【中译】基于患者报告结局的种植体支持式全口固定义齿和种植覆盖义齿的治疗效果(上)

 

Consensus Statements 共识声明

 

Consensus Statement 1: In fully edentulous patients wearing removable complete dentures (CD), the use of dental implants to retain/support dental prostheses in the maxilla and/or the mandible leads to an improvement in overall dental patient-reported outcomes (dPROs). This statement is based on a descriptive analysis of 2 RCTs and 26 prospective case series (1457 patients).共识声明1:在佩戴全口活动义齿的无牙颌患者中,采用种植体来固位/支持上颌和/或下颌的义齿,可改善总体的口腔患者报告结局指标。本声明基于对2项随机对照临床试验和26项前瞻性病例系列研究(共1457名患者)的描述性分析。


Consensus Statement 2: Edentulous patients wearing complete dentures (CD) gain substantial improvements in overall dPROs following treatment which are comparable with either complete implant-supported fixed dental prostheses (CIFDPs) or implant overdentures (IODs). This statement is based on a meta-analysis of 2 RCTs and 13 prospective case series (519 patients). Effect size (ES) CIFDPs: 1.68 [1.15, 2.20]; ES IODs: 1.26 [0.99, 1.52].
共识声明2:佩戴全口义齿的无牙颌患者,在接受了种植支持式全口固定义齿或种植覆盖义齿等治疗后,总体口腔患者报告结局获得了实质性的改善。本声明基于对2项随机对照临床试验和13项前瞻性病例系列研究(共519名患者)的荟萃分析。种植支持式全口固定义齿的效应值为:1.68 [1.15, 2.20];种植覆盖义齿的效应值为:1.26 [0.99, 1.52]。


Consensus Statement 3: When restoring the edentulous mandible with an IOD, both bar and non-splinted attachments lead to a similar improvement in dPROs. This statement is based on a meta-analysis of 2 RCTs and 18 prospective case series (639 patients). ES bars: 1.33 [0.37, 2.29]; ES non-splinted attachments: 1.38 [1.17, 1.58].
共识声明3:当种植覆盖义齿修复下半口无牙颌时,杆卡式和非夹板式附着体均可带来相似的口腔患者报告结局改善效果。本声明基于对2项随机对照临床试验和18项前瞻性病例系列研究(共639名患者)的荟萃分析。杆卡的效应值为:1.33 [0.37, 2.29];非夹板式附着体的效应值为:1.38 [1.17, 1.58]。


Consensus Statement 4: With respect to dPROs, mandibular IODs retained by two implants are superior to IODs retained by one implant. This statement is based on a meta-analysis of 3 RCTs and 17 prospective case series (639 patients). ES difference: 0.72 [0.38, 1.06].
共识声明4:在口腔患者报告结局方面,两颗种植体固位的下颌种植覆盖义齿优于一颗种植体固位的。本声明基于对3项随机对照临床试验和17项前瞻性病例系列研究(共639名患者)的荟萃分析。效应值的差异为:0.72 [0.38, 1.06]。


Consensus Statement 5: Increasing the number of implants to more than two implants to retain a mandibular IOD does not further improve dPROs. Effect size in respect to the increase in dPROs in relation to the number of implants to support/retain a mandibular IOD. This statement is based on a meta-analysis of 2 RCTs and 18 prospective case series (598 patients).
共识声明5:在两颗种植体固位的基础上,进一步增加种植体数量,并不会改善下颌种植覆盖义齿的口腔患者报告结局(dPROs)。效应值为dPROs增加与下颌种植覆盖义齿支持/固位植体数量的关系。本声明基于对2项随机对照临床试验和18项前瞻性病例系列研究(共598名患者)的荟萃分析。