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6×5.7毫米种植体的生存估计及失败风险因素

Survival estimates and risk factors for failure with 6 x 5.7-mm implants.

作者信息

Gentile Michael A, Chuang Sung-Kiang, Dodson Thomas B

机构信息

Department of Oral and Maxillofacial Surgery, University of North Carolina School of Dentistry, Chapel Hill, North Carolina, USA.

出版信息

Int J Oral Maxillofac Implants. 2005 Nov-Dec;20(6):930-7.

Abstract

PURPOSE

Short dental implants facilitate prosthetic restoration in the setting of limited alveolar bone height. The study objectives were to (1) estimate the 1-year survival of Bicon 6 x 5.7-mm implants, (2) compare the 1-year survival of 6 x 5.7-mm implants with that of non-6 x 5.7-mm implants, and (3) identify risk factors associated with implant failure.

MATERIALS AND METHODS

A retrospective cohort study design was used. The sample was composed of patients who had received at least one 6 x 5.7-mm implant. Predictor variables were categorized as demographic, health status, anatomic, implant-specific, prosthetic, perioperative, and reconstructive. The outcome variable was implant failure, defined as explantation. Appropriate descriptive, bivariate, and multivariate survival statistics were computed.

RESULTS

The sample was composed of 35 patients in whom 172 implants had been placed (45 of which were 6 x 5.7-mm). The 1-year survival rates for 6 x 5.7-mm and non-6 x 5.7-mm implants were 92.2% and 95.2%, respectively (P = .76). After adjusting for covariates in a multivariate model, implant size was not associated with failure (P = .95).

DISCUSSION

The comparable survival estimates for 6 x 5.7-mm implants and non-6 x 5.7-mm implants in this study suggested that 6 x 5.7-mm implants can become osseointegrated and bear a functional load after placement.

CONCLUSIONS

The survival of 6 x 5.7-mm implants was comparable to that of non-6 x 5.7-mm implants.

摘要

目的

短种植体有助于在牙槽骨高度有限的情况下进行修复修复。本研究的目的是:(1)评估Bicon 6×5.7毫米种植体的1年生存率;(2)比较6×5.7毫米种植体与非6×5.7毫米种植体的1年生存率;(3)确定与种植体失败相关的危险因素。

材料与方法

采用回顾性队列研究设计。样本由接受至少一枚6×5.7毫米种植体的患者组成。预测变量分为人口统计学、健康状况、解剖学、种植体特异性、修复学、围手术期和重建学。结果变量为种植体失败,定义为取出种植体。计算了适当的描述性、双变量和多变量生存统计量。

结果

样本由35名患者组成,共植入172枚种植体(其中45枚为6×5.7毫米)。6×5.7毫米和非6×5.7毫米种植体的1年生存率分别为92.2%和95.2%(P = 0.76)。在多变量模型中对协变量进行调整后,种植体尺寸与失败无关(P = 0.95)。

讨论

本研究中6×5.7毫米种植体和非6×5.7毫米种植体的可比生存估计表明,6×5.7毫米种植体植入后可实现骨整合并承受功能负荷。

结论

6×5.7毫米种植体的生存率与非6×5.7毫米种植体相当。

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