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Astra Tech、Brånemark 和 ITI 种植体修复部分牙列缺失:两年结果。

Astra Tech, Brånemark, and ITI implants in the rehabilitation of partial edentulism: two-year results.

机构信息

Department of Removable Prosthodontics, Faculty of Dentistry, Istanbul University, Capa, Istanbul, Turkey.

出版信息

Implant Dent. 2010 Oct;19(5):437-46. doi: 10.1097/ID.0b013e3181f57110.

DOI:10.1097/ID.0b013e3181f57110
PMID:20881815
Abstract

PURPOSE

To explore the soft tissue, marginal bone, and prosthetic complications (if any) of Astra Tech, Brånemark, and ITI implants supporting fixed prostheses during an observation period of 2 years.

MATERIALS

The study comprised 26 patients, who received 42 Astra Tech, 36 Brånemark, and 29 ITI implants. After 3 months of healing, abutment connections were performed for Astra Tech and Brånemark implants, and fixed prostheses were delivered to the patients at 4 months. At 6-month, 1-year, and 2-year recall appointments, plaque index, periimplant inflammation index, and bleeding index scores, were recorded. The marginal bone levels were also measured at 2-year recall by means of radiographic evaluation, and prosthetic complications were recorded throughout the study.

RESULTS

All implants survived during the 2-year observation period. The plaque index and periimplant inflammation index scores around Brånemark implants were higher than ITI and Astra Tech implants in the first year of function (P > 0.05). Marginal bone loss around ITI and Astra Tech implants was similar at 2 years (P > 0.05). The marginal bone loss around Brånemark implants was higher than Astra Tech implants (P < 0.05) but similar to ITI implants at 2-year recall appointment (P > 0.05). Fixed prostheses supported by ITI and Astra Tech implants did not experience prosthetic complications, and only 1 patient of the Brånemark group had porcelain veneer fracture.

CONCLUSIONS

Astra Tech, Brånemark, and ITI implants supporting fixed prostheses had same survival rates (100%) in this study. ITI and Astra Tech implants had similar changes in marginal bone levels, whereas Brånemark implants had higher marginal bone loss, particularly in the first year of function.

摘要

目的

探讨在 2 年观察期内,AstraTech、Brånemark 和 ITI 种植体支持固定修复体的软组织、边缘骨和修复体并发症(如有)。

材料

本研究纳入 26 名患者,共植入 42 颗 AstraTech、36 颗 Brånemark 和 29 颗 ITI 种植体。愈合 3 个月后,对 AstraTech 和 Brånemark 种植体进行基台连接,4 个月后向患者交付固定修复体。在 6 个月、1 年和 2 年的随访中,记录菌斑指数、种植体周围炎指数和出血指数评分。在 2 年的随访中,通过放射学评估测量边缘骨水平,并在整个研究过程中记录修复体并发症。

结果

所有种植体在 2 年的观察期内均存活。在功能的第一年,Brånemark 种植体周围的菌斑指数和种植体周围炎指数评分高于 ITI 和 AstraTech 种植体(P > 0.05)。在 2 年时,ITI 和 AstraTech 种植体周围的边缘骨丧失相似(P > 0.05)。Brånemark 种植体周围的边缘骨丧失高于 AstraTech 种植体(P < 0.05),但在 2 年的随访中与 ITI 种植体相似(P > 0.05)。由 ITI 和 AstraTech 种植体支持的固定修复体未发生修复体并发症,仅 1 例 Brånemark 组患者发生烤瓷贴面折裂。

结论

在本研究中,AstraTech、Brånemark 和 ITI 种植体支持的固定修复体具有相同的存活率(100%)。ITI 和 AstraTech 种植体的边缘骨水平变化相似,而 Brånemark 种植体的边缘骨丧失较高,特别是在功能的第一年。

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