Dereci Ömür, Mumcu Emre, Dereci Olgu Nur, Dayan Süleyman Çağatay, Koşar Yasin Çağlar, Fadhil Sadeq Mohammed Taqi
Quintessence Int. 2020;51(2):118-126. doi: 10.3290/j.qi.a43864.
Marginal bone loss (MBL), a prognostic parameter for implant success, is associated with implant- and patient-related variables. The purpose of this study was to analyze the effects of the crown-to-implant ratio and independent factors of implant diameter, implant length, implant type, location, and platform switching on distal and mesial MBLs at the 6-, 12-, 24-, and 36-month recall sessions of single crown implant-supported restorations.
Radiographic and clinical data of patients treated with single crown implants were collected. MBL was measured at the baseline and recall sessions on panoramic radiographs. The crown-to-implant ratio was calculated by dividing the length of the crown by that of the dental implant.
The crown-to-implant ratio had a moderately positive correlation with distal MBL at the 6-month recall session (P < .05, r = 0.469) and a weakly positive correlation at the 12- (P < .05, r = 0.220), 24- (P < .05, r = 0.214), and 36- (P < .05, r = 0.250) month recall sessions. Distal and mesial MBL did not significantly differ among the four implant types at any recall session (P > .05). The crown-to-implant ratio had no significant correlation with mesial MBL at the 12-, 24-, or 36-month recall session (P > .05), and a moderately positive correlation at the 6-month recall session (P < .001, r = 0.434).
MBL was similar among different implant types in the short and medium terms. There was a positive correlation between distal MBL and the crown-to-implant ratio.
边缘骨吸收(MBL)是种植体成功的一个预后参数,与种植体及患者相关变量有关。本研究的目的是分析在单冠种植体支持修复体的6个月、12个月、24个月和36个月复查时,冠根比以及种植体直径、种植体长度、种植体类型、位置和平台转换等独立因素对远中及近中MBL的影响。
收集接受单冠种植体治疗患者的影像学和临床数据。在全景X线片上于基线和复查时测量MBL。冠根比通过将冠的长度除以牙种植体的长度来计算。
在6个月复查时,冠根比与远中MBL呈中度正相关(P < 0.05,r = 0.469),在12个月(P < 0.05,r = 0.220)、24个月(P < 0.05,r = 0.214)和36个月(P < 0.05,r = 0.250)复查时呈弱正相关。在任何复查时,四种种植体类型之间的远中及近中MBL均无显著差异(P > 0.05)。在12个月、24个月或36个月复查时,冠根比与近中MBL无显著相关性(P > 0.05),在6个月复查时呈中度正相关(P < 0.001,r = 0.434)。
在短期和中期,不同种植体类型之间的MBL相似。远中MBL与冠根比之间存在正相关。