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评估牙种植体长度对早期失败率的影响:一项回顾性分析。

Assessing the Impact of Dental Implant Length on Early Failure Rates: A Retrospective Analysis.

作者信息

Karthikeyan Bhuvaneshwari, Kumar K Hanumantha, Sadananda K, Murugendrappa Gowdar Inderjit, Sonune Shital J, Helal Doaa Abdelaziz A

机构信息

Department of Dentistry, Symbiosis Medical College for Women, Symbiosis International (Deemed University), Pune, Maharashtra, India.

Department of Periodontics, Government Dental College and Research Institute, VIMS, Ballari, Karnataka, India.

出版信息

J Pharm Bioallied Sci. 2024 Jul;16(Suppl 3):S2268-S2270. doi: 10.4103/jpbs.jpbs_155_24. Epub 2024 Jun 7.

Abstract

INTRODUCTION

The selection criteria of implant is very critical. Implant length determines the mechanics of osseointegration.

OBJECTIVE

To investigate the influence of dental implant length on early failure rates, osseointegration success, peri-implant bone loss, and patient-reported outcomes.

MATERIALS AND METHODS

A retrospective analysis was conducted involving 124 participants who underwent dental implant placement. Implant lengths were categorized as short ( = 54), standard ( = 35), or long ( = 35) based on standard industry classifications. Baseline characteristics, implant lengths, and early failure rates within the first six months post-implantation were extracted from clinical records.

RESULTS

Preliminary analysis revealed variations in early failure rates among different implant length categories. Short implants demonstrated a distinct pattern of complications compared to standard and long implants. Early failure rates were 8% for short implants, 4% for standard implants, and 2% for long implants ( = 0.04). Osseointegration success rates were 90%, 95%, and 98% for short, standard, and long implants, respectively. Peri-implant bone loss was 1.5 mm, 1.0 mm, and 0.8 mm for short, standard, and long implants, respectively ( = 0.02). Patient-reported outcomes indicated higher satisfaction levels in the long implant group ( = 0.03).

CONCLUSION

The study highlights the importance of considering implant length in clinical decision-making and suggests potential associations with osseointegration success, peri-implant bone loss, and patient satisfaction.

摘要

引言

种植体的选择标准至关重要。种植体长度决定了骨结合的力学性能。

目的

研究牙种植体长度对早期失败率、骨结合成功率、种植体周围骨丢失以及患者报告结局的影响。

材料与方法

对124例接受牙种植体植入的参与者进行回顾性分析。根据标准行业分类,将种植体长度分为短(=54)、标准(=35)或长(=35)三类。从临床记录中提取基线特征、种植体长度以及植入后前六个月内的早期失败率。

结果

初步分析显示不同种植体长度类别之间早期失败率存在差异。与标准和长种植体相比,短种植体表现出独特的并发症模式。短种植体的早期失败率为8%,标准种植体为4%,长种植体为2%(=0.04)。短、标准和长种植体的骨结合成功率分别为90%、95%和98%。短、标准和长种植体的种植体周围骨丢失分别为1.5毫米、1.0毫米和0.8毫米(=0.02)。患者报告结局表明长种植体组的满意度更高(=0.03)。

结论

该研究强调了在临床决策中考虑种植体长度的重要性,并提示其与骨结合成功、种植体周围骨丢失和患者满意度之间可能存在关联。

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