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在固定植入物假体治疗中对生物和机械/技术并发症的各种风险因素的评估:一项回顾性研究
Dimitrios Bardis1, Doriana Agop-Forna1, Stavros Pelekanos2
1Faculty of Dental Medicine, Grigore T. Popa University of Medicine and Pharmacy Iasi, Universitatii Street 16, 700115 Iasi, Romania.
Diagnostics (Basel, Switzerland)
|July 29, 2023
概括
糟糕的口腔卫生和牛舌炎会增加围植入炎的风险. 吸烟和 Bruxism 是后部固定植入物假体治疗中技术并发症的重要预测因素.
科学领域:
- 牙科植入物学 牙科植入物学
- 牙修复 牙修复 牙修复 牙修复 牙修复
- 生物材料科学 生物材料科学
背景情况:
- 后部固定植入物假体治疗 (IP-FPDs) 旨在恢复功能和美学.
- 生物学 (周围植入炎) 和技术并发症可能会影响植入成功.
- 识别风险因素对于改善长期结果至关重要.
研究的目的:
- 确定各种因素对后部固定植入物假体治疗中的生物和技术并发症的影响.
- 识别与周植入炎和技术故障相关的风险因素.
主要方法:
- 评估了67名无牙患者的队列,这些患者接受了76个IP-FPD和178个植入物.
- 进行了临床和准临床评估.
- 使用统计分析,包括Pearson Chi-squared和多变量分析,以确定风险因素.
主要成果:
- 整体植入成功率为66.30%.
- 生物并发症 (周植入炎) 的患病率为13.5%,技术并发症为28.70%.
- 糟糕的口腔卫生和牛舌与增加的围部植入炎风险有关. 年龄大于60岁,吸烟,牙周病史和牙病与技术并发症有关. 在多变量分析中,吸烟和 Bruxism 是显著的预测因素.
结论:
- 虽然单变量分析表明口腔卫生不良和牛舌会增加围植入炎风险,但多变量模型没有证实其有意义的预测因素.
- 年龄大于60岁,吸烟,牙周病史,骨移植和牛症是技术并发症的危险因素.
- 在多变量分析中,吸烟和 Bruxism 被确定为机械/技术并发症的显著预测因素.
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