Implantes dentários curtos esplintados ou não esplintados em mandíbula posterior: uma revisão sistemática e metanálise
DOI:
https://doi.org/10.33448/rsd-v11i14.36282Keywords:
Short dental implant; Splinted crown; Single tooth; Partially edentulous; Survival rate.Abstract
Objetivo: Avaliar a taxa de sobrevivência (SR), a taxa de sucesso (SSR), o nível ósseo após o carregamento protético e também avaliar as complicações protéticas de implantes curtos esplintados (SSI) em comparação com implantes curtos não esplintados (NSI) em mandíbula posterior. Materiais e métodos: Foi realizada uma busca eletrônica nas bases de dados PubMed e Embase. O desfecho primário analisado foi SR. Os desfechos secundários avaliados foram SSR, nível ósseo ao redor dos implantes (BLI), falha do implante (IF) e falha protética (PF). Resultados: Um total de 562 artigos do PubMed e 367 do Embase foram selecionados por títulos/resumos, 102 artigos foram selecionados para análise de texto completo. Apenas 10 artigos estavam aptos a serem selecionados, mas apenas 4 atenderam aos critérios de inclusão. A metanálise mostrou média de 99% de SR para o grupo SSI e 97% para o grupo NSI, sendo estatisticamente significantes para o grupo SSI (p<0,038). NSI apresentou melhor BLI, porém, a análise estatística não mostrou diferença significativa entre SSI e NSI (p= 0,170). Conclusão: De acordo com o presente estudo, apesar das próteses esplintadas e não esplintadas terem apresentado alta SR, os implantes esplintados apresentaram melhores resultados para SR e para complicações protéticas. Não existe uma diretriz correta ou incorreta quando se trata de reabilitação com implantes, cada caso deve ser estudado de forma global, com resultados centrados no paciente. Mais estudos devem ser realizados a fim de suprir essa lacuna na literatura sobre a necessidade de esplintagem ou não de implantes curtos.
References
Albrektsson, T., Zarb, G., Worthington, P. & Eriksson, A. R. (1986). The long-term efficacy of currently used dental implants, A review and proposed criteria of success. Int J Oral Maxillofac Implants. 1 (1), 11–25.
Alvarez-Arenal, A., Brizuela-Velasco, A., DeLlanos-Lanchares, H. & Gonzalez-Gonzalez, I. (2014). Should oral implants be splinted in a mandibular implant-supported fixed complete denture? A 3-dimensional-model finite element analysis. Journal Prosth Dentis. 112 (3), 508-514.
Anitua, E., Piñas, L. & Orive, G. (2015). Retrospective study of short and extra short implants placed in posterior regions: influence of crown-to-implant ratio on marginal bone loss. Clin Implant Dent Relat Res. 17 (1), 102-110.
Annibali, S., Cristalli, M. P., Dell'Aquila, D., Bignozzi, I., La Monaca, G. & Pilloni, A. (2012). Short dental implants: a systematic review. J Dent Res. 91 (1), 25-32.
Berglundh, T., Persson, L. & Klinge, B. (2002). A systematic review of the incidence of biological and technical complications in implant dentistry reported in prospective longitudinal studies of at least 5 years. J Clin Peridontol. 29 (3), 197–212.
Calvo-Guirado, J. L., López, Torres, J. A., Dard, M., Javed, F., Pérez-Albacete, Martínez, C. & Maté Sánchez de Val, J. E. (2016). Evaluation of extrashort 4-mm implants in mandibular edentulous patients with reduced bone height in comparison with standard implants: a 12-month results. Clin Oral Implants Res. 27 (7), 867-874.
Clelland, N., Chaudhry, J., Rashid, R. G. & McGlumphy, E. (2016). Split-Mouth Comparison of Splinted and Nonsplinted Prostheses on Short Implants: 3-Year Results. Int Oral Maxillofac Implants. 31 (5), 1135-1141.
Demiralp, K. Ö., Akbulut, N., Kursun, S., Argun, D., Bagis, N. & Orhan, K. (2015). Survival rate of short, locking taper implants with a plateau design: a 5-year retrospective study. Biomed Res Int. 197451.
