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3D打印/增材制造单颗钛牙种植体:一项为期3年随访的前瞻性多中心研究。

3D Printing/Additive Manufacturing Single Titanium Dental Implants: A Prospective Multicenter Study with 3 Years of Follow-Up.

作者信息

Tunchel Samy, Blay Alberto, Kolerman Roni, Mijiritsky Eitan, Shibli Jamil Awad

机构信息

Private Practice, Rua Asia 173, Cerqueira Cesar, 05413-030 Sao Paulo, SP, Brazil.

Private Practice, Rua Inacio Pereira da Rocha 147, 05432-010 Sao Paulo, SP, Brazil.

出版信息

Int J Dent. 2016;2016:8590971. doi: 10.1155/2016/8590971. Epub 2016 May 29.

Abstract

This prospective 3-year follow-up clinical study evaluated the survival and success rates of 3DP/AM titanium dental implants to support single implant-supported restorations. After 3 years of loading, clinical, radiographic, and prosthetic parameters were assessed; the implant survival and the implant-crown success were evaluated. Eighty-two patients (44 males, 38 females; age range 26-67 years) were enrolled in the present study. A total of 110 3DP/AM titanium dental implants (65 maxilla, 45 mandible) were installed: 75 in healed alveolar ridges and 35 in postextraction sockets. The prosthetic restorations included 110 single crowns (SCs). After 3 years of loading, six implants failed, for an overall implant survival rate of 94.5%; among the 104 surviving implant-supported restorations, 6 showed complications and were therefore considered unsuccessful, for an implant-crown success of 94.3%. The mean distance between the implant shoulder and the first visible bone-implant contact was 0.75 mm (±0.32) and 0.89 (±0.45) after 1 and 3 years of loading, respectively. 3DP/AM titanium dental implants seem to represent a successful clinical option for the rehabilitation of single-tooth gaps in both jaws, at least until 3-year period. Further, long-term clinical studies are needed to confirm the present results.

摘要

这项前瞻性3年随访临床研究评估了3D打印/增材制造钛牙种植体支持单颗种植修复体的生存率和成功率。在加载3年后,评估临床、影像学和修复参数;评估种植体生存率和种植体-牙冠成功率。本研究纳入了82例患者(44例男性,38例女性;年龄范围26-67岁)。共植入110颗3D打印/增材制造钛牙种植体(上颌65颗,下颌45颗):75颗植入愈合的牙槽嵴,35颗植入拔牙窝。修复体包括110颗单冠。加载3年后,6颗种植体失败,总体种植体生存率为94.5%;在104颗存活的种植体支持修复体中,6颗出现并发症,因此被认为不成功,种植体-牙冠成功率为94.3%。加载1年和3年后,种植体肩部与首次可见骨-种植体接触之间的平均距离分别为0.75毫米(±0.32)和0.89(±0.45)。3D打印/增材制造钛牙种植体似乎是修复上下颌单颗牙间隙的一种成功的临床选择,至少在3年期间如此。此外,需要长期临床研究来证实目前的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fef3/4903129/3e4c831c6f4d/IJD2016-8590971.001.jpg

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