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引导骨再生技术同期应用 Bio-Oss 胶原或不使用移植物行上颌窦底提升术的临床效果:一项为期一年的单盲随机对照临床试验。

Outcomes following osteotome-mediated sinus floor elevation with Bio-Oss Collagen or no grafting material: a one-year single-blind randomized controlled trial.

机构信息

Department of Oral and Maxillofacial Surgery, Aalborg University Hospital and Department of Clinical Medicine, Faculty of Medicine, Aalborg University, Aalborg, Denmark.

Unit of Clinical Biostatistics, Aalborg University Hospital, Aalborg, Denmark.

出版信息

Int J Oral Maxillofac Surg. 2023 Sep;52(9):988-997. doi: 10.1016/j.ijom.2022.12.009. Epub 2023 Jan 12.

DOI:10.1016/j.ijom.2022.12.009
PMID:36639342
Abstract

The objective of this single-blind randomized controlled trial was to test the hypothesis of no difference in implant treatment outcome and patient-reported outcome measures (PROMs) following osteotome-mediated sinus floor elevation with Bio-Oss Collagen (test) compared with no grafting material (control) after 1 year of implant loading. Forty healthy patients (27 female, 13 male) with a mean age of 49 years (range 24-74 years) were randomly allocated to the test or control group. Outcome measures included survival of the suprastructures and implants, peri-implant marginal bone loss, complications, and PROMs; the latter included the Oral Health Impact Profile-14 and a self-administered questionnaire with visual analogue scales to assess the peri-implant tissue, implant crown, function of the implant, total implant treatment outcome, and oral health-related quality of life. Mean differences were expressed with the standard deviation and 95% confidence interval. The level of significance was 0.05. Survival of the suprastructures and implants was 100% with both treatment modalities. No significant difference in any of the outcome measures was observed between the test and control groups. High patient satisfaction and a significant improvement in quality of life were observed with both treatment modalities. Consequently, no significant difference in implant treatment outcome between the test and control groups was revealed after 1 year of implant loading. Neither of the treatment modalities can therefore be considered better than the other.

摘要

本单盲随机对照试验的目的是检验以下假设

在种植体负荷 1 年后,使用骨凿介导的鼻窦底提升术联合 Bio-Oss Collagen(试验组)与不使用移植物材料(对照组)治疗,在种植体治疗效果和患者报告的结果测量(PROMs)方面没有差异。40 名健康患者(27 名女性,13 名男性),平均年龄为 49 岁(范围 24-74 岁),随机分配到试验组或对照组。结果测量包括上部结构和种植体的存活率、种植体周围边缘骨丧失、并发症和 PROMs;后者包括口腔健康影响概况-14 和自我管理的问卷调查,使用视觉模拟量表评估种植体周围组织、种植体冠、种植体功能、总种植体治疗效果和口腔健康相关生活质量。平均值差异用标准差和 95%置信区间表示。显著性水平为 0.05。两种治疗方法的上部结构和种植体的存活率均为 100%。在任何结果测量中,试验组和对照组之间均未观察到显著差异。两种治疗方法均观察到患者满意度高和生活质量显著改善。因此,在种植体负荷 1 年后,试验组和对照组之间的种植体治疗效果没有显著差异。因此,两种治疗方法都不能被认为优于另一种。

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引用本文的文献

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Clinical and radiographic changes following transcrestal sinus augmentation: A scoping review of the last 25 years.经牙槽嵴上颌窦提升术后的临床及影像学变化:过去25年的范围综述
Clin Implant Dent Relat Res. 2024 Dec;26(6):1338-1353. doi: 10.1111/cid.13389. Epub 2024 Sep 30.