Mengel Reiner, Heim Theresa, Thöne-Mühling Miriam
Department of Prosthetic Dentistry, School of Dental Medicine, Philipps-University, Marburg/Lahn, Germany.
, Gruben, Brandenburg, Germany.
Int J Implant Dent. 2017 Nov 28;3(1):48. doi: 10.1186/s40729-017-0110-6.
AIM: The aim of this case-series study is to evaluate the prevalence of mucositis, peri-implantitis, and survival and success rates of oxide-coated implants in subjects treated for periodontitis. MATERIALS AND METHODS: Twenty-four subjects treated for generalized chronic periodontitis (GCP) and five treated for generalized aggressive periodontitis (GAP) were orally rehabilitated with a total of 130 dental implants. Subjects were examined 2 to 4 weeks prior to extraction of non-retainable teeth and at insertion of superstructure. Additional examinations were performed during a 3-month recall schedule over a 3- to 6-year follow-up period. Radiographs were taken after insertion of the superstructure and 1, 3, and 5 years later. RESULTS: The results showed implant survival rates of 97.1% in GCP subjects versus 96.2% in GAP subjects. The implant success rate was 77.9% in GCP subjects and 38.5% in GAP subjects. In GCP subjects, mucositis was present in 7.7% and peri-implantitis in 12.5% of the implants. In GAP subjects, 28.0% of the implants showed mucositis and 32.0% peri-implantitis. Implant failure, mucositis, and peri-implantitis were more evident in GAP subjects. Peri-implantitis was more prevalent for implants in the maxilla and implants >10 mm. After 5 years, the mean peri-implant bone loss in GAP subjects was 2.89 mm and in GCP subjects 1.38 mm. CONCLUSIONS: Periodontally diseased subjects treated in a supportive periodontal therapy can be successfully rehabilitated with oxide-coated dental implants for a follow-up period of 3- to 6-years. Implants in the maxilla and GAP subjects were more susceptible to mucositis and peri-implantitis, with lower implant survival and success rates.
目的:本病例系列研究旨在评估牙周炎患者中黏膜炎、种植体周围炎的患病率以及氧化涂层种植体的存留率和成功率。 材料与方法:24例接受广泛性慢性牙周炎(GCP)治疗的患者和5例接受广泛性侵袭性牙周炎(GAP)治疗的患者接受了共计130颗牙种植体的口腔修复。在拔除无法保留的牙齿前2至4周以及上部结构植入时对患者进行检查。在3至6年的随访期内,按照3个月的复查计划进行额外检查。在上部结构植入后以及1年、3年和5年后拍摄X光片。 结果:结果显示,GCP患者的种植体存留率为97.1%,而GAP患者为96.2%。GCP患者的种植体成功率为77.9%,GAP患者为38.5%。在GCP患者中,7.7%的种植体出现黏膜炎,12.5%出现种植体周围炎。在GAP患者中,28.0%的种植体出现黏膜炎,32.0%出现种植体周围炎。种植体失败、黏膜炎和种植体周围炎在GAP患者中更为明显。上颌种植体和长度>10mm的种植体发生种植体周围炎更为普遍。5年后,GAP患者种植体周围平均骨吸收为2.89mm,GCP患者为1.38mm。 结论:接受支持性牙周治疗的牙周病患者使用氧化涂层牙种植体可成功修复3至6年。上颌种植体和GAP患者的种植体更容易发生黏膜炎和种植体周围炎,种植体存留率和成功率较低。
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