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牙种植体早期失败的危险因素:一项回顾性研究。

The Risk Factors in Early Failure of Dental Implants: a Retrospective Study.

作者信息

Mohajerani Hassan, Roozbayani Roozbeh, Taherian Shahram, Tabrizi Reza

机构信息

Dept. of Oral and Maxillofacial Surgery, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Dental Student, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

J Dent (Shiraz). 2017 Dec;18(4):298-303.

Abstract

STATEMENT OF THE PROBLEM

Despite the low failure rate of dental implants, recognition of the risk factors can enhance the predictability of failure.

PURPOSE

The aim of this study was to evaluate the risk factors for early implant failure.

MATERIALS AND METHOD

This retrospective cohort study was conducted on two groups of patients, the patients with a failed implant before loading and those without a failed implant. Age, gender, implant type, implant surface, implant length, bone type, type of surgery (one- or two-stage) and immediate (fresh socket) or delayed placement of implant were the variables to be assessed in this study.

RESULTS

Out of the 1,093 evaluated implants, 73 cases (6.68%) failed in early stages. The two groups were significantly different in terms of implant surface, fresh socket placement, prophylactic use of antibiotics, and bone density (< 0.05). Age, gender, implant height, implant type (cylindrical or tapered) and one-stage or two-stage placement were not significantly different between the two groups (> 0.05).

CONCLUSION

It seems that prophylactic antibiotic therapy, implant surface, bone density and placement in fresh extraction socket may contribute to dental implant failure.

摘要

问题陈述

尽管牙种植体的失败率较低,但识别风险因素可提高失败的可预测性。

目的

本研究的目的是评估早期种植体失败的风险因素。

材料与方法

本回顾性队列研究针对两组患者进行,一组是种植体在加载前失败的患者,另一组是种植体未失败的患者。年龄、性别、种植体类型、种植体表面、种植体长度、骨类型、手术类型(一期或二期)以及种植体的即刻(新鲜拔牙窝)或延期植入是本研究中要评估的变量。

结果

在1093颗评估的种植体中,73例(6.68%)早期失败。两组在种植体表面、新鲜拔牙窝植入、抗生素的预防性使用和骨密度方面存在显著差异(<0.05)。两组在年龄、性别、种植体高度、种植体类型(圆柱形或锥形)以及一期或二期植入方面无显著差异(>0.05)。

结论

预防性抗生素治疗、种植体表面、骨密度以及在新鲜拔牙窝植入似乎可能导致牙种植体失败。

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