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- Title
Comparing short implants to standard dental implants: a systematic review and meta-analysis of randomized controlled trials with extended follow-up.
- Authors
Kermanshah, Hamid; Keshtkar, Abbasali; Hassani, Ali; Bitaraf, Tahereh
- Abstract
Purpose: To compare the difference of marginal level changes (MBL), implant failure (IF), biological and prosthetic complications (BC and PC), and prosthetic failure (PF) of short implants (SH) and standard implants (ST). Materials and methods: Electronic searches (PubMed, Web of Science, EMBASE, Scopus, Cochrane Central Register of Controlled Trials, and ClinicalTrials.gov) and manual searches were performed to identify all randomized controlled trials (RCTs) evaluating SH to ST. Applying Stata, a meta-analysis was conducted on the weighted mean difference (WMD) and standardized mean difference (SMD) of MBL and the risk difference (RD) of the secondary outcome. Results: Twenty-four articles were involved in the present study. There were statistically significant differences in MBLs, preferring short implants in the maxilla (WMD: −0.147 (CI: −0.224, −0.070), I2: 76.6%; SMD: −0.757 (CI: −1.226, −0.289), I2: 89.2%) and in the mandible (WMD: −0.377 (CI: −0.656, −0.098), I2: 85.8%; SMD: −0.811 (CI: −1.418, −0.204), I2: 78.8%). There were no significant differences in IF (RD: 0.011 (−0.002, 0.023), I2: 0.0%), PF (RD:0.003 (−0.007, 0.014), I2: 0.0%), and PC (RD:0.001 (−0.008, 0.010), I2: 0.0%). There were significantly higher biological complications (RD: −0.071 (−0.106, −0.036), I2: 0.82.9%) for ST compared to SH in both jaws up to a 10-year follow-up. Conclusion: SH and ST had comparable overall outcomes, but short implants had less marginal bone loss and lower biological complications. However, more research is needed to confirm these findings.
- Subjects
DENTAL implants; RANDOMIZED controlled trials; SEQUENTIAL analysis; ELECTRONIC information resource searching; ENDOSSEOUS dental implants; ELECTRONIC materials; MAXILLA
- Publication
Evidence-Based Dentistry, 2023, Vol 24, Issue 4, p192
- ISSN
1462-0049
- Publication type
Article
- DOI
10.1038/s41432-023-00924-1