Biological and technical complications of tilted implants in comparison with straight implants supporting fixed dental prostheses. A systematic review and meta-analysis.

Abstract:

OBJECTIVES:To evaluate the implant failure, marginal bone loss (MBL), and other biological or technical complications of restorations supported by tilted and straight implants after at least 3 years in function. METHODS:Electronic and manual searches were performed in MEDLINE, Embase, Web of Science, and OpenGrey to identify clinical studies published up to December 2017. After duplicate study selection and data extraction, the risk of bias was assessed with the ROBINS-I tool. Random-effects meta-analyses of relative risks (RRs) or mean differences (MD) and their 95% confidence intervals (CIs) were performed, followed by subgroup/sensitivity analyses and application of the GRADE approach. RESULTS:A total of 17 nonrandomized studies (eight prospective/nine retrospective) were included. The number of implants of the overall systematic review was 7,568 implants placed in 1,849 patients supporting either full-arch or partial implant prostheses. No difference in the failure of tilted and straight implants was seen (eight studies; 4,436 implants; RR = 0.95; 95% CI = 0.70 to 1.28; p = 0.74), with the quality of evidence being very low due to bias and imprecision. Likewise, no difference in MBL was seen between tilted and straight implants (16 studies; 5,293 implants; MD = 0.03 mm; 95% CI = -0.03 to 0.10 mm; p = 0.32), with the quality of evidence being very low due to bias and inconsistency. Contradictory results regarding implant survival were found from prospective and retrospective studies, which could indicate bias from the latter. CONCLUSIONS:Within the limitations of the present systematic review, no effect of implant inclination on implant survival or peri-implant bone loss was found.

journal_name

Clin Oral Implants Res

authors

Apaza Alccayhuaman KA,Soto-Peñaloza D,Nakajima Y,Papageorgiou SN,Botticelli D,Lang NP

doi

10.1111/clr.13279

subject

Has Abstract

pub_date

2018-10-01 00:00:00

pages

295-308

eissn

0905-7161

issn

1600-0501

journal_volume

29 Suppl 18

pub_type

杂志文章,meta分析
  • The influence of prophylactic antibiotic administration on post-operative morbidity in dental implant surgery. A prospective double blind randomized controlled clinical trial.

    abstract:OBJECTIVES:A prospective double-blind randomised controlled trial was conducted to test the effect of prophylactic antibiotics on post-operative morbidity and osseointegration of dental implants. MATERIALS AND METHODS:Fifty-five subjects scheduled for implant surgery were enrolled. The patients were randomly assigned ...

    journal_title:Clinical oral implants research

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/clr.12124

    authors: Nolan R,Kemmoona M,Polyzois I,Claffey N

    更新日期:2014-02-01 00:00:00

  • Antimicrobial treatment of peri-implant infections.

    abstract::The purpose of this study was to investigate the possibility of antimicrobial treatment of peri-implant infections associated with a periodontitis-like subgingival microbiota. Nine partially or fully edentulous patients with titanium hollow cylinder implants were selected which showed loss of bone and probing depths >...

    journal_title:Clinical oral implants research

    pub_type: 杂志文章

    doi:10.1034/j.1600-0501.1992.030402.x

    authors: Mombelli A,Lang NP

    更新日期:1992-12-01 00:00:00

  • Evaluation of the first maxillary molar post-extraction socket as a model for dental implant osseointegration research.

    abstract:OBJECTIVES:Published information regarding the use of rat jawbones for dental implant osseointegration research is limited and often inconsistent. This study assessed the suitability and feasibility of placing dental implants into the rat maxilla and to establish parameters to be used for dental implant research using ...

    journal_title:Clinical oral implants research

    pub_type: 杂志文章

    doi:10.1111/clr.12571

    authors: Du Z,Lee RS,Hamlet S,Doan N,Ivanovski S,Xiao Y

    更新日期:2016-12-01 00:00:00

  • Prognostic parameters contributing to palatal implant failures: a long-term survival analysis of 239 patients.

    abstract:OBJECTIVE:To evaluate the demographic, radiological and therapeutic parameters that influence the overall clinical performance of palatal implants subjected to orthodontic loading. PATIENTS AND METHODS:The data of all patients who had received an orthodontic palatal implant for skeletal anchorage between January 1998 ...

