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分析伊朗人早期牙科植入物失败的原因和频率:一项流行病学研究
Majid Hosseini Abrishami1, Farid Shiezadeh2, Sahand Samieirad3
1Department of Oral and Maxillofacial Surgery, Mashhad University of Medical Sciences, Mashhad, Iran.
International journal of dentistry
|October 19, 2023
概括
早期牙植入器失败 (DIF) 是一个越来越令人担忧的问题. 这项研究发现手术并发症和早期加载显著增加了DIF风险,突出了需要谨慎的手术方案的必要性.
科学领域:
- 牙科植入物学 牙科植入物学
- 在口腔外科手术.
- 生物材料科学 生物材料科学
背景情况:
- 早期牙植入器失败 (DIF) 的发生率有所增加,但引起因素需要进一步澄清.
- 了解这些因素对于改善长期植入物成功率至关重要.
研究的目的:
- 确定特定患者队列中早期牙植入器失败 (DIF) 的比率.
- 确定与初级牙科植入物失败相关的关键风险因素.
主要方法:
- 一项观察性研究分析了2018年3月至2020年期间放置的983个牙科植入物的数据.
- 统计分析包括奇平方,曼-惠特尼U和费舍尔精确测试,以评估各种因素和DIF之间的相关性.
主要成果:
- 观察到的早期失败率为4.3% (在983种植入物中42种植入物).
- 手术并发症 (例如,固定装置骨折,神经暴露) 和早期植入物负载与增加的DIF显著相关 (分别为p=0.05和p<0.01).
- 在早期DIF和年龄,性别,吸烟,全身疾病,植入物大小或制造商之间没有发现显著的关联.
结论:
- 手术并发症和植入物加载的时间似乎是早期牙科植入物失败的关键决定因素.
- 牙医应该在手术方案中仔细考虑这些因素,以减轻风险.
- 建议进行进一步的前性研究,以全面调查早期DIF的风险因素.
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