Naseri Roohollah, Ghadirian Amin, Shirani Mohammadjavad
Department of Periodontics, Dental Research Center, Dental Research Institute, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Periodontics, Dental Students' Research Committee, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.
Dent Res J (Isfahan). 2025 Feb 20;22:8. doi: 10.4103/drj.drj_96_24. eCollection 2025.
Factors influencing the success of an implant placed in augmented maxillary sinus need to be recognized. The aim of this study was to investigate the effect of various oral health conditions and treatment plan details on the clinical and radiographical outcomes of implants placed in the augmented sinus.
In this clinical retrospective study, 39 participants (81 implants) that received dental implants after sinus lifting between January 2005 and July 2016 were evaluated. All the participants were examined by an operator clinically and radiographically in a blinded manner. A checklist including oral health and host condition, implant and prosthesis characteristics, and surgical approach variables was completed for each participant. The effect of these variables on probing depth (PD), marginal bone loss, bone formation in sinus, and patient satisfaction was analyzed using analysis of covariance models. <0.05 was considered statistically significant.
Survival rates after surgery and restoration placement were 93% and 100%, respectively. PD was found to be significantly higher in restorations with infragingival finish lines over 1.5 mm and in implants with score "2" for gingival index. Moreover, more bone formation was observed in implants with score "0" compared with score "2" for gingival index. In addition, the participants with plaque score "0" reported significantly more satisfaction than the participants with score "2" for plaque index.
Inflamed gingiva was associated with more PD and less peri-implant bone formation in maxillary sinus. In addition, more patient satisfaction was reported by participants that had better plaque control.
需要认识到影响上颌窦植骨后种植体成功的因素。本研究的目的是调查各种口腔健康状况和治疗计划细节对植骨后上颌窦种植体临床和影像学结果的影响。
在这项临床回顾性研究中，对2005年1月至2016年7月间接受上颌窦提升术后种植牙的39名参与者（81颗种植体）进行了评估。所有参与者均由一名操作人员以盲法进行临床和影像学检查。为每位参与者完成了一份包括口腔健康和宿主状况、种植体和修复体特征以及手术入路变量的检查表。使用协方差分析模型分析这些变量对探诊深度（PD）、边缘骨丢失、窦内骨形成和患者满意度的影响。P<0.05被认为具有统计学意义。
手术和修复体植入后的生存率分别为93%和100%。发现龈下边缘线超过1.5mm的修复体以及牙龈指数评分为“2”的种植体的PD显著更高。此外，与牙龈指数评分为“2”的种植体相比，牙龈指数评分为“0”的种植体观察到更多的骨形成。此外，菌斑评分为“0”的参与者报告的满意度明显高于菌斑指数评分为“2”的参与者。
牙龈炎症与上颌窦种植体更多的PD和更少的种植体周围骨形成有关。此外，菌斑控制较好的参与者报告的患者满意度更高。
