Impact of osteoporosis in dental implants: A systematic review
Identifieur interne : 000D49 ( Pmc/Checkpoint ); précédent : 000D48; suivant : 000D50Impact of osteoporosis in dental implants: A systematic review
Auteurs : Gabriela Giro ; Leandro Chambrone ; Abrao Goldstein ; Jose Augusto Rodrigues ; Elton Zen Bio ; Magda Feres ; Luciene Cristina Figueiredo ; Alessandra Cassoni ; Jamil Awad ShibliSource :
- World Journal of Orthopedics [ 2218-5836 ] ; 2015.
Abstract
AIM: To assess the failure and bone-to-implant contact rate of dental implants placed on osteoporotic subjects.
METHODS: Extensive examination strategies were created to classify studies for this systematic review. MEDLINE (
RESULTS: Of 943 potentially eligible articles, 12 were included in the study. A total of 133 subjects with osteoporosis, 73 subjects diagnosed with osteopenia and 708 healthy subjects were assessed in this systematic review. In these subjects were installed 367, 205, 2981 dental implants in osteoporotic, osteopenic and healthy subjects, respectively. The failure rate of dental implant was 10.9% in osteoporotic subjects, 8.29% in osteopenic and 11.43% in healthy ones. Bone-to-implant contact obtained from retrieved implants ranged between 49.96% to 47.84%, for osteoporosis and non-osteoporotic subjects.
CONCLUSION: Osteoporotic subjects presented higher rates of implant loss, however, there is a lower evidence to strengthen or refute the hypothesis that osteoporosis may have detrimental effects on bone healing. Consequently, final conclusions regarding the effect of osteoporosis in dental implant therapy cannot be made at this time. There are no randomized clinical trial accessible for evaluation and the retrospective nature of the evaluated studies shall be taken in account when interpreting this study.
Url:
DOI: 10.5312/wjo.v6.i2.311
PubMed: 25793172
PubMed Central: 4363814
Affiliations:
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<author><name sortKey="Rodrigues, Jose Augusto" sort="Rodrigues, Jose Augusto" uniqKey="Rodrigues J" first="Jose Augusto" last="Rodrigues">Jose Augusto Rodrigues</name>
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<author><name sortKey="Figueiredo, Luciene Cristina" sort="Figueiredo, Luciene Cristina" uniqKey="Figueiredo L" first="Luciene Cristina" last="Figueiredo">Luciene Cristina Figueiredo</name>
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<front><div type="abstract" xml:lang="en"><p>AIM: To assess the failure and bone-to-implant contact rate of dental implants placed on osteoporotic subjects.</p>
<p>METHODS: Extensive examination strategies were created to classify studies for this systematic review. MEDLINE (<italic>via</italic>
PubMed) and EMBASE database were examined for studies in English up to and including May 2014. The examination presented a combination of the MeSH words described as follow: “osteoporosis” or “osteopenia” or “estrogen deficiency” AND “implant” or “dental implant” or “osseointegration”. Assessment of clinical and/or histological peri-implant conditions in osteoporosis subjects treated with titanium dental implants. The examination included a combination of the MeSH terms described as follow: “osteoporosis” or “osteopenia” or “estrogen deficiency” AND “implant” or “dental implant” or “osseointegration”.</p>
<p>RESULTS: Of 943 potentially eligible articles, 12 were included in the study. A total of 133 subjects with osteoporosis, 73 subjects diagnosed with osteopenia and 708 healthy subjects were assessed in this systematic review. In these subjects were installed 367, 205, 2981 dental implants in osteoporotic, osteopenic and healthy subjects, respectively. The failure rate of dental implant was 10.9% in osteoporotic subjects, 8.29% in osteopenic and 11.43% in healthy ones. Bone-to-implant contact obtained from retrieved implants ranged between 49.96% to 47.84%, for osteoporosis and non-osteoporotic subjects.</p>
<p>CONCLUSION: Osteoporotic subjects presented higher rates of implant loss, however, there is a lower evidence to strengthen or refute the hypothesis that osteoporosis may have detrimental effects on bone healing. Consequently, final conclusions regarding the effect of osteoporosis in dental implant therapy cannot be made at this time. There are no randomized clinical trial accessible for evaluation and the retrospective nature of the evaluated studies shall be taken in account when interpreting this study.</p>
</div>
</front>
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<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">World J Orthop</journal-id>
<journal-id journal-id-type="publisher-id">WJO</journal-id>
<journal-title-group><journal-title>World Journal of Orthopedics</journal-title>
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<issn pub-type="ppub">2218-5836</issn>
<issn pub-type="epub">2218-5836</issn>
<publisher><publisher-name>Baishideng Publishing Group Inc</publisher-name>
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<article-id pub-id-type="other">jWJO.v6.i2.pg311</article-id>
<article-id pub-id-type="doi">10.5312/wjo.v6.i2.311</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Systematic Reviews</subject>
</subj-group>
</article-categories>
<title-group><article-title>Impact of osteoporosis in dental implants: A systematic review</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Giro</surname>
<given-names>Gabriela</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Chambrone</surname>
<given-names>Leandro</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Goldstein</surname>
<given-names>Abrao</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Rodrigues</surname>
<given-names>Jose Augusto</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Zenóbio</surname>
<given-names>Elton</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Feres</surname>