    journal_title:Clinical oral implants research

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1600-0501.2011.02197.x

    authors: Jung BA,Kunkel M,Göllner P,Liechti T,Wagner W,Wehrbein H

    更新日期:2012-06-01 00:00:00

  • Influence of presence or absence of teeth adjacent to implants installed immediately into extraction sockets on peri-implant hard tissue levels: an experimental study in the dog.

    abstract:AIM:To evaluate the influence of the presence or absence of adjacent teeth on the level of the mesial and distal alveolar bony crest following healing at sites where implants were installed immediately into extraction sockets. MATERIAL AND METHODS:Six Labrador dogs were used. In the right side of the mandible, full-th...

    journal_title:Clinical oral implants research

    pub_type: 杂志文章

    doi:10.1111/clr.12006

    authors: Favero G,Botticelli D,Rea M,Pantani F,León IG,Lang NP

    更新日期:2013-03-01 00:00:00

  • Localized ridge augmentation using a micro titanium mesh: a report on 27 implants followed from 1 to 3 years after functional loading.

    abstract::The present paper describes the clinical and radiographic healing results of 27 implants followed from 1 to 3 years after functional implant loading. Prior to implant placement, alveolar ridges with insufficient bone volume were augmented using autogenous bone grafts and a micro titanium mesh for graft stabilization. ...

    journal_title:Clinical oral implants research

    pub_type: 杂志文章

    doi:10.1034/j.1600-0501.1998.090208.x

    authors: von Arx T,Wallkamm B,Hardt N

    更新日期:1998-04-01 00:00:00

  • Effect of socket preservation therapies following tooth extraction in non-molar regions in humans: a systematic review.

    abstract:OBJECTIVE:To assess, based on the existing literature, the benefit of socket preservation therapies in patients with a tooth extraction in the anterior or premolar region as compared with no additional treatment with respect to bone level. MATERIAL AND METHODS:MEDLINE-PubMed and the Cochrane Central Register of contro...

    journal_title:Clinical oral implants research

    pub_type: 杂志文章,评审

    doi:10.1111/j.1600-0501.2010.02064.x

    authors: Ten Heggeler JM,Slot DE,Van der Weijden GA

    更新日期:2011-08-01 00:00:00

  • Comparing bar and double-crown attachments in implant-retained prosthetic reconstruction: a follow-up investigation.

    abstract:OBJECTIVES:A removable implant-retained dental prosthesis in an edentulous mandible can use telescopic crowns or a bar superstructure as anchorage elements for an overdenture. The aim of this study was to compare the clinical results for bar-anchored and telescopic crown-retained overdentures in implant prosthetic trea...

    journal_title:Clinical oral implants research

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1600-0501.2007.01500.x

    authors: Eitner S,Schlegel A,Emeka N,Holst S,Will J,Hamel J

    更新日期:2008-05-01 00:00:00

  • Implant surface roughness alterations induced by different prophylactic procedures: an in vitro study.

    abstract:AIM:To evaluate surface roughness alterations at the smooth neck of dental implants after the use of eight different prophylactic procedures. MATERIALS AND METHODS:50 tissue level implants (Institut Straumann AG, Basel, Switzerland) were used for the present investigation. The smooth collar of each implant was divided...

    journal_title:Clinical oral implants research

    pub_type: 杂志文章

    doi:10.1111/clr.12849

    authors: Cafiero C,Aglietta M,Iorio-Siciliano V,Salvi GE,Blasi A,Matarasso S

    更新日期:2017-07-01 00:00:00

  • Critical horizontal dimensions of interproximal and buccal bone around implants for optimal aesthetic outcomes: a systematic review.

    abstract:OBJECTIVE:This systematic review was initiated to explore the critical horizontal interproximal and buccal bone dimensions around implants for an optimal aesthetic outcome. MATERIALS AND METHODS:Pubmed, the Cochrane and the ISI web of Science databases were searched to identify eligible human studies that reflect on t...

    journal_title:Clinical oral implants research

    pub_type: 杂志文章,评审

    doi:10.1111/j.1600-0501.2009.01782.x

    authors: Teughels W,Merheb J,Quirynen M

    更新日期:2009-09-01 00:00:00

  • Sinus floor elevation or referral for further diagnosis and therapy: A comparison of maxillary sinus assessment by ENT specialists and dentists using cone beam computed tomography.

    abstract:OBJECTIVES:To compare ear, nose, and throat (ENT) specialists and dentists assessing health or pathology of maxillary sinuses using cone beam computed tomography (CBCT). MATERIAL AND METHODS:Two ENT specialists and two oral surgeons assessed 100 CBCT datasets of healthy patients referred for dental implant placement i...

