Harvard School of Dental Medicine, Department of Restorative Dentistry & Biomaterials Sciences, 188 Longwood Avenue, Boston 02115, USA.
J Dent Res. 2012 Mar;91(3):242-8. doi: 10.1177/0022034511431252. Epub 2011 Dec 8.
The purpose of this study was to examine the most frequently used criteria to define treatment success in implant dentistry. An electronic MEDLINE/PubMED search was conducted to identify randomized controlled trials and prospective studies reporting on outcomes of implant dentistry. Only studies conducted with roughened surface implants and at least five-year follow-up were included. Data were analyzed for success at the implant level, peri-implant soft tissue, prosthetics, and patient satisfaction. Most frequently reported criteria for success at the implant level were mobility, pain, radiolucency, and peri-implant bone loss (> 1.5 mm), and for success at the peri-implant soft-tissue level, suppuration, and bleeding. The criteria for success at the prosthetic level were the occurrence of technical complications/prosthetic maintenance, adequate function, and esthetics during the five-year period. The criteria at patient satisfaction level were discomfort and paresthesia, satisfaction with appearance, and ability to chew/taste. Success in implant dentistry should ideally evaluate a long-term primary outcome of an implant-prosthetic complex as a whole.
本研究旨在探讨种植体牙科治疗成功最常用的定义标准。通过电子 MEDLINE/PubMED 搜索，确定了报告种植体牙科治疗结果的随机对照试验和前瞻性研究。仅纳入了使用粗糙表面种植体且随访时间至少 5 年的研究。对种植体水平、种植体周围软组织、修复体和患者满意度的成功情况进行了数据分析。报道最多的种植体水平成功标准是活动度、疼痛、放射透光性和种植体周围骨丧失（>1.5mm），种植体周围软组织水平的成功标准是溢脓和出血。修复体水平的成功标准是在 5 年内出现技术并发症/修复体维护、功能充足和美观。在患者满意度方面，成功的标准是舒适度和感觉异常、对外观的满意度以及咀嚼/品尝能力。种植体牙科治疗的成功应理想地评估种植体-修复体复合体作为一个整体的长期主要结果。