<given-names>Magda</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Figueiredo</surname>
<given-names>Luciene Cristina</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Cassoni</surname>
<given-names>Alessandra</given-names>
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<contrib contrib-type="author"><name><surname>Shibli</surname>
<given-names>Jamil Awad</given-names>
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<aff>Gabriela Giro, Leandro Chambrone, Abrao Goldstein, Jose Augusto Rodrigues, Elton Zenóbio, Magda Feres, Luciene Cristina Figueiredo, Alessandra Cassoni, Jamil Awad Shibli, Department of Periodontology and Oral Implantology, Dental Research Division, University of Guarulhos, Guarulhos SP 07023-040, Brazil</aff>
</contrib-group>
<author-notes><fn><p>Author contributions: Giro G and Chambrone L contributed equally to this work; Giro G, Chambrone L and Shibli JA designed the review; Zenóbio E, Feres M and Shibli JA analyzed the data; Giro G, Chambrone L, Cassoni A, Goldstein A, Rodrigues JA and Figueiredo LC participated of the data collection and the elaboration of the manuscript.</p>
<p>Correspondence to: Jamil Awad Shibli, Professor, DDS, PhD, Department of Periodontology and Oral Implantology, Dental Research Division, University of Guarulhos, Praça Tereza Cristina 01, Guarulhos SP 07023-040, Brazil. <email>jashibli@yahoo.com</email>
</p>
<p>Telephone: +55-11-24413670 Fax: +55-11-24641758</p>
</fn>
</author-notes>
<pub-date pub-type="collection"><day>18</day>
<month>3</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="epub"><day>18</day>
<month>3</month>
<year>2015</year>
</pub-date>
<volume>6</volume>
<issue>2</issue>
<fpage>311</fpage>
<lpage>315</lpage>
<history><date date-type="received"><day>29</day>
<month>5</month>
<year>2014</year>
</date>
<date date-type="rev-recd"><day>3</day>
<month>12</month>
<year>2014</year>
</date>
<date date-type="accepted"><day>9</day>
<month>1</month>
<year>2015</year>
</date>
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<permissions><copyright-statement>©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.</copyright-statement>
<copyright-year>2015</copyright-year>
</permissions>
<abstract><p>AIM: To assess the failure and bone-to-implant contact rate of dental implants placed on osteoporotic subjects.</p>
<p>METHODS: Extensive examination strategies were created to classify studies for this systematic review. MEDLINE (<italic>via</italic>
PubMed) and EMBASE database were examined for studies in English up to and including May 2014. The examination presented a combination of the MeSH words described as follow: “osteoporosis” or “osteopenia” or “estrogen deficiency” AND “implant” or “dental implant” or “osseointegration”. Assessment of clinical and/or histological peri-implant conditions in osteoporosis subjects treated with titanium dental implants. The examination included a combination of the MeSH terms described as follow: “osteoporosis” or “osteopenia” or “estrogen deficiency” AND “implant” or “dental implant” or “osseointegration”.</p>
<p>RESULTS: Of 943 potentially eligible articles, 12 were included in the study. A total of 133 subjects with osteoporosis, 73 subjects diagnosed with osteopenia and 708 healthy subjects were assessed in this systematic review. In these subjects were installed 367, 205, 2981 dental implants in osteoporotic, osteopenic and healthy subjects, respectively. The failure rate of dental implant was 10.9% in osteoporotic subjects, 8.29% in osteopenic and 11.43% in healthy ones. Bone-to-implant contact obtained from retrieved implants ranged between 49.96% to 47.84%, for osteoporosis and non-osteoporotic subjects.</p>
<p>CONCLUSION: Osteoporotic subjects presented higher rates of implant loss, however, there is a lower evidence to strengthen or refute the hypothesis that osteoporosis may have detrimental effects on bone healing. Consequently, final conclusions regarding the effect of osteoporosis in dental implant therapy cannot be made at this time. There are no randomized clinical trial accessible for evaluation and the retrospective nature of the evaluated studies shall be taken in account when interpreting this study.</p>
</abstract>
<kwd-group><kwd>Dental implants</kwd>
<kwd>Osteoporosis</kwd>
<kwd>Failures</kwd>
<kwd>Osteopenia</kwd>
<kwd>Osseointegration</kwd>
</kwd-group>
</article-meta>
</front>
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<affiliations><list></list>
<tree><noCountry><name sortKey="Cassoni, Alessandra" sort="Cassoni, Alessandra" uniqKey="Cassoni A" first="Alessandra" last="Cassoni">Alessandra Cassoni</name>
<name sortKey="Chambrone, Leandro" sort="Chambrone, Leandro" uniqKey="Chambrone L" first="Leandro" last="Chambrone">Leandro Chambrone</name>
<name sortKey="Feres, Magda" sort="Feres, Magda" uniqKey="Feres M" first="Magda" last="Feres">Magda Feres</name>
<name sortKey="Figueiredo, Luciene Cristina" sort="Figueiredo, Luciene Cristina" uniqKey="Figueiredo L" first="Luciene Cristina" last="Figueiredo">Luciene Cristina Figueiredo</name>
<name sortKey="Giro, Gabriela" sort="Giro, Gabriela" uniqKey="Giro G" first="Gabriela" last="Giro">Gabriela Giro</name>
<name sortKey="Goldstein, Abrao" sort="Goldstein, Abrao" uniqKey="Goldstein A" first="Abrao" last="Goldstein">Abrao Goldstein</name>
<name sortKey="Rodrigues, Jose Augusto" sort="Rodrigues, Jose Augusto" uniqKey="Rodrigues J" first="Jose Augusto" last="Rodrigues">Jose Augusto Rodrigues</name>
<name sortKey="Shibli, Jamil Awad" sort="Shibli, Jamil Awad" uniqKey="Shibli J" first="Jamil Awad" last="Shibli">Jamil Awad Shibli</name>
<name sortKey="Zen Bio, Elton" sort="Zen Bio, Elton" uniqKey="Zen Bio E" first="Elton" last="Zen Bio">Elton Zen Bio</name>
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