    journal_title:Clinical oral implants research

    pub_type: 杂志文章

    doi:10.1111/clr.13582

    authors: Janner SFM,Dubach P,Suter VGA,Caversaccio MD,Buser D,Bornstein MM

    更新日期:2020-05-01 00:00:00

  • Effect of plastic-covered ultrasonic scalers on titanium implant surfaces.

    abstract:OBJECTIVES:Maintaining oral health around titanium implants is essential. The formation of a biofilm on the titanium surface will influence the continuing success of the implant. These concerns have led to modified ultrasonic scaler instruments that look to reduce implant damage while maximising the cleaning effect. Th...

    journal_title:Clinical oral implants research

    pub_type: 杂志文章

    doi:10.1111/j.1600-0501.2011.02186.x

    authors: Mann M,Parmar D,Walmsley AD,Lea SC

    更新日期:2012-01-01 00:00:00

  • The potential effects of cholecalciferol on bone regeneration in dogs.

    abstract:OBJECTIVES:The aim of this investigation was to evaluate the potential effects of the systemically delivered combination of calcium supplementation and cholecalciferol and of the locally applied biphasic calcium alloplast on the surgically produced alveolar sockets at the early healing stage in a dog model. MATERIALS ...

    journal_title:Clinical oral implants research

    pub_type: 杂志文章

    doi:10.1111/j.1600-0501.2011.02284.x

    authors: Hong HH,Chou TA,Yang JC,Chang CJ

    更新日期:2012-10-01 00:00:00

  • Insufficient irrigation induces peri-implant bone resorption: an in vivo histologic analysis in sheep.

    abstract:OBJECTIVES:To measure in vivo impact of dense bone overheating on implant osseointegration and peri-implant bone resorption comparing different bur irrigation methods vs. no irrigation. MATERIALS AND METHODS:Twenty TI-bone implants were inserted in the inferior edge of mandibles of sheep. Different cooling procedures ...

    journal_title:Clinical oral implants research

    pub_type: 杂志文章

    doi:10.1111/clr.12127

    authors: Trisi P,Berardini M,Falco A,Podaliri Vulpiani M,Perfetti G

    更新日期:2014-06-01 00:00:00

  • The influence of the masticatory mucosa on the peri-implant soft tissue condition.

    abstract::The aim of this study was to evaluate the soft tissue conditions at osseo-integrated oral implants in relation to the width of masticatory mucosa. Thirty-nine patients who had received a full-arch fixed bridge reconstruction > or = 10 years ago or a partial reconstruction > or = 5 years ago on a total of 171 implants ...

    journal_title:Clinical oral implants research

    pub_type: 杂志文章

    doi:10.1034/j.1600-0501.1994.050101.x

    authors: Wennström JL,Bengazi F,Lekholm U

    更新日期:1994-03-01 00:00:00

  • Immediate functional loading of Brånemark single tooth implants. An 18 months' clinical pilot follow-up study.

    abstract::A clinical and radiographical study was performed to evaluate the treatment outcome of single tooth replacements with artificial crowns retained to implants installed according to a 1-stage surgical procedure and immediate loading (Experimental Group = EG) in comparison to the original 2-stage concept (Control Group =...

    journal_title:Clinical oral implants research

    pub_type: 临床试验,杂志文章

    doi:10.1034/j.1600-0501.2000.011001026.x

    authors: Ericsson I,Nilson H,Lindh T,Nilner K,Randow K

    更新日期:2000-02-01 00:00:00

  • Bilateral simultaneous augmentation of the maxillary sinus floor with particulated mandible. Report of a technique and preliminary results.

    abstract::This paper describes a surgical technique that permits the achievement of bilateral simultaneous augmentation of the maxillary sinus floor with the use of autologous bone harvested from the mandibular symphysis alone. Out of a group of 26 partially edentulous patients consecutively treated for sinus augmentation in an...

    journal_title:Clinical oral implants research

    pub_type: 杂志文章

    doi:10.1034/j.1600-0501.2003.140210.x

    authors: Cordaro L

    更新日期:2003-04-01 00:00:00

  • Histological and histomorphometrical evaluation of tissue reactions adjacent to endosteal implants in monkeys.

