Anitua Eduardo, Orive Gorka, Aguirre José Javier, Andía Isabel
Private Practice, Vitoria, Spain.
J Periodontol. 2008 Jul;79(7):1168-76. doi: 10.1902/jop.2008.070580.
The aims of this study were to describe a procedure for the immediate loading of dental implants, evaluate the long-term survival rates of 1,139 immediately loaded dental implants, and analyze the influence of different factors on implant survival.
A retrospective cohort study design was used. A total of 241 patients received 1,139 immediately loaded implants between 2001 and 2005 in Vitoria, Spain. All implants were placed by one experienced surgeon, and rehabilitations were done by four prosthodontists. Each implant failure was analyzed carefully. The potential influence of demographic, clinical, and surgery-dependent factors and prosthetic variables on implant survival was studied. Implant survival was analyzed using a life-table analysis.
The overall survival rates were 99.3%, 96.8%, and 96.9% for the implant-, surgery-, and patient-based analyses, respectively. The mean follow-up period was 28 +/- 15 months. Five of 1,139 implants were lost during the observation period. No variable studied was statistically associated with implant failure.
Based on these results, the procedure described for the immediate loading of implants can be considered safe and predictable if used under strict clinical protocols.
本研究的目的是描述一种牙种植体即刻负重的程序,评估1139颗即刻负重牙种植体的长期存活率,并分析不同因素对种植体存活的影响。
采用回顾性队列研究设计。2001年至2005年期间,共有241例患者在西班牙维多利亚接受了1139颗即刻负重种植体。所有种植体均由一名经验丰富的外科医生植入,修复工作由四名口腔修复医生完成。对每例种植体失败情况进行了仔细分析。研究了人口统计学、临床和手术相关因素以及修复变量对种植体存活的潜在影响。采用寿命表分析法分析种植体存活率。
基于种植体、手术和患者的分析,总体存活率分别为99.3%、96.8%和96.9%。平均随访期为28±15个月。在观察期内,1139颗种植体中有5颗丢失。所研究的变量均与种植体失败无统计学关联。
基于这些结果,如果在严格的临床方案下使用,所描述的种植体即刻负重程序可被认为是安全且可预测的。