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高插入扭矩的临床影响和缺点:一个范围审查.

Mattia Manfredini1,2, Martina Ghizzoni1,2, Beatrice Cusaro1,2

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概括

高插入扭矩 (IT) 确保了初级植入物稳定性和更好的骨质整合. 然而,过度的IT (>50Ncm) 可能导致边缘性骨损失和软组织衰退,可能会影响长期的植入成功.

关键词:
牙植入物是一种牙植入物.高扭矩的高扭矩.植入物失败 植入物失败插入扭矩的时间.边缘性骨损失 边缘性骨损失是指边缘性的骨损失.周植入体炎 (periimplantitis) 是一种发生在周植入体周边的疾病.主要稳定性主要稳定性

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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
  • 手术结果研究研究.

背景情况:

  • 主要植入物稳定性对于骨整合和临床成功至关重要.
  • 插入扭矩 (IT),以Ncm计量,量化了植入物放置期间的摩擦力.
  • 骨整合的最佳IT通常在20-40Ncm之间;低于20Ncm的值会降低生存率.

研究的目的:

  • 评估高插入扭矩 (IT>50Ncm) 对骨整合,植入物健康和愈合的影响.
  • 确定高IT对植入周围骨,软组织和长期稳定的积极和消极影响.

主要方法:

  • 一个范围审查,遵守范围审查的首选报告项目 (PRISMA-ScR) 准则.
  • 包括随机临床试验,观察性研究和队列研究.
  • 对11项选定的研究进行分析,以综合关于插入扭矩和植入物结果的发现.

主要成果:

  • 高的IT值通常可以确保足够的初级稳定性,并增强骨质整合.
  • 显著与边缘骨损失增加相关,受骨密度的影响.
  • IT>50Ncm可能会诱导过度的压力,可能导致骨髓缩,缺血和软组织衰退.

结论:

  • 虽然高IT水平促进了初始稳定性和骨质整合,但过度水平会带来风险.
  • 潜在的并发症包括边缘性骨损失,骨整合减少和软组织衰退.
  • 需要进一步的临床试验来评估长期结果和量化并发症发生率.