牙科植入物失败的预测因素:使用决策树回归的回顾性研究
Sateesh G Shahapur1, Kshitija Patil2, Sakshi Manhas3
1Department of Prosthodontics, Al-Ameen Dental College, Vijayapura, IND.
Cureus
|January 6, 2025
概括
吸烟和牙周植入炎显著增加牙科植入物失败的风险. Bruxism 和糖尿病也导致植入物损失,突出了改善患者结果的关键因素.
科学领域:
- 牙科植入物学 牙科植入物学
- 生物材料科学 生物材料科学
- 在口腔外科手术.
背景情况:
- 牙植入物广泛用于牙置换.
- 评估单单元植入物失败率和识别风险因素对于改善长期成功至关重要.
- 本研究侧重于七年期 (2015-2021年) 的研究,并对其进行至少两年的后续研究.
研究的目的:
- 为了评估单单元牙科植入物的失败率.
- 通过使用统计分析,识别导致早期和晚期植入物衰竭的重大风险因素.
- 分析与已识别的风险因素相关的植入物衰竭的持续时间.
主要方法:
- 在2014年至2021年期间接受单单元牙植入物的224名患者进行了回顾性研究.
- 分析临床记录和放射图片,以评估植入物失败.
- 应用机器学习决策树回归和Kaplan-Meier生存分析来识别风险因素.
主要成果:
- 吸烟和围部植入炎是导致植入失败的主要原因 (p=0.001).
- 晚期植入失败 (LIF) 持续时间平均为16.87个月,而早期植入失败 (EIF) 平均为5.71个月.
- Bruxism,周植入炎,糖尿病和骨整合并发症是失败的重要预测因素.
结论:
- 年龄,性别,手术类型,鼻提升和移植与植入物失败没有显著关联.
- Bruxism,周植入炎,缺乏骨整合,吸烟和2型糖尿病是牙植入失败的重要预测因素.
- 这些发现强调了管理可修改的风险因素的重要性,如吸烟和乳,以提高牙科植入物存活率.
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