随着时间的推移而出现植入周炎的发病率和危险因素-一项前性队列研究
Mario Romandini1, Cristina Lima1, Diogo Banaco1
1Section of Periodontology, Faculty of Odontology, University Complutense, Madrid, Spain.
Journal of periodontal research
|January 13, 2025
概括
周植入炎影响近五分之一的患者和四年内每十种植入物中的一个. 关键的风险因素包括严重的牙周炎,吸烟和特定的植入物恢复类型.
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:
- 牙周植入物炎是植入牙植入物放置后的一个重大并发症.
- 了解其发生率和风险因素对于长期的植入成功至关重要.
研究的目的:
- 为了确定潜在队列中围植入炎的发病率.
- 为了确定随着时间的推移与周植入炎发展相关的风险和保护因素.
主要方法:
- 一组73名患有322种植入体的患者被跟踪平均3.9年.
- 围植入炎是由探针上的出血和骨损失>1mm定义的.
- 多级逻辑回归分析了基线风险因素.
主要成果:
- 周植入体炎的发病率在患者中为22.2%,在植入体中为9.4%.
- 显著的危险因素包括严重的牙周炎 (第四阶段),吸烟,睡眠时间长 (>7小时),切口位置,全弓修复和近边缘修复边缘.
- 角质化组织宽度与围植入体炎没有关联.
结论:
- 近20%的患者和10%的植入物在四年内发展为植入周炎.
- 牙周炎的严重程度,生活方式因素 (吸烟,睡眠),植入物位置和假牙特征是关键的风险因素.
- 这些发现有助于预测和潜在地预防周植入炎.
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