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探诊时围绕牙种植体出血:相关因素的回顾性研究。

Bleeding on probing around dental implants: a retrospective study of associated factors.

机构信息

Research Centre for the Study of Periodontal and Peri-Implant Diseases, University of Ferrara, Ferrara, Italy.

Operative Unit of Dentistry, University-Hospital of Ferrara, Ferrara, Italy.

出版信息

J Clin Periodontol. 2017 Jan;44(1):115-122. doi: 10.1111/jcpe.12647. Epub 2016 Dec 12.

Abstract

AIM

To (i) identify factors associated with the probability of a peri-implant site to be positive to bleeding on probing (BoP+) and (ii) compare BoP+ probability around dental implants and contra-lateral teeth.

METHODS

In 112 patients, data related to 1725 peri-implant sites and 1020 contra-lateral dental sites were retrospectively obtained. To analyse the association between patient-, implant- and site-related factors and BoP+ probability, a logistic, three-level model was built with BoP as the binary outcome variable (+/-).

RESULTS

BoP+ probability for a peri-implant site with probing depth (PD) of 4 mm was 27%, and the odds ratio increased by 1.6 for each 1-mm increment in PD (p < 0.001). Also, BoP+ probability was higher in females compared to males (OR = 1.61; p = 0.048), and lower at posterior compared to anterior dental implants (OR = 0.55; p < 0.01). No significant difference in BoP+ probability was observed between peri-implant and contra-lateral dental sites when controlling for the difference in PD.

CONCLUSIONS

The probability of a peri-implant site to bleed upon probing is (i) associated with PD, implant position and gender, and (ii) similar to that observed at contra-lateral dental sites when controlling for the effect of PD.

摘要

目的

(i)确定与探诊出血(BoP+)阳性的种植体周围位点相关的因素;(ii)比较种植体周围位点和对侧天然牙的 BoP+概率。

方法

回顾性收集了 112 名患者的 1725 个种植体周围位点和 1020 个对侧天然牙位点的数据。为了分析患者、种植体和位点相关因素与 BoP+概率之间的关系,采用逻辑三水平模型,以 BoP 作为二分类结局变量(+/-)。

结果

PD 为 4mm 的种植体周围位点的 BoP+概率为 27%,PD 每增加 1mm,优势比增加 1.6(p<0.001)。与男性相比,女性的 BoP+概率更高(OR=1.61;p=0.048),而与前牙种植体相比,后牙种植体的 BoP+概率更低(OR=0.55;p<0.01)。在控制 PD 差异的情况下,种植体周围位点和对侧天然牙位点的 BoP+概率无显著差异。

结论

探诊时种植体周围位点出血的概率(i)与 PD、种植体位置和性别相关;(ii)在控制 PD 影响后,与对侧天然牙位点的 BoP+概率相似。

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