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单冠或固定义齿修复的牙根模拟种植体的临床结果:一项回顾性病例系列研究。

Clinical Outcomes of Root-Analogue Implants Restored with Single Crowns or Fixed Dental Prostheses: A Retrospective Case Series.

作者信息

Böse Mats Wernfried Heinrich, Hildebrand Detlef, Beuer Florian, Wesemann Christian, Schwerdtner Paul, Pieralli Stefano, Spies Benedikt Christopher

机构信息

Department of Prosthodontics, Geriatric Dentistry and Craniomandibular Disorders, Institute for Dentistry, Oral and Maxillofacial Surgery, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Campus Benjamin Franklin (CBF), Aßmannshauser Str. 4-6, 14197 Berlin, Germany.

Private Dental Office Dr. Detlef Hildebrand, Westhafenstraße 1, 13353 Berlin, Germany.

出版信息

J Clin Med. 2020 Jul 23;9(8):2346. doi: 10.3390/jcm9082346.

Abstract

The objective was to investigate clinical and radiological outcomes of rehabilitations with root-analogue implants (RAIs). Patients restored with RAIs, supporting single crowns or fixed dental prostheses, were recruited for follow-up examinations. Besides clinical and esthetical evaluations, X-rays were taken and compared with the records. Patients were asked to evaluate the treatment using Visual Analogue Scales (VAS). For statistical analyses, mixed linear models were used. A total of 107 RAIs were installed in one dental office. Of these, 31 were available for follow-up examinations. For those remaining, survival has been verified via phone. RAIs were loaded after a mean healing time of 6.6 ± 2.5 months. 12.1 ± 6.9 months after loading, a mean marginal bone loss (MBL) of 1.20 ± 0.73 mm was measured. Progression of MBL significantly decreased after loading ( = 0.013). The mean pink and white esthetic score (PES/WES) was 15.35 ± 2.33 at follow-up. A survival rate of 94.4% was calculated after a mean follow-up of 18.9 ± 2.4 months after surgery. Immediate installation of RAIs does not seem to reduce MBL, as known from the literature regarding screw-type implants, and might not be recommended for daily routine. Nevertheless, they deliver esthetically satisfying results.

摘要

目的是研究使用牙根模拟种植体(RAIs)进行修复的临床和影像学结果。招募接受RAIs修复、支持单冠或固定义齿的患者进行随访检查。除了临床和美学评估外,还进行了X线检查并与记录进行比较。要求患者使用视觉模拟量表(VAS)对治疗进行评估。统计分析采用混合线性模型。在一个牙科诊所共植入了107枚RAIs。其中,31枚可供随访检查。对于其余的,通过电话核实了其存留情况。RAIs在平均愈合时间6.6±2.5个月后加载。加载后12.1±6.9个月,测量的平均边缘骨吸收(MBL)为1.20±0.73mm。加载后MBL的进展显著降低(P = 0.013)。随访时平均粉红美学评分(PES)和白色美学评分(WES)为15.35±2.33。术后平均随访18.9±2.4个月后计算得出存留率为94.4%。与关于螺钉型种植体的文献报道不同,即刻植入RAIs似乎并不会减少MBL,可能不推荐用于日常临床。然而,它们能带来美学上令人满意的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6c6/7465378/9145c57b1ada/jcm-09-02346-g001.jpg

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