Dental Implants in Osteoporotic Patients: A Comprehensive Review
A recent systematic review explores the longevity and success of dental implants in osteoporotic patients. As the population ages, dental professionals are increasingly encountering patients with systemic diseases such as osteoporosis. The condition, which is characterized by decreased bone density and increased bone fragility, affects an estimated 300 million people worldwide, primarily women over 50 years old. The dental implant, an osseointegrated structure, has a close relationship with the bone. Osteoporosis, which deteriorates bone quality, could potentially impact the osseointegration process and consequently affect the survival rate and maintenance of the bone around the dental implant.The Study: Materials and Methods
A systematic review with meta-analysis was published in Clinical Oral Investigation in June 2023. The authors compared the survival rate of dental implants and marginal bone loss among patients with and without osteoporosis. The review, registered in PROSPERO (CRD42022356377), utilized five databases: Medline/PubMed, Web of Science, Scopus, Embase, and ProQuest to search for articles up to July 2022. Additional searches were conducted on ClinicalTrials.gov and within the reference lists of included studies. The eligibility criteria included observational studies that directly compared patients with and without osteoporosis. The studies also had to have a minimum follow-up of 1 year, at least 10 implants placed in each group, and data analysis based on implant level without any limitations on period or language of publication. The meta-analysis was conducted using the RevMan 5.4 program, and risk of bias analysis of included studies was performed using the Newcastle-Ottawa Scale (NOS).Free for members
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