Soardi Carlo Maria, Zandanel Ezio, Rebuffini Elena, Carinci Rebuffini
Private Practice, Dentist, Brescia, Italy.
Dent Res J (Isfahan). 2012 Dec;9(Suppl 2):S181-5. doi: 10.4103/1735-3327.109748.
One-stage surgery with immediate loading is possible, with good clinical results. Many types of dental implants are available in the market. Zimmer Dental Implants (ZDIs) have been used since the nineties, but few reports have analyzed the clinical outcome of these fixtures. We planned a retrospective study on a series 566 ZDIs, to evaluate their clinical outcome.
In the period between January 2007 and June 2011, 125 patients were treatetd with ZDIs. The last check-up was performed in June 2012, with a mean follow-up period of 17 ± 9 months (minimum - maximum, 8-4 months). ZDIs were inserted as follows: 295 (53.1%) in the maxilla and 261 (46.9%) in the mandible. There were 480 (86.3%) Screw-vents, 51 (9.2%) Swiss Plusses, and 25 (4.5%) Splines. Sixteen, 355, 34, 90, 55, and six fixtures had a diameter of 3.25, 3.7, 3.75, 4.1, 4.7, and 4.8 mm, respectively. Twenty-eight, 145, 5, 217, 8, 141, and 12 implants hade a length of 8, 10, 11, 11.5, 12, 13, and 14 mm, respectively. The implants were inserted to replace 136 (24.5%) incisors, 80 (14.4%) cuspids, 198 (35.6%) premolars, and 142 (25.5%) molars.
No implants were lost (i.e., SRV = 100%). Among the studied variables, only those for the jaws were statistically significant, with a better outcome for implants inserted in the maxilla (P = 0.017).
ZDIs are reliable devices to be used in implantology, althougth a higher marginal bone loss has to be expected when these implants are inserted in mandible.
一期手术即刻负重是可行的,临床效果良好。市场上有多种类型的牙种植体。自九十年代以来就开始使用zimmer牙科种植体(ZDIs),但很少有报告分析这些种植体的临床结果。我们计划对566颗ZDIs进行一项回顾性研究,以评估其临床结果。
在2007年1月至2011年6月期间,125例患者接受了ZDIs治疗。最后一次检查在2012年6月进行,平均随访期为17±9个月(最短 - 最长,8 - 4个月)。ZDIs的植入情况如下:上颌植入295颗(53.1%),下颌植入261颗(46.9%)。有480颗(86.3%)为螺纹孔型,51颗(9.2%)为瑞士加号型,25颗(4.5%)为花键型。分别有16颗、355颗、34颗、90颗、55颗和6颗种植体的直径为3.25、3.7、3.75、4.1、4.7和4.8毫米。分别有28颗、145颗、5颗、217颗、8颗、141颗和12颗种植体的长度为8、10、11、11.5、12、13和14毫米。植入这些种植体是为了替换136颗(24.5%)切牙、80颗(14.4%)尖牙、198颗(35.6%)前磨牙和142颗(25.5%)磨牙。
没有种植体丢失(即种植体存留率 = 100%)。在研究的变量中,只有颌骨相关变量具有统计学意义,上颌植入的种植体效果更好(P = 0.017)。
ZDIs是种植学中可靠的种植体,不过当这些种植体植入下颌时,预计会有更高的边缘骨吸收。