Dental Practice, Hanau and Alzenau, Germany.
Clin Oral Implants Res. 2011 Aug;22(8):826-33. doi: 10.1111/j.1600-0501.2010.02061.x. Epub 2010 Dec 28.
Evaluation of the prevalence rates of periimplant mucositis and periimplantitis in partially edentulous patients in a private dental practice.
The data of 89 patients were collected (52 female, 37 male, age at time of implant placement: 51.8 ± 10.3 years). All patients had been treated with dental implants of the same type and fixed superstructures between January 1999 and June 2006 (observational period: 68.2 ± 24.8 months).
The patient-related prevalence rate of periimplant mucositis (probing depth ≥ 4 mm and bleeding on probing [BOP]) was over all 44.9%. The respective rates in non-smokers without periodontal history were 30.4% and in smokers with periodontal history 80%. The multiple logistic regression analysis identified a significant association of mucositis with the independent variable "smoker" (odds ratio [OR] 3.77; P = 0.023). The patient-related prevalence rate of periimplantitis (probing depth ≥ 5 mm, BOP/pus, radiographic bone loss) was 11.2% (smokers with periodontal history: 53.3%, non-smokers: 2.8%). No periimplant disease was diagnosed in non-smoking patients without periodontal history and with a good compliance after treatment. Statistical analysis identified a significant association of periimplantitis with "smoker" (OR: 31.58; P<0.001) and "compliance" (OR: 0.09; P = 0.011). Periodontal history in general showed no significant association with periimplantitis.
Smoking and compliance are important risk factors for periimplant inflammations in partially edentulous patients.
评估私人牙科诊所中部分缺牙患者的种植体周围黏膜炎和种植体周围炎的患病率。
共收集了 89 名患者的数据（女性 52 名，男性 37 名，种植时的年龄：51.8 ± 10.3 岁）。所有患者均于 1999 年 1 月至 2006 年 6 月期间接受过相同类型的种植体和固定上部结构治疗（观察期：68.2 ± 24.8 个月）。
患者相关的种植体周围黏膜炎（探诊深度≥4mm 且探诊出血 [BOP]）患病率为 44.9%。无牙周病史且不吸烟的患者的患病率为 30.4%，而有牙周病史且吸烟的患者的患病率为 80%。多因素逻辑回归分析表明，黏膜炎与“吸烟”这一独立变量显著相关（比值比 [OR] 3.77；P = 0.023）。患者相关的种植体周围炎（探诊深度≥5mm、BOP/脓液、放射影像学骨丧失）患病率为 11.2%（有牙周病史且吸烟的患者为 53.3%，无牙周病史且不吸烟的患者为 2.8%）。在无牙周病史且治疗后依从性良好的非吸烟患者中，未诊断出种植体周围疾病。统计分析表明，种植体周围炎与“吸烟”（OR：31.58；P<0.001）和“依从性”（OR：0.09；P = 0.011）显著相关。一般来说，牙周病史与种植体周围炎无显著相关性。
吸烟和依从性是部分缺牙患者种植体周围炎症的重要危险因素。
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