根盾技术对即刻种植临床效果的影响:基于随机对照研究的Meta分析  

The socket-shield technique for immediate implant placement:a meta-analysis of randomized controlled trials

作　　者：龚佳明 赵瑞敏 李婉昕 苏琳涵 余占海[1] 李健学 Gong Jiaming;Zhao Ruimin;Li Wanxin;Su Linhan;Yu Zhanhai;Li Jianxue(Dept.of Implantology,School&Hospital of Stomatology,Lanzhou University,Lanzhou 730000,China;Dept.of Stomatology,The 940th Hospital of Joint Logistics Support Force of People’s Liberation Army,Lanzhou 730050,China)

机构地区：[1]兰州大学口腔医学院·口腔医院种植科,兰州730000 [2]解放军联勤保障部队第940医院口腔科,兰州730050

出　　处：《国际口腔医学杂志》2022年第5期537-547,共11页International Journal of Stomatology

基　　金：甘肃省自然科学基金(20JR10RA006)。

摘　　要：目的探讨与传统即刻种植(CII)相比,即刻种植联合根盾技术(SST)的临床应用效果。方法电子检索2010年5月—2021年11月PubMed、Embase、Cochrane Library、Web of Science、CNKI、万方数据库有关SST和CII的随机对照研究(RCT),且对关键文献进行引文索引。使用Cochrane风险评估工具评估偏倚风险,使用Rev‐Man 5.4对数据进行分析,探讨2种技术对种植体周软硬组织、种植体稳定性(ISQ)、并发症和失败率的影响。结果共14篇RCT纳入本研究,其中英文8篇,中文6篇。随访时间从6个月至36个月不等,平均随访时间为14.21个月。Meta分析结果显示,2组除ISQ的差异无统计学意义外(P>0.05),SST组具有更少的唇侧骨板改变(P<0.05),更稳定的种植体边缘骨水平(P<0.05)和更好的美学效果(P<0.05);但是在并发症和种植失败率方面,2组差异均无统计学意义(P>0.05)。结论即刻种植中,在中短期随访时间内,应用SST在降低种植体周骨吸收和维持软组织形态上具有一定的优势,但仍需要更多长期的RCT来评估现有的优势表现。Objective To systematically evaluate and compare the clinical effect of immediate implant placement with socket-shield technique(SST)and conventional immediate implant(CII).Methods Databases in PubMed,Embase,Co‐chrane Library,Web of Science,CNKI,and Wanfang were searched to identify randomized controlled trials(RCTs)that compared SST and CII,and citation indexes were carried out for the critical pieces of literature from May 2010 to No‐vember 2021.The Cochrane Collaboration’s tool was used to assess the risk of bias.Data were analyzed using the Re‐view Manager 5.4 software.To discuss the effects of two techniques on the clinical performance of peri-implant soft and hard tissue,implant stability quotient(ISQ),and complications and failure rate.Results A total of 14 RCTs were included in this study,including eight in English and six in Chinese.Follow-ups ranged from 6 to 36 months,with an average of 14.21 months.Meta-analysis showed that the SST group resulted in a significantly lesser labial bone plate changes(P<0.05),stabler margin bone level(P<0.05),and better esthetic presentation(P<0.05),except for the ISQ(P>0.05).However,there were no significant differences in complications and implant failure rates between the two groups(P>0.05).Conclusion In the immediate implant placement proce‐dure,employing SST has medium-to short-term posi‐tive effects on reducing the peri-implant bone resorption and maintaining the soft tissue morphology.To super‐vise the current manifestation,further evidence from long-term RCTs is needed.

关 键 词：即刻种植 根盾技术 骨丧失 粉红色美学 META分析 

分 类 号：R783[医药卫生—口腔医学]