,-0.75](P<0.05).A better aesthetic effect around the implant was achieved at 12 months after operation MD=1.30[0.93,1.66](P<0.05).Conclusions The socket-shield technique can reduce the absorption of the labio-buccal bone plate and improve the aesthetic effect.
作者
康帅
曹均凯
胡楠
顾斌
王一博
蒋一
KANG Shuai;CAO Junkai;HU Nan;GU Bin;WANG Yibo;JIANG Yi(Department of Stomatology,the First Medical Center of PLA General Hospital,Beijing 100853,China;Department of Stomatology,No.989 Hospital of PLA,Luoyang 471031,China)
出处
《武警医学》
CAS
2021年第6期518-522,526,共6页
Medical Journal of the Chinese People's Armed Police Force
关键词
盾构技术
即刻种植术
美学区
META分析
socket-shield
immediate implantation
aesthetic area
Meta-analysis
