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饮酒是否能预防种植牙后期失败?

Does alcohol consumption protect against late dental implant failures?

机构信息

Resident, Department of Surgery, Division of Oral and Maxillofacial Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA.

Staff Surgeon, Department of Craniofacial and Oral and Maxillofacial Surgery, Sanford Health, Fargo, ND, USA.

出版信息

Oral Surg Oral Med Oral Pathol Oral Radiol. 2021 Jun;131(6):631-637. doi: 10.1016/j.oooo.2020.12.008. Epub 2020 Dec 19.

Abstract

PURPOSE

Social factors have been implicated in the development of peri-implant pathologies, including implant failure. This study aims to investigate whether alcohol consumption affects late dental implant failures.

METHODS

A retrospective cohort study evaluated implants placed between 2006 and 2012 at the Philadelphia Veterans Affairs Medical Center. The primary predictor variable was alcohol consumption, measured as nonconsumption and mild, moderate, and heavy consumption. The primary outcome variable was late dental implant failure. Univariate, bivariate, and multivariate statistics were applied, with P < .05 used to define statistical significance.

RESULTS

Our cohort consisted of 103 patients and 295 implants with a 5-year minimum follow-up. Most patients were male (93%) with an average age of 60 at the time of implant placement. Late implant failure was associated with 30 implants. Compared to nonconsumption, mild consumption was associated with a 75% decrease in late implant failure (P = .0494), moderate consumption was associated with a 60% decrease (P = .3826), and heavy consumption was associated with a 200% increase (P < .1782). Compared to mild consumption, heavy consumption was associated with an 847% increase in late failure (P = .0135).

CONCLUSIONS

Results from this retrospective cohort analysis suggest that mild alcohol consumption is associated with a decrease in late dental implant failures.

摘要

目的

社会因素与种植体周围病的发生有关,包括种植体失败。本研究旨在探讨饮酒是否会影响晚期牙种植体失败。

方法

回顾性队列研究评估了 2006 年至 2012 年间在费城退伍军人事务医疗中心放置的种植体。主要预测变量是饮酒量,分为不饮酒、轻度、中度和重度饮酒。主要结局变量为晚期牙种植体失败。应用单变量、双变量和多变量统计,P<.05 用于定义统计学意义。

结果

我们的队列包括 103 名患者和 295 个种植体,随访时间至少为 5 年。大多数患者为男性(93%),种植时平均年龄为 60 岁。晚期种植体失败与 30 个种植体有关。与不饮酒相比,轻度饮酒与晚期种植体失败风险降低 75%相关(P=.0494),中度饮酒与晚期种植体失败风险降低 60%相关(P=.3826),重度饮酒与晚期种植体失败风险增加 200%相关(P<.1782)。与轻度饮酒相比,重度饮酒与晚期种植体失败风险增加 847%相关(P=.0135)。

结论

本回顾性队列分析结果表明,轻度饮酒与晚期牙种植体失败风险降低有关。

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