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牙种植体位置错误的患病率:一项影像学分析。

Prevalence of Dental Implant Positioning Errors: A Radiographic Analysis.

作者信息

Alaqeely Razan, Albaiz Abdullah, Alenazi Bassam, Alem Mohammed, Alotaibi Yasser, Alrowis Raed

机构信息

Department of Periodontics and Community Dentistry, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia.

Dental Intern, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia.

出版信息

J Clin Med. 2025 May 6;14(9):3221. doi: 10.3390/jcm14093221.

Abstract

Implant placement errors remain a persistent challenge, leading to complications such as peri-implant bone loss, neurosensory issues, and, in severe cases, implant failure. This study evaluates the prevalence and characteristics of dental implant positioning errors in patients treated at the Dental University Hospital. : A sample of 500 cone-beam computed tomography (CBCT) scans was used to assess implants for positioning errors, including thread exposure, proximity to anatomical structures, and violations of inter-implant and implant-tooth distances. A total of 56.6% of the implants exhibited positioning errors, with the maxillary posterior region being the most commonly affected area (51.6%). The most frequent errors observed were thread exposure (37.7%) and implant proximity to the maxillary sinus (27.7%). Statistical analysis revealed significant correlations between implant positioning errors and anatomical location, underscoring the need for meticulous preoperative planning and advanced imaging. While factors such as patient age, implant length, and diameter were analyzed, no statistically significant differences were found in error prevalence based on sex or demographic variables. This study highlights the importance of combining clinical expertise with advanced imaging modalities like CBCT to minimize implant positioning errors and improve patient outcomes. Future research should focus on refining surgical techniques and evaluating the impact of the implants' design and patient-specific factors on the accuracy of placements.

摘要

种植体植入误差仍然是一个长期存在的挑战,会导致诸如种植体周围骨丢失、神经感觉问题等并发症,严重时还会导致种植体失败。本研究评估了牙科大学医院接受治疗的患者中牙种植体定位误差的发生率和特征。使用500例锥形束计算机断层扫描(CBCT)扫描样本评估种植体的定位误差,包括螺纹暴露、与解剖结构的接近程度以及种植体间和种植体与牙齿距离的违规情况。共有56.6%的种植体存在定位误差,上颌后牙区是最常受影响的区域(51.6%)。观察到的最常见误差是螺纹暴露(37.7%)和种植体靠近上颌窦(27.7%)。统计分析显示种植体定位误差与解剖位置之间存在显著相关性,强调了术前精心规划和先进成像的必要性。虽然分析了患者年龄、种植体长径等因素,但基于性别或人口统计学变量的误差发生率未发现统计学上的显著差异。本研究强调了将临床专业知识与CBCT等先进成像方式相结合以尽量减少种植体定位误差并改善患者预后的重要性。未来的研究应侧重于改进手术技术,并评估种植体设计和患者特定因素对植入准确性的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45d3/12072791/31a926f554fc/jcm-14-03221-g001.jpg

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