Clinical and radiologic outcomes of dental implants in cemento-osseous dysplasia: a systematic review and retrospective case series
Abstract Objectives To systematically evaluate the clinical and radiologic outcomes of dental implants in cementoosseous dysplasia (COD)-affected regions, identify factors associated with implant success or failure, and propose evidence-based management recommendations. Materials and methods EMBASE...
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2025-07-01
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| Series: | BMC Oral Health |
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| Online Access: | https://doi.org/10.1186/s12903-025-06509-x |
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| author | Hongying Hu Li Liu Yi Man Zelin Ye Meng You |
| author_facet | Hongying Hu Li Liu Yi Man Zelin Ye Meng You |
| author_sort | Hongying Hu |
| collection | DOAJ |
| description | Abstract Objectives To systematically evaluate the clinical and radiologic outcomes of dental implants in cementoosseous dysplasia (COD)-affected regions, identify factors associated with implant success or failure, and propose evidence-based management recommendations. Materials and methods EMBASE (Ovid), PubMed, Scopus, CNKI, and SinoMed databases were searched for eligible studies (up to March 2025). Studies reporting dental implants placed in COD-affected regions with ≥ three months’ follow-up were included. Risk of bias was assessed using the JBI critical appraisal checklist for case reports. To complement the systematic review, retrospective institutional cases were included. Pooled analysis examined associations between implant outcomes and COD type, lesion stage, and implant-to-lesion spatial relationship. Results Seventeen implants from eleven published studies and twelve implants from six institutional cases were analyzed (N = 29). The overall implant success rate was 79.3% (median follow-up: 25 months). All failures occurred in florid COD (FLCOD); focal COD (FCOD) cases achieved 100% success. Stage III lesions showed higher success (87.5%) than stage II lesions (40%). Implants with no or minimal lesion contact had 100% success, while those embedded in lesions had a 46.15% failure rate. Conclusion Dental implants demonstrated high success rates in FCOD and Stage III COD lesions, particularly when direct embedding within the dysplastic bone was avoided, underscoring the importance of careful case selection, strategic implant positioning, and rigorous postoperative management. Clinical trial number Not applicable. |
| format | Article |
| id | doaj-art-9447290b684949dd8f6780a304ef0bba |
| institution | Kabale University |
| issn | 1472-6831 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Oral Health |
| spelling | doaj-art-9447290b684949dd8f6780a304ef0bba2025-08-20T04:01:42ZengBMCBMC Oral Health1472-68312025-07-012511910.1186/s12903-025-06509-xClinical and radiologic outcomes of dental implants in cemento-osseous dysplasia: a systematic review and retrospective case seriesHongying Hu0Li Liu1Yi Man2Zelin Ye3Meng You4State Key Laboratory of Oral Diseases, National Center for Stomatology, National Clinical Research Center for Oral Diseases, Department of Oral Medical Imaging, West China Hospital of Stomatology, Sichuan UniversityState Key Laboratory of Oral Diseases, National Center for Stomatology, National Clinical Research Center for Oral Diseases, Department of Oral Medical Imaging, West China Hospital of Stomatology, Sichuan UniversityState Key Laboratory of Oral Diseases, National Center for Stomatology, National Clinical Research Center for Oral Diseases, Department of Oral Implantology, West China Hospital of Stomatology, Sichuan UniversityFaculty of Dentistry, The University of Hong KongState Key Laboratory of Oral Diseases, National Center for Stomatology, National Clinical Research Center for Oral Diseases, Department of Oral Medical Imaging, West China Hospital of Stomatology, Sichuan UniversityAbstract Objectives To systematically evaluate the clinical and radiologic outcomes of dental implants in cementoosseous dysplasia (COD)-affected regions, identify factors associated with implant success or failure, and propose evidence-based management recommendations. Materials and methods EMBASE (Ovid), PubMed, Scopus, CNKI, and SinoMed databases were searched for eligible studies (up to March 2025). Studies reporting dental implants placed in COD-affected regions with ≥ three months’ follow-up were included. Risk of bias was assessed using the JBI critical appraisal checklist for case reports. To complement the systematic review, retrospective institutional cases were included. Pooled analysis examined associations between implant outcomes and COD type, lesion stage, and implant-to-lesion spatial relationship. Results Seventeen implants from eleven published studies and twelve implants from six institutional cases were analyzed (N = 29). The overall implant success rate was 79.3% (median follow-up: 25 months). All failures occurred in florid COD (FLCOD); focal COD (FCOD) cases achieved 100% success. Stage III lesions showed higher success (87.5%) than stage II lesions (40%). Implants with no or minimal lesion contact had 100% success, while those embedded in lesions had a 46.15% failure rate. Conclusion Dental implants demonstrated high success rates in FCOD and Stage III COD lesions, particularly when direct embedding within the dysplastic bone was avoided, underscoring the importance of careful case selection, strategic implant positioning, and rigorous postoperative management. Clinical trial number Not applicable.https://doi.org/10.1186/s12903-025-06509-xDental implantCemento-osseous dysplasiaOsseointegrationSystematic review |
| spellingShingle | Hongying Hu Li Liu Yi Man Zelin Ye Meng You Clinical and radiologic outcomes of dental implants in cemento-osseous dysplasia: a systematic review and retrospective case series BMC Oral Health Dental implant Cemento-osseous dysplasia Osseointegration Systematic review |
| title | Clinical and radiologic outcomes of dental implants in cemento-osseous dysplasia: a systematic review and retrospective case series |
| title_full | Clinical and radiologic outcomes of dental implants in cemento-osseous dysplasia: a systematic review and retrospective case series |
| title_fullStr | Clinical and radiologic outcomes of dental implants in cemento-osseous dysplasia: a systematic review and retrospective case series |
| title_full_unstemmed | Clinical and radiologic outcomes of dental implants in cemento-osseous dysplasia: a systematic review and retrospective case series |
| title_short | Clinical and radiologic outcomes of dental implants in cemento-osseous dysplasia: a systematic review and retrospective case series |
| title_sort | clinical and radiologic outcomes of dental implants in cemento osseous dysplasia a systematic review and retrospective case series |
| topic | Dental implant Cemento-osseous dysplasia Osseointegration Systematic review |
| url | https://doi.org/10.1186/s12903-025-06509-x |
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