种植体支持球帽附着体固位下颌覆盖全口义齿应用效果的Meta分析  

A meta-analysis of effectiveness of an implant-supported mandibular overdenture retained with a ball attachment

作　　者：黄岩[1] 郭娜[1] 

机构地区：[1]石家庄市第六医院口腔科,河北省石家庄市050000

出　　处：《中国组织工程研究》2014年第47期7702-7708,共7页Chinese Journal of Tissue Engineering Research

摘　　要：背景:目前还没有一种设计可完全排除对种植体的间歇式冲击破坏,因此新型球帽附着式种植系统也还在不断的更新和研发之中。目的:系统评价种植体支持球帽附着体固位下颌覆盖全口义齿的临床效果。方法:计算机检索Cochrane Library、Pub Med、Medline、EM-base、Wan Fang Data、CNKI、维普等数据库,收集种植体支持球帽附着体固位下颌覆盖全口义齿以及其他对照方式安装义齿的随机对照试验(RCT),检索时限均从建库至2014年2月。2名研究者按照纳入排除标准独立筛选文献、提取资料和质量评价后,采用Rev Man 5.1软件进行Meta分析。结果与结论:纳入分析的10个研究7个来自国内,3个来自国外。分析结果显示,各结局指标纳入研究间统计学异质性较大,种植体支持球帽附着体固位下颌覆盖全口义齿与对照组患者在患者满意度、临床客观指标以及并发症出现情况等方面差异不大,提示临床上这种方法仍在不断摸索前进中,种植体支持球帽附着体固位下颌覆盖全口义齿的方法造价比较高,而且国内外对此法的应用也仍在探索进步中的现状吻合。由于纳入研究的质量和数量有限,系统评价的结论仅供临床实践与研究参考。种植体支持球帽附着体固位下颌覆盖全口义齿方法尚需临床进一步探索和提高。BACKGROUND：There is no design that can completely rule out the intermittent impact damage to implants, therefore, a new bal attachment-retained implant system is constantly updated and developed. OBJECTIVE：To evaluate the clinical effectiveness of an implant-supported mandibular overdenture retained with a bal attachment. METHODS： We searched the Cochrane Library, PubMed, Medline, EM-base, WanFang Data, CNKI, VIP and other databases by computer to colect randomized controled trials addressing the implant-supported mandibular overdenture retained with a bal attachment and other control methods for dentures. The time limit was from database creation to February 2014. Two researchers independently completed literature screening according to inclusion and exclusion criteria, data extraction and quality assessment. RevMan 5.1 software was used for meta-analysis. RESULTS AND CONCLUSION： There were 10 studies included in result analysis, including 7 from China and 3 from other countries. Analysis results showed that statistical heterogeneity was remarkable in included studies, and there was no significant difference in patient’s satisfaction, clinical and objective indicators, and complications, suggesting that this approach continues to be explored in clinic. The implant-supported bal attachment-retained mandibular overdenture is relatively expensive, which is identical with the current research progress that is in the exploration stage worldwide. Due to the limited quantity and quality of included studies, the conclusions of this systematic review only provide references for clinical practice and research. The implant-supported bal attachment-retained mandibular overdenture stil needs further exploration and improvement.

关 键 词：生物材料 口腔生物材料 种植体 牙 帽附着体 义齿 随机对照试验 系统评价 

分 类 号：R318[医药卫生—生物医学工程]