    abstract::A qualitative and quantitative histological study of the initial healing response adjacent to 24 submerged and non-submerged implants placed in the lower jaws of 6 monkeys is presented. The histomorphometric analysis showed no significant differences in mineralized bone-implant contact length between submerged and non...

    journal_title:Clinical oral implants research

    pub_type: 杂志文章

    doi:10.1034/j.1600-0501.1991.020104.x

    authors: Gotfredsen K,Rostrup E,Hjörting-Hansen E,Stoltze K,Budtz-Jörgensen E

    更新日期:1991-01-01 00:00:00

  • Hydrophilic titanium surface-induced macrophage modulation promotes pro-osteogenic signalling.

    abstract:OBJECTIVES:As biomaterial-induced modulation of mediators of the immune response may be a potential therapeutic approach to enhance wound healing events, the aim of this study was to delineate the effects of titanium surface modification on macrophage phenotype and function. MATERIAL AND METHODS:Rodent bone marrow-der...

    journal_title:Clinical oral implants research

    pub_type: 杂志文章

    doi:10.1111/clr.13522

    authors: Hamlet SM,Lee RSB,Moon HJ,Alfarsi MA,Ivanovski S

    更新日期:2019-11-01 00:00:00

  • Sinus augmentation analysis revised: the gradient of graft consolidation.

    abstract:OBJECTIVE:Graft consolidation follows a gradient that reflects the properties of bone substitutes at sites of sinus augmentation. Here we present an analytical method to investigate the process of graft consolidation taking the distance from the maxillary host bone into account. MATERIAL AND METHODS:We therefore evalu...

    journal_title:Clinical oral implants research

    pub_type: 杂志文章

    doi:10.1111/j.1600-0501.2009.01733.x

    authors: Busenlechner D,Huber CD,Vasak C,Dobsak A,Gruber R,Watzek G

    更新日期:2009-10-01 00:00:00

  • Flap extension attained by vertical and periosteal-releasing incisions: a prospective cohort study.

    abstract:OBJECTIVES:To evaluate the effect of vertical and periosteal-releasing incisions (PRI) on the extension of the buccal flap in a trapezoidal flap design. MATERIAL AND METHODS:Thirty patients scheduled for implant surgery accompanied by bone augmentation were recruited. The amount of flap extension pulled with a minimal...

    journal_title:Clinical oral implants research

    pub_type: 杂志文章

    doi:10.1111/j.1600-0501.2011.02244.x

    authors: Park JC,Kim CS,Choi SH,Cho KS,Chai JK,Jung UW

    更新日期:2012-08-01 00:00:00

  • Biomechanical aspects: Summary and consensus statements of group 4. The 5th EAO Consensus Conference 2018.

    abstract:OBJECTIVES:The aim of the present publication was to report on the EAO Workshop group-4 discussions and consensus statements on the five reviews previously prepared. These reviews provided the scientific evidence on the effect of crown-to-implant ratio, on reconstructions with cantilevers in fully and partially edentul...

    journal_title:Clinical oral implants research

    pub_type: 共识发展会议,杂志文章

    doi:10.1111/clr.13284

    authors: Hämmerle CHF,Cordaro L,Alccayhuaman KAA,Botticelli D,Esposito M,Colomina LE,Gil A,Gulje FL,Ioannidis A,Meijer H,Papageorgiou S,Raghoebar G,Romeo E,Renouard F,Storelli S,Torsello F,Wachtel H

    更新日期:2018-10-01 00:00:00

  • Is the use of digital technologies for the fabrication of implant-supported reconstructions more efficient and/or more effective than conventional techniques: A systematic review.

    abstract:OBJECTIVE:To identify clinical studies evaluating efficiency and/or effectiveness of digital technologies as compared to conventional manufacturing procedures for the fabrication of implant-supported reconstructions. MATERIALS AND METHODS:A systematic search from 1990 through July 2017 was performed using the online d...

    journal_title:Clinical oral implants research

    pub_type: 杂志文章

    doi:10.1111/clr.13300

    authors: Mühlemann S,Kraus RD,Hämmerle CHF,Thoma DS

    更新日期:2018-10-01 00:00:00

  • Immediate loading of implants installed in a healed alveolar bony ridge or immediately after tooth extraction: an experimental study in dogs.

    abstract:OBJECTIVE:To compare the sequential healing at immediately loaded implants installed in a healed alveolar bony ridge or immediately after tooth extraction. MATERIAL AND METHODS:In the mandible of 12 dogs, the second premolars were extracted. After 3 months, the mesial roots of the third premolars were endodontically t...

