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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Wiley
2021
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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) |
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aesthetic region bone level implant‐abutment connection systematic review Dentistry RK1-715 |
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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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