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对前往牙医处就诊患者种植体周围骨丢失率的观察——某教学医院患者一年回顾性评估

Observation of peri-implant bone loss rates in patients visiting dentist-A retrospective evaluation of patients of a faculty hospital for one year.

作者信息

Karadag Ilkim, Kurnaz Halis, Akkaya Mehmet Murat, Karadag İrem, Konukçu Kurnaz Zeynep Ilayda

机构信息

Periodontology/Faculty of Dentistry, Ankara University, Ankara, Turkey.

Periodontology/Faculty of Dentistry, Lokman Hekim University, Ankara, Turkey.

出版信息

PeerJ. 2024 Dec 9;12:e18643. doi: 10.7717/peerj.18643. eCollection 2024.

Abstract

BACKGROUND

Many studies have been published on the relationship between different parameters with marginal bone loss around implants. The results of these studies vary, but some variables such as smoking or certain systemic conditions are more likely to predispose or exacerbate the resorption around implants. The aim of this study was to determine the rates of implants with radiographically detected marginal bone loss and to determine whether there is a relationship between the severity of destruction and certain risk factors like location of implant, restoration type, systemic condition, age, sex or smoking habits.

MATERIALS AND METHODS

Panoramic radiographs obtained for 1 year were examined. Patients with bone loss around the implant were classified according to the region of implant placement, type of restoration on implants, systemic diseases, and smoking habits. The rate of bone loss around the implants was recorded as the resorption score. Double and multiple comparison tests were applied to observe whether the resorption scores were related to the variables.

RESULTS

Of 17,352 patients, 1,465 had at least one implant, and 1,116 of these had no bone loss. A total of 181 patients (863 implants) included in the study, there was a weak correlation between age ( = 0.017) and resorption rate. Implants supporting bridge restorations had higher resorption scores. Gender, age, and systemic conditions alone are not effective in increasing peri-implant bone loss ( < 0.05); therefore, placing implants in the mandible ( = 0.020) or using implants to support bridge restorations( = 0.027) may make implants more vulnerable to resorption.

摘要

背景

关于不同参数与种植体周围边缘骨吸收之间的关系,已有许多研究发表。这些研究结果各不相同,但诸如吸烟或某些全身状况等一些变量更有可能诱发或加剧种植体周围的吸收。本研究的目的是确定通过影像学检测到边缘骨吸收的种植体发生率,并确定破坏的严重程度与某些风险因素(如种植体位置、修复类型、全身状况、年龄、性别或吸烟习惯)之间是否存在关系。

材料与方法

检查了一年内获得的全景X线片。根据种植体植入区域、种植体上的修复类型、全身疾病和吸烟习惯,对种植体周围有骨吸收的患者进行分类。将种植体周围的骨吸收速率记录为吸收分数。应用双因素和多因素比较试验来观察吸收分数是否与这些变量相关。

结果

在17352例患者中,1465例至少有一枚种植体,其中1116例无骨吸收。本研究共纳入181例患者(863枚种植体),年龄与吸收速率之间存在弱相关性(r = 0.017)。支持桥体修复的种植体吸收分数更高。单独的性别、年龄和全身状况对增加种植体周围骨吸收无效(P < 0.05);因此,在下颌植入种植体(P = 0.020)或使用种植体支持桥体修复(P = 0.027)可能会使种植体更容易发生吸收。

相似文献

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Marginal bone loss around implants supporting fixed restorations.支持固定修复体的种植体周围的边缘骨丢失。
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Changes in Bone Levels Around Mini-Implants in Edentulous Arches.无牙颌弓中微型种植体周围骨水平的变化。
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