    journal_title:Clinical oral implants research

    pub_type: 杂志文章

    doi:10.1111/clr.12389

    authors: Mainetti T,Lang NP,Bengazi F,Sbricoli L,Soto Cantero L,Botticelli D

    更新日期:2015-04-01 00:00:00

  • Remodelling of sinus bone grafts according to the distance from the native bone: A histomorphometric analysis.

    abstract:OBJECTIVES:To evaluate graft remodelling according to the distance from the native bone in maxillary sinuses grafted with anorganic bovine bone (ABB). MATERIAL AND METHODS:Bilateral sinus grafting was performed in twenty patients with residual bone height <5 mm before implant placement. After 8 months, biopsy samples ...

    journal_title:Clinical oral implants research

    pub_type: 杂志文章

    doi:10.1111/clr.13639

    authors: Pignaton TB,Spin-Neto R,Ferreira CEA,Martinelli CB,de Oliveira GJPL,Marcantonio E Jr

    更新日期:2020-10-01 00:00:00

  • Oblique lateral cephalometric radiographs of the mandible in implantology: usefulness and reproducibility of the technique in quantitative densitometric measurements of the mandible in vivo.

    abstract::In the literature intraoral periapical radiographs are commonly used for densitometric measurements of the mandible with implants. These films give detailed information of the implant and the surrounding bone. However, in extreme mandibular atrophy it can be difficult to obtain intraoral radiographs of adequate diagno...

    journal_title:Clinical oral implants research

    pub_type: 临床试验,杂志文章

    doi:10.1034/j.1600-0501.2000.011005476.x

    authors: Verhoeven JW,Ruijter J,Cune MS,Terlou M

    更新日期:2000-10-01 00:00:00

  • Rotating titanium brush for plaque removal from rough titanium surfaces--an in vitro study.

    abstract:OBJECTIVES:The purpose of this study was the evaluation of the effectiveness of plaque removing of a new rotating brush made of titanium in comparison with the cleaning procedure with steel curettes. MATERIALS AND METHODS:Plaque was collected by six volunteers for 48 h. A total of 60 samples were randomly designated t...

    journal_title:Clinical oral implants research

    pub_type: 杂志文章

    doi:10.1111/clr.12147

    authors: John G,Becker J,Schwarz F

    更新日期:2014-07-01 00:00:00

  • Pain and instability during biting with mandibular implant-retained overdentures.

    abstract::We tested in a randomized controlled clinical trial the effect of pain and instability of dentures on bite force with different degrees of mucosal support. The trial involved 3 groups who had received: 1) a new conventional denture (CD-group), 2) an implant-mucosa-borne overdenture on 2 IMZ implants (IMZ-group) or 3) ...

    journal_title:Clinical oral implants research

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1034/j.1600-0501.2001.012001046.x

    authors: Fontijn-Tekamp FA,Slagter AP,van 't Hof MA,Kalk W,Jansen JA

    更新日期:2001-02-01 00:00:00

  • Real-time thermographic analysis of low-density bone during implant placement: a randomized parallel-group clinical study comparing lateral condensation with bone drilling surgical technique.

    abstract:OBJECTIVES:To compare the effect of two surgical techniques, lateral condensation and bone drilling, on changes in temperature of the adjacent low-density bone during implant placement into posterior maxilla and to investigate the influence of the host factors - age, gender, region of implantation, bone density, and th...

    journal_title:Clinical oral implants research

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/clr.12191

    authors: Marković A,Mišić T,Mančić D,Jovanović I,Šćepanović M,Jezdić Z

    更新日期:2014-08-01 00:00:00

  • Evaluation of peri-implant tissues condition after 10-15 years of loading in treated chronic periodontitis patients attending a private practice setting: A retrospective study.

    abstract:OBJECTIVES:To retrospectively evaluate the conditions of the peri-implant tissues in treated patients with chronic periodontitis (CP) and in patients without chronic periodontitis (noCP). MATERIALS AND METHODS:A chart review was used to evaluate 267 implants, 134 placed in 42 CP treated patients and 133 placed in 46 n...

    journal_title:Clinical oral implants research

    pub_type: 杂志文章

    doi:10.1111/clr.13712

    authors: Guarnieri R,Di Nardo D,Di Giorgio G,Miccoli G,Testarelli L

    更新日期:2021-01-16 00:00:00