Lindh Christina, Oliveira Guilherme Henrique C, Leles Cláudio R, do Carmo Matias Freire Maria, Ribeiro-Rotta Rejane F
Faculty of Odontology, Malmö University, Malmö, Sweden.
Clin Oral Implants Res. 2014 Sep;25(9):1004-9. doi: 10.1111/clr.12221. Epub 2013 Aug 6.
To investigate the interpretation and assessment of bone quality among Brazilian and Swedish specialist performing implant treatment.
A questionnaire was developed containing open and closed questions on attitudes, knowledge, and understanding of diagnostic methods for bone quality assessment. The questionnaire was sent by mail to dental implant specialists in Brazil while the Swedish version was Web-based and sent to specialists in periodontology and maxillofacial surgery. The response rate in the Brazilian group was 15.4% and in the Swedish group 36.5%.
Most respondents in both groups considered bone quality to be an important parameter for implant treatment outcome. Among Swedish specialists, bone quality, however, was considered to be of low relevance. The most popular method for assessing bone quality among Swedish specialists was the hand-felt perception of drilling resistance followed by radiography. The Brazilian specialists more often used peak insertion torque. Most respondents classified bone quality, and both groups used the classification proposed by Lekholm & Zarb (Tissue-Integratedprosthesis: Osseointegration in Clinical Dentistry, 1985, Quintessence, Chicago) most frequently.
Specialists in both countries considered bone quality to be an important parameter for implant treatment outcome, but there was no consensus neither on what bone quality means nor on how to assess bone quality.
调查巴西和瑞典从事种植治疗的专家对骨质量的解读和评估情况。
设计了一份问卷，包含关于骨质量评估诊断方法的态度、知识和理解的开放式和封闭式问题。问卷通过邮寄方式发送给巴西的牙种植专家，而瑞典语版本则通过网络发送给牙周病学和颌面外科专家。巴西组的回复率为15.4%，瑞典组为36.5%。
两组中的大多数受访者都认为骨质量是种植治疗结果的一个重要参数。然而，在瑞典专家中，骨质量被认为相关性较低。瑞典专家中评估骨质量最常用的方法是通过手感感知钻孔阻力，其次是放射照相。巴西专家更常使用峰值插入扭矩。大多数受访者对骨质量进行了分类，两组最常使用的是Lekholm和Zarb提出的分类方法（《组织整合假体：临床牙科中的骨结合》，1985年，Quintessence出版社，芝加哥）。
两国专家都认为骨质量是种植治疗结果的一个重要参数，但对于骨质量的含义以及如何评估骨质量，既没有达成共识，也没有统一的标准。
