华西口腔医学杂志2024，Vol.42Issue(3)：382-393,12.DOI:10.7518/hxkq.2024.2023341
不翻瓣种植术与翻瓣种植术对软组织影响的Meta分析
Effects of flapless and flapped implantations on soft tissue:a systematic review and Meta-analysis
摘要
Abstract
Objective This study aimed to systematically compare the effects of flapless and flapped implantations on the surrounding soft tissues of dental implants.Methods Nine databases were searched,including PubMed,Em-base,Cochrane Library,Web of Science,Clinical Trials,OpenGrey,OpenDoar,Scopus,and Ovid,from January 1,2013,to August 27,2023.Randomized controlled trials comparing flapless implantation with flapped implantation for restora-tion of missing teeth were included.Meta-analysis was conducted on studies that met the inclusion criteria by using Rev-Man 5.3 and Stata 14.0.Results A total of 1 245 articles were retrieved,and 17 studies were ultimately included.The results of Meta-analysis showed that flapless implanta-tion resulted in better healing of the soft tissues around the dental implants than flapped implantation.Moreover,flapless implantation showed superior changes in implant success rate[mean difference(MD)=1.06,95%confi-dence interval(CI)(1.02,1.10),P=0.004],the width of keratinized gingival changes[MD=0.10,95%CI(0.00,0.20),P= 0.04],and probing depth[MD=-0.60,95%CI(-0.67,-0.53),P<0.000 01],with statistically significant differences.The final combined results of modified plaque index[standardized mean difference(SMD)=-0.41,95%CI(-0.81,0.00),P= 0.05]and modified sulcus bleeding index[SMD=-0.44,95%CI(-0.78,-0.10),P=0.01]showed superiority over flapped implantation.The papillary presence index was higher in the flapless implantation group than in the flapped implantation group.No statistically significant differences were observed in plaque index and gingival indices changes between the two groups.Conclusion Flapless implantation can achieve higher implant success rate,smaller changes in the width of keratinized gingival,and smaller probing depths than flapped implantation.It also has advantages in terms of modified plaque index,modified sulcus bleeding index,and papillary presence index.关键词
牙种植体/不翻瓣/翻瓣/软组织/影响/Meta分析Key words
dental implants/flapless/flapped/soft tissure/effects/Meta-analysis分类
医药卫生引用本文复制引用
陈韵伊,孙慈吉,黎红..不翻瓣种植术与翻瓣种植术对软组织影响的Meta分析[J].华西口腔医学杂志,2024,42(3):382-393,12.基金项目
The National Natural Science Foundation of China(81571003) （81571003）
Zhejiang Province Health Science and Technology Program(2022KY264)国家自然科学基金(81571003) （2022KY264）
浙江省卫生健康科技计划(2022KY264) （2022KY264）
