Bérczy Kinga, Göndöcs György, Komlós György, Shkolnik Tatiana, Szabó György, Németh Zsolt
Faculty of Dentistry, Department of Oro-Maxillofacial Surgery and Stomatology, Semmelweis University, Mária Street 52, 1085, Budapest, Hungary.
Maxillofac Plast Reconstr Surg. 2024 Feb 28;46(1):6. doi: 10.1186/s40902-024-00419-8.
The size of dental implants is a key success factor for appropriate osseointegration. Using shorter implants allows the possibility of avoiding complex surgical procedures and reduces the morbidity of treatment. Shorter implants also enable implant-prosthetic rehabilitation after maxillofacial reconstructions where only limited bone is available. In this study, the success rates of short implants were examined and compared to those of standard-sized implants.
Patients who received dental implants between 2007 and 2016 at the Department of Oro-Maxillofacial Surgery and Stomatology Semmelweis University were enrolled in the study. Several clinical parameters were recorded and supplemented with radiological examinations. The data were statistically analysed.
Thirty-four patients with a total of 60 implants were included. The average time after prosthetic loading was 39.33 ± 21.96 months in the group with 8-mm implants and 41.6 ± 27.5 months in the group with > 8-mm implants. No significant differences were observed between the two groups in terms of probing depth (short implants, 2.84 ± 0.09 mm; standard implants, 2.91 ± 0.35 mm) or mean marginal bone loss (short implants, 1.2 ± 1.21-mm mesially and 1.36 ± 1.47-mm distally; standard implants: 0.63 ± 0.80-mm mesially and 0.78 ± 0.70-mm distally).
In this study, the success rate of short dental implants was comparable to that of standard-sized implants. Consequently, it can be claimed that the long-term success of short dental implants does not differ significantly from the long-term success of standard implants.
牙种植体的尺寸是实现适当骨整合的关键成功因素。使用较短的种植体有可能避免复杂的外科手术，并降低治疗的发病率。较短的种植体还能在颌面重建后仅获得有限骨量的情况下实现种植修复。在本研究中，对短种植体的成功率进行了检查，并与标准尺寸种植体的成功率进行了比较。
纳入2007年至2016年在塞梅尔维斯大学口腔颌面外科和口腔医学系接受牙种植体植入的患者。记录了几个临床参数，并辅以放射学检查。对数据进行了统计分析。
共纳入34例患者，植入60枚种植体。8毫米种植体组修复加载后的平均时间为39.33±21.96个月，大于8毫米种植体组为41.6±27.5个月。两组在探诊深度（短种植体，2.84±0.09毫米；标准种植体，2.91±0.35毫米）或平均边缘骨丢失方面（短种植体：近中1.2±1.21毫米，远中1.36±1.47毫米；标准种植体：近中0.63±0.80毫米，远中0.78±0.70毫米）未观察到显著差异。
在本研究中，短牙种植体的成功率与标准尺寸种植体相当。因此，可以认为短牙种植体的长期成功率与标准种植体的长期成功率没有显著差异。
