Oral rehabilitation with tilted dental implants: a metaanalysis
To compare the course of patients treated with tilted implants versus those treated conventionally with axial implants, analyzing the success rate and marginal bone loss. A PubMed search was made using the key words "tilted implants ", "angled implants ", "angulated implants...
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Published in | Medicina oral, patología oral y cirugía bucal Vol. 17; no. 4; pp. e582 - e587 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
Spain
Medicina Oral S.L
01.07.2012
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Abstract | To compare the course of patients treated with tilted implants versus those treated conventionally with axial implants, analyzing the success rate and marginal bone loss.
A PubMed search was made using the key words "tilted implants ", "angled implants ", "angulated implants ", "inclined implants " and "maxillary atrophy. " A review was made of the articles published between 1999-2010. The inclusion criteria were the use of tilted implants, clinical series involving at least 10 patients, and a minimum follow-up of 12 months after prosthetic loading. The exclusion criteria were isolated clinical cases, studies with missing data, and publications in languages other than English or Spanish. The metaanalysis finally included 13 articles: 7 retrospective studies and 6 prospective studies.
On analyzing the success rate in the retrospective studies, two reported a higher success rate with tilted implants; one a higher success rate with axial implants; and two reported similar success rates with both implants. On analyzing the success rate in the prospective studies, two reported a higher success rate with tilted implants; two a higher success rate with axial implants; and two reported similar success rates with both implants. On examining marginal bone loss, three studies reported greater bone loss with axial implants and one with tilted implants.
There was no evidence of differences in success rate between tilted and axial implants in either the prospective or retrospective studies subjected to review. The marginal bone loss observed with the tilted and axial implants likewise proved very similar. It thus can be deduced that tilted implants exhibit the same evolutive behavior as axial implants. |
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AbstractList | Objective: To compare the course of patients treated with tilted implants versus those treated conventionally with axial implants, analyzing the success rate and marginal bone loss.
Material and Methods: A PubMed search was made using the key words “tilted implants”, “angled implants”, “angulated implants”, “inclined implants” and “maxillary atrophy.” A review was made of the articles published between 1999-2010. The inclusion criteria were the use of tilted implants, clinical series involving at least 10 patients, and a minimum follow-up of 12 months after prosthetic loading. The exclusion criteria were isolated clinical cases, studies with missing data, and publications in languages other than English or Spanish. The metaanalysis finally included 13 articles: 7 retrospective studies and 6 prospective studies.
Results: On analyzing the success rate in the retrospective studies, two reported a higher success rate with tilted implants; one a higher success rate with axial implants; and two reported similar success rates with both implants. On analyzing the success rate in the prospective studies, two reported a higher success rate with tilted implants; two a higher success rate with axial implants; and two reported similar success rates with both implants. On examining marginal bone loss, three studies reported greater bone loss with axial implants and one with tilted implants.
Conclusions: There was no evidence of differences in success rate between tilted and axial implants in either the prospective or retrospective studies subjected to review. The marginal bone loss observed with the tilted and axial implants likewise proved very similar. It thus can be deduced that tilted implants exhibit the same evolutive behavior as axial implants.
