Altay Mehmet Ali, Tozoğlu Sinan, Yıldırımyan Nelli, Özarslan Mehmet Mustafa
Int J Oral Maxillofac Implants. 2018 January/February;33(1):152–160. doi: 10.11607/jomi.5781. Epub 2017 Oct 13.
The aim of this pilot study was to evaluate clinical outcomes of implant treatment in periodontally compromised patients.
Partially edentulous patients who were diagnosed and treated for chronic periodontitis and later rehabilitated with implant-supported single crowns or fixed partial dentures were enrolled in this study. At the final follow-up, data on probing pocket depth and bleeding on probing were collected, and changes in peri-implant bone levels were assessed on periapical radiographs. Accordingly, patients were categorized into peri-implant disease-free (PID-free), peri-implant mucositis (PIM), or peri-implantitis (PI) groups. Additionally, information on the history of systemic diseases was obtained and correlated with the findings.
Seven females and six males with a mean age of 55.2 (standard deviation [SD] ± 8.38) years were included in this study. Fifty-five implants were placed in 13 partially edentulous patients with a history of chronic periodontitis. The mean follow-up in the study was 35.1 (SD ± 2.40) months. No implants were lost in the 13 patients, for a cumulative survival of 100%. PI was confirmed in 3 patients and PIM in 8 patients, while 2 patients were found to be PID-free. Diabetes and hypertension were found to be the predominant systemic factors among patients affected by peri-implant diseases.
Patients with a history of periodontitis are at considerable risk of being affected by peri-implant mucositis, if not by peri-implantitis.
本初步研究的目的是评估牙周状况不佳患者种植治疗的临床效果。
本研究纳入了部分牙列缺损患者，这些患者被诊断患有慢性牙周炎并接受了治疗，随后采用种植支持的单冠或固定局部义齿进行修复。在最后一次随访时，收集探诊深度和探诊出血的数据，并通过根尖片评估种植体周围骨水平的变化。据此，将患者分为种植体周围无疾病（PID-free）、种植体周围黏膜炎（PIM）或种植体周围炎（PI）组。此外，还获取了全身疾病史信息，并将其与研究结果相关联。
本研究纳入了7名女性和6名男性，平均年龄为55.2（标准差[SD]±8.38）岁。在13名有慢性牙周炎病史的部分牙列缺损患者中植入了55颗种植体。研究的平均随访时间为35.1（SD±2.40）个月。13名患者中无一例种植体丢失，累计生存率为100%。3例患者确诊为PI，8例患者为PIM，2例患者为PID-free。糖尿病和高血压被发现是受种植体周围疾病影响患者中的主要全身因素。
有牙周炎病史的患者即使不患种植体周围炎，也有相当大的风险患种植体周围黏膜炎。
