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干燥综合征患者的牙种植体

Dental Implants in Patients with Sjögren's Syndrome.

作者信息

Korfage Anke, Raghoebar Gerry M, Arends Suzanne, Meiners Petra M, Visser Anita, Kroese Frans Gm, Bootsma Hendrika, Vissink Arjan

机构信息

Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.

Department of Rheumatology and Clinical Immunology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.

出版信息

Clin Implant Dent Relat Res. 2016 Oct;18(5):937-945. doi: 10.1111/cid.12376. Epub 2015 Sep 24.

Abstract

BACKGROUND

Limited evidence is available for applying dental implants in Sjögren's syndrome (SS) patients.

PURPOSE

This study aims to retrospectively assess clinical outcome of implant therapy in a cohort of well-classified patients with SS.

MATERIALS AND METHODS

All SS patients attending the University Medical Center Groningen for follow-up (n = 406) were asked whether they had implants. In SS patients with implants peri-implant health and implant survival was recorded and compared with data from matched healthy controls. Patients' symptoms, health-related quality of life, oral functioning, and satisfaction were assessed using validated questionnaires.

RESULTS

Of the responding SS patients (n = 335), 21% was provided with implants. Of these 69 SS patients, 50 SS patients were willing to join our study. In SS patients, peri-implant health was reasonably good with minor marginal bone loss and a peri-implantitis prevalence of 14%, comparable with healthy controls. Implant survival was 97% (median follow-up 46 months) [IQR 26;73], and overall patients' satisfaction was high. Oral functioning correlated negatively with dryness, patients' satisfaction, and chewing ability in SS patients.

CONCLUSIONS

Implant therapy is common in our cohort of SS patients. In spite of shortcomings of our retrospective analysis, implants in SS patients seem to perform comparable with implants in healthy patients.

摘要

背景

关于在干燥综合征(SS)患者中应用牙种植体的证据有限。

目的

本研究旨在回顾性评估一组分类明确的SS患者种植治疗的临床结果。

材料与方法

询问所有到格罗宁根大学医学中心进行随访的SS患者(n = 406)是否有种植体。记录有种植体的SS患者的种植体周围健康状况和种植体存留情况,并与匹配的健康对照的数据进行比较。使用经过验证的问卷评估患者的症状、健康相关生活质量、口腔功能和满意度。

结果

在有回应的SS患者(n = 335)中,21%有种植体。在这69例SS患者中,50例SS患者愿意参加我们的研究。在SS患者中,种植体周围健康状况相当良好,边缘骨丢失轻微,种植体周围炎患病率为14%,与健康对照相当。种植体存留率为97%(中位随访46个月)[四分位间距26;73],患者总体满意度较高。在SS患者中,口腔功能与口干、患者满意度和咀嚼能力呈负相关。

结论

种植治疗在我们的SS患者队列中很常见。尽管我们的回顾性分析存在不足,但SS患者的种植体表现似乎与健康患者的种植体相当。

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