Smith A
University of Melbourne, Australia.
Ann R Australas Coll Dent Surg. 1994 Apr;12:242-3.
Prospective and retrospective studies on oral and maxillofacial osseointegrated implants have been performed and 'success' rates are reported to be very high. A critical analysis of the literature and anecdotal discussion with surgeons and prosthodontists alike, suggests that 'failures' occur considerably more frequently than is documented. This paper does not give a practical guide to the prevention or management of complications but it discusses the concepts of 'success' and 'failure' in implantology. Improvements in definitions, terminology and study design protocols are required together with research producing scientifically analytic and reproducible results rather than the present philosophy of the importance of the percentage of the commercial market share will allow an accurate analysis of the value and role of oral and maxillofacial implants.
针对口腔颌面部骨结合种植体已经开展了前瞻性和回顾性研究，据报道“成功率”非常高。对相关文献进行批判性分析，并与外科医生和修复牙医进行轶事性讨论后发现，“失败”的发生频率比记录的要高得多。本文并非提供预防或处理并发症的实用指南，而是讨论种植学中“成功”与“失败”的概念。需要改进定义、术语和研究设计方案，同时开展能产生科学分析且可重复结果的研究，而不是当前那种认为商业市场份额百分比很重要的理念，这样才能准确分析口腔颌面部种植体的价值和作用。
