种植体植入深度对周围硬组织影响的系统回顾及Meta分析

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Abstract Objective To review the change of marginal bone level around dental implants while inserted different depths.Achieving an ideal insertion depth to provide an theoretical basis and practical activity for clinical application. Methods A literature search of electronic databeses(PubMed,Medline,Embase,The Cochrane Library,CBM,CNKI,Wan-Fang)were performed up,and works published in the English and Chinese languge from January 1st,2006 to June 1st, 2016.Full-text analysis was performed in relevant publications,and to make data extraction,the quality evaluation. Revman 5.3 software was used for Meta analysis and forest plot drawing.The effect indexes were mean differences(MD) and 95%confidence intervals(CI).Results 105 studies were searched and 28 articles were preliminary chosen.After the full-text reading,5 articles were eventually included.Irrespective of platform switching,the marginal bone loss around implants in the crestal level was significantly less than the implants in the subcrestal level among the early stage after placements[MD=0.30,95%CI(0.20,0.39),P＜0.000 01].Subgroup analyses,2 articles were regarding of platform switching im plants,but no statistically significant difference was detected(P=0.99).4 articles were regarding of non-switched platform implants,Subgroup analyses showed thatthe marginalbone loss around cretalbone levelimplants was significantly less than the subcrestal bone levelimplants,respectively during the period of 3-6 months[MD=0.26,95%CI(0.15，0.38),P＜0.000 01]. And less bone lossin the above bone levelimplants than the crestalbone levelimplants in more than 1 year after prosthetic loading[MD=-0.59,95%CI(-0.72，-0.46),P＜0.000 01].Conclusion Implants in a subcrestal position may be associated with a higher amount of bone loss during the remodeling process than implants placed in an epior supracrestal position.

Key words： Dental implants Insertion depth Marginal bone loss Platform switching Meta analysis

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	CHEN Shi-yu
	LI Yun-sheng
	SHAO Jian
	JIANG Yan-jun

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CHEN Shi-yu,LI Yun-sheng,SHAO Jian, et al. Systematic review and Meta analysis of the influence of insertion depth on marginal hard tissue of dental implants[J]. 中国当代医药, 2017, 24(8): 14-18.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I8/14

[1]	Prasad DK，Shetty M，Bansal N，et al.Crestal bone preservation：a review of different approaches for successful implant therapy[J].Indian J Dent Res，2011，22（2）：317-323.
[2]	Albrektsson T，Zarb G，Worthington P，et al.The longterm efficacy of currently used dental implants：a review and pro posed criteria of success[J].Int J Oral Maxillofac Implants，1986，1（1）：11-25.
[3]	Rossi F，Zavanelli AC，Zavanelli RA.Photoelastic comparison of single tooth implant-abutment-bone of platform switchng vs conventional implant designs[J].J Contemp Dent Pract，2011，12（2）：124-130.
[4]	Hermann JS，Cochran DL，Nummikoski PV，et al.Crestal bone changes around titanium implants：a radiographic evaluation of unloaded nonsubmerged and submerged implants in the canine mandible[J].J Periodontol，1997，68（11）：1117-1130.
[5]	Schwarz F，Alcoforado G，Nelson K，et al.Impact of implantabutment connection，positioning of the machined collar/microgap，and platform switching on crestal bone level changes，camlog foundation consensus report[J].Clin Oral Implants Res，2014，25（11）：1301-1303.
[6]	Schwarz F，Mihatovic I，Golubovich V，et al.Impact of abutment microstructure and insertion depth on crestal bone changes at nonsubmerged titanium implants with platform switch[J].Clin Oral Implants Res，2015，26（3）：287-292.
[7]	Alonso-González R，Aloy-Prósper A，Peñarrocha-Oltra D，et al.Marginal bone loss in relation to platform switching implant insertion depth：an update[J].J Clin Exp Dent，2012，4（3）：e173-e179.
[8]	Lenonardi-Bee J，Smyth A，Britton J，et al.Environmental tobacco smoke and fetal health：systematic review and meta-analysis[J].Arch Dis Child Fetal Neonatal Ed，2008，93（5）：F351-F361.
[9]	Yi JM，Lee JK，Um HS，et al.Marginal bony changes in relation to different vertical positions of dental implants[J].J Periodontal Implant Sci，2010，40（5）：244-248.
[10]	Veis A，Parissis N，Tsirlis A，et al.Evaluation of peri-implant marginal bone loss using modified abutment connections at various crestal level placements[J].Int J Periodontics Restorative Dent，2010，30（6）：609-617.
[11]	Kutan-Misirlioglu E，Bolukbasi N，Yildirim-Ondur E，et al.Clinical and radiographic evaluation of marginal bone changes around platform-switching implants placed in crestal or subcrestal positions：a randomized controlled clinical trial[J].Clin Implant Dent Relat Res，2015，17（S2）：364-375.
[12]	Nagarajan B，Murthy V，Livingstone D，et al.Evaluation of crestal bone loss around implants placed at equicrestal and subcrestal levels before loading：a prospective clinical study[J].J Clin Diagn Res，2015，9（12）：ZC47-ZC50.
[13]	Koh RU，Oh TJ，Rudek I，et al.Hard and soft tissue changes after crestal and subcrestal immediate implant placement[J]. J Periodontol，2011，82（8）：1112-1120.
[14]	Lazzara RJ，Porter SS.Platform switching：a new concept in implant dentistry for controlling postrestorative crestal bone levels[J].Int J Periodontics Restor Dent，2006，26（1）：9-17.
[15]	Broggini N，McManus LM，Hermann JS，et al.Peri-implant inflammation defined by the implant-abutmentinterface[J].J Dent Res，2006，85（5）：473-478.
[16]	Hermann F，Lerner H，Palti A.Factors influencing the preservation of the periimplant marginal bone[J].Implant Dent，2007，16（2）：165-175.
[17]	Jung RE，Jones AA，Higginbottom FL，et al.The influence of non-matching implant and abutment diameters on radiographic crestal bone levels in dogs[J].J Periodontol，2008，79（2）：260-270.
[18]	Tarnow DP，Cho SC，Wallace SS.The effect of inter-implant distance on the height of inter-implant bone Crest[J]. J Periodontol，2000，71（4）：546-549.
[19]	Cardaropoli G，Lekholm U，Wennstrom JL.Tissue alterations at implant-supported single-tooth replacements：a 1-year prospective clinicalstudy[J].Clin Oral Implants Res，2006，17（2）：165-171.
[20]	Huang B，Meng H，Zhu W，et al.Influence of placement depth on bone remodeling around tapered internal connection implants：a histologic study in dogs[J].Clin Oral Implants Res，2015，25（8）：942-949.