COVID-19作为植入周病的危险因素:一项前性临床研究
Naresh Vabanaboyina1, Chiramana Sandeep1, Thanjavuri Krishna2
1Department of Prosthodontics, Sibar Institute of Dental Sciences, Guntur, IND.
Cureus
|October 23, 2025
概括
之前的COVID-19感染可能会对牙植入成功产生负面影响,可能导致延迟愈合和增加骨质损失. 对于有2019年新冠肺炎疾病 (COVID-19) 病史的患者来说,仔细的治疗计划和监测至关重要.
科学领域:
- 口腔和牙面部外科手术
- 牙修复 牙修复 牙修复 牙修复 牙修复
- 传染性疾病 传染性疾病
背景情况:
- COVID-19的系统性影响可能会影响骨代谢和牙植入物的结果.
- 了解这些影响对于优化假牙治疗计划至关重要.
研究的目的:
- 研究之前的COVID-19感染对牙植入物放置后硬和软组织愈合的影响.
- 为植入牙科中量身定制的治疗策略提供见解.
主要方法:
- 20名部分牙患者 (10名COVID-19病史,10名非COVID-19病史) 的前性比较研究.
- 在基线,3个月和6个月评估粘膜厚度,探测出血,植入物稳定性 (Osstell ISQ) 和边缘骨损失 (IOPA放射).
- 包括形光束计算机断层扫描 (CBCT) 用于骨评估和RT-PCR确认COVID-19史.
主要成果:
- 3个月后,COVID-19患者的植入物稳定性和粘膜厚度明显降低 (p=0.02,p=0.01).
- 两组都经历了显著的边际骨质损失 (p=0.001),COVID-19患者在6个月后 (p=0.05) 显示了稍微更大的骨质损失.
- COVID-19患者表现出渐进的粘膜稀释 (p<0.001) 和从3到6个月的植入物稳定性略有改善 (p=0.06).
结论:
- 之前的COVID-19感染可能导致骨质整合延迟和骨质损失增加.
- 在COVID-19患者中观察到的改变软组织愈合需要个性化治疗方法.
- 建议对有COVID-19病史的牙科植入患者进行警监测.
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