Systematic review of implant outcomes in treated periodontitis subjects
Identifieur interne : 005088 ( Istex/Corpus ); précédent : 005087; suivant : 005089Systematic review of implant outcomes in treated periodontitis subjects
Auteurs : Constantine T. T. Ong ; Saso Ivanovski ; Ian G. Needleman ; Maria Retzepi ; David R. Moles ; Maurizio S. Tonetti ; Nikolaos DonosSource :
- Journal of Clinical Periodontology [ 0303-6979 ] ; 2008-05.
English descriptors
- KwdEn :
- Aggressive periodontitis, Albrektsson, Authors journal compilation, Baseline, Blackwell munksgaard, Blackwell munksgaard outcomes, Bone loss, Bone quality, Bragger, Brocard, Buser, Case series, Centre, Chronic periodontitis, Clinical periodontology, Clinical trials, Cohort, Cohort studies, Cohort study, Contd, Dental implants, Dentate, Dentate patients, Dentition, Different types, Edentulous, Edentulous patients, Edentulous population, Endosseous, Evian, Funding, Gagp, Gingival, Hanggi, Hardt, High risk, Implant, Implant level, Implant loss, Implant outcomes, Implant placement, Implant success, Implant survival, Implant therapy, Implants research, Inclusion criteria, International journal, Isidor, Karoussis, Lang, Longitudinal, Longitudinal study, Maxillofacial, Maxillofacial implants, Mengel, Mesial, Mombelli, Mombelli lang, Multivariate, Multivariate analysis, Munksgaard, Nonperiodontitis, Nonperiodontitis groups, Observation period, Osseointegrated, Outcome measures, Periodontal, Periodontal condition, Periodontal disease, Periodontal practice, Periodontal status, Periodontal therapy, Periodontal treatment, Periodontally, Periodontitis, Periodontitis group, Periodontitis patients, Periodontitis subjects, Periodontology, Prosthesis, Prosthetic, Radiograph, Radiographic, Radiographic signs, Retrospective, Rosenberg, Search strategy, Single tooth, Smoker, Study characteristics, Study design, Subgroup, Supportive therapy, Survival rate, Systematic review, Test control, Trial characteristics, Unclear.
- Teeft :
- Aggressive periodontitis, Albrektsson, Authors journal compilation, Baseline, Blackwell munksgaard, Blackwell munksgaard outcomes, Bone loss, Bone quality, Bragger, Brocard, Buser, Case series, Centre, Chronic periodontitis, Clinical periodontology, Clinical trials, Cohort, Cohort studies, Cohort study, Contd, Dental implants, Dentate, Dentate patients, Dentition, Different types, Edentulous, Edentulous patients, Edentulous population, Endosseous, Evian, Funding, Gagp, Gingival, Hanggi, Hardt, High risk, Implant, Implant level, Implant loss, Implant outcomes, Implant placement, Implant success, Implant survival, Implant therapy, Implants research, Inclusion criteria, International journal, Isidor, Karoussis, Lang, Longitudinal, Longitudinal study, Maxillofacial, Maxillofacial implants, Mengel, Mesial, Mombelli, Mombelli lang, Multivariate, Multivariate analysis, Munksgaard, Nonperiodontitis, Nonperiodontitis groups, Observation period, Osseointegrated, Outcome measures, Periodontal, Periodontal condition, Periodontal disease, Periodontal practice, Periodontal status, Periodontal therapy, Periodontal treatment, Periodontally, Periodontitis, Periodontitis group, Periodontitis patients, Periodontitis subjects, Periodontology, Prosthesis, Prosthetic, Radiograph, Radiographic, Radiographic signs, Retrospective, Rosenberg, Search strategy, Single tooth, Smoker, Study characteristics, Study design, Subgroup, Supportive therapy, Survival rate, Systematic review, Test control, Trial characteristics, Unclear.
Abstract
Objectives: To determine implant outcomes in partially dentate patients who have been treated for periodontitis compared with periodontally healthy patients.
