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Is Sjogren's syndrome a risk factor/contraindication for dental implants? An umbrella review
Author(s) -
Barros Ana Waleska Pessôa,
Sales Pedro Henrique da Hora,
Carvalho Alessandra de Albuquerque Tavares,
Patel Preeyan,
Porter Stephen,
Leão Jair Carneiro
Publication year - 2021
Publication title -
special care in dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.328
H-Index - 41
eISSN - 1754-4505
pISSN - 0275-1879
DOI - 10.1111/scd.12591
Subject(s) - medicine , contraindication , dentistry , cochrane library , medline , rehabilitation , physical therapy , intensive care medicine , alternative medicine , meta analysis , pathology , political science , law
There have been concerns that longstanding oral dryness secondary to Sjogren's syndrome may increase the risk of failure of dental implants. Aims The aim of the present study was to determine the level of methodological quality of systematic reviews that evaluated the effectiveness of dental implants in patients diagnosed with Sjogren's syndrome. Methods and results Databases of PubMed/Medline, LILACS, Science Direct and Dare Cochrane to October 2020 were evaluated. A total of 833 articles were initially identified but following use of appropriate inclusion and exclusion criteria 4 papers were identified for detailed analysis. An eventual study sample comprised 722 implants placed in 189 patients with a 95.22% success rate, the minimum follow‐up time was 45.2 ± 23.8 months and the maximum 125.5 months. The studies were assessed for their methodological quality by the AMSTAR 2 tool, in which 3 had critically low quality and one low quality. Conclusion Oral rehabilitation with dental implants in patients with Sjogren's syndrome seems to have a high success rate; however, the low quality of relevant reports highlights the need for primary and secondary studies with better methodological design in order to reduce bias and provide reassurance for this treatment option.

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