Influencia del Diseño Micro y Macroscópico de la Región Cervical del Implante en la Preservación de Hueso Marginal PerimplantarioUna Revisión Sistemática

  1. Markel Diéguez Pereira 1
  2. Gorka Santamaría Arrieta 1
  3. Felipe J Fernández- González 2
  4. José Antonio Vega Álvarez 3
  5. Iker Bellanco de la Pinta 4
  6. Nerea Martín Blanco 1
  7. Aritza Brizuela Velasco 1
  1. 1 Universidad del País Vasco Departamento de Estomatología I
  2. 2 Universidad de Oviedo
    info

    Universidad de Oviedo

    Oviedo, España

    ROR https://ror.org/006gksa02

  3. 3 Universidad Autónoma de Chile Facultad de Ciencias de la Salud
  4. 4 Universidad del País Vasco/Euskal Herriko Unibertsitatea
    info

    Universidad del País Vasco/Euskal Herriko Unibertsitatea

    Lejona, España

    ROR https://ror.org/000xsnr85

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Journal:
International Journal of Odontostomatology

ISSN: 0718-381X,  0718-3801

Year of publication: 2015

Volume: 9

Issue: 1

Pages: 119-127

Type: Article

DOI: 10.4067/S0718-381X2015000100019 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: International Journal of Odontostomatology

Abstract

The aim of this systematic review was to assess whether different implant neck designs (polished or coated, with or without platform switching, either with or without microthreads) influence marginal bone resorption. A systematic review was conducted following the PICO methodology of the Centre for Evidence-Based Medicine of Oxford University. The question to the achievement of objectives was: Is the design of the implant neck a critical factor in the preservation of marginal bone levels? Specific MeSH keywords were used in the Pubmed and Cochrane databases. Three independent reviewers agreed on the studies ultimately included finding a concordance kappa index of 0.86. Of these articles, acritical evaluation of the level of evidence was performed and also the risk of bias of the RCT using the Cochrane tool. Four hundred forty-five items were reviewed by title, eventually including a total of 16 full-text articles. Heterogeneity of these studies made impossible the performance of a meta-analysis. No evidence that a particular configuration of the implant neck was better than another in preserving the peri-implant marginal bone was found, and yet it seems that an apico-coronal position juxta-osseous of the smooth neck of the implant relative to the bone crest could be decisive. Not enough evidence was found on the effectiveness of different configurations of the cervical region of the implant in the periimplant marginal bone preservation. More randomized controlled trials are needed to assess long-term effects of such modifications.

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Data source: Dialnet