Journal article
Prosthetic Rehabilitation of the Posterior Atrophic Maxilla, Short (<= 6 mm) or Long (>= 10 mm) Dental Implants? A Systematic Review, Meta-analysis, and Trial Sequential Analysis: Naples Consensus Report Working Group A
Implant dentistry, Vol.28(6), pp.590-602
12/01/2019
DOI: 10.1097/ID.0000000000000919
PMID: 31274666
Abstract
Purpose: To compare the clinical and patient-reported outcomes of <= 6-mm implants with those of >= 10-mm implants placed after both lateral and transcrestal sinus floor elevation.
Materials and Methods: Using PubMed (MEDLINE), EMBASE, and Cochrane, a literature search for randomized controlled trials was performed. All the outcome variables were evaluated through a quantitative meta-analysis, and the influence of other clinical covariates were determined with a metaregression. For the survival outcomes, trial sequential analysis (TSA) was performed to adjust results for type I and II errors and to analyze the power of the available evidence.
Results: After full-text reading, 12 studies were included in the analyses. No statistically significant difference was found after 3 years between the 2 study groups (P = 0.36). Short implants displayed fewer biological complications (P = 0.05), less marginal bone loss (MBL) from implant placement (P < 0.01), and reduced surgical time and treatment cost. However, long implants showed a statistically significant smaller number of prosthetic complications (P = 0.03). TSA confirmed the results of the meta-analysis, revealing that additional studies are needed due to low statistical power of the available evidence.
Conclusion: The placement of short implants is a predictable option in treating patients with maxillary atrophy up to a 3-year followup. Studies with a longer observational period are needed to study the long-term performance of these implants.
Details
- Title: Subtitle
- Prosthetic Rehabilitation of the Posterior Atrophic Maxilla, Short (<= 6 mm) or Long (>= 10 mm) Dental Implants? A Systematic Review, Meta-analysis, and Trial Sequential Analysis: Naples Consensus Report Working Group A
- Creators
- Andrea Ravida - University of Michigan–Ann ArborI-Ching Wang - University of Michigan–Ann ArborGilberto Sammartino - University of Naples Federico IIShayan Barootchi - University of Michigan–Ann ArborMustafa Tattan - University of IowaGiuseppe Troiano - University of FoggiaLuigi Laino - University of Campania "Luigi Vanvitelli"Gaetano Marenzi - University of Naples Federico IIUgo Covani - Ospedale VersiliaHom-Lay Wang - University of Michigan–Ann Arbor
- Resource Type
- Journal article
- Publication Details
- Implant dentistry, Vol.28(6), pp.590-602
- Publisher
- Lippincott Williams & Wilkins
- DOI
- 10.1097/ID.0000000000000919
- PMID
- 31274666
- ISSN
- 1056-6163
- eISSN
- 1538-2982
- Number of pages
- 13
- Language
- English
- Date published
- 12/01/2019
- Academic Unit
- Periodontics
- Record Identifier
- 9984367723002771
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