Dental Implants with conical internal connection tied to fewer prosthetic complications than non-conical internal connection

Written by Dr. Shravani Dali Published On 2023-02-22T06:15:52+05:30 | Updated On 22 Feb 2023 12:46 AM GMT

Dental Implants with conical internal connection tied to fewer prosthetic complications than non-conical internal connection suggests a new study published in the Journal of Prosthodontics.

A study was conducted to evaluate bone loss, prosthodontics and biological complications, and implant survival rates of internal conical connections (ICC) compared with internal non-conical connection (INCC) implants.

The systematic review was registered on PROSPERO (CRD42021237170). Meta-analysis was performed using standardized mean difference (SMD) for bone loss and risk ratio (RR) for implant survival and complication rates. Risk of bias analysis was evaluated using RoB 2.0, whereas the GRADE tool was used to evaluate the certainty of evidence. A systematic search of the PubMed, Web of Science, Embase, Cochrane, and ProQuest databases was performed independently by two reviewers for articles published up to March 2022. The search criteria had no language or publication date restrictions. Handsearching analysis was performed in the reference list of potential articles.

Results

Twelve randomized clinical trials, including 678 patients and 1006 implants, were included. Meta-analysis revealed that ICC demonstrated a lower risk for marginal bone loss and prosthodontics complications than INCC.
However, both internal connections demonstrated no significant difference in implant survival rates and biological complications
The overall risk of bias revealed some concerns and a low risk of bias for most of the included studies.
However, the certainty of evidence of outcomes was considered low to moderate.

ICC may be considered a more favorable treatment option than INCC owing to greater preservation of peri-implant bone tissue and a lower probability of prosthodontics complications. However, well-conducted studies with long-term follow-up are warranted.

Reference:

Rodrigues, VVM, Faé, DS, Rosa, CDDRD, Bento, VAA, Lacerda, MFLS, Pellizzer, EP, et al. Is the clinical performance of internal conical connection better than internal non-conical connection for implant-supported restorations? A systematic review with meta-analysis of randomized controlled trials. J. Prosthodont. 2023; 1– 10. https://doi.org/10.1111/jopr.13655

Keywords:

Implants, conical, internal, connection, fewer, prosthetic, complications, non-conical, internal connection, Journal of Prosthodontics

Source : Journal of Prosthodontics

Dr. Shravani Dali

BDS

Dr. Shravani Dali has completed her BDS from Pravara institute of medical sciences, loni. Following which she extensively worked in the healthcare sector for 2+ years. She has been actively involved in writing blogs in field of health and wellness. Currently she is pursuing her Masters of public health-health administration from Tata institute of social sciences. She can be contacted at editorial@medicaldialogues.in.