Aldowah Omir, Alawad Hamad, Alqhtani Mohammad
Prosthetic Dental Science Department, Faculty of Dentistry, Najran University, Najran 66462, Saudi Arabia.
Lab of Aseer Central Hospital, Ministry of Health, Riyadh 11595, Saudi Arabia.
Healthcare (Basel). 2023 Aug 4;11(15):2201. doi: 10.3390/healthcare11152201.
The purpose of this outcome audit is to evaluate the influence of the clinicians' experience on the outcome of dental implants. In addition, it is to identify the associated risk factors that might influence the success and survival of these implants.
The records of patients treated with SLA/SLActive Straumann implants were screened. This enabled us to have a minimum of 12 months of follow-up. Eligible patients, according to the inclusion criteria, were contacted and invited to undergo a follow-up assessment. Success was accounted for and defined in a comprehensive manner by considering four different categories: implant perspective, peri-implant soft tissue perspective, prosthetic perspective, and patient satisfaction. The patient investigations included a clinical examination of the implant mobility, suppuration, width of keratinized mucosa, probing depth, plaque accumulation, prosthetic complications, and patient satisfaction. In addition, a periapical radiograph was taken to evaluate bone loss and peri-implant radiolucency. The data were analysed using SPSS version 26.
Thirty-eight patients with 84 SLA/SLActive Straumann implants were available for the assessment. The mean age of the patients at implant surgery was 49.05 ± 13.19 years. Over the mean follow-up period of 26 months, no implant fractures were noted. Overall, eight implants were considered failures (9.5%). Two out of six patients with a history of periodontitis (HoP) and two out of five smokers exhibited failed implants. The patients' satisfaction responses showed that all the responses were statistically higher than the test median value of three. The median value of general satisfaction using a visual analogue scale was 9 out of 10.
The implants placed on partially and fully edentulous patients revealed high survival and success rates (100% and 90.5%, respectively) at a mean follow-up time of 26 months. It can be concluded that the implant practise among trainees in the programme is satisfactory. A history of periodontitis and a lack of patient compliance with supportive periodontal therapy in some cases have been shown to be risk factors associated with increased implant failure, mainly peri-implantitis.
本结果审计的目的是评估临床医生的经验对牙种植体结果的影响。此外，还要确定可能影响这些种植体成功与存活的相关风险因素。
筛选接受SLA/SLActive士卓曼种植体治疗的患者记录。这使我们能够进行至少12个月的随访。根据纳入标准，联系符合条件的患者并邀请他们接受随访评估。通过综合考虑四个不同类别来全面计算并定义成功：种植体角度、种植体周围软组织角度、修复角度和患者满意度。患者调查包括对种植体松动度、化脓情况、角化黏膜宽度、探诊深度、菌斑堆积、修复并发症以及患者满意度的临床检查。此外，拍摄根尖片以评估骨吸收和种植体周围透射区。使用SPSS 26版对数据进行分析。
38例患者共84枚SLA/SLActive士卓曼种植体可供评估。种植手术时患者的平均年龄为49.05±13.19岁。在平均26个月的随访期内，未发现种植体骨折。总体而言，8枚种植体被视为失败（9.5%）。6例有牙周炎病史的患者中有2例，5例吸烟者中有2例出现种植体失败。患者的满意度反馈显示，所有反馈在统计学上均高于测试中位数3。使用视觉模拟量表的总体满意度中位数为十分之九。
在平均26个月的随访时间里，部分和全口无牙患者植入的种植体显示出较高的存活率和成功率（分别为100%和90.5%）。可以得出结论，该项目中实习医生的种植操作情况令人满意。牙周炎病史以及某些情况下患者未遵守支持性牙周治疗已被证明是与种植体失败增加相关的风险因素，主要是种植体周围炎。