Deporter, D., Ogiso, B., Sohn, D. S., Ruljancich, K. & Pharoah, M. (2008). Ultrashort sintered porous-surfaced dental implants used to replace posterior teeth. J Periodontol. 79 (7), 1280-1286.
Deporter, D. A., Kermalli, J.,Todescan, R. & Atenafu, E. (2012). Performance of sintered, poroussurfaced, press-fit implants after 10 years of function in the partially edentulous posterior mandible. Int J Periodont Rest Dent. 32 (5), 563–570.
Esposito, M., Cannizzaro, G., Soardi, E., Pellegrino, G., Pistilli, R. & Felice, P. (2011). A 3-year postloading report of a randomised controlled trial on the rehabilitation of posterior atrophic mandibles: short implants or longer implants in vertically augmented bone? Eur J Oral Implantol. 4 (4), 301–311.
Felice, P., Pistilli, R., Lizio, G., Pellegrino, G., Nisii, A. & Marchetti C. (2009). Inlay versus onlay iliac bone grafting in atrophic posterior mandible: a prospective controlled clinical trial for the comparison of two techniques. Clin Implant Dent Relat Res. 1 (1), 69–82.
Felice, P., Checchi, L., Barausse, C., Pistilli, R., Sammartino, G., Masi I. et al. (2016). Posterior jaws rehabilitated with partial prostheses supported by 4.0 x 4.0 mm or by longer implants: One-year post-loading results from a multicenter randomised controlled trial. Eur J Oral Implantol. 9 (1), 35-45.
Friberg, B., Jemt, T. & Lekholm, U. (1991). Early failures in 4,641 consecutively placed Branemark dental implants: a study from stage 1 surgery to the connection of completed prostheses. Int J Oral Maxillofac Implants. 6 (2), 142–146.
Fugazzotto, P. A. (2008). Shorter implants in clinical practice: rationale and treatment results. Int J Oral Maxillofac Implants. 23 (3), 487-496.
Garg, A. K. & Morales, M. J. (1998). Lateralization of the inferior alveolar nerve with simultaneous implant placement: surgical techniques. Pract Periodontics Aesthet Dent. 10 (9), 1197–1204.
Grant, B. T., Pancko, F. X. & Kraut, R. A. (2009). Outcomes of placing short dental implants in the posterior mandible: a retrospective study of 124 cases. J Oral Maxillofac Surg. 67 (4), 713-717.
Grossmann, Y., Finger, I. M. & Block, M. S. (2005). Indications for splinting implant restorations. J Oral Maxillofac Surg. 63 (11), 1642–1652.
Hagi, D., Deporter, D. A., Pilliar, R. M. & Arenovich, T. (2004). A targeted review of study outcomes with short (< or = 7 mm) endosseous dental implants placed in partially edentulous patients. J Periodontol. 75 (6), 798–804.
Higgins, J. P. T. & Green, S. (2008). Cochrane handbook for systematic reviews of interventions version 5.0.1. The Cochrane Collaboration. Available: http://www.cochranehandbook.org.
Jemt, T., Laney, W. R., Harris, D., Henry, P.J., Krogh, P. H., Polizzi G. et al. (1991). Osseointegrated implants for single tooth replacement: a 1-year report from a multicenter prospective study. Int J Oral Maxillofac Implants. 6 (1), 29–36.
Jemt, T. & Lekholm, U. (1993). Oral implant treatment in posterior partially edentulous jaws: a 5-year follow-up report. Int J Oral Maxillofac Implants. 8 (6), 635-640.
Kahnberg, K. E., Ridell, A. (1987). Transposition of the mental nerve in orthognathic surgery. J Oral Maxillofac Surg. 45 (4), 315-318.
Kotsovilis, S., Fourmousis, I., Karoussis, I. K. & Bamia, C. (2009). A systematic review and meta-analysis on the effect of implant length on the survival of rough-surface dental implants. J Periodontol. 80 (11), 1700–1718.
Kennedy, K. S., Jones, E. M., Kim, D. G., McGlumphy, E. A. & Clelland, N. L. (2013). A prospective clinical study to evaluate early success of short implants. Int J Oral Maxillofac Implants. 28 (1), 170-177.
