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与研究生植入的新型三角形颈部种植体失败及边缘骨丢失相关的协变量:一项为期1年的前瞻性队列研究。

Covariates Relating to Implant Failure and Marginal Bone Loss of a Novel Triangular Neck-Implant Placed by Post-Graduate Students: A 1-Year Prospective Cohort Study.

作者信息

Giralt-Hernando Maria, Ragucci Gian Maria, Cantó-Naves Oriol, Valls-Ontañón Adaia, Hernández-Alfaro Federico

机构信息

Department of Oral and Maxillofacial Surgery, Universitat Internacional de Catalunya (UIC), Sant Cugat del Vallés, 08195 Barcelona, Spain.

Department of Restorative Dentistry, School of Dentistry, Universitat Internacional de Catalunya (UIC), Sant Cugat del Vallés, 08195 Barcelona, Spain.

出版信息

Materials (Basel). 2022 Mar 8;15(6):1987. doi: 10.3390/ma15061987.

Abstract

(1) Background: Most of the clinical literature dealing with dental implants has been issued by experienced teams working either in university settings or in private practice. The purpose of this study was to identify contributing covariates to implant failure and marginal bone loss (MBL) at the 1-year follow-up of a novel triangular-neck implant design when placed by inexperienced post-graduate students. (2) Methods: A prospective cohort study was conducted on study participants eligible for implant placement at the UIC (International University of Catalonia), Barcelona, Spain. Implant failure rate and contributors to implant failure and MBL were investigated among 24 implant and patient variables. (3) Results: One hundred and twenty implants (V3, MIS) were placed and rehabilitated by the students. The mean insertion torque was 37.1 Ncm. Survival and success rates were 97.5% and 96.7%, respectively. Implants placed in patients with smoking habits displayed a tendency of higher failure risk (OR = 5.31, = 0.17) when compared to non-smokers. The mean (SD) MBL was 0.51 (0.44) mm. Gender significantly affected the MBL ( = 0.020). Bleeding on probing (BoP) on the buccal sites proved to be a good predictor of proximal MBL ( = 0.030). (4) Conclusions: The survival and success rates of the V3 triangular-neck implant placed by inexperienced post-graduate students at the 1-year follow-up were high and similar to the ones published in the literature by experienced teams on other implants.

摘要

(1) 背景:大多数关于牙种植体的临床文献是由在大学环境或私人诊所工作的经验丰富的团队发表的。本研究的目的是确定在由缺乏经验的研究生植入一种新型三角形颈部种植体设计后1年随访时,导致种植体失败和边缘骨丢失(MBL)的相关协变量。(2) 方法:对西班牙巴塞罗那加泰罗尼亚国际大学(UIC)符合种植体植入条件的研究参与者进行了一项前瞻性队列研究。在24个种植体和患者变量中调查了种植体失败率以及导致种植体失败和MBL的因素。(3) 结果:学生们植入并修复了120颗种植体(V3,MIS)。平均植入扭矩为37.1 Ncm。生存率和成功率分别为97.5%和96.7%。与不吸烟的患者相比,有吸烟习惯的患者植入的种植体显示出更高的失败风险倾向(OR = 5.31, = 0.17)。平均(标准差)MBL为0.51(0.44)mm。性别对MBL有显著影响( = 0.020)。颊侧探诊出血(BoP)被证明是近端MBL的良好预测指标( = 0.030)。(4) 结论:缺乏经验的研究生植入的V3三角形颈部种植体在1年随访时的生存率和成功率很高,与经验丰富的团队在文献中发表的其他种植体的生存率和成功率相似。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e314/8952199/daaad7797f4c/materials-15-01987-g001.jpg

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