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评估两种具有不同表面粗糙度的大颗粒喷砂和酸蚀表面种植体的疗效和安全性的随机临床试验。

Randomized clinical trial to evaluate the efficacy and safety of two types of sandblasted with large-grit and acid-etched surface implants with different surface roughness.

作者信息

Jeon Jun-Hyung, Kim Min-Joong, Yun Pil-Young, Jo Deuk-Won, Kim Young-Kyun

机构信息

Department of Oral and Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital, Seongnam, Korea.

Department of Dentistry and Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea.

出版信息

J Korean Assoc Oral Maxillofac Surg. 2022 Aug 31;48(4):225-231. doi: 10.5125/jkaoms.2022.48.4.225.

Abstract

OBJECTIVES

This study aims to evaluate the efficacy and safety of two types of sandblasted with large-grit and acid-etched (SLA) surface implants with different surface roughness. Patients and.

METHODS

This study was conducted based on a clinical record review of 55 patients (mean age, 53.00 years). A total of 80 SLA surface implants was placed. Among the 80 implants, 38 implants placed in 29 subjects had surface roughness (Ra) of 3.09 μm (test group, TG), while the other 42 implants placed in 31 subjects had a surface roughness (Ra) of 2.50 μm (control group, CG). A comparison was made of implant primary/ secondary stability; success and survival rates; marginal bone loss; and soft tissue assessment including probing pocket depth (PPD), plaque index (PI), gingival index (GI), and bleeding on probing (BOP) between the groups at 1 year after implant placement.

RESULTS

Among the implants that were initially registered, 1 from the TG and 4 from the CG dropped out, leaving 37 implants in the TG and 38 implants in the CG to be traced and analyzed. Although 1 TG case showed unstable primary stability, all cases showed stable secondary stability. Success and survival rates at 1 year after implant placement were 100% in both groups. Marginal bone loss was 0.07 mm and 0.00 mm for the TG and CG, respectively, but the difference was not significant. Among the several parameters for evaluation of soft tissue, the TG showed lower PI at 1 year after implant placement (TG=0.00, CG=0.29; =0.0004), while the remaining categories showed no significant difference between the groups.

CONCLUSION

This study shows that the two types of SLA implants with different surface roughness have no difference in efficacy or safety. Therefore, both of the implants can be used safely and with promising outcomes.

摘要

目的

本研究旨在评估两种具有不同表面粗糙度的大颗粒喷砂和酸蚀(SLA)表面种植体的有效性和安全性。患者与……

方法

本研究基于对55例患者(平均年龄53.00岁)的临床记录回顾进行。共植入80枚SLA表面种植体。在这80枚种植体中,29名受试者植入的38枚种植体表面粗糙度(Ra)为3.09μm(试验组,TG),而另外31名受试者植入的42枚种植体表面粗糙度(Ra)为2.50μm(对照组,CG)。对种植体植入后1年时两组之间的种植体初期/二期稳定性、成功率和存留率、边缘骨吸收以及软组织评估(包括探诊深度[PPD]、菌斑指数[PI]、牙龈指数[GI]和探诊出血[BOP])进行比较。

结果

在最初登记的种植体中,试验组有1枚、对照组有4枚退出,试验组留下37枚种植体、对照组留下38枚种植体进行追踪分析。尽管试验组有1例病例初期稳定性不稳定,但所有病例二期稳定性均稳定。两组种植体植入后1年的成功率和存留率均为100%。试验组和对照组的边缘骨吸收分别为0.07mm和0.00mm,但差异无统计学意义。在评估软组织的几个参数中,试验组在种植体植入后1年时菌斑指数较低(试验组=0.00,对照组=0.29;P=0.0004),而其余类别两组之间差异无统计学意义。

结论

本研究表明,两种具有不同表面粗糙度的SLA种植体在有效性或安全性方面无差异。因此,两种种植体均可安全使用且预后良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cee6/9433856/78e50e618ac8/jkaoms-48-4-225-f1.jpg

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