与早期植入物失败相关的风险因素分析:一项回顾性研究
Zhe-Zhen Lin1, Zheng-Ting Jiang1, Sheng-Rui Jia1
1Resident, Department of Stomatology, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, PR China.
The Journal of prosthetic dentistry
|May 23, 2024
概括
吸烟者,形植入物和短植入物 (<10毫米) 会增加早期植入物失败的风险. 在这项研究中,糖尿病和插入扭矩等其他因素并没有显著影响失败率.
科学领域:
- 牙科植入物学 牙科植入物学
- 口腔康复口腔康复服务
- 生物材料科学 生物材料科学
背景情况:
- 在愈合过程中发生的早期植入失败,在部分牙患者的口腔功能恢复方面带来了挑战.
- 导致早期植入失败的因素仍然不完全理解,需要进一步调查.
研究的目的:
- 为了确定与早期植入物失败相关的患者相关和手术相关的因素.
- 分析各种参数对牙科植入物在愈合阶段成功率的影响.
主要方法:
- 在2061名患者 (2009-2022) 中对3247个植入物的回顾性分析.
- 评估包括吸烟,糖尿病,骨移植,植入物特征 (长度,直径,设计),相邻的牙和插入扭矩等因素.
- 使用概括估计方程 (GEE) 模型和千平方测试进行统计分析.
主要成果:
- 在3.05%的植入物中发生了早期植入失败 (99/3247).
- 早期衰竭的重要风险因素包括吸烟 (OR=1.92),缩的植入物设计 (OR=1.84),植入物长度<10mm (OR=2.98).
- 糖尿病,骨头移植,邻近的牙状态和插入扭矩与早期植入物失败没有显著关联.
结论:
- 吸烟者,缩型植入物设计和短于10毫米的植入物与早期失败的风险更高有关.
- 糖尿病,骨移植,相邻的牙和插入扭矩等因素没有显著影响早期植入失败风险.
- 这些发现为优化植入物放置策略提供了宝贵的见解,以尽量减少早期的失败.
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