背景:局灶性和花状骨水泥骨发育不良是良性纤维骨病变,影响颌骨的质量和数量。这项研究旨在确定基于植入物的方法在受影响的患者中的可行性。
方法:不同的科学数据库,包括PubMed/MEDLINE,Scopus,WebofScience,Embase,Cochrane图书馆,和谷歌学者,一直搜索到2023年10月8日,使用预先确定的搜索策略。两名评审员筛选了检索到的报告,并从纳入的研究中提取了所需的信息。资格标准包括英语病例报告/系列或临床试验。病例报告的JBI关键评估清单用于评估纳入研究的方法学质量。在最初发现的202条记录中,有三项研究被认为有资格纳入本研究。在三名患者中放置了五个植入物,位于病变区域附近,没有任何额外的治疗来去除病理。下颌后部区域是所有患者的受影响部位。一名患者在16年后只有一个植入物失败,这归因于种植体周围炎,而不是病变。其他植入物在随访期间显示出成功的维护。
结论:尽管所包含的记录数量相对较少,无法得出确切的结论,似乎对局灶性/氟类骨水泥-骨发育不良患者进行基于植入物的治疗是可行的,考虑保守和精心策划的方法。
BACKGROUND: Focal and florid cemento-osseous dysplasia are benign fibro-osseous lesions affecting the quality and quantity of the jawbones. This study aimed to determine the viability of implant-based approaches in the affected patients.
METHODS: Different scientific databases, including PubMed/MEDLINE, Scopus, Web of Science, Embase, the Cochrane Library, and Google Scholar, were searched until October 8, 2023, using a pre-determined search strategy. Two reviewers screened the retrieved reports and extracted the required information from the included studies. The eligibility criteria included English-language case reports/series or clinical trials. The JBI critical appraisal checklist for case reports was used to assess the methodological quality of the included studies. Three studies were deemed eligible to be included in this study out of the initial 202 records found. Five implants were placed in three patients, positioned in the proximity of the lesion area, without any additional treatment to remove the pathology. The mandibular posterior area was the affected site in all patients. Only one implant failed in one patient after 16 years, which was attributed to peri-implantitis and not the lesion. Other implants demonstrated successful maintenance over follow-up periods.
CONCLUSIONS: Although the number of the included records was relatively low to draw firm conclusions, it seems that implant-based treatments in patients with focal/florid cemento-osseous dysplasia could be viable, considering a conservative and well-planned approach.