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围植入炎治疗后支持性治疗期间疾病复发:一项回顾性研究

Alberto Monje^1,2,3,4, José Nart²

¹Department of Periodontology and Oral Medicine, University of Michigan, Ann Arbor, Michigan, USA.

Journal of periodontal research

|May 2, 2024

概括

围植入炎治疗后疾病复发影响大约20%的患者. 支持性周植入治疗 (SPIT) 是至关重要的,但需要累积拦截性支持性治疗 (CIST) 的患者往往表现不佳.

科学领域:

牙科植入物学牙科植入物学
牙周病学牙周病学
牙修复牙修复牙修复牙修复牙修复

背景情况:

周植入炎的治疗需要有效的支持性治疗,以防止复发.
疾病复发仍然是维持长期植入成功的重大挑战.
了解影响复发的因素对于优化患者护理至关重要.

研究的目的:

在围植入炎治疗后,在支持性围植入治疗 (SPIT) 期间量化疾病复发.
评估累积拦截性支持性治疗 (CIST) 在治疗复发性疾病中的有效性.
确定与疾病复发相关的患者和植入因子.

主要方法:

对接受SPIT治疗至少12个月的患者进行回顾性评估.
对于残留口袋 (≥6mm) 进行了CIST,在探测时有出血.
对与复发和CIST需要相关的患者和植入物相关因素的分析.

主要成果:

大约20%的患者 (10%的植入物) 观察到疾病复发.
吸烟者,C级牙周炎患者和男性患者的复发率较高.
由于不稳定性而需要CIST的患者有~70%的持续残留口袋的可能性.

结论:

在围植入炎治疗后,在SPIT期间疾病复发率在选定的情况下约为20%.
对于不稳定的病情患者来说,CIST似乎效果较差,不良结果的发生率很高.
风险分层和量身定制的支持性护理对于管理周植入炎复发至关重要.

关键词:

牙植入物是一种牙植入物.牙的维护牙的维护牙周病是一种牙周病.周植入体炎 (peri-implantitis) 是一种疾病.支持性治疗是一种支持性治疗.

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