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To Splint or Not to Splint Tooth and Adjacent Dental Implants: An Overview of Reviews Publisher



Baghaei K1 ; Fathi A2 ; Hashemi S1 ; Tavakolitafti K1 ; Mosharraf R2 ; Fatemi SF1
Authors
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Authors Affiliations
  1. 1. Department of Dental Prosthodontics, Dental Students Research Committee, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Department of Dental Prosthodontics, Dental Materials Research Center, Dental Research Institute, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran

Source: International Journal of Prosthodontics and Restorative Dentistry Published:2023


Abstract

Purpose: This study has done a nonbiased and comprehensive assessment of the survival rate of splinted and nonsplinted implant restoration from published meta-analyses and systematic reviews. Materials and methods: All the included studies were assessed based on the risk of bias in systematic reviews (ROBIS) tool. Furthermore, the corrected covered area (CCA) was calculated using a citation matrix for meta-analyses. Studies with low overlap were only included in the final analysis. In the case of a high degree of overlap, the newest higher-quality study was chosen. The “Metaumbrella” package and R software were used to perform the statistical analysis. Result: The original randomized controlled trials (RCTs) had an overall CCA of 5%, indicating slight overlap. For quantitative synthesis, three studies with meta-analyses were included, which were of high quality and showed low overlap. The quantitative analysis revealed that splinted restorations have a higher implant survival rate. The ratio of success in splinted implants to nonsplinted implants was 1.13 (p-value = 0.001). Conclusion: Based on the findings of this umbrella review, splint restorations have a higher survival rate. This overview review suggests that splinting implants to adjacent tooth is an affordable and effective solution for treating partially edentulous patients. © TheAuthor(s). 2023OpenAccess.
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