Raabe Clemens, Couso-Queiruga Emilio, Tjokro Jennifer, Buser Daniel, Bornstein Michael M, Fonseca Manrique, Schwarz Frank, Chappuis Vivianne
Department of Oral Surgery and Stomatology, School of Dental Medicine, University of Bern, Bern, Switzerland.
Department of Oral Surgery and Implantology, Goethe University, Carolinum, Frankfurt am Main, Germany.
Clin Oral Investig. 2024 Dec 23;29(1):27. doi: 10.1007/s00784-024-06033-2.
To analyze the trends in the context of implant therapy in a 3-year patient population and compare it with data obtained over the last 20 years.
All adult subjects who received treatment in the context of implant therapy between 2020 and 2022 were included in this retrospective study. Data regarding patient demographics, indications and location of implant therapy, implant characteristics, surgical techniques, complications, and early implant failures were recorded and compared to data obtained in the years 2002-2004, 2008-2010, and 2014-2016.
Between 2020 and 2022, n = 1555 implants were placed in n = 1021 patients. The mean age at implant placement was 59.9 + 15.1 years, demonstrating an increase over time in the age group 61-80 years of 23.1% and > 80 years of 3.2% (p < 0.0001). Single tooth gaps (48.9%) remained the main indication. The use of narrow diameters ≤ 3.5 mm increased (9.4% vs. 26.6%, p < 0.0001), while implant lengths > 10 mm decreased (45.7% vs. 23.5%, p < 0.0001). A reduction in more invasive techniques and an increase in computer-assisted implant surgeries (CAIS) of 19.5% was found.
The mean age of patients receiving dental implant therapy, with the use of narrow-diameter and shorter implants has progressively increased in the last 20 years. The observed trends suggest a transition from conventional to CAIS, accompanied by the introduction of minimally invasive surgical techniques.
The adoption of narrower and shorter implants, along with minimally invasive techniques and CAIS, enables clinicians to tailor treatment plans that accommodate the unique needs of aging patients and optimize clinical outcomes.
分析3年患者群体中种植治疗的情况趋势，并将其与过去20年获得的数据进行比较。
本回顾性研究纳入了2020年至2022年期间接受种植治疗的所有成年受试者。记录了有关患者人口统计学、种植治疗的适应证和部位、种植体特征、手术技术、并发症及早期种植体失败的数据，并与2002 - 2004年、2008 - 2010年和2014 - 2016年获得的数据进行比较。
2020年至2022年期间，1021例患者共植入1555枚种植体。种植时的平均年龄为59.9 ± 15.1岁，61 - 80岁年龄组增加了23.1%，>80岁年龄组增加了3.2%（p < 0.0001）。单牙间隙（48.9%）仍是主要适应证。直径≤3.5 mm的窄直径种植体的使用增加（9.4%对26.6%，p < 0.0001），而长度>10 mm的种植体减少（45.7%对23.5%，p < 0.0001）。发现侵袭性更强的技术减少，计算机辅助种植手术（CAIS）增加了19.5%。
在过去20年中，接受牙种植治疗的患者平均年龄逐渐增加，窄直径和较短种植体的使用增多。观察到的趋势表明从传统治疗向CAIS的转变，同时引入了微创外科技术。
采用更窄和更短的种植体，以及微创技术和CAIS，使临床医生能够制定适合老年患者独特需求的治疗方案，并优化临床结果。