Url:
DOI: 10.1111/j.1600-051X.2008.01207.x
Links to Exploration step
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<front><div type="abstract">Objectives: To determine implant outcomes in partially dentate patients who have been treated for periodontitis compared with periodontally healthy patients.</div>
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<profileDesc><abstract xml:lang="en" style="main"><head>Abstract</head>
<p><hi rend="bold">Objectives: </hi>
To determine implant outcomes in partially dentate patients who have been treated for periodontitis compared with periodontally healthy patients.</p>
<p><hi rend="bold">Material and Methods: </hi>
All longitudinal studies (until March 2006) of endosseous dental implants of at least 6 months of loading were searched. Studies presented with one or more of the outcome measures (implant survival, success, bone‐level change, peri‐implantitis) were included. Screening, data abstraction and quality assessment were conducted independently and in duplicate.</p>
<p><hi rend="bold">Results: </hi>
From 4448 citations, 546 full‐text papers were screened and nine studies were included. Overall, the non‐periodontitis patients demonstrated better outcomes than treated periodontitis patients. However, the strength of evidence showed that the studies included were at a medium to high risk of bias, with lack of appropriate reporting and analysis of outcomes plus lack of accounting for confounders, especially smoking. Furthermore, the studies showed variability in the definitions of treated and non‐periodontitis, outcome criteria and quality of supportive periodontal therapy. Meta‐analysis could not be performed due to heterogeneity of the chief study characteristics.</p>
<p><hi rend="bold">Conclusions: </hi>
There is some evidence that patients treated for periodontitis may experience more implant loss and complications around implants than non‐periodontitis patients. Evidence is stronger for implant survival than implant success; methodological issues limit the potential to draw robust conclusions.</p>
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<correspondenceTo>Address:
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<supportingInformation><p><b>Table S1.</b>
Excluded studies and main reason for exclusion.</p>
<p>This material is available as part of the online article from: <link href="http://www.blackwell-synergy.com/doi/abs/10.1111/j.1600-051X.2008.01207.x">http://www.blackwell‐synergy.com/doi/abs/10.1111/j.1600‐051X.2008.01207.x</link>
(This link will take you to the article abstract).</p>
<p>Please note: Blackwell Publishing are not responsible for the content or functionality of any supplementary materials supplied by the authors. Any queries (other than missing material) should be directed to the corresponding author for the article.</p>
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<abstractGroup><abstract type="main" xml:lang="en"><!--
Ong CTT, Ivanovski S, Needleman IG, Retzepi M, Moles DR, Tonetti MS, Donos N. Systematic review of implant outcomes in treated periodontitis subjects.
J Clin Periodontol 2008; 35: 438–462. doi: 10.1111/j.1600-051X.2008.01207.x.
--><title type="main">Abstract</title>
<p><b>Objectives: </b>
To determine implant outcomes in partially dentate patients who have been treated for periodontitis compared with periodontally healthy patients.</p>
<p><b>Material and Methods: </b>
All longitudinal studies (until March 2006) of endosseous dental implants of at least 6 months of loading were searched. Studies presented with one or more of the outcome measures (implant survival, success, bone‐level change, peri‐implantitis) were included. Screening, data abstraction and quality assessment were conducted independently and in duplicate.</p>
<p><b>Results: </b>
From 4448 citations, 546 full‐text papers were screened and nine studies were included. Overall, the non‐periodontitis patients demonstrated better outcomes than treated periodontitis patients. However, the strength of evidence showed that the studies included were at a medium to high risk of bias, with lack of appropriate reporting and analysis of outcomes plus lack of accounting for confounders, especially smoking. Furthermore, the studies showed variability in the definitions of treated and non‐periodontitis, outcome criteria and quality of supportive periodontal therapy. Meta‐analysis could not be performed due to heterogeneity of the chief study characteristics.</p>
<p><b>Conclusions: </b>
There is some evidence that patients treated for periodontitis may experience more implant loss and complications around implants than non‐periodontitis patients. Evidence is stronger for implant survival than implant success; methodological issues limit the potential to draw robust conclusions.</p>
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<noteGroup><note xml:id="fn1" numbered="no"><p><b>Conflict of interest and source of funding statement</b>
The authors declare that they have no conflict of interests.
