Compare Cement- And Screw-Retained Retention Systems in Fixed Implant-Supported Restorations: A Systematic Review and Meta-Analysis
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Author:
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SARA KHALEGHI, MARYAM FIROUZMANDI , AZADEH KIANIPOUR, AZADE FARHANGNIA
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Abstract:
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Background and aim: Fixed-implant prostheses in the edentulous jaw are also a scientifically justified
treatment option. Two fixation methods are used for fixed implant-supported restorations. They can be attached
to implants with screws, or they can be cemented to abutments which are attached to implants. The aim of this
systematic review and meta-analysis was to compare the best type of retention system in fixed implant-supported
restorations.
Method: MEDLINE, PubMed, Cochrane Library, Embase, ISI, google scholar were used as electronic databases
to perform a systematic literature between 2010 to 2019. A commercially available software program (Endnote
X9) was used for electronic title management. Searches were performed with keywords, “screw-retained”,
“Cement-retained”,” retention systems”,” ixed implant-supported”, “restoration” “implant” , ““cement”, “dental
implant”. The present systematic review was performed based on the main consideration of PRISMA Statement–
Preferred Reporting Items for Systematic Reviews and Meta-analysis.
Result: A total of 63 potentially relevant titles and abstracts were found during the electronic and manual search.
Finally, a total of six publications fulfilled the inclusion criteria required for this systematic review. For survival
rates of implants heterogeneity found (I2 = 0.0%. p = 1.000), the meta-analysis showed a risk ratio of 0.993 (95%
CI: 0.890– 1.109). in comparison of studies evaluating survival rates of Prostheses, heterogeneity found (I2 =
0.0%. p = 1.000), The meta-analysis showed a risk ratio of 0.991 (95% CI: 0.865– 1.136).
Conclusion: Marginal bone loss in cement retained less than screw-retained.
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Keyword:
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cement- retained, screw-retained, retention systems, fixed implant-supported restorations
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EOI:
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DOI:
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https://doi.org/10.31838/ijpr/2020.12.01.122
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