Key words:
Axial implants, tilted implants, maxillary atrophy, tilted implants. OBJECTIVETo compare the course of patients treated with tilted implants versus those treated conventionally with axial implants, analyzing the success rate and marginal bone loss. MATERIAL AND METHODSA PubMed search was made using the key words "tilted implants ", "angled implants ", "angulated implants ", "inclined implants " and "maxillary atrophy. " A review was made of the articles published between 1999-2010. The inclusion criteria were the use of tilted implants, clinical series involving at least 10 patients, and a minimum follow-up of 12 months after prosthetic loading. The exclusion criteria were isolated clinical cases, studies with missing data, and publications in languages other than English or Spanish. The metaanalysis finally included 13 articles: 7 retrospective studies and 6 prospective studies. RESULTSOn analyzing the success rate in the retrospective studies, two reported a higher success rate with tilted implants; one a higher success rate with axial implants; and two reported similar success rates with both implants. On analyzing the success rate in the prospective studies, two reported a higher success rate with tilted implants; two a higher success rate with axial implants; and two reported similar success rates with both implants. On examining marginal bone loss, three studies reported greater bone loss with axial implants and one with tilted implants. CONCLUSIONSThere was no evidence of differences in success rate between tilted and axial implants in either the prospective or retrospective studies subjected to review. The marginal bone loss observed with the tilted and axial implants likewise proved very similar. It thus can be deduced that tilted implants exhibit the same evolutive behavior as axial implants. To compare the course of patients treated with tilted implants versus those treated conventionally with axial implants, analyzing the success rate and marginal bone loss. A PubMed search was made using the key words "tilted implants ", "angled implants ", "angulated implants ", "inclined implants " and "maxillary atrophy. " A review was made of the articles published between 1999-2010. The inclusion criteria were the use of tilted implants, clinical series involving at least 10 patients, and a minimum follow-up of 12 months after prosthetic loading. The exclusion criteria were isolated clinical cases, studies with missing data, and publications in languages other than English or Spanish. The metaanalysis finally included 13 articles: 7 retrospective studies and 6 prospective studies. On analyzing the success rate in the retrospective studies, two reported a higher success rate with tilted implants; one a higher success rate with axial implants; and two reported similar success rates with both implants. On analyzing the success rate in the prospective studies, two reported a higher success rate with tilted implants; two a higher success rate with axial implants; and two reported similar success rates with both implants. On examining marginal bone loss, three studies reported greater bone loss with axial implants and one with tilted implants. There was no evidence of differences in success rate between tilted and axial implants in either the prospective or retrospective studies subjected to review. The marginal bone loss observed with the tilted and axial implants likewise proved very similar. It thus can be deduced that tilted implants exhibit the same evolutive behavior as axial implants. |
Author | Ata-Ali, Javier Peñarrocha-Diago, Maria Peñarrocha-Oltra, David Candel-Marti, Eugenia |
AuthorAffiliation | 1 DDS. Primary Public Health Service Dentist. Valencian Health Service. Master in Oral Surgery and Medicine. Master in Oral Surgery and Implantology. Valencia University Medical and Dental School 2 DDS. Resident of the Master in Oral Surgery and Implantology. Valencia University Medical and Dental School 3 Associate Professor of Oral Surgery. Master in Oral Surgery and Implantology. Valencia University Medical and Dental School. Valencia (Spain) |
AuthorAffiliation_xml | – name: 2 DDS. Resident of the Master in Oral Surgery and Implantology. Valencia University Medical and Dental School – name: 3 Associate Professor of Oral Surgery. Master in Oral Surgery and Implantology. Valencia University Medical and Dental School. Valencia (Spain) – name: 1 DDS. Primary Public Health Service Dentist. Valencian Health Service. Master in Oral Surgery and Medicine. Master in Oral Surgery and Implantology. Valencia University Medical and Dental School |
Author_xml | – sequence: 1 givenname: Javier surname: Ata-Ali fullname: Ata-Ali, Javier email: javiataali@hotmail.com organization: Valencian Health Service, Master in Oral Surgery and Medicine, Master in Oral Surgery and Implantology, Valencia University Medical and Dental School, Valencia, Spain. javiataali@hotmail.com – sequence: 2 givenname: David surname: Peñarrocha-Oltra fullname: Peñarrocha-Oltra, David – sequence: 3 givenname: Eugenia surname: Candel-Marti fullname: Candel-Marti, Eugenia – sequence: 4 givenname: Maria surname: Peñarrocha-Diago fullname: Peñarrocha-Diago, Maria |
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Title | Oral rehabilitation with tilted dental implants: a metaanalysis |
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