Evaluación clínica de pilares con base de titanio Revisión sistemática y metaanálisis

Salas Mendoza, Katiuska Lilieth; Gutierrez Sanguino, Andrea Fernanda; Guzman Vargas, Lina Alexandra

Evaluación clínica de pilares con base de titanio Revisión sistemática y metaanálisis

dc.contributor.advisor	Ladino Montenegro, Luis Gabriel
dc.contributor.author	Salas Mendoza, Katiuska Lilieth
dc.contributor.author	Gutierrez Sanguino, Andrea Fernanda
dc.contributor.author	Guzman Vargas, Lina Alexandra
dc.date.accessioned	2025-09-10T19:28:49Z
dc.date.available	2025-09-10T19:28:49Z
dc.date.issued	2025-09-04
dc.description	Introducción: La pérdida dental impacta la función, la estética y la salud general, requiriendo tratamientos que consideren estos factores. Los implantes dentales han demostrado alta eficacia en la rehabilitación oral, con tasas de éxito elevadas. El titanio es el material estándar debido a su osteointegración y durabilidad, aunque la zirconia ofrece ventajas estéticas. Sin embargo, pueden presentarse complicaciones mecánicas, biológicas y estéticas. La selección del pilar y la conexión adecuada influyen en la estabilidad funcional y la longevidad de la restauración. Objetivo: Evaluar el comportamiento clínico de los implantes con base de titanio en términos de supervivencia, pérdida ósea marginal y periimplantitis mediante una revisión sistemática de ensayos clínicos aleatorizados publicados entre 2020 y 2024, sintetizando la literatura a través de un metaanálisis. Materiales y métodos: Se realizó una revisión sistemática y metaanálisis sobre pilares Ti Base con 12 meses de seguimiento. La población de estudio incluyó ensayos clínicos aleatorizados en bases de datos como PubMed, Scopus, Web of Science, Cochrane Library, Embase y Google Scholar. Se usó RoB 2 para evaluar el riesgo de sesgo y RevMan para el análisis estadístico. Se incluyeron 16 estudios en la revisión sistemática y 3 en el metaanálisis. La recolección de datos se organizó en Excel y se descartaron documentos irrelevantes. Conclusiones: Los pilares de titanio presentan altas tasas de supervivencia (98,7% - 100%), baja incidencia de periimplantitis y pérdida ósea marginal no significativa. La menor profundidad de sondaje observada a los 4 y 5 años sugiere mayor estabilidad periimplantaria. Se recomienda seguimiento prolongado para evaluar la evolución ósea y la salud periimplantaria
dc.description.abstract	Introduction: Tooth loss impacts function, aesthetics, and overall health, requiring treatments that consider these factors. Dental implants have proven highly effective in oral rehabilitation, with high success rates. Titanium is the standard material due to its osseointegration and durability, although zirconia offers aesthetic advantages. However, mechanical, biological, and aesthetic complications may arise. The selection of the abutment and the appropriate connection influence the functional stability and longevity of the restoration. Objective: To evaluate the clinical performance of titanium-based implants in terms of survival, marginal bone loss, and peri-implantitis through a systematic review of randomized clinical trials published between 2020 and 2024, synthesizing the literature through a meta-analysis. Materials and methods: A systematic review and meta-analysis was conducted on Ti Base abutments with 12 months of follow-up. The study population included randomized clinical trials in databases such as PubMed, Scopus, Web of Science, Cochrane Library, Embase, and Google Scholar. RoB 2 was used to assess the risk of bias, and RevMan was used for statistical analysis. Sixteen studies were included in the systematic review and three in the meta-analysis. Data collection was organized in Excel, and irrelevant documents were discarded. Conclusions: Titanium abutments have high survival rates (98.7%–100%), low incidence of peri-implantitis, and insignificant marginal bone loss. The lower probing depth observed at 4 and 5 years suggests greater peri-implant stability. Long-term follow-up is recommended to evaluate bone evolution and peri-implant health
dc.description.degreelevel	Especialización	spa
dc.description.degreename	Especialista en Rehabilitación Oral	spa
dc.description.domain	https://www.ustabuca.edu.co/
dc.format.mimetype	application/pdf
dc.identifier.citation	Salas Mendoza, K . L., Gutierrez Sanguino, A . F. y Guzman Vargas, L . A . (2025). Evaluación clínica de pilares con base de titanio Revisión sistemática y metaanálisis. [Tesis de posgrado]. Universidad Santo Tomas, Bucaramanga, Colombia
dc.identifier.instname	instname:Universidad Santo Tomás	spa
dc.identifier.reponame	reponame:Repositorio Institucional Universidad Santo Tomás	spa
dc.identifier.repourl	repourl:https://repository.usta.edu.co	spa
dc.identifier.uri	http://hdl.handle.net/11634/69535
dc.language.iso	spa
dc.publisher	Universidad Santo Tomás	spa
dc.publisher.branch	CRAI-USTA Bucaramanga
dc.publisher.faculty	Facultad de Odontología	spa
dc.publisher.program	Especialización Rehabilitación Oral	spa
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dc.rights	Attribution 2.5 Colombia	en
dc.rights.accessrights	info:eu-repo/semantics/openAccess
dc.rights.coar	http://purl.org/coar/access_right/c_abf2
dc.rights.local	Abierto (Texto Completo)	spa
dc.rights.uri	http://creativecommons.org/licenses/by/2.5/co/
dc.subject.keyword	Titanium base
dc.subject.keyword	Ti-base abutment
dc.subject.keyword	Meta-analysis
dc.subject.keyword	Dental implants
dc.subject.keyword	Dental abutment
dc.subject.lemb	Odontología especializada
dc.subject.lemb	Dientes postizos
dc.subject.lemb	Análisis de información
dc.subject.lemb	Ensayos clínicos
dc.subject.proposal	Base de titanio
dc.subject.proposal	Pilar Ti-base
dc.subject.proposal	Metaanálisis
dc.subject.proposal	Implantes dentales
dc.subject.proposal	Pilar dental
dc.title	Evaluación clínica de pilares con base de titanio Revisión sistemática y metaanálisis
dc.type	bachelor thesis
dc.type.category	Formación de Recurso Humano para la Ctel: Trabajo de grado de Especialización
dc.type.coar	http://purl.org/coar/resource_type/c_7a1f
dc.type.coarversion	http://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.drive	info:eu-repo/semantics/bachelorThesis
dc.type.local	Trabajo de grado	spa
dc.type.version	info:eu-repo/semantics/acceptedVersion