Editorial Type:
Article Category: Research Article
 | 
Online Publication Date: 01 Oct 2018

Conventional Drilling Versus Piezosurgery for Implant Site Preparation: A Meta-Analysis

DDS, MSc, PhD,
DDS, MSc, PhD,
DDS, MSc, PhD,
DDS, MSc, PhD,
DDS, PhD, and
DDS, MSc, PhD
Page Range: 400 – 405
DOI: 10.1563/aaid-joi-D-17-00091
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The aim of this study was to evaluate if the stability of dental implants varies between dental implants placed by piezosurgery compared with those placed by conventional drilling. An electronic search in MEDLINE, SCOPUS, and the Cochrane Library was undertaken until August 2016 and was supplemented by manual searches and by unpublished studies at OpenGray. Only randomized controlled clinical trials that reported implant site preparation with piezosurgery and with conventional drilling were considered eligible for inclusion in this review. Meta-analyses were performed to evaluate the impact of piezosurgery on implant stability. Of 456 references electronically retrieved, 3 were included in the qualitative analysis and quantitative synthesis. The pooled estimates suggest that there is no significant difference between piezosurgery and conventional drilling at baseline (weighted mean differences [WMD]: 2.20; 95% confidence interval [CI]: −5.09, 9.49; P = .55). At 90 days, the pooled estimates revealed a statistically significant difference (WMD: 3.63; 95% CI: 0.58, 6.67, P = .02) favoring piezosurgery. Implant stability may be slightly improved when osteotomy is performed by a piezoelectric device. More randomized controlled clinical trials are needed to confirm these findings.

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Figure 1

Flow diagram of studies screened through the review process.


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Figure 2

Methodological quality of the included studies.


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Figure 3

Forest plot for the event “implant stability” comparing piezosurgery and conventional drilling at baseline.


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Figure 4

Forest plot for the event “implant stability” comparing piezosurgery and conventional drilling at 90 days.


Contributor Notes

Corresponding author, email: dsendyk@terra.com.br
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