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种植体周围炎的发生率及其与不同状况的关系:一项回顾性研究。

Incidence of Peri-Implantitis and Relationship with Different Conditions: A Retrospective Study.

机构信息

Department of Periodontology, School of Dentistry, Universidad de Seville, C/Avicena S/N, 41009 Seville, Spain.

Technological Health Research Center, Biomaterials of the Faculties of Medicine and Dentistry, International University of Cataluña, 08017 Barcelona, Spain.

出版信息

Int J Environ Res Public Health. 2022 Mar 31;19(7):4147. doi: 10.3390/ijerph19074147.

Abstract

Articles on the prevalence of peri-implant diseases showed that 90% of peri-implant tissues had some form of inflammatory response and a prevalence of peri-implantitis from 28% to 51% according to various publications. Objective: To provide an overview of how risk factors can be related with peri-implantitis. Methods: A retrospective longitudinal study including 555 implants placed in 132 patients was evaluated based on the presence of peri-implantitis following the criteria of Renvert et al. 2018. Results: In total, 21 patients (15.9%) suffered peri-implantitis (PPG) and 111 patients (84.1%) did not suffer peri-implantitis (NPG). The results reveal that smokers have a high incidence of peri-implantitis (72.7%) compared to non-smokers (27.3%) (p < 0.0005). Another variable with significant results (p < 0.01) was periodontitis: 50% PPG and 23.9% NPG suffered advanced periodontitis. Systemic diseases such as arterial hypertension, diabetes mellitus, osteoporosis, and cardiovascular diseases do not show a statistically significant influence on the incidence of peri-implantitis. Patients who did not attend their maintenance therapy appointment had an incidence of peri-implantitis of 61.4%, compared to 27.3% in those who attend (p < 0.0001). From the results obtained, we can conclude that relevant factors affect peri-implantitis, such as tobacco habits, moderate and severe periodontitis, and attendance in maintenance therapy.

摘要

文章报道了种植体周围病的流行情况,表明 90%的种植体周围组织存在某种形式的炎症反应,根据不同的出版物,种植体周围炎的患病率为 28%至 51%。目的:综述各种风险因素与种植体周围炎的关系。方法:对 132 例患者的 555 个种植体进行回顾性纵向研究,根据 Renvert 等 2018 年的标准评估种植体周围炎的发生情况。结果:共有 21 例(15.9%)患者发生种植体周围炎(PPG),111 例(84.1%)患者未发生种植体周围炎(NPG)。结果显示,吸烟者种植体周围炎的发生率较高(72.7%),而非吸烟者为 27.3%(p<0.0005)。另一个具有显著结果的变量(p<0.01)是牙周炎:50%的 PPG 和 23.9%的 NPG 患有晚期牙周炎。动脉高血压、糖尿病、骨质疏松症和心血管疾病等系统性疾病对种植体周围炎的发生没有统计学上的影响。未按时进行维护治疗的患者种植体周围炎的发生率为 61.4%,而按时进行维护治疗的患者为 27.3%(p<0.0001)。从所获得的结果可以得出结论,相关因素如吸烟习惯、中重度牙周炎和按时进行维护治疗等,会影响种植体周围炎的发生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52e9/8998347/cd12a5629722/ijerph-19-04147-g001.jpg

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