Danza Matteo, Guidi Riccardo, Carinci Francesco
Dental School, University of Chieti, Chieti, Italy.
Implant Dent. 2009 Jun;18(3):270-8. doi: 10.1097/ID.0b013e3181a4584c.
In the last 2 decades, several investigators have reported immediate placement of dental implants into extraction sockets achieving excellent results with a 2-stage surgical procedure. Recently, immediate loading has become an emerging technique as it has been documented to be a successful and a time saving procedure. As regard, few reports are available for the possibility of immediate/early loading of implants placed in fresh extraction sockets. In addition, they are based on limited series with short follow-up. Thus, we decided to perform a retrospective study on a series of postextractive spiral family implants (SFIs).
In the period May 2004 to November 2007, 133 SFIs were inserted in fresh extraction sockets. The mean follow-up was 12 months. Several host-, surgery-, and implant-related factors were investigated and Kaplan-Meier algorithm and Cox regression were used to detect those variables associated with the clinical outcome.
Because only 7 of 133 implants were lost (i.e., survival rate, 94.7%) and no statistical differences were detected among the studied variables, no, or reduced, marginal bone loss was considered as an indicator of success rate to evaluate the effect of several host-, surgery-, and implants-related factors. Also, in this case no variable has impact on clinical outcome.
It was demonstrated that postextractive SFIs have a high survival and success rate that are similar to those reported in previous studies of 2-stage procedures or in immediate loading implants inserted in healed bone.
在过去20年里,有几位研究者报告了采用两阶段手术将牙种植体即刻植入拔牙窝取得了优异的效果。近来,即刻负重已成为一种新兴技术,因为已有文献证明它是一种成功且节省时间的方法。关于即刻/早期负重植入新鲜拔牙窝种植体的可能性,相关报道较少。此外,这些报道基于有限的病例系列且随访时间短。因此,我们决定对一系列拔牙后螺旋型种植体(SFI)进行回顾性研究。
在2004年5月至2007年11月期间,133颗SFI被植入新鲜拔牙窝。平均随访时间为12个月。研究了几个与宿主、手术和种植体相关的因素,并使用Kaplan-Meier算法和Cox回归来检测与临床结果相关的变量。
由于133颗种植体中仅7颗丢失(即生存率为94.7%),且在所研究的变量之间未检测到统计学差异,因此将无或减少的边缘骨吸收作为成功率的指标来评估几个与宿主、手术和种植体相关因素的影响。同样,在这种情况下没有变量对临床结果有影响。
结果表明,拔牙后SFI具有较高的生存率和成功率,这与先前关于两阶段手术或植入愈合骨中的即刻负重种植体的研究报道相似。