为成功的功能和美学结果优化植入物安置时间和加载协议:叙事文献综述
Panagiotis Rafail Peitsinis1, Aikaterini Blouchou1, Georgios S Chatzopoulos1
1Department of Periodontology, School of Dental Medicine, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.
Journal of clinical medicine
|March 17, 2025
概括
选择合适的牙植入器时间立即,早期或延迟取决于个体患者的因素. 虽然立即安置提供了高生存率,但早期和延迟的选择为更广泛的患者群体提供了更可预测的结果,并发症更少.
科学领域:
- 牙科植入物学 牙科植入物学
- 在口腔外科手术.
- 牙周病学 牙周病学
背景情况:
- 牙植入物放置的最佳时间对于功能和美学结果至关重要.
- 立即,早期和延迟的植入物安置具有不同的临床影响和并发症概况.
研究的目的:
- 为了比较立即,早期和延迟的牙植入物放置的临床结果和并发症.
- 为了确定牙植入成功的最有利的时间.
主要方法:
- 使用PubMed-MEDLINE和Cochrane图书馆进行了全面的文献审查.
- 关键词包括"牙科植入物放置时间"",即时植入"",早期植入"",延迟植入"",临床结果"",并发症"和"植入成功".
- 主要结果是植入物存活率;次要结果包括成功率,并发症和患者报告的结果.
主要成果:
- 立即植入植入物显示高生存率 (93.8-100%),但增加了像牙衰退这样的并发症.
- 早期 (4-16周) 和延迟 (>4个月) 的安置表明类似的高存活率 (92-100%) 与更少的并发症.
- 所有安置时间都实现了可接受的植入成功率 (83.3-100%),受加载协议的影响.
结论:
- 个性化的患者因素 (骨,组织,病史,美学) 决定了最佳的植入物安置时间.
- 立即安置需要理想的条件,仔细的选择和外科专业知识.
- 早期和延迟的植入物安置为更广泛的患者群体提供了更可预测的结果.
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