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Soft Tissue Parameters and Esthetic Index Changes in Platform Switching Implant: A Systematic Review and Meta-Analysis

Authors :
Wen-Yi Wei Wen-Yi Wei
Yu-Hsuan Chen Wen-Yi Wei
Chia-Dan Cheng Yu-Hsuan Chen
Yu Hsiao Chia-Dan Cheng
Cheng-En Sung Yu Hsiao
Guo-Liang Cheng Cheng-En Sung
Wan-Chien Cheng Guo-Liang Cheng
Source :
Journal of Periodontics and Implant Dentistry. 5:038-048
Publication Year :
2022
Publisher :
Angle Publishing Co., Ltd., 2022.

Abstract

Purpose: The purpose of this study was to perform a systematic review and meta-analysis to critically evaluate the available literature to statistically analyze the effects of platform matched (PM) and platform switching (PS) implants on the peri-implant soft tissue changes and esthetic outcomes. Materials and methods: Electronic databases of the Cochrane Library, Embase, CINAHL and PubMed were searched for human randomized controlled trials (RCTs) with clearly outcome measurement in comparison between PM and PS implant. Primary outcomes included midfacial keratinized gingiva (KG) thickness, width of KG, marginal gingiva height gain, papilla height, and pink esthetic score. Secondary outcomes included bone level, probing depth, plaque index, and sulcus bleeding index. All the included studies had to follow up for at least 1 year after function. Results: A total of 7 RCTs were included in the meta-analysis. Midfacial KG thickness (weighted mean difference (WMD) = 1.34 mm, P < 0.0001), marginal gingiva height (WMD = 0.30 mm, P = 0.01), papilla height (WMD = 0.18 mm, P = 0.003), bone level (WMD = 0.34 mm, P < 0.00001) and probing depth (WMD = -0.22 mm, P = 0.002) demonstrated statistically difference in comparison of PS and PM implants. The result of width of KG (P = 0.92), PES score (P = 0.73), plaque index (P = 0.97) and sulcus bleeding index (P = 0.78) showed no statistical difference. Conclusion: Meta-analysis showed better performance of midfacial KG thickness, marginal gingiva height and papilla height in PS implant than that in PM implants. No statistically difference was found in width of KG and PES score between PS implants and PM implants. &nbsp

Details

ISSN :
26163403
Volume :
5
Database :
OpenAIRE
Journal :
Journal of Periodontics and Implant Dentistry
Accession number :
edsair.doi...........28cbedf670c9eaa921c1a385b522b668
Full Text :
https://doi.org/10.53106/261634032022040501005