Abstract : The effect of non-steroidal anti-inflammatory drugs on the osteogenic activity in osseointegration: a systematic review
Non-steroidal anti-inflammatory drugs are commonly used in implant dentistry for management of post-operative pain. The objective of this systematic review was to analyse the effect of non-steroidal anti-inflammatory drugs on the osteogenic activity of osteoblasts with an emphasis on its effect on osseointegration. A systematic literature search for in vitro, animal models, and clinical trials was conducted using Ovid, PubMed, Scopus, and Web of Science databases. Articles published since the introduction of selective COX-2 inhibitors, between January 1999 and July 2018, were selected. The integrated search followed the PRISMA statement with the following key terms: non-steroidal anti-inflammatory drug/s, titanium, osseointegration, and osteoblast. The review is registered at PROSPERO database: CRD42016051448. The titles and abstracts of each research article in the initial search (n = 875) were independently screened by two reviewers. A third independent reviewer reviewed the articles that were included by one but excluded by the other reviewer. This resulted in the cataloguing of 79 full-text manuscripts where the articles were assessed for the following criteria: the study investigates the effects of NSAIDs on osteoblasts, explores the COX pathway and its effect on osteogenic activity, and compares the effects of NSAIDs on osteoblasts with a control group. A total of 13 articles have been included for qualitative synthesis. There is a lack of consensus in the literature to explicitly conclude that there is a relationship between the use of post-operative NSAIDs and failed osseointegration; however, osseointegration does not appear to be negatively affected by NSAIDs in the human clinical studies.
Serial posts:
- Abstract : The effect of non-steroidal anti-inflammatory drugs on the osteogenic activity in osseointegration: a systematic review
- Review : The effect of non-steroidal anti-inflammatory drugs on the osteogenic activity in osseointegration: a systematic review [1]
- Review : The effect of non-steroidal anti-inflammatory drugs on the osteogenic activity in osseointegration: a systematic review [2]
- Review : The effect of non-steroidal anti-inflammatory drugs on the osteogenic activity in osseointegration: a systematic review [3]
- Review : The effect of non-steroidal anti-inflammatory drugs on the osteogenic activity in osseointegration: a systematic review [4]
- Review : The effect of non-steroidal anti-inflammatory drugs on the osteogenic activity in osseointegration: a systematic review [5]
- Review : The effect of non-steroidal anti-inflammatory drugs on the osteogenic activity in osseointegration: a systematic review [6]
- Review : The effect of non-steroidal anti-inflammatory drugs on the osteogenic activity in osseointegration: a systematic review [7]
- Review : The effect of non-steroidal anti-inflammatory drugs on the osteogenic activity in osseointegration: a systematic review [8]
- Conclusions : The effect of non-steroidal anti-inflammatory drugs on the osteogenic activity in osseointegration: a systematic review
- Abbreviations : The effect of non-steroidal anti-inflammatory drugs on the osteogenic activity in osseointegration: a systematic review
- References : The effect of non-steroidal anti-inflammatory drugs on the osteogenic activity in osseointegration: a systematic review [1]
- References : The effect of non-steroidal anti-inflammatory drugs on the osteogenic activity in osseointegration: a systematic review [2]
- References : The effect of non-steroidal anti-inflammatory drugs on the osteogenic activity in osseointegration: a systematic review [3]
- Acknowledgements : The effect of non-steroidal anti-inflammatory drugs on the osteogenic activity in osseointegration: a systematic review
- Author information : The effect of non-steroidal anti-inflammatory drugs on the osteogenic activity in osseointegration: a systematic review
- Ethics declarations : The effect of non-steroidal anti-inflammatory drugs on the osteogenic activity in osseointegration: a systematic review
- Rights and permissions : The effect of non-steroidal anti-inflammatory drugs on the osteogenic activity in osseointegration: a systematic review
- About this article : The effect of non-steroidal anti-inflammatory drugs on the osteogenic activity in osseointegration: a systematic review
- Table 1 Quality assessment of in vitro studies according to the items of the Modified CONSORT checklist [16] : The effect of non-steroidal anti-inflammatory drugs on the osteogenic activity in osseointegration: a systematic review
- Table 2 Modified CONSORT checklist of items for reporting in vitro studies of dental materials [16] : The effect of non-steroidal anti-inflammatory drugs on the osteogenic activity in osseointegration: a systematic review
- Table 3 Quality and bias assessment of human clinical studies using The Cochrane Collaboration’s Tool [17] : The effect of non-steroidal anti-inflammatory drugs on the osteogenic activity in osseointegration: a systematic review
- Table 4 Quality assessment of the methodology of the animal studies according to the items of the ARRIVE guidelines [18] : The effect of non-steroidal anti-inflammatory drugs on the osteogenic activity in osseointegration: a systematic review
- Table 5 Items of the ARRIVE Guidelines [18] : The effect of non-steroidal anti-inflammatory drugs on the osteogenic activity in osseointegration: a systematic review
- Table 6 In vitro studies that investigated the effect of NSAIDs on osteoblasts attached to titanium surfaces : The effect of non-steroidal anti-inflammatory drugs on the osteogenic activity in osseointegration: a systematic review
- Table 7 Clinical studies that investigated the effect of NSAIDs on osseointegration : The effect of non-steroidal anti-inflammatory drugs on the osteogenic activity in osseointegration: a systematic review
- Table 8 In vivo studies using animal models that investigated the effect of NSAIDs on osseointegration : The effect of non-steroidal anti-inflammatory drugs on the osteogenic activity in osseointegration: a systematic review
- Fig. 1. PRISMA flow diagram of literature search : The effect of non-steroidal anti-inflammatory drug