Mendonça, J. A., Francischone, C. E., Senna, P. M., Matos de Oliveira, A. E. & Sotto-Maior, B. S. (2014). A retrospective evaluation of the survival rates of splinted and non-splinted short dental implants in posterior partially edentulous jaws. J Periodontol. 85 (6), 787-794.
Mezzomo, L. A., Miller, R., Triches, D., Alonso, F. & Shinkai, R. S. (2014). Meta-analysis of single crowns supported by short (<10 mm) implants in the posterior region. J Clin Periodontol. 41 (2), 191-213.
Misch, C. E., Steignga, J., Barboza, E., Misch-Dietsh, F., Cianciola, L. J. & Kazor, C. (2006). Short dental implants in posterior partial edentulism: a multicenter retrospective 6-year case series study. J Periodontol. 77 (8), 1340-1347.
Moher, D., Liberati, A., Tetzlaff, J. & Altman, D. G. (2009). The PRISMA Group. Methods of systematic reviews and meta-analysis preferred reporting items for systematic reviews and meta-analyses: the PRISMA Statement. J Clin Epidemiol. 6 (7), 1006–1101.
Nagasawa, S., Hayano, K., Niino, T., Yamakura, K., Yoshida, T. & Mizoguchi, T. (2008). Nonlinear stress analysis of titanium implnats by finite element method. Dent Mater J. 27 (4), 633-639.
Papapanou, P. N., Wennstrom, J. L. & Grondahl, K. (1998). Periodontal status in relation to age and tooth type. A cross-sectional radiographic study. J Clin Periodontol. 15 (7), 469-478.
Pellizzer, E. P., Santiago Junior, J. F., Villa, L. M. R., Souza Batista, V. E., Mello, C. C., Almeida, D. A. F. & Honório, H. M. (2014). Photoelastic stress analysis of splinted and unitary implant-supported prostheses. Appl. Phys. 40 (2), 117-122.
Pjetursson, B. E., Tan, W. C., Zwahlen, M. & Lang, N. P. (2008). A systematic review of the success of sinus floor elevation and survival of implants inserted in combination with sinus floor elevation. J Clin Periodontol. 35 (8), 216–240.
Renouard, F. & Nisand, D. (2005). Short implants in the severely resorbed maxilla: a 2-year retrospective clinical study. Clin Implant Dent Relat Res. 7 (1), 104–110.
Renouard, F. & Nisand, D. (2006). Impact of implant length and diameter on survival rates. Clin Oral Implants Res. 17 (2), 35–51.
Rocchietta, I., Fontana, F. & Simion, M. (2008). Clinical outcomes of vertical bone augmentation to enable dental implant placement: a systematic review. J Clin Periodontol. 35 (8), 203–215.
Rokni, S., Todescan, R., Watson, P., Pharoah, M. & Adegbembo, A. O., Deporter, D. (2005). An assessment of crown-to-root ratios with short sintered porous-surfaced implants supporting prostheses in partially edentulous patients. Int J Oral Maxillofac Implants. 20 (1), 69-76.
Rosenquist, B. (1992). Fixture placement posterior to the mental foramen with transpositioning of the inferior alveolar nerve. Int J Oral Maxillofac Implants. 7 (1), 45-50.
Ross, J., Sennerby, L., Lekholm, U., Jemt, T., Grondahl, K. & Albrektsson, T. (1997). A qualitative and quantitative method for evaluation of implant success: A five-year retrospective analysis of the Brånemark implant. Int J Oral Maxillofac Implants. 12 (4), 504–514.
Saadoun, A. P. & LeGall, M. L. (1992) Clinical results and guidelines on Steri-Oss endosseous implants. Int J Periodontics Restorative Dent. 12 (6), 486-495.
Shigemitsu, R., Ogawa, T., Matsumoto, T., Yoda, N., Gunji, Y., Yamakawa Y. et al. (2013). Stress distribution in the peri-implant bone with splinted and non-splinted implants by in vivo loading data-based finite element analysis. Odonto. 101 (2), 222-226.
