影响至少5年功能的牙科植入物的放射性边缘骨吸收的因素:多中心回顾性研究
Leonardo Trombelli1,2, Roberto Farina1,2, Cristiano Tomasi3
1Research Centre for the Study of Periodontal and Peri-Implant Diseases, University of Ferrara, Ferrara, Italy.
Clinical oral implants research
|July 15, 2024
概括
患者有牙周炎病史,口服双酸盐使用和下位置增加了随着时间的推移在牙科植入物周围边缘骨损失的风险. 对于高风险患者来说,仔细监测至关重要.
科学领域:
- 牙科植入物学 牙科植入物学
- 牙周病学 牙周病学
- 生物材料科学是生物材料的科学.
背景情况:
- 在牙科植入物周围的边缘骨损失 (MBL) 是影响长期成功的关键因素.
- 识别影响MBL的患者和植入器相关因素对于主动管理至关重要.
研究的目的:
- 研究患者特异性因素和植入物特征对至少5年内边缘骨水平变化的影响.
- 为了确定在牙科植入物周围显著的骨损失 (≥2毫米) 的预测因素.
主要方法:
- 在基线和长期随访 (≥5年) 中对近端边缘骨水平的放射评估.
- 多级回归模型被用来分析与MBL变化相关的因素和骨损失≥2mm的概率.
- 对于每个植入物来说,确定了最大边缘骨变化 (hChMBL) 的部位.
主要成果:
- 总共分析了312名患者的942个植入物,平均随访时间为8.02年.
- 重要预测MBL变化的因素包括基线MBL,口服双酸盐 (BP) 摄入量,牙周炎病史,糖尿病和超水性植入物表面.
- 较高的骨损失≥2毫米的几率与牙周炎史 (OR=9.52),血压摄入 (OR=6.84) 和下植入物放置 (OR=3) 相关.
结论:
- 特定的患者个人资料和植入因子与边缘骨损失的风险增加有关.
- 患有牙周炎病史的患者,服用口服双酸盐和下部植入物的人需要密切监测.
- 这些发现有助于确定在植入物维护期间严格监测的高风险场景.
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