Flapless versus Conventional Flapped Dental Implant Surgery: A Meta-Analysis
Identifieur interne : 001A66 ( Main/Exploration ); précédent : 001A65; suivant : 001A67Flapless versus Conventional Flapped Dental Implant Surgery: A Meta-Analysis
Auteurs : Bruno Ramos Chrcanovic [Suède] ; Tomas Albrektsson [Suède] ; Ann Wennerberg [Suède]Source :
- PLoS ONE [ 1932-6203 ] ; 2014.
Abstract
The aim of this study was to test the null hypothesis of no difference in the implant failure rates, postoperative infection, and marginal bone loss for patients being rehabilitated by dental implants being inserted by a flapless surgical procedure versus the open flap technique, against the alternative hypothesis of a difference. An electronic search without time or language restrictions was undertaken in March 2014. Eligibility criteria included clinical human studies, either randomized or not. The search strategy resulted in 23 publications. The I2 statistic was used to express the percentage of the total variation across studies due to heterogeneity. The inverse variance method was used for random-effects model or fixed-effects model, when indicated. The estimates of relative effect were expressed in risk ratio (RR) and mean difference (MD) in millimeters. Sixteen studies were judged to be at high risk of bias, whereas two studies were considered of moderate risk of bias, and five studies of low risk of bias. The funnel plots indicated absence of publication bias for the three outcomes analyzed. The test for overall effect showed that the difference between the procedures (flapless vs. open flap surgery) significantly affect the implant failure rates (
Url:
DOI: 10.1371/journal.pone.0100624
PubMed: 24950053
PubMed Central: 4065043
Affiliations:
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Malmö</wicri:regionArea><wicri:noRegion>Malmö</wicri:noRegion></affiliation></author><author><name sortKey="Albrektsson, Tomas" sort="Albrektsson, Tomas" uniqKey="Albrektsson T" first="Tomas" last="Albrektsson">Tomas Albrektsson</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Department of Prosthodontics, Faculty of Odontology, Malmö University, Malmö, Sweden,</addr-line></nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Prosthodontics, Faculty of Odontology, Malmö University, Malmö</wicri:regionArea><wicri:noRegion>Malmö</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:aff id="aff2"><addr-line>Department of Biomaterials, Göteborg University, Göteborg, Sweden</addr-line></nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Biomaterials, Göteborg University, Göteborg</wicri:regionArea><orgName type="university">Université de Göteborg</orgName><placeName><settlement type="city">Göteborg</settlement><region nuts="1">Götaland</region><region nuts="1">Suède occidentale</region></placeName></affiliation></author><author><name sortKey="Wennerberg, Ann" sort="Wennerberg, Ann" uniqKey="Wennerberg A" first="Ann" last="Wennerberg">Ann Wennerberg</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Department of Prosthodontics, Faculty of Odontology, Malmö University, Malmö, Sweden,</addr-line></nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Prosthodontics, Faculty of Odontology, Malmö University, Malmö</wicri:regionArea><wicri:noRegion>Malmö</wicri:noRegion></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The aim of this study was to test the null hypothesis of no difference in the implant failure rates, postoperative infection, and marginal bone loss for patients being rehabilitated by dental implants being inserted by a flapless surgical procedure versus the open flap technique, against the alternative hypothesis of a difference. An electronic search without time or language restrictions was undertaken in March 2014. Eligibility criteria included clinical human studies, either randomized or not. The search strategy resulted in 23 publications. The I<sup>2</sup> statistic was used to express the percentage of the total variation across studies due to heterogeneity. The inverse variance method was used for random-effects model or fixed-effects model, when indicated. The estimates of relative effect were expressed in risk ratio (RR) and mean difference (MD) in millimeters. Sixteen studies were judged to be at high risk of bias, whereas two studies were considered of moderate risk of bias, and five studies of low risk of bias. The funnel plots indicated absence of publication bias for the three outcomes analyzed. The test for overall effect showed that the difference between the procedures (flapless vs. open flap surgery) significantly affect the implant failure rates (<italic>P</italic> = 0.03), with a RR of 1.75 (95% CI 1.07–2.86). However, a sensitivity analysis revealed differences when studies of high and low risk of bias were pooled separately. Thus, the results must be interpreted carefully. No apparent significant effects of flapless technique on the occurrence of postoperative infection (P = 0.96; RR 0.96, 95% CI 0.23–4.03) or on the marginal bone loss (<italic>P</italic> = 0.16; MD −0.07 mm, 95% CI −0.16–0.03) were observed.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Ozan, O" uniqKey="Ozan O">O Ozan</name></author><author><name sortKey="Turkyilmaz, I" uniqKey="Turkyilmaz I">I Turkyilmaz</name></author><author><name sortKey="Yilmaz, B" uniqKey="Yilmaz B">B Yilmaz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rocci, A" uniqKey="Rocci A">A Rocci</name></author><author><name sortKey="Martignoni, M" uniqKey="Martignoni M">M Martignoni</name></author><author><name sortKey="Gottlow, J" uniqKey="Gottlow J">J Gottlow</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Arisan, V" uniqKey="Arisan V">V Arisan</name></author><author><name 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Chrcanovic</name></author><author><name sortKey="Abreu, Mh" uniqKey="Abreu M">MH Abreu</name></author><author><name sortKey="Freire Maia, B" uniqKey="Freire Maia B">B Freire-Maia</name></author><author><name sortKey="Souza, Ln" uniqKey="Souza L">LN Souza</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chrcanovic, Br" uniqKey="Chrcanovic B">BR Chrcanovic</name></author><author><name sortKey="Abreu, Mh" uniqKey="Abreu M">MH Abreu</name></author><author><name sortKey="Freire Maia, B" uniqKey="Freire Maia B">B Freire-Maia</name></author><author><name sortKey="Souza, Ln" uniqKey="Souza L">LN Souza</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Suède</li></country><region><li>Götaland</li><li>Suède occidentale</li></region><settlement><li>Göteborg</li></settlement><orgName><li>Université de Göteborg</li></orgName></list><tree><country name="Suède"><noRegion><name sortKey="Chrcanovic, Bruno Ramos" sort="Chrcanovic, Bruno Ramos" uniqKey="Chrcanovic B" first="Bruno Ramos" last="Chrcanovic">Bruno Ramos Chrcanovic</name></noRegion><name sortKey="Albrektsson, Tomas" sort="Albrektsson, Tomas" uniqKey="Albrektsson T" first="Tomas" last="Albrektsson">Tomas Albrektsson</name><name sortKey="Albrektsson, Tomas" sort="Albrektsson, Tomas" uniqKey="Albrektsson T" first="Tomas" last="Albrektsson">Tomas Albrektsson</name><name sortKey="Wennerberg, Ann" sort="Wennerberg, Ann" uniqKey="Wennerberg A" first="Ann" last="Wennerberg">Ann Wennerberg</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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|texte= Flapless versus Conventional Flapped Dental Implant Surgery: A Meta-Analysis
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