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COVID-19作为与早期牙植入器失败相关的因素:一个回顾性分析
1Department of Prosthodontics, Faculty of Dentistry, Erciyes University, Kayseri, Turkey.
Clinical implant dentistry and related research
|June 14, 2023
概括
COVID-19并没有显著影响早期的牙植入器失败. 然而,吸烟和短植入物 (≤8mm) 被确定为关键风险因素,增加植入物失败的可能性.
科学领域:
- 牙科植入物学 牙科植入物学
- 传染性疾病 传染性疾病
- 生物材料科学 生物材料科学
背景情况:
- 随着COVID-19大流行,医疗保健面临了前所未有的挑战,需要了解其对各种医疗程序的潜在影响.
- 在牙科修复中,早期的植入失败可能会导致患者的不满和治疗成本的增加.
研究的目的:
- 调查COVID-19对早期牙科植入物失败率的影响.
- 确定与早期植入物失败相关的患者和植入物相关的风险因素.
主要方法:
- 在2020年3月至2022年4月期间,对1228名患者安置的4841个植入物的回顾性分析.
- 收集的数据包括COVID-19状态,患者人口统计,并发症 (吸烟,糖尿病) 和植入物特征 (系统,长度,位置).
- 统计分析采用单变量和多变量通用估计方程 (GEE) 逻辑回归来评估风险因素.
主要成果:
- 整体早期植入失败率在植入层面为3.1%,在患者层面为10.4%.
- 吸烟者表现出显著更高的早期植入失败的风险 (OR:2.140,p<0.001).
- 较短的植入物 (≤8mm) 与较长的植入物 (≥12mm) 相比,早期失败的风险更高 (OR:2.089,p=0.003).
结论:
- COVID-19感染与早期牙植入物失败的增加没有显著的关联.
- 吸烟和使用短牙植入物是导致早期植入物失败的重要危险因素.
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