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Bone Loss-Related Factors in Tissue and Bone Level Dental Implants: A Systematic Review of Clinical Trials Publisher



Mortazavi H1 ; Khodadoustan A2 ; Kheiri A3 ; Kheiri L4
Authors
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Authors Affiliations
  1. 1. Department of Oral Medicine, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  2. 2. Tehran, Iran
  3. 3. Student Research Committee, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  4. 4. Department of Oral and Maxillofacial Surgery, School of Dentistry, Islamic Azad University, Isfahan (Khorasgan) Branch, Isfahan, Iran

Source: Journal of the Korean Association of Oral and Maxillofacial Surgeons Published:2021


Abstract

Dental implants are popular for dental rehabilitation after tooth loss. The goal of this systematic review was to assess bone changes around bone-level and tissue-level implants and the possible causes. Electronic searches of PubMed, Google Scholar, Scopus, and Web of Science, and a hand search limited to English language clinical trials were performed according to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) guidelines up to September 2020. Studies that stated the type of implants used, and that reported bone-level changes after insertion met the inclusion criteria. The risk of bias was also evaluated. A total of 38 studies were included. Eighteen studies only used bone-level implants, 10 utilized tissue-level designs and 10 observed bone-level changes in both types of implants. Based on bias assessments, evaluating the risk of bias was not applicable in most studies. There are vast differences in methodologies, follow-ups, and multifactorial characteristics of bone loss around implants, which makes direct comparison impossible. Therefore, further well-structured studies are needed. Copyright © 2021 The Korean Association of Oral and Maxillofacial Surgeons. All rights reserved.
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