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日常牙科实践中种植体的成功率和留存率:一项使用CAMLOG SCREW-LINE种植体(有无平台转换基台)的非干预性研究的5年结果

Implant success and survival rates in daily dental practice: 5-year results of a non-interventional study using CAMLOG SCREW-LINE implants with or without platform-switching abutments.

作者信息

Beschnidt Sven Marcus, Cacaci Claudio, Dedeoglu Kerem, Hildebrand Detlef, Hulla Helfried, Iglhaut Gerhard, Krennmair Gerald, Schlee Markus, Sipos Paul, Stricker Andres, Ackermann Karl-Ludwig

机构信息

Private practice, Baden-Baden, Germany.

Private practice, Munich, Germany.

出版信息

Int J Implant Dent. 2018 Nov 2;4(1):33. doi: 10.1186/s40729-018-0145-3.

Abstract

BACKGROUND

The performance of dental implants in controlled clinical studies is often investigated in homogenous populations. Observational studies are necessary to evaluate the outcome of implant restorations placed in real-life situations, according to standard practice, and to assess the needs of the patients. The aim of this non-interventional study was to reveal the survival, success, and general performance of CAMLOG SCREW-LINE implants and their restorations in daily dental practice.

METHODS

Seventeen private practices across five countries participated in this prospective multicenter study. Patients received implants in the maxilla and mandible which were restored either with platform-matching or platform-switching abutments. Patients were followed-up for up to 5 years post-loading. Radiographs and clinical parameters were evaluated and patient satisfaction was evaluated.

RESULTS

From a total of 196 patients planned, 185 patients with 271 implants were restored with abutments and fulfilled the follow-up inclusion criteria. Three implant failures were recorded, resulting in a cumulative survival rate of 98.6% after 5 years post-loading. One persistent complication of peri-implantitis occurred. The soft tissue health remained stable, and the papilla height improved after loading. At 5-year follow-up, the mean crestal bone loss was - 0.28 ± 0.60 mm; over 99% of patients reported satisfaction with the restoration as excellent or good.

CONCLUSIONS

Implants placed and restored with both platform-matching and platform-switching abutments in daily dental private practice achieved excellent clinical outcomes with highly satisfied patients after 5 years of function, confirming the results obtained in well-controlled clinical trials.

摘要

背景

在对照临床研究中,牙种植体的性能通常在同质人群中进行研究。根据标准实践,观察性研究对于评估在实际临床情况下植入的种植体修复体的结果以及评估患者需求是必要的。这项非干预性研究的目的是揭示CAMLOG SCREW-LINE种植体及其修复体在日常牙科实践中的存活率、成功率和总体性能。

方法

来自五个国家的17家私人诊所参与了这项前瞻性多中心研究。患者在上颌和下颌接受种植体植入,使用平台匹配或平台转换基台进行修复。患者在加载后随访长达5年。评估了X线片和临床参数,并评估了患者满意度。

结果

在计划的196例患者中,185例患者的271颗种植体使用基台进行了修复,并符合随访纳入标准。记录到3例种植体失败,加载后5年的累积存活率为98.6%。发生了1例种植体周围炎的持续性并发症。软组织健康状况保持稳定,加载后乳头高度有所改善。在5年随访时,平均牙槽嵴骨吸收为-0.28±0.60mm;超过99%的患者对修复体的满意度为优秀或良好。

结论

在日常牙科私人实践中,使用平台匹配和平台转换基台植入并修复的种植体在功能5年后取得了优异的临床效果,患者满意度很高,证实了在严格对照的临床试验中获得的结果。

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