López-Martínez Fanny, Gómez Moreno Gerardo, Olivares-Ponce Patricia, Eduardo Jaramillo David, Eduardo Maté Sánchez de Val José, Calvo-Guirado José Luis
Faculty of Dentistry, Autonomous University of Nuevo Leon, Monterrey, Mexico.
Faculty of Dentistry, University of Granada, Granada, Spain.
Clin Oral Implants Res. 2015 Sep;26(9):992-5. doi: 10.1111/clr.12415. Epub 2014 May 26.
The aim of the study was to analyze potential etiological risk factors that constitute a complex problem in the clinical management of peri-implantitis.
An observational retrospective study was conducted to describe the possible effect of lesions of origin pulpar and/or periapical success or failure of the implant. The sample consisted of review of 800 implants, of which 500 were conducted at the Faculty of Dentistry of the UANL and 300 private clinics of Maxillofacial surgeons experienced in the placement of those who reside in Monterrey, Mexico. Five hundred and eighty cases correspond to female patients while that 220 patients of the male gender. The age of patients at the time of placing the implant ranged from 28 to 81 years.
Of 800 study subjects who underwent dental implant treatments, 200 cases (25%) were detected which presented endodontic failure prior and/or adjacent to the placement of the implant. The 50.41% had peri-implantitis, recording 62 cases in the Faculty and 18 cases (23.38%) in private clinics, finding that there was a statistically significant difference between the presence and absence of peri-implantitis in terms of failed endodontic prior and/or adjacent to the placement of the implant.
Within the limitations of this observational retrospective study, it could be concluded that the development of inflammatory changes mediated by the presence of remnant bacteria surrounding hard tissues adjacent to implants might induce late failures of implants, and potentially trigger pathological features of apical peri-implantitis.
本研究旨在分析在种植体周围炎临床管理中构成复杂问题的潜在病因风险因素。
进行了一项观察性回顾性研究，以描述牙髓和/或根尖周病变对种植体成功或失败的可能影响。样本包括对800颗种植体的回顾，其中500颗在墨西哥蒙特雷的墨西哥国立自治大学牙科学院进行，300颗在有颌面外科种植经验的私人诊所进行。580例为女性患者，220例为男性患者。种植体植入时患者的年龄在28岁至81岁之间。
在接受牙种植治疗的800名研究对象中，发现200例（25%）在种植体植入前和/或邻近部位存在牙髓治疗失败。50.41%患有种植体周围炎，其中牙科学院记录了62例，私人诊所记录了18例（23.38%），发现在种植体植入前和/或邻近部位牙髓治疗失败与否方面，种植体周围炎的存在与否存在统计学显著差异。
在这项观察性回顾性研究的局限性内，可以得出结论，种植体周围硬组织周围残留细菌介导的炎症变化可能导致种植体后期失败，并可能引发种植体根尖周炎的病理特征。
