The role of keratinized mucosa width as a risk factor for peri-implant disease: A systematic review, meta-analysis, and trial sequential analysis
dc.contributor.author | Ravidà, Andrea | |
dc.contributor.author | Arena, Claudia | |
dc.contributor.author | Tattan, Mustafa | |
dc.contributor.author | Caponio, Vito Carlo Alberto | |
dc.contributor.author | Saleh, Muhammad H. A. | |
dc.contributor.author | Wang, Hom-Lay | |
dc.contributor.author | Troiano, Giuseppe | |
dc.date.accessioned | 2022-07-05T21:02:29Z | |
dc.date.available | 2023-07-05 17:02:27 | en |
dc.date.available | 2022-07-05T21:02:29Z | |
dc.date.issued | 2022-06 | |
dc.identifier.citation | Ravidà, Andrea ; Arena, Claudia; Tattan, Mustafa; Caponio, Vito Carlo Alberto; Saleh, Muhammad H. A.; Wang, Hom-Lay ; Troiano, Giuseppe (2022). "The role of keratinized mucosa width as a risk factor for peri- implant disease: A systematic review, meta- analysis, and trial sequential analysis." Clinical Implant Dentistry and Related Research 24(3): 287-300. | |
dc.identifier.issn | 1523-0899 | |
dc.identifier.issn | 1708-8208 | |
dc.identifier.uri | https://hdl.handle.net/2027.42/173000 | |
dc.description.abstract | BackgroundStudies have examined the benefit of having keratinized peri-implant mucosa width with mixed results.PurposeThis study examines whether the lack of a prespecified (2 mm) amount of keratinized mucosa width (KMW) is a risk factor for peri-implant diseases.MethodsA systematic electronic and manual search of randomized or nonrandomized controlled or noncontrolled clinical trials was conducted. Qualitative review, quantitative meta-analysis, and trial sequence analysis (TSA) of implants inserted at sites with <2 mm or ≥2 mm of KMW were analyzed to compare all the predetermined outcome variables. The level of evidence concerning the role of KMW in peri-implant health was evaluated via the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system guide.ResultsNine studies were included in the qualitative analysis and four in the meta-analysis and TSA. No significant inter-group difference (p > 0.05) and a low power of evidence were found for probing depth, soft-tissue recession, and marginal bone loss. A significant difference favoring ≥2 mm KMW had a lower mean plaque index (MD = 0.37, 95% CI: [0.16, 0.58], p = 0.002) (3 studies, 430 implants, low-quality evidence). GRADE system showed very low and low quality of evidence for all other outcome measures.ConclusionBased on the available studies, the impact of amount of KMW (either <2 mm or ≥ 2 mm) as a risk factor for developing peri-implant disease remains low. Future control studies with proper sample size and longer follow-up are needed to further validate current findings. | |
dc.publisher | John Wiley & Sons, Inc. | |
dc.subject.other | oral mucosa | |
dc.subject.other | alveolar bone loss | |
dc.subject.other | dental implants | |
dc.subject.other | gingival recession | |
dc.subject.other | meta-analysis | |
dc.title | The role of keratinized mucosa width as a risk factor for peri-implant disease: A systematic review, meta-analysis, and trial sequential analysis | |
dc.type | Article | |
dc.rights.robots | IndexNoFollow | |
dc.subject.hlbsecondlevel | Dentistry | |
dc.subject.hlbtoplevel | Health Sciences | |
dc.description.peerreviewed | Peer Reviewed | |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/173000/1/cid13080_am.pdf | |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/173000/2/cid13080.pdf | |
dc.identifier.doi | 10.1111/cid.13080 | |
dc.identifier.source | Clinical Implant Dentistry and Related Research | |
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dc.working.doi | NO | en |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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