探诊时的种植体周围出血：相关因素的横断面多层次分析。
Peri-implant bleeding on probing: a cross-sectional multilevel analysis of associated factors.
机构信息
Private practice, Rimini, Italy.
Clinica Merli, Rimini, Italy.
出版信息
Clin Oral Implants Res. 2017 Nov;28(11):1401-1405. doi: 10.1111/clr.13001. Epub 2017 Feb 6.
OBJECTIVES
The objective was to evaluate the association between peri-implant bleeding on probing (BoP) and probing depth. Other factors regarding patients, implants, and sites were taken into consideration.
MATERIAL AND METHODS
Consecutive adult patients with ≥1 dental implant were eligible. Two calibrated operators examined the patients. BoP was the outcome variable. The effects of patient, implant and site factors on BoP were assessed using a 3-level logistic model.
RESULTS
Fifty-two patients for a total of 92 implants and 552 sites were included in the analysis. The BoP was observed in 217 sites (39%). The odds ratio increased by 1.81 (95% CI from 1.47 to 2.23; P < 0.0001) for each 1 mm increment in probing pocket depth. A significant higher risk was observed also for interproximal vs. approximal surfaces (OR = 1.55; 95% CI from 1.02 to 2.36; P = 0.0402).
CONCLUSIONS
Peri-implant bleeding was associated with site-specific factors.
目的
评估探诊时的种植体周围出血（BoP）与探诊深度之间的关系。同时考虑了与患者、种植体和部位相关的其他因素。
材料与方法
连续纳入≥1 颗种植体的成年患者。由 2 名经过校准的操作人员对患者进行检查。探诊时出血情况为观察结果。使用 3 水平逻辑回归模型评估患者、种植体和部位因素对 BoP 的影响。
结果
共有 52 名患者（共 92 颗种植体和 552 个部位）纳入分析。217 个部位（39%）出现探诊时出血。探诊深度每增加 1mm，比值比增加 1.81（95%CI：1.47-2.23；P<0.0001）。与近中面相比，颊舌面的出血风险也显著增加（OR=1.55；95%CI：1.02-2.36；P=0.0402）。
结论
种植体周围出血与部位相关的特定因素有关。
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