Long-Term Clinical Behavior and Complications of Intentionally Tilted Dental Implants Compared with Straight Implants Supporting Fixed Restorations: A Systematic Review and Meta-Analysis
The aim of this study was to assess the long-term clinical behavior of straight implants in comparison with intentionally tilted dental implants (ITDI) supporting fixed restorations in partial or total edentulous arches, analyzing implant survival and success rates, complications, and marginal bone...
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| Format: | Article |
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MDPI AG
2021-06-01
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| Series: | Biology |
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| Online Access: | https://www.mdpi.com/2079-7737/10/6/509 |
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| author | Jorge Cortés-Bretón Brinkmann Ignacio García-Gil Patricia Pedregal Jesús Peláez Juan Carlos Prados-Frutos María Jesús Suárez |
| author_facet | Jorge Cortés-Bretón Brinkmann Ignacio García-Gil Patricia Pedregal Jesús Peláez Juan Carlos Prados-Frutos María Jesús Suárez |
| author_sort | Jorge Cortés-Bretón Brinkmann |
| collection | DOAJ |
| description | The aim of this study was to assess the long-term clinical behavior of straight implants in comparison with intentionally tilted dental implants (ITDI) supporting fixed restorations in partial or total edentulous arches, analyzing implant survival and success rates, complications, and marginal bone loss (MBL) after >5 years of function. An electronic search was conducted in five electronic databases (MEDLINE/Pubmed, Embase, Web of Science, Scopus, and Cochrane Central Register of Controlled Trials) supplemented by a manual search. The electronic and manual search identified 1853 articles, of which 8 articles were selected for analysis. Out of a total of 3987 dental implants, 2036 were axial dental implants and 1951 tilted. Similar results were found in implant survival or overall implant success rates. Moreover, no statistically significant differences were found in MBL (<i>p</i> = 0.369; MD 0.116 mm (−0.137; 0.369) 95% CI) The prosthodontic/biological complications reported in the articles were very diverse and irregularly distributed. This systematic review suggests that there is no difference between tilted compared with straight dental implants in the medium-long term (>5 years). However, further research is needed to generate long-term data and confirm the present review’s findings. |
| first_indexed | 2024-03-10T10:36:30Z |
| format | Article |
| id | doaj.art-d5984e24171744cdb2492fd37d40410b |
| institution | Directory Open Access Journal |
| issn | 2079-7737 |
| language | English |
| last_indexed | 2024-03-10T10:36:30Z |
| publishDate | 2021-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Biology |
| spelling | doaj.art-d5984e24171744cdb2492fd37d40410b2023-11-21T23:17:36ZengMDPI AGBiology2079-77372021-06-0110650910.3390/biology10060509Long-Term Clinical Behavior and Complications of Intentionally Tilted Dental Implants Compared with Straight Implants Supporting Fixed Restorations: A Systematic Review and Meta-AnalysisJorge Cortés-Bretón Brinkmann0Ignacio García-Gil1Patricia Pedregal2Jesús Peláez3Juan Carlos Prados-Frutos4María Jesús Suárez5Department of Dental Clinical Specialties, Faculty of Dentistry, Complutense University of Madrid, 28040 Madrid, SpainDepartment of Conservative Dentistry and Orofacial Prosthodontics, Faculty of Dentistry, Complutense University of Madrid, 28040 Madrid, SpainDepartment of Conservative Dentistry and Orofacial Prosthodontics, Faculty of Dentistry, Complutense University of Madrid, 28040 Madrid, SpainDepartment of Conservative Dentistry and Orofacial Prosthodontics, Faculty of Dentistry, Complutense University of Madrid, 28040 Madrid, SpainDepartment of Medical Specialties and Public Health, Rey Juan Carlos University, 28922 Alcorcón, SpainDepartment of Conservative Dentistry and Orofacial Prosthodontics, Faculty of Dentistry, Complutense University of Madrid, 28040 Madrid, SpainThe aim of this study was to assess the long-term clinical behavior of straight implants in comparison with intentionally tilted dental implants (ITDI) supporting fixed restorations in partial or total edentulous arches, analyzing implant survival and success rates, complications, and marginal bone loss (MBL) after >5 years of function. An electronic search was conducted in five electronic databases (MEDLINE/Pubmed, Embase, Web of Science, Scopus, and Cochrane Central Register of Controlled Trials) supplemented by a manual search. The electronic and manual search identified 1853 articles, of which 8 articles were selected for analysis. Out of a total of 3987 dental implants, 2036 were axial dental implants and 1951 tilted. Similar results were found in implant survival or overall implant success rates. Moreover, no statistically significant differences were found in MBL (<i>p</i> = 0.369; MD 0.116 mm (−0.137; 0.369) 95% CI) The prosthodontic/biological complications reported in the articles were very diverse and irregularly distributed. This systematic review suggests that there is no difference between tilted compared with straight dental implants in the medium-long term (>5 years). However, further research is needed to generate long-term data and confirm the present review’s findings.https://www.mdpi.com/2079-7737/10/6/509systematic reviewdental implantsaxialtiltedmarginal bone loss |
| spellingShingle | Jorge Cortés-Bretón Brinkmann Ignacio García-Gil Patricia Pedregal Jesús Peláez Juan Carlos Prados-Frutos María Jesús Suárez Long-Term Clinical Behavior and Complications of Intentionally Tilted Dental Implants Compared with Straight Implants Supporting Fixed Restorations: A Systematic Review and Meta-Analysis Biology systematic review dental implants axial tilted marginal bone loss |
| title | Long-Term Clinical Behavior and Complications of Intentionally Tilted Dental Implants Compared with Straight Implants Supporting Fixed Restorations: A Systematic Review and Meta-Analysis |
| title_full | Long-Term Clinical Behavior and Complications of Intentionally Tilted Dental Implants Compared with Straight Implants Supporting Fixed Restorations: A Systematic Review and Meta-Analysis |
| title_fullStr | Long-Term Clinical Behavior and Complications of Intentionally Tilted Dental Implants Compared with Straight Implants Supporting Fixed Restorations: A Systematic Review and Meta-Analysis |
| title_full_unstemmed | Long-Term Clinical Behavior and Complications of Intentionally Tilted Dental Implants Compared with Straight Implants Supporting Fixed Restorations: A Systematic Review and Meta-Analysis |
| title_short | Long-Term Clinical Behavior and Complications of Intentionally Tilted Dental Implants Compared with Straight Implants Supporting Fixed Restorations: A Systematic Review and Meta-Analysis |
| title_sort | long term clinical behavior and complications of intentionally tilted dental implants compared with straight implants supporting fixed restorations a systematic review and meta analysis |
| topic | systematic review dental implants axial tilted marginal bone loss |
| url | https://www.mdpi.com/2079-7737/10/6/509 |
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