Department of Oral and Maxillofacial Surgery, Universitat Internacional de Catalunya, Barcelona, Spain.
Department of Periodontics and Oral Medicine, School of Dentistry, University of Michigan, Ann Arbor, Michigan, USA.
J Periodontol. 2021 Jun;92(6):823-832. doi: 10.1002/JPER.20-0259. Epub 2020 Oct 21.
A cross-sectional study was designed to shed light on the clinical sequelae and patient satisfaction after dental implant removal (IR).
Patients undergoing ≥1 IRs were eligible. The reasons for implant failure, clinical and radiological parameters before and after IR, and the surgical and prosthetic treatments offered after IR was assessed. Patient satisfaction was recorded and the Oral Health Impact Profile (OHIP)-14 was used to document patient self-reported dysfunction and discomfort attributed to IR. Lastly, patient expectations after IR were also evaluated.
Thirty-one patients with 45 implants were analyzed. Peri-implantitis was the main reason for IR (64.5%). The average implant survival time before IR was 120.3 ± 88.2 months. Signs of infection (51.7%) and bleeding on probing (37.5%) were common signs detected at the time of IR. Guided bone regeneration was the intervention most commonly applied simultaneously to IR (74.1%). The reported degree of satisfaction was high, and the overall OHIP-14 score was low. However, a certain patient reluctance to undergo future implant placement in the same clinic or with the same professional was recorded, and a statistically significant increase in adherence to the implant maintenance routine was observed after IR.
Peri-implantitis is the leading cause for IR. Guided bone regeneration is commonly applied to attenuate the clinical sequelae of IR. Nonetheless, IR does not seem to affect patients' satisfaction nor their quality of life, though a certain patient reluctance to undergo future implant placement in the same clinic or with the same professional was reported.
本研究旨在探讨牙种植体取出（IR）后的临床后果和患者满意度。
纳入接受≥1 次 IR 的患者。评估种植体失败的原因、IR 前后的临床和影像学参数以及提供的 IR 后手术和修复治疗。记录患者满意度，并使用口腔健康影响量表（OHIP-14）记录患者自我报告的因 IR 导致的功能障碍和不适。最后，还评估了患者对 IR 后的期望。
分析了 31 名患者的 45 个种植体。种植体周围炎是 IR 的主要原因（64.5%）。IR 前平均种植体存活时间为 120.3±88.2 个月。IR 时常见的迹象是感染迹象（51.7%）和探诊出血（37.5%）。引导骨再生是同时应用于 IR 的最常见干预措施（74.1%）。报告的满意度很高，总体 OHIP-14 评分较低。然而，记录到某些患者不愿意在同一诊所或由同一专业人员进行未来的种植体植入，并且在 IR 后观察到对种植体维护常规的依从性显著增加。
种植体周围炎是 IR 的主要原因。引导骨再生常用于减轻 IR 的临床后果。尽管如此，IR 似乎不会影响患者的满意度或生活质量，但报告了某些患者不愿意在同一诊所或由同一专业人员进行未来的种植体植入。
