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Master Thesis

Consommation de tabac et échec implantaire : revue systématique et méta-analyse

Abstract : Background: Tobacco use is an implant failure factor accepted by most of the practitioners. However, the results of some studies vary from one to another. Our main objective was to determine if smoking is a factor of implant failure and in what proportion. Our secondary objective was to determine if the quality of the studies was sufficient to validate the results. Methods: We undertook a systematic review and meta-analysis of studies published from 2000 to June 2013 on PubMed, Scopus and Cochrane. An additional manual search was also conducted. We selected studies including the keywords "dental" "implant" "failure" "tobacco". A quality assessment was performed by two independent readers according to the modified PRISMA criteria. A meta-analysis was conducted to determine the effect (SE) of tobacco with a 95% confidence interval. Results: We identified 45 articles after the literature search. 22 were selected for qualitative analysis, and 6 for the meta-analysis. Three articles were considered as "excellent", 17 as "correct" and 2 as "bad." The SE of smoking on implant failure was 2.472 (IC95% = 1.841 to 3.102). Conclusion: Tobacco use is a factor of implant failure. The quality of the studies undertaken was sufficient to confirm this, but the number of good quality studies to be included in the meta-analysis was low.
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Master Thesis
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Submitted on : Tuesday, May 26, 2015 - 6:19:48 PM
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Pierre Lilette. Consommation de tabac et échec implantaire : revue systématique et méta-analyse. Chirurgie. 2015. ⟨dumas-01155507⟩

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