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采用带刃边螺纹设计和纳米结构含钙表面的锥形种植体支持的固定全牙弓:一项短期前瞻性临床研究。

Fixed Full Arches Supported by Tapered Implants with Knife-Edge Thread Design and Nanostructured, Calcium-Incorporated Surface: A Short-Term Prospective Clinical Study.

作者信息

Bechara Soheil, Lukosiunas Algirdas, Dolcini Giorgio Andrea, Kubilius Ricardas

机构信息

Private Practice, MIR International Implantology Center, LT-08339 Vilnius, Lithuania.

Department of Oral and Maxillofacial Surgery, Lithuanian University of Health Science, LT-44307 Kaunas, Lithuania.

出版信息

Biomed Res Int. 2017;2017:4170537. doi: 10.1155/2017/4170537. Epub 2017 Jan 29.

Abstract

To evaluate implant survival, peri-implant bone loss, and complications affecting fixed full-arch (FFA) restorations supported by implants with a knife-edge thread design and nanostructured, calcium-incorporated surface. Between January 2013 and December 2015, all patients referred for implant-supported FFA restorations were considered for enrollment in this study. All patients received implants with a knife-edge thread design and nanostructured calcium-incorporated surface (Anyridge®, Megagen, South Korea) were restored with FFA restorations and enrolled in a recall program. The final outcomes were implant survival, peri-implant bone loss, biologic/prosthetic complications, and "complication-free" survival of restorations. Twenty-four patients were selected. Overall, 215 implants were inserted (130 maxilla, 85 mandible), 144 in extraction sockets and 71 in healed ridges. Thirty-six FFAs were delivered (21 maxilla, 15 mandible): 27 were immediately loaded and 9 were conventionally loaded. The follow-up ranged from 1 to 3 years. Two fixtures failed, yielding an implant survival rate of 95.9% (patient-based). A few complications were registered, for a "complication-free" survival of restorations of 88.9%. FFA restorations supported by implants with a knife-edge thread design and nanostructured, calcium-incorporated surface are successful in the short term, with high survival and low complication rates; long-term studies are needed to confirm these outcomes.

摘要

为评估种植体存活率、种植体周围骨吸收以及影响采用刃状螺纹设计和纳米结构含钙表面种植体支持的固定全牙弓(FFA)修复体的并发症。在2013年1月至2015年12月期间,所有因种植体支持的FFA修复体前来就诊的患者均被纳入本研究。所有患者均接受了刃状螺纹设计和纳米结构含钙表面的种植体(Anyridge®,韩国美格真公司),并用FFA修复体进行修复,并纳入随访计划。最终结果包括种植体存活率、种植体周围骨吸收、生物学/修复并发症以及修复体的“无并发症”存活率。选择了24例患者。总共植入了215枚种植体(上颌130枚,下颌85枚),其中144枚植入拔牙窝,71枚植入愈合牙槽嵴。交付了36个FFA修复体(上颌21个,下颌15个):27个立即加载,9个传统加载。随访时间为1至3年。2个种植体失败,以患者为基础的种植体存活率为95.9%。记录了一些并发症,修复体的“无并发症”存活率为88.9%。采用刃状螺纹设计和纳米结构含钙表面种植体支持的FFA修复体在短期内是成功的,具有高存活率和低并发症发生率;需要长期研究来证实这些结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6068/5303578/1f33138c02f7/BMRI2017-4170537.001.jpg

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