Four mm‐long versus longer implants in augmented bone in posterior atrophic jaws – Three‐year RCT results

Felice, Pietro; Barausse, Carlo; Pistilli, Roberto; Breschi, Lorenzo; Bolle, Caroline

doi:10.1111/clr.393_13509

Cited by 8 publications

(62 citation statements)

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“…The difference was statistically significant for the pain experienced at surgery ( p = .04, favouring AB) but not statistically significant for pain and functional limitation 1 week post surgery ( p = .11 and .89, respectively). Three other RCTs used non‐validated questionnaires to report PROMs (Felice et al, 2008; Felice, Barausse, et al, 2019; Felice, Pistilli, et al, 2009).…”

Section: Resultsmentioning

confidence: 99%

“…Studies comparing different VRA techniques would be more beneficial in informing patient and clinician choices. Three other RCTs (Felice et al, 2008; Felice, Barausse, et al, 2019; Felice, Pistilli, et al, 2009) reported the use of non‐validated questionnaires to measure patient‐reported outcomes. Information acquired via non‐validated measures are more prone to biases and methodological variations and cannot therefore be used to draw meaningful conclusions.…”

Section: Discussionmentioning

confidence: 99%

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Comparative evidence of different surgical techniques for the management of vertical alveolar ridge defects in terms of complications and efficacy: A systematic review and network meta‐analysis

Alotaibi

Rocchietta

Buti

et al. 2023

J Clinic Periodontology

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AimTo systematically appraise the available evidence on vertical ridge augmentation (VRA) techniques and estimate a treatment‐based ranking on the incidence of complications as well as their clinical effectiveness.Materials and MethodsSearches were conducted in six databases to identify randomized clinical trials comparing VRA techniques up to November 2022. The incidence of complications (primary) and of early, major, surgical and intra‐operative complications, vertical bone gain (VBG), marginal bone loss, need for additional grafting, implant success/survival, and patient‐reported outcome measures (secondary) were chosen as outcomes. Direct and indirect effects and treatment ranking were estimated using Bayesian pair‐wise and network meta‐analysis (NMA) models.ResultsThirty‐two trials (761 participants and 943 defects) were included. Five NMA models involving nine treatment groups were created: onlay, inlay, dense‐polytetrafluoroethylene, expanded‐polytetrafluoroethylene, titanium, resorbable membranes, distraction osteogenesis, tissue expansion and short implants. Compared with short implants, statistically significant higher odds ratios of healing complications were confirmed for all groups except those with resorbable membranes (odds ratio 5.4, 95% credible interval 0.92–29.14). The latter group, however, ranked last in clinical VBG.ConclusionsVRA techniques achieving greater VBG are also associated with higher incidence of healing complications. Guided bone regeneration techniques using non‐resorbable membranes yield the most favourable results in relation to VBG and complications.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Comparative evidence of different surgical techniques for the management of vertical alveolar ridge defects in terms of complications and efficacy: A systematic review and network meta‐analysis

Alotaibi

Rocchietta

Buti

et al. 2023

J Clinic Periodontology

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“…Out of the remaining 152, 37 fulfilled the inclusion and exclusion criteria and were used for data extraction. 4 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 Twelve 20 , 21 , 25 , 31 , 34 , 36 , 37 , 39 , 40 , 42 , 50 , 52 out of the 37 included studies clearly reported the administration of pre‐ or peri‐operative corticosteroids. None of the included articles specifically compared lateral MSA procedure outcomes with or without the use of corticosteroids.…”

Section: Resultsmentioning

confidence: 99%

The use of corticosteroids in the lateral sinus augmentation surgical procedure: A systematic review and meta‐analysis

