China Journal of Oral and Maxillofacial Surgery ›› 2024, Vol. 22 ›› Issue (5): 478-486.doi: 10.19438/j.cjoms.2024.05.012

• Evidence-Based Medicine • Previous Articles     Next Articles

A PRISMA meta-analysis regarding the impact of surrounding bacteria of oral implant on periimplantitis

GULISIDAN·Maiwulajiang1, LI Chen-xi1,2, GONG Zhong-cheng1, REYILA·jureti3, JI Xiao-wei4   

  1. 1. Department of Oral and Maxillofacial Oncology & Surgery, the First Affiliated Hospital/Affiliated Stomatological Hospital of Xinjiang Medical University, Stomatological Research Institute of Xinjiang Uygur Autonomous Region. Urumqi 830054, Xinjiang Uygur Autonomous Region;
    2. Center of Stomatology, Union Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology; Hubei Province Key Laboratory of Oral and Maxillofacial Development and Regeneration. Wuhan 430022, Hubei Province;
    3. Department of Periodontics, 4. Department of Prosthodontics and Dental Implantology, School/Hospital of Stomatology, First Affiliated Hospital of Xinjiang Medical University. Urumqi 830054, Xinjiang Uygur Autonomous Region, China
  • Received:2023-12-11 Revised:2024-01-15 Online:2024-09-20 Published:2024-09-29

Abstract: PURPOSE: To systematically evaluate the correlation between bacterial microorganisms and periimplantitis pathogenesis. METHODS: Web of Science, PubMed, Scopus, Embase, CNKI, and The Cochrane Library were electronically retrieved to collect clinical studies related to bacterial distribution in subjects with periimplantitis from outset to December 2023. Meta analysis was performed using random-effect model by Stata 14.2 and R 4.0.4 software. Modified Newcastle-Ottawa Scale(NOS) and Joanna Briggs Institute(JBI) checklist were used to perform the risk of bias assessment. RESULTS: A total of thirteen studies, containing 1 274 participants(1 688 dental implants) were included. Compared with non-periimplantitis, periimplantitis was associated with the exposure of Staphylococcus epidermidis(S.e), Porphyromonas gingivalis (P.g), Tannerella forsythia (T.f), Treponema denticola (T.d), Fusobacterium nucleatum (F.n), and Prevotella intermedia(P.i) (P<0.05). Results of data synthesis for bacterial count as outcome and for subgroup analyses were mostly inconclusive. CONCLUSIONS: Periimplantitis is associated with the presence of S.e and specific periodontopathogens (P.g, T.f, T.d, F.n and P.i). However, multicentric prospective cohort studies are needed to confirm the present findings.

Key words: Periimplantitis, Bacteria, Microbiota, Risk factors, Clinical prognosis

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