Abstract
Statement of problem
The use of tilted implants has been considered a suitable option for completely edentulous
patients. However, consensus on their clinical performance is lacking, specifically
for partial rehabilitation.
Purpose
The purpose of this systematic review and meta-analysis was to evaluate the marginal
bone loss and implant survival rate of tilted implants compared with those of axial
implants for implant-supported fixed partial dentures (ISFPDs).
Material and methods
A systematic search of the MEDLINE/PubMed, Web of Science, Embase, Cochrane, and ProQuest
databases and reference lists for articles published until May 2022 was performed
by 2 independent reviewers without language or publication date restrictions. A meta-analysis
was performed using the RevMan version 5.4 program. Quality assessments were performed
using the Newcastle–Ottawa scale.
Results
Nine studies were included, totaling 258 participants and 604 implants (269 tilted
implants and 335 axial implants). No significant differences were found between the
tilted and axial implants for the implant survival rate (P=.81; risk ratio: 1.14). However, higher marginal bone loss values were observed for
tilted implants (P=.001; mean difference: 0.12 mm). No significant heterogeneity was observed in either
analysis.
Conclusions
No significant relationship was found between tilted and axial implants for ISFPD
rehabilitation. However, tilted implants presented greater risks of marginal bone
loss than axial implants.
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Article info
Publication history
Published online: December 23, 2022
Publication stage
In Press Corrected ProofFootnotes
Funding: Supported by scholarship scientific initiation volunteer of Federal University of Juiz de Fora (UFJF) – PROPESQ (Id. 48491), Brazil.
Identification
Copyright
© 2022 by the Editorial Council for The Journal of Prosthetic Dentistry.
