与肥胖相关的牙科植入物失败风险
The International journal of oral & maxillofacial implants
|February 10, 2025
概括
这项研究发现,肥胖和牙植入物失败之间没有联系. 在这个患者队列中,吸烟和男性性别与更高的植入失败率有关.
科学领域:
- 牙科植入物学 牙科植入物学
- 公共卫生 公共卫生
- 临床研究 临床研究
背景情况:
- 植入牙是一种常见的修复性手术.
- 肥胖是一个日益严重的公共卫生问题,具有潜在的系统性健康影响.
- 了解影响牙植入成功的因素对于患者的治疗结果至关重要.
研究的目的:
- 调查由身体质量指数 (BMI) 定义的肥胖与牙植入物失败风险之间的联系.
- 分析肥胖与性和吸烟等其他共同变量对植入物存活率的影响.
主要方法:
- 一项回顾性队列研究分析了2000年至2021年期间在6241名患者中放置的16921个牙科植入物.
- 使用BMI (≤24.9,25.0-29.9,≥30) 分类肥胖.
- 卡普兰-梅尔模型和日志排名测试评估了BMI,性别,吸烟和植入物失败之间的关联.
主要成果:
- 肥胖 (BMI ≥30) 与牙植入物衰竭的风险增加没有显著关联 (HR:0.97;95% CI 0.82-1.15;P = 0.44).
- 目前吸烟者显示植入物失败的风险明显更高 (P < .0001).
- 男性性别也与植入物失败风险的增加显著相关 (P = .015).
结论:
- 在被研究的人群中,肥胖似乎不是牙植入物失败的危险因素.
- 吸烟和男性性行为是导致牙植入物失败的重要危险因素.
- 进一步的研究可能会探索系统健康和植入物结果的复杂相互作用.
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