Quality Assessment of Systematic Reviews on Platform-Switching vs Platform-Matched Implants: An Overview

Autor(es)

Santiago Jr, Joel Ferreira ; Lemos, Cleidiel Aparecido Araujo ^[1] ; de Luna Gomes, Jessica Marcela ^[1] ; Verri, Fellippo Ramos ^[1] ; Moraes, Sandra Lucia Dantas ^[2] ; Pellizzer, Eduardo Piza ^[1]

Afiliação do(s) autor(es)

^[1] UNESP Univ Estadual Paulista, Dent Sch Aracatuba, Aracatuba, SP - Brazil

^[2] Univ Pernambuco UPE, Sch Dent, Dept Prosthodont, Camaragibe - Brazil

• Tipo de documento: Artigo de Revisão
• Fonte: JOURNAL OF ORAL IMPLANTOLOGY; v. 46, n. 2, p. 153-162, APR 2020.
• Citações Web of Science: 0

Resumo

The objective of this study was to perform a quality analysis of systematic reviews with meta-analyses that focused on the comparison of platform-switching (implant-abutment mismatching) and platform-matched (PM) implants. The assessment of multiple systematic reviews (AMSTAR) and Glenny (Checklist) Scales were used to qualify the studies. PubMed, Scientific Electronic Library Online (SciELO), Web of Science (formerly ISI Web of Knowledge), and Cochrane databases were searched, by topic, for systematic reviews on dental implants with switching platforms. A total of 8 systematic reviews, including 7 studies with meta-analyses, were selected. The AMSTAR scale indicated a high (n = 6) to moderate (n = 2) score for the included studies. The quantitative analysis indicated that platform-switching implants preserved more bone tissue when compared with platform-matched implants (6 meta-analyses;P< .001, smaller mean difference: -0.29 mm, 95% CI: -0.38, -0.19 and greater mean difference: -0.49 mm, 95% CI: -0.73, -0.26). Quantitative analysis based on 7 systematic reviews with meta-analysis indicated positive peri-implant bone preservation for implants restored with an implant-abutment mismatching (PSW). Further, there is evidence to improve the design of current systematic reviews. Future systematic reviews in this thematic area should consider searches in gray literature and different databases and include only randomized controlled clinical studies. (AU)

• Processo FAPESP: 15/20827-2 - Efeito da qualidade óssea e tipo de conexão de implantes osseointegráveis na distribuição de tensões
• Beneficiário: Joel Ferreira Santiago Junior
• Modalidade de apoio: Auxílio à Pesquisa - Regular