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微螺纹牙种植体的累积生存率:一项长期回顾性研究。

The cumulative survival rate of dental implants with micro-threads: a long-term retrospective study.

作者信息

Nam Dong-Hui, Kim Pil-Jong, Koo Ki-Tae, Seol Yang-Jo, Lee Yong-Moo, Ku Young, Rhyu In-Chul, Kim Sungtae, Cho Young-Dan

机构信息

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

Biomedical Knowledge Engineering Laboratory, School of Dentistry and Dental Research Institute, Seoul National University, Seoul, Korea.

出版信息

J Periodontal Implant Sci. 2024 Feb;54(1):53-62. doi: 10.5051/jpis.2203240162. Epub 2023 May 30.

Abstract

PURPOSE

This study aimed to evaluate the long-term cumulative survival rate (CSR) of dental implants with micro-threads in the neck over a 10-year follow-up period and to examine the factors influencing the survival rate of dental implants.

METHODS

This retrospective study was based on radiographic and dental records. In total, 151 patients received 490 Oneplant dental implants with an implant neck micro-thread design during 2006-2010 in the Department of Periodontology of Seoul National University Dental Hospital. Implant survival was evaluated using Kaplan-Meier analysis. Cox proportional hazard regression analysis was used to identify the factors influencing implant failure.

RESULTS

Ten out of 490 implants (2.04%) failed due to fixture fracture. The CSR of the implants was 97.9%, and no significant difference was observed in the CSR between external- and internal-implant types (98.2% and 97.6%, respectively, =0.670). In Cox regression analysis, 2-stage surgery significantly increased the risk of implant failure (hazard ratio: 4.769, =0.039). There were no significant differences in influencing factors, including sex, age, implant diameter, length, fixture type, location, surgical procedure, bone grafting, and restoration type.

CONCLUSIONS

Within the limitations of this retrospective study, the micro-thread design of the implant neck was found to be favorable for implant survival, with stable clinical outcomes.

摘要

目的

本研究旨在评估颈部带有微螺纹的牙种植体在10年随访期内的长期累积生存率(CSR),并探讨影响牙种植体生存率的因素。

方法

本回顾性研究基于影像学和牙科记录。2006年至2010年期间,共有151例患者在首尔国立大学牙医院牙周病科接受了490颗采用种植体颈部微螺纹设计的Oneplant牙种植体。采用Kaplan-Meier分析评估种植体的生存率。使用Cox比例风险回归分析来确定影响种植体失败的因素。

结果

490颗种植体中有10颗(2.04%)因种植体折断而失败。种植体的CSR为97.9%,外部种植体和内部种植体类型之间的CSR没有显著差异(分别为98.2%和97.6%,P = 0.670)。在Cox回归分析中,二期手术显著增加了种植体失败的风险(风险比:4.769,P = 0.039)。在影响因素方面,包括性别、年龄、种植体直径、长度、种植体类型、位置、手术程序、骨移植和修复类型,均无显著差异。

结论

在本回顾性研究的局限性内,发现种植体颈部的微螺纹设计有利于种植体存活,临床结果稳定。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d86d/10901680/42c871469574/jpis-54-53-g001.jpg

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