Mordini

Patianna

Domenico

et al. 2022

Clin Implant Dent Rel Res

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Background The lateral maxillary sinus augmentation (MSA) procedure has good predictability in terms of the success of bone regeneration with a low incidence of postoperative infections, estimated between 2% and 5.6%. Although the use of antibiotics is an established and standardized prophylactic measure for MSA procedures, the addition of corticosteroids still varies among clinician preference and clinical judgment. Purpose The aim of this systematic review was to identify whether the administration of corticosteroids during the MSA surgical procedure affects postoperative symptoms including swelling, pain, and infection rate. Materials and methods A literature search through PubMed, EMBASE, Ovid MEDLINE, and Web of Science indices, according to PICO criteria, was conducted to identify whether MSA peri‐operative use of corticosteroids reduces the incidence of complications and patient morbidity. A single arm meta‐analysis was performed due to the lack of randomized controlled trials (RCTs) comparing groups treated with or without peri‐operative corticosteroids. The intracluster correlation co‐efficient (ICC) and design effect were calculated to adjust for the clustering design. Results In the 37 studies included, a total of 1599 patients (378 Cort, 1221 No‐Cort) were analyzed. Before and after taking account of clustering, there was statistically significant effect of corticosteroids on swelling, pain, wound dehiscence, trismus, and hematoma. The complication rates postoperatively were comparable between the two study groups, however slight differences existed in the incidence of active suppuration (1.7% [95% CI 0.7–3.9] Cort vs. 3.2% [2.2–4.5] No‐Cort), wound dehiscence (3.9% [1.3–11.2] Cort vs. 2.1% [1.0–4.1] No‐Cort) and trismus (2.7% [0.8–8.4] Cort vs. 1.4% [0.8–2.5] No‐Cort). Conclusions Although the event rate of the 1‐to‐2‐week postoperative complications did not differ between the two groups, the lack of conclusive data and research comparing peri‐operative corticosteroid use makes it impossible to draw definitive conclusions and more evidence and studies designed for this specific purpose are needed.

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“…According to these new tools, no studies were classified as high risk of bias; three were classified as low risk of bias 43,44,70 ; and eight were classified as moderate risk of bias. 42,52,[59][60][61][65][66][67] A total of 32 nonrandomized studies were evaluated using the NOS (Table 4). A mean value of 2.1 out of 4 was achieved for the "Selection" section; "Comparability" could only be evaluated in 4 studies with a mean value of 1 out of 2; a mean value of 2.4 out of 3 was obtained for the "Exposure/Outcome" section.…”

Section: Quality Assessment Of Selected Studiesmentioning

confidence: 99%

“…Considering only study randomized clinical trials, a total of 11 articles were analyzed in the third MA, having the highest level of evidence. Four articles were about GBR, 43,44,59,70 six articles about inlay, 52,60,61,[65][66][67] and one article compared inlay versus onlay. 42 SBB and DISTR had no randomized studies to be included in this analysis.…”

Section: Pairwise Ma-only Rctsmentioning

confidence: 99%

The influence of vertical ridge augmentation techniques on peri‐implant bone loss: A systematic review and meta‐analysis

Cucchi,

Maiani,

Franceschi

et al. 2023

Clin Implant Dent Rel Res

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IntroductionThe primary aim of this systematic review was to investigate and compare the outcomes of different vertical ridge augmentation (VRA) techniques in relation to peri‐implant bone loss (PBL), after at least 12 months of functional loading.Material and methodsThe search was conducted to find all the studies about VRA and measurements of PBL with at least 12 months follow‐up. Three pairwise meta‐analysis (MA) was performed to completely evaluate the outcomes.ResultsA total of 42 studies were included, of which 11 were randomized clinical trials (RCTs). RCTs were available only for guided bone regeneration (GBR), onlay, and inlay techniques. The weighted mean estimate (WME) of PBL value was found to be 1.38 mm (95% confidence interval [95% CI]: 1.10–1.66) after a mean follow‐up of 41.0 ± 27.8 months. GBR, Inlay, Onlay, osteodistraction, and SBB represented in weight 32.9%, 30.6%, 25.0%, 7.6%, and 3.9%, respectively; and their WME (95% CI) were 1.06 (0.87–1.26) mm, 1.72 (1.00–2.43) mm, 1.31 (0.87–1.75) mm, 1.81 (0.87–1.75) mm, and 0.66 (0.55–0.77) mm, respectively. Among the secondary outcomes, the analysis was conducted for vertical bone gain, healing complication rate, surgical complication rate, implant survival, and success rate.ConclusionsThe primary findings of the meta‐analysis, based on the changes between final and baseline values, showed that the peri‐implant bone loss could be influenced by the type of intervention but there is a need to evaluate in RCTs the behavior of the peri‐implant bone levels after long‐term follow‐up for all techniques.

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Four mm‐long versus longer implants in augmented bone in posterior atrophic jaws – Three‐year RCT results

Cited by 8 publications

References 0 publications

Comparative evidence of different surgical techniques for the management of vertical alveolar ridge defects in terms of complications and efficacy: A systematic review and network meta‐analysis

Comparative evidence of different surgical techniques for the management of vertical alveolar ridge defects in terms of complications and efficacy: A systematic review and network meta‐analysis

The use of corticosteroids in the lateral sinus augmentation surgical procedure: A systematic review and meta‐analysis

The influence of vertical ridge augmentation techniques on peri‐implant bone loss: A systematic review and meta‐analysis

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