中国口腔种植学杂志 ›› 2025, Vol. 30 ›› Issue (3): 275-280.DOI: 10.12337/zgkqzzxzz.2025.06.012

• 综述 • 上一篇    下一篇

不同颈圈对种植体边缘骨吸收影响的Meta分析

万克1, 郝俊江2, 宿瀚奇2, 宿玉成1,3,4   

  1. 1黑龙江省口腔生物医学材料及临床应用重点实验室 佳木斯大学口腔医学工程实验中心 佳木斯大学附属口腔医学院 154002;
    2北京卡尔斯医疗器械有限公司 102600;
    3北京瑞城口腔医院 北京口腔种植培训中心(BITC) 100032;
    4中国医学科学院北京协和医院口腔种植中心 100032
  • 收稿日期:2024-07-16 出版日期:2025-06-30 发布日期:2025-06-27
  • 通讯作者: 宿玉成,Email:yuchengsu@163.com,电话:010-66212299
  • 作者简介:万克,硕士研究生在读,研究方向:口腔种植相关研究。
    宿玉成,教授、主任医师、博士研究生导师,研究方向:口腔种植和口腔颌面外科

Influence of different implant collar designs on marginal bone resorption: a Meta-analysis

Wan Ke1, Hao Junjiang2, Su Hanqi2, Su Yucheng1,3,4   

  1. 1Key Laboratory of Oral Biomaterial Materials and Clinical Application, Heilongjiang Provincial, Experimental Center of Stomatology Engineering, Jiamusi University, Affiliated Stomatological Hospital of Jiamusi University, Jiamusi 154002, Heilongjiang, China;
    2Beijing CRS Medical Device Co., Ltd, Beijing 102600, China;
    3Beijing Citident Hospital of Stomatology, Beijing Implant Training College (BITC), Beijing 100032, China;
    4Dental Implant Center, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100032,China
  • Received:2024-07-16 Online:2025-06-30 Published:2025-06-27
  • Contact: Su Yucheng, Email: yuchengsu@163.com, Tel: 0086-10-66212299

摘要: 目的 系统评价种植体光滑颈圈与粗糙颈圈对种植体边缘骨吸收的影响。方法 电子检索Embase、PubMed、知网、万方数据库并引文检索,检索时限为建库至2024年6月。由2名研究员独立筛选、审阅、评估相关文献,使用RevMan 5.4和Stata 15.0软件进行Meta分析。结果 共纳入7篇文献,702颗种植体。Meta分析显示,粗糙颈圈组种植体边缘骨吸收明显小于光滑颈圈组[MD=0.34,95% CI(0.08,0.61),P<0.05]。亚组分析显示,当种植体植入时间在12个月以内时,粗糙颈圈对种植体边缘骨保存的优势更加显著。结论 基于现有证据表明,种植体粗糙颈圈相较于光滑颈圈更有利于种植体边缘骨的保存。

关键词: 光滑颈圈, 粗糙颈圈, 种植体, 边缘骨吸收, Meta分析

Abstract: Objective To systematically evaluate the effect of smooth and rough implant collars on marginal bone resorption. Methods A systematic search was conducted in Embase, PubMed, CNKI, and Wanfang databases from inception to June 2024. Two independent reviewers screened, analyzed, and assessed the relevant literature. Meta-analysis was performed using RevMan 5.4 and Stata 15.0. Results Seven studies, involving 702 implants, were included. The meta-analysis showed that marginal bone resorption in the rough collar group was significantly lower than in the smooth collar group [MD=0.34,95% CI (0.08,0.61),P<0.05]. Subgroup analysis showed that the advantage of the rough collar in preserving marginal bone was more significant when the implant placement duration was less than 12 months. Conclusion Based on the available data, the rough implant collar is more favorable for marginal bone preservation compared to the smooth collar.

Key words: Smooth collar, Rough collar, Dental implants, Marginal bone resorption, Meta-analysis