All authors are either self‐funded or funded by their respective institutions.</p>
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<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">Ian G.</namePart>
<namePart type="family">Needleman</namePart>
<affiliation>Unit of Periodontology & International Centre for Evidence‐Based Oral Health, UCL Eastman Dental Institute, London, UK</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">Maria</namePart>
<namePart type="family">Retzepi</namePart>
<affiliation>Unit of Periodontology & International Centre for Evidence‐Based Oral Health, UCL Eastman Dental Institute, London, UK</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">David R.</namePart>
<namePart type="family">Moles</namePart>
<affiliation>Unit of Periodontology & International Centre for Evidence‐Based Oral Health, UCL Eastman Dental Institute, London, UK</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">Maurizio S.</namePart>
<namePart type="family">Tonetti</namePart>
<affiliation>European Research Group on Periodontology, Berne, Switzerland</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">Nikolaos</namePart>
<namePart type="family">Donos</namePart>
<affiliation>Unit of Periodontology & International Centre for Evidence‐Based Oral Health, UCL Eastman Dental Institute, London, UK</affiliation>
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<originInfo><publisher>Blackwell Publishing Ltd</publisher>
<place><placeTerm type="text">Oxford, UK</placeTerm>
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<dateIssued encoding="w3cdtf">2008-05</dateIssued>
<edition>Accepted for publication 15 January 2008</edition>
<copyrightDate encoding="w3cdtf">2008</copyrightDate>
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<language><languageTerm type="code" authority="rfc3066">en</languageTerm>
<languageTerm type="code" authority="iso639-2b">eng</languageTerm>
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<physicalDescription><extent unit="figures">2</extent>
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<abstract>Objectives: To determine implant outcomes in partially dentate patients who have been treated for periodontitis compared with periodontally healthy patients.</abstract>
<abstract>Material and Methods: All longitudinal studies (until March 2006) of endosseous dental implants of at least 6 months of loading were searched. Studies presented with one or more of the outcome measures (implant survival, success, bone‐level change, peri‐implantitis) were included. Screening, data abstraction and quality assessment were conducted independently and in duplicate.</abstract>
<abstract>Results: From 4448 citations, 546 full‐text papers were screened and nine studies were included. Overall, the non‐periodontitis patients demonstrated better outcomes than treated periodontitis patients. However, the strength of evidence showed that the studies included were at a medium to high risk of bias, with lack of appropriate reporting and analysis of outcomes plus lack of accounting for confounders, especially smoking. Furthermore, the studies showed variability in the definitions of treated and non‐periodontitis, outcome criteria and quality of supportive periodontal therapy. Meta‐analysis could not be performed due to heterogeneity of the chief study characteristics.</abstract>
<abstract>Conclusions: There is some evidence that patients treated for periodontitis may experience more implant loss and complications around implants than non‐periodontitis patients. Evidence is stronger for implant survival than implant success; methodological issues limit the potential to draw robust conclusions.</abstract>
<subject lang="en"><genre>keywords</genre>
<topic>implants</topic>
<topic>implant outcomes</topic>
<topic>periodontal disease</topic>
<topic>systematic review</topic>
<topic>treated periodontitis</topic>
</subject>
<relatedItem type="host"><titleInfo><title>Journal of Clinical Periodontology</title>
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<note type="content"> Table S1. Excluded studies and main reason for exclusion. This material is available as part of the online article from: http://www.blackwell‐synergy.com/doi/abs/10.1111/j.1600‐051X.2008.01207.x (This link will take you to the article abstract). Please note: Blackwell Publishing are not responsible for the content or functionality of any supplementary materials supplied by the authors. Any queries (other than missing material) should be directed to the corresponding author for the article. Table S1. Excluded studies and main reason for exclusion. This material is available as part of the online article from: http://www.blackwell‐synergy.com/doi/abs/10.1111/j.1600‐051X.2008.01207.x (This link will take you to the article abstract). Please note: Blackwell Publishing are not responsible for the content or functionality of any supplementary materials supplied by the authors. Any queries (other than missing material) should be directed to the corresponding author for the article. Table S1. Excluded studies and main reason for exclusion. This material is available as part of the online article from: http://www.blackwell‐synergy.com/doi/abs/10.1111/j.1600‐051X.2008.01207.x (This link will take you to the article abstract). Please note: Blackwell Publishing are not responsible for the content or functionality of any supplementary materials supplied by the authors. Any queries (other than missing material) should be directed to the corresponding author for the article.Supporting Info Item: Supporting info item - </note>
<identifier type="ISSN">0303-6979</identifier>
<identifier type="eISSN">1600-051X</identifier>
<identifier type="DOI">10.1111/(ISSN)1600-051X</identifier>
<identifier type="PublisherID">JCPE</identifier>
<part><date>2008</date>
<detail type="volume"><caption>vol.</caption>
<number>35</number>
</detail>
<detail type="issue"><caption>no.</caption>
<number>5</number>
</detail>
<extent unit="pages"><start>438</start>
<end>462</end>
<total>25</total>
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<identifier type="DOI">10.1111/j.1600-051X.2008.01207.x</identifier>
<identifier type="ArticleID">JCPE1207</identifier>
<accessCondition type="use and reproduction" contentType="copyright">© 2008 The Authors</accessCondition>
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