支持性护理下的周期性健康患者的骨水平变化:一项为期4年的回顾性研究
Fatma Soysal1, Caner Ozturk2, Mehmet Karadag3
1Department of Periodontology, Faculty of Dentistry, Ankara Medipol University, Ankara, Turkey.
Clinical implant dentistry and related research
|December 10, 2025
概括
长期的牙植入成功取决于安置深度和植入物几何形状. 吸烟是脊柱骨损失的一个显著可修改的风险因素,强调个性化治疗和维护以获得最佳结果.
科学领域:
- 牙科植入物学 牙科植入物学
- 牙周病学 牙周病学
- 生物材料科学 生物材料科学
背景情况:
- 植入物放置后的骨水平 (CBL) 变化可以是生理或病理性的.
- 监测边缘骨重塑对于长期的周植入骨稳定性至关重要.
- 识别骨质损失的危险因素对于成功的植入物结果至关重要.
研究的目的:
- 为了评估四年内骨水平 (CBL) 和骨重塑 (CBR) 的变化.
- 为了确定影响CBL和CBR的风险因素,在周期性健康的患者中.
- 评估系统,手术,部位相关和假肢变量对骨稳定性的影响.
主要方法:
- 对97名患者进行了回顾性研究,其中142名患者使用了植入物.
- 植入物放置时的放射评估,假肢加载,加载后1年和4年.
- 用回归和相关性测试分析的CBL和CBR的校准数字测量.
主要成果:
- 吸烟是增加CBL损失的一致预测因素 (p < 0.001).
- 胸下植入物安置在早期阶段显示骨损失较少 (p ≤ 0.003).
- 植入物直径显著预测了晚期阶段的骨损失 (p = 0.002).
结论:
- 植入物放置深度是初始稳定的关键;几何和假肢设计影响长期结果.
- 吸烟仍然是脊柱骨损失的重要,可修改的风险因素.
- 个性化治疗和维护策略对于长期的牙植入成功至关重要.
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