双酸盐使用对骨质疏松患者牙部植入物切除的后果:全国性队列研究
Jung-Hyun Park1, Heon-Young Kim2, Jae-Ryun Lee3
1Department of Oral and Maxillofacial Surgery, Research Institute for Intractable Osteonecrosis of the Jaw, Ewha Womans University College of Medicine, Seoul, Republic of Korea.
Clinical implant dentistry and related research
|June 11, 2025
概括
双酸盐 (BP) 的使用适度增加骨质疏松症患者的牙植入物切除风险. 累积暴露和口服方式带来更高的风险,需要谨慎管理以获得更好的植入物结果.
科学领域:
- 骨质疏松症管理管理
- 牙科植入物学 牙科植入物学
- 药物监督 药物监督 药物监督
背景情况:
- 骨质疏松症患者接受牙植入手术时,通常会被处方为双酸盐 (BPs).
- 双酸盐使用与牙科植入物结果之间的关联需要进一步调查.
研究的目的:
- 为了研究双酸盐 (BP) 使用与骨质疏松症患者的牙植入物切除之间的关系.
- 为了评估BP给药途径,类型和累积剂量对植入物切除风险的影响.
主要方法:
- 全国基于人口的队列研究,包括389,226名患有骨质疏松症的65岁以上的患者.
- 根据处方记录分类为BP和对照组;通过程序代码识别的植入物切除.
- 多变量逻辑回归和子组分析,以评估关联和风险因素.
主要成果:
- 双酸盐使用与牙科植入物切除风险的适度增加有关 (aOR:1.09).
- 牙周炎显著增加了移除植入物的风险 (aOR: 1.87).
- 静脉注射BP的风险低于口服 (aOR:0.87),并且风险随着累积定义每日剂量 (DDD) 的增加而增加.
结论:
- 累积的双酸盐暴露是牙植入物切除风险的一个关键因素.
- 管理途径对风险产生影响,挑战了以前的假设.
- 在骨质疏松症患者中优化植入物结果需要定制的BP管理策略.
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