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慢性肾脏病患者的种植体存活情况：病例报告及文献系统回顾。

Implant Survival in Patients with Chronic Kidney Disease: A Case Report and Systematic Review of the Literature.

机构信息

Department of Innovative Technologies in Medicine and Dentistry, University of Chieti-Pescara, 66100 Chieti, Italy.

Department of Research, Bioface/PgO/UCAM, Montevideo 11100, Uruguay.

出版信息

Int J Environ Res Public Health. 2023 Jan 29;20(3):2401. doi: 10.3390/ijerph20032401.

DOI:10.3390/ijerph20032401
PMID:36767768
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9916383/
Abstract

BACKGROUND

The aim of this systematic review and case reports was to evaluate osseointegration and implant survival rate in patients with chronic kidney disease.

METHODS

The paper screening process was conducted on electronic databases in order to identify clinical studies concerning the study topic. The literature data were evaluated for eligibility and studies were included for the qualitative synthesis. The case report concerned a male subject affected by renal disorders, a candidate for full arch immediate loading procedure.

RESULTS

The article screening process reported a total of 54 manuscripts and one paper identified through the manual search. At the end of the review process, a total of 45 articles were excluded while nine manuscripts were included for the descriptive synthesis. No significant complications or events were present during the intraoperative/post-operative phases. The clinical course reported no significant inflammation or symptoms. At follow-up, the rehabilitation was found to be functionally and aesthetically integrated with no complications, probing, or bone resorption.

CONCLUSIONS

The available evidence supports the clinical efficacy of the early implant placement protocol. Present findings indicate that the early implant placement protocol results in implant outcomes similar to immediate and delayed placement protocols and a superior stability of peri-implant hard tissue compared with immediate implant placement.

摘要

背景

本系统评价和病例报告的目的是评估慢性肾脏病患者的骨整合和种植体存活率。

方法

通过电子数据库进行文献筛选，以确定与研究主题相关的临床研究。对文献数据进行评估，以确定其是否符合纳入标准，并纳入研究进行定性综合分析。病例报告涉及一名患有肾脏疾病的男性患者，该患者适合进行全口即刻负重手术。

结果

文章筛选过程共报告了 54 篇手稿和一篇通过手动搜索确定的论文。在审查过程结束时，共排除了 45 篇文章，而有 9 篇文章被纳入描述性综合分析。在手术/术后阶段没有出现明显的并发症或事件。临床过程中没有明显的炎症或症状。在随访时，修复体在功能和美观上与周围组织整合良好，没有并发症、探诊或骨吸收。

结论

现有证据支持早期种植体植入方案的临床疗效。目前的研究结果表明，早期种植体植入方案的种植体结果与即刻和延迟种植体植入方案相似，且与即刻种植体植入相比，种植体周围硬组织的稳定性更高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7ce/9916383/660883ed670e/ijerph-20-02401-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7ce/9916383/6e74f33b6448/ijerph-20-02401-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7ce/9916383/b0191eda29b5/ijerph-20-02401-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7ce/9916383/fd25c5e7fd4c/ijerph-20-02401-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7ce/9916383/f34e1a793488/ijerph-20-02401-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7ce/9916383/e1db67869d47/ijerph-20-02401-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7ce/9916383/ad6cd2570709/ijerph-20-02401-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7ce/9916383/c71da857eb96/ijerph-20-02401-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7ce/9916383/02fa8c5cbc32/ijerph-20-02401-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7ce/9916383/660883ed670e/ijerph-20-02401-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7ce/9916383/6e74f33b6448/ijerph-20-02401-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7ce/9916383/b0191eda29b5/ijerph-20-02401-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7ce/9916383/fd25c5e7fd4c/ijerph-20-02401-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7ce/9916383/f34e1a793488/ijerph-20-02401-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7ce/9916383/e1db67869d47/ijerph-20-02401-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7ce/9916383/ad6cd2570709/ijerph-20-02401-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7ce/9916383/c71da857eb96/ijerph-20-02401-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7ce/9916383/02fa8c5cbc32/ijerph-20-02401-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7ce/9916383/660883ed670e/ijerph-20-02401-g009.jpg

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