Evidence map›Paper›PMID 40901990›Full record

SynthesisPloS one2025

Survival of dental implants in irradiated head and neck cancer patients compared to non-irradiated patients: An umbrella review.

Maria Cândida Dourado Pacheco, Alexandre Henrique Dos Reis Prado, Danilo Viegas da Costa, Lara Cancella de Arantes, Caio Fernando Teixeira Portela, Tarcísio Passos Ribeiro Campos, Arno Heeren de Oliveira

Abstract readSystematic ReviewComparative Study
In one paragraph

Synthesis in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Maria Cândida Dourado PachecoDepartment of Nuclear Engineering, Federal University of Minas Gerais, School of Engineering, Belo Horizonte, Minas Gerais, Brazil.
Alexandre Henrique Dos Reis PradoRestorative Dentistry, Federal University of Minas Gerais, School of Dentistry, Belo Horizonte, Minas Gerais, Brazil.ORCID https://orcid.org/0000-0002-5866-7137
Danilo Viegas da CostaDental Clinics with an Emphasis on Periodontics at the Pontifical Catholic University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Lara Cancella de ArantesRestorative Dentistry, Federal University of Minas Gerais, School of Dentistry, Belo Horizonte, Minas Gerais, Brazil.ORCID https://orcid.org/0000-0002-4940-3631
Caio Fernando Teixeira PortelaDepartment of Nuclear Engineering, Federal University of Minas Gerais, School of Engineering, Belo Horizonte, Minas Gerais, Brazil.ORCID https://orcid.org/0000-0002-1751-9736
Tarcísio Passos Ribeiro CamposDepartment of Nuclear Engineering, Federal University of Minas Gerais, School of Engineering, Belo Horizonte, Minas Gerais, Brazil.
Arno Heeren de OliveiraDepartment of Nuclear Engineering, Federal University of Minas Gerais, School of Engineering, Belo Horizonte, Minas Gerais, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is an increasing demand for oral rehabilitation in patients undergoing irradiation for head and neck cancer treatment. Although radiotherapy appears to adversely affect implanted oral rehabilitation, the evidence provided by previous systematic reviews in the field remains controversial. Thus, this umbrella review aimed to evaluate the survival of dental implants installed before and/or after radiotherapy in patients with head and neck cancer compared to those not irradiated.

methodsA comprehensive search of electronic databases was performed in the PubMed, Cochrane Library, Embase, Web of Science, and Google Scholar databases, including manual searches, from inception to February, 2024, with no language or date restrictions. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines were followed. Survival percentage of dental implants was the primary outcome. A Measurement Tool to Assess systematic Reviews (AMSTAR) 2 was used as a critical appraisal tool for the included studies. The protocol for this review has been registered with PROSPERO (CRD42023406059).

resultsOf the 1,811 articles screened, 11 articles that evaluated 73,674 implants were included. Quantitative analyses showed 2,674 failures out of 14,471 implants installed in irradiated bone and 1,825 failures out of 34,092 implants in non-irradiated bone. The survival rate was 81.52% for irradiated implants and 94.64% for non-irradiated implants. A significant difference in survival in favor of implants in non-irradiated bone is supported by 11 meta-analyses. The included systematic reviews showed critically low methodological quality.

conclusionsAlthough the included studies had low methodological quality, the findings indicate a higher failure rate of implants in irradiated patients. Further well-designed clinical studies are warranted.

Indexed as

Dental ImplantsEquipment FailureHead and Neck NeoplasmsOsseointegrationDental Implantation, EndosseousHumansSystematic Reviews as TopicDental Implants

Identifiers

PMID40901990
PMCPMC12407548

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.