The effect of implant‐abutment connections on peri‐implant bone levels around single implants in the aesthetic zone: A systematic review and a meta‐analysis

Abstract Objective To systematically review literature about the effect of different implant‐abutment interface designs on peri‐implant bone level changes, implant loss and mid‐buccal mucosa changes around single implants in the anterior maxilla. Reviewing three connection configurations: Platform s...

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Autores principales: Caroliene M. Meijndert, Gerry M. Raghoebar, Arjan Vissink, Konstantina Delli, Henny J. A. Meijer
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Publicado: Wiley 2021
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spelling oai:doaj.org-article:e6ed5ab0759742e082741e5933f488722021-12-02T12:59:21ZThe effect of implant‐abutment connections on peri‐implant bone levels around single implants in the aesthetic zone: A systematic review and a meta‐analysis2057-434710.1002/cre2.471https://doaj.org/article/e6ed5ab0759742e082741e5933f488722021-12-01T00:00:00Zhttps://doi.org/10.1002/cre2.471https://doaj.org/toc/2057-4347Abstract Objective To systematically review literature about the effect of different implant‐abutment interface designs on peri‐implant bone level changes, implant loss and mid‐buccal mucosa changes around single implants in the anterior maxilla. Reviewing three connection configurations: Platform switched conical (PS‐conical); Platform switched parallel (PS‐parallel); Platform matched parallel (PM‐parallel). Methods A detailed search was carried out in Pubmed, EMBASE, Cochrane, Scopus, Open Gray and African journals Online (until December 1, 2020) and was restricted to clinical prospective studies of at least 1 year and with at least 10 human participants. A meta regression analysis was carried out primarily on the pooled peri‐implant bone level changes followed by implant loss and mid‐buccal mucosa level change. Risk of bias was assessed with RoB 2.0 and ROBINS‐I. The manuscript complied with the PRISMA guidelines and was registered in the PROSPERO database (ID: 225092). Results A total of 5513 hits gave 44 eligible articles for the analyses. Bone level change did not differ significantly between the two platform switched connections; their bone loss scores were significantly lower than PM‐connection. The PS‐conical connections have significantly lower implant losses than the PM connection. Mid‐buccal mucosa level change was comparable between the three connection configurations. Moderate to high risk of bias was detected in the included studies. Conclusions The performance of PS‐conical and PS‐parallel connection configurations both favored bone loss scores compared to the PM‐parallel connection configuration. All three demonstrated mid‐buccal mucosa changes that were small and did not differ significantly amongst the groups.Caroliene M. MeijndertGerry M. RaghoebarArjan VissinkKonstantina DelliHenny J. A. MeijerWileyarticleaesthetic regionbone levelimplant‐abutment connectionsystematic reviewDentistryRK1-715ENClinical and Experimental Dental Research, Vol 7, Iss 6, Pp 1025-1036 (2021)
institution DOAJ
collection DOAJ
language EN
topic aesthetic region
bone level
implant‐abutment connection
systematic review
Dentistry
RK1-715
spellingShingle aesthetic region
bone level
implant‐abutment connection
systematic review
Dentistry
RK1-715
Caroliene M. Meijndert
Gerry M. Raghoebar
Arjan Vissink
Konstantina Delli
Henny J. A. Meijer
The effect of implant‐abutment connections on peri‐implant bone levels around single implants in the aesthetic zone: A systematic review and a meta‐analysis
description Abstract Objective To systematically review literature about the effect of different implant‐abutment interface designs on peri‐implant bone level changes, implant loss and mid‐buccal mucosa changes around single implants in the anterior maxilla. Reviewing three connection configurations: Platform switched conical (PS‐conical); Platform switched parallel (PS‐parallel); Platform matched parallel (PM‐parallel). Methods A detailed search was carried out in Pubmed, EMBASE, Cochrane, Scopus, Open Gray and African journals Online (until December 1, 2020) and was restricted to clinical prospective studies of at least 1 year and with at least 10 human participants. A meta regression analysis was carried out primarily on the pooled peri‐implant bone level changes followed by implant loss and mid‐buccal mucosa level change. Risk of bias was assessed with RoB 2.0 and ROBINS‐I. The manuscript complied with the PRISMA guidelines and was registered in the PROSPERO database (ID: 225092). Results A total of 5513 hits gave 44 eligible articles for the analyses. Bone level change did not differ significantly between the two platform switched connections; their bone loss scores were significantly lower than PM‐connection. The PS‐conical connections have significantly lower implant losses than the PM connection. Mid‐buccal mucosa level change was comparable between the three connection configurations. Moderate to high risk of bias was detected in the included studies. Conclusions The performance of PS‐conical and PS‐parallel connection configurations both favored bone loss scores compared to the PM‐parallel connection configuration. All three demonstrated mid‐buccal mucosa changes that were small and did not differ significantly amongst the groups.
format article
author Caroliene M. Meijndert
Gerry M. Raghoebar
Arjan Vissink
Konstantina Delli
Henny J. A. Meijer
author_facet Caroliene M. Meijndert
Gerry M. Raghoebar
Arjan Vissink
Konstantina Delli
Henny J. A. Meijer
author_sort Caroliene M. Meijndert
title The effect of implant‐abutment connections on peri‐implant bone levels around single implants in the aesthetic zone: A systematic review and a meta‐analysis
title_short The effect of implant‐abutment connections on peri‐implant bone levels around single implants in the aesthetic zone: A systematic review and a meta‐analysis
title_full The effect of implant‐abutment connections on peri‐implant bone levels around single implants in the aesthetic zone: A systematic review and a meta‐analysis
title_fullStr The effect of implant‐abutment connections on peri‐implant bone levels around single implants in the aesthetic zone: A systematic review and a meta‐analysis
title_full_unstemmed The effect of implant‐abutment connections on peri‐implant bone levels around single implants in the aesthetic zone: A systematic review and a meta‐analysis
title_sort effect of implant‐abutment connections on peri‐implant bone levels around single implants in the aesthetic zone: a systematic review and a meta‐analysis
publisher Wiley
publishDate 2021
url https://doaj.org/article/e6ed5ab0759742e082741e5933f48872
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