Buonocunto Nino, Cinquini Chiara, Mijiritsky Eitan, Tagger-Green Nirit, Porreca Annamaria, Di Nicola Marta, Iezzi Giovanna, Barone Antonio
Department of Surgical, Medical, Molecular Pathologies and of the Critical Area, University of Pisa, Pisa, Italy.
Head and Neck Maxillofacial Surgery, Tel-Aviv Sourasky Medical Center, Department of Otolaryngology, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
Clin Implant Dent Relat Res. 2023 Dec;25(6):1044-1055. doi: 10.1111/cid.13240. Epub 2023 Jun 19.
Alveolar ridge preservation (ARP) is a procedure with the aim to reduce bone resorption that occurs after tooth extraction, facilitating the following implant placement. The aim of this cross-sectional study was to evaluate the prevalence of mucositis and peri-implantitis around implants inserted in sites treated with ARP and to investigate possible risk factors.
Patients who received at least one dental implant inserted in a grafted socket were considered eligible for this study. Patients were recalled for a follow-up visit; medical history, clinical and demographic data were collected. Univariate logistic regression analyses have been performed for both implant-level and patient-level variables. Indeed, moderation analysis was used to investigate the indirect relationship between age and marginal bone level.
Fifty-one patients who received 61 implants were enrolled in this cross-sectional study. Thirty-three implants were classified as "healthy" (54.1%), 23 implants showed signs of peri-implant mucositis (37.7%), and 5 implants were diagnosed with peri-implantitis (8.2%). Data analyzed at the patient level showed that 49% of the patients were healthy, 45.1% of the patients had mucositis and 5.9% of the patients were affected by peri-implantitis. Mandibular sites and type III grafted sockets showed a significant association with peri-implantitis; in addition, a history of periodontitis and an increase in age showed higher risks of developing mucositis or peri-implantitis.
Implants inserted in grafted sockets showed favorable rates of healthy implants in the long term.
The ridge preservation procedures do not seem to increase the risk of developing mucositis or peri-implantitis.
牙槽嵴保存术(ARP)是一种旨在减少拔牙后发生的骨吸收、便于后续种植体植入的手术。本横断面研究的目的是评估在接受过ARP治疗的部位植入的种植体周围黏膜炎和种植体周炎的患病率,并调查可能的风险因素。
接受过至少一枚种植体植入于移植牙槽窝的患者被认为符合本研究的条件。召回患者进行随访;收集病史、临床和人口统计学数据。对种植体水平和患者水平的变量均进行了单因素逻辑回归分析。实际上,采用调节分析来研究年龄与边缘骨水平之间的间接关系。
本横断面研究纳入了51例接受61枚种植体的患者。33枚种植体被归类为“健康”(54.1%),23枚种植体显示有种植体周围黏膜炎的迹象(37.7%),5枚种植体被诊断为种植体周炎(8.2%)。在患者水平分析的数据显示,49%的患者健康,45.1%的患者有黏膜炎,5.9%的患者受种植体周炎影响。下颌部位和III型移植牙槽窝与种植体周炎有显著关联;此外,牙周炎病史和年龄增加显示发生黏膜炎或种植体周炎的风险更高。
长期来看,植入于移植牙槽窝的种植体显示出良好的健康种植体比例。
牙槽嵴保存手术似乎不会增加发生黏膜炎或种植体周炎的风险。