Strietzel, F. P. & Reichart, P. A. (2007). Oral rehabilitation using Camlog screw-cylinder implants with a particle-blasted and acidetched microstructured surface Results from a prospective study with special consideration of short implants. Clinical evaluation of short, machined-surface implants followed for 12 to 92 months. Clin Oral Implants Res. 18 (5), 591–600.
Sivolella, S., Stellini, E., Testori, T., Di Fiore, A., Berengo, M., Lops, D. (2013). Splinted and unsplinted short implants in mandibles: a retrospective evaluation with 5 to 16 years of follow-up. J Periodontol. 84 (4), 502-512.
Slotte, C., Grønningsaeter, A., Halmøy, A. M., Öhrnell, L. O., Mordenfeld, A., Isaksson S. et al. (2015). Four-Millimeter-Long Posterior-Mandible Implants: 5-Year Outcomes of a Prospective Multicenter Study. Clin Implant Dent Relat Res. 17 (2), 385-395.
Summers, R. B. (1994). A new concept in maxillary implant surgery: the osteotome technique. Compendium. 15 (2), 154–158.
Telleman, G., Raghoebar, G. M., Vissink, A., den Hartog, L., Huddleston Slater, J. J., & Meijer, H. J. (2011). A systematic review of the prognosis of short (<10 mm) dental implants placed in the partially edentulous patient. J Clin Periodontol. 38 (7), 667-676.
Telleman, G., Raghoebar, G. M., Vissink, A. & Meijer, H. J. (2014). Impact of platform switching on peri-implant bone remodeling around short implants in the posterior region, 1-year results from a split-mouth clinical trial. Clin Implant Dent Relat Res. 16 (1), 70-80.
Ten Bruggenkate, C. M., Asikainen, P., Foitzik, C., Krekeler, G. & Sutter, F. (1998). Short (6-mm) nonsubmerged dental implants: results of a multicenter clinical trial of 1 to 7 years. Int J Oral Maxillofac Implants. 13 (6), 791-798.
Tolman, D. E. (1995). Reconstructive procedures with endosseous implants in grafted bone: a review of the literature. Int J Oral Maxillofac Implants. 10 (3), 275-294.
Toniollo, M. B., Macedo, A. P., Rodrigues, R. C., Ribeiro, R. F. & de Mattos, M. G. (2017). A Three-Dimensional Finite element analysis of the stress distribution generated by splinted and nonsplinted Prostheses in the Rehabilitation of various bony ridges with regular or short Morse Taper Implants. Int J Oral Maxillofac Implants. 32 (2), 372-376.
Urdaneta, R. A., Daher, S., Leary. J., Emanuel, K. M. & Chuang, S. K. (2012). The survival of ultrashort locking-taper implants. Int J Oral Maxillofac Implants. 27 (3), 644-654.
Van Steenberghe, D. (1989). A retrospective multicenter evaluation of the survival rate of osseointegrated fixtures supporting fixed partial prostheses in the treatment of partial edentulism. J Prosthet Dent. 61 (2), 217-223.
Van Steenberghe, D., Lekholm, U., Bolender, C., Folmer, T., Henry, P., Herrmann, I., Higuchi, K., Laney, W., Linden, U. & Astrand, P. (1990). Applicability of osseointegrated oral implants in the rehabilitation of partial edentulism: a prospective multicenter study on 558 fixtures. Int J Oral Maxillofac Implants. 5 (3), 272-281.
Van Steenberghe, D. (1997). Outcomes and their measurement in clinical trials of endosseous oral implants. Ann Periodontol. 2 (1), 291– 298.
Yilmaz, B., Seidt, J. D., McGlumphy, E. A. & Clelland, N. L. (2011). Comparison of strains for splinted and nonsplinted screw-retained prostheses on short implants. Int J Oral Maxillofac Implants. 26 (6), 1176-1182.
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Copyright (c) 2022 Raphaella Coelho Michel; Rafael Ferreira; Luísa Andrade Valle; Gustavo Gonçalves do Prado Manfredi ; Vitor de Toledo Stuani; Andréia Pereira de Souza Pavani; Iolanda Larissa Gomes Bianco da Silva; Marcus Vinícius Cintra Moreira; Carla Andreotti Damante; Adriana Campos Passanezi Sant’Ana ; Mariana Schutzer Ragghianti Zangrando
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