开放近接接触对植入周围疾病的影响:系统性审查和元分析
Momen A Atieh1,2,3, Maanas Shah1, Abeer Hakam1
1Hamdan Bin Mohammed College of Dental Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, UAE.
Clinical and experimental dental research
|January 26, 2026
概括
牙植入物中的近端接触可能会导致口袋深度增加和骨变化. 这些接触与周围植入物粘膜炎的风险较高有关,这种疾病会影响周围组织.
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:
- 牙周植入物组织的健康对于长期的牙科植入物成功至关重要.
- 靠近接触的紧密度是一个有争议的因素,影响植入周围的骨和软组织水平.
- 了解开放近位接触的影响对于优化植入物结果至关重要.
研究的目的:
- 系统地审查和元分析开放近位接触对植入周边边缘骨水平的影响.
- 评估开放的近距离接触和探测口袋深度之间的关联.
- 为了确定周围植入物疾病的发病率,包括周围植入物炎和周围植入物粘膜炎,与近接接触状态相关.
主要方法:
- 进行了电子数据库的系统搜索,以确定相关的非随机观察研究.
- 包括比较牙植入物周围的开放式与闭合式近接接触的研究.
- 使用Cochrane协作工具评估偏差风险,并使用元分析合成数据.
主要成果:
- 五项涉及4882个植入物的研究符合纳入标准.
- 开放的近位接触显示出更大的边缘骨变化和探测口袋深度的趋势,尽管在统计学上并不显著.
- 在开放的近位接触者 (RR 1.74;p=0.03) 中,观察到周围植入物粘膜炎的发生率显著增加.
结论:
- 开放的近位接触与探测口袋深度增加和边缘骨变化有关.
- 开放的近位接触可以作为周围植入物粘膜炎的风险指标.
- 需要进一步的研究来阐明长期影响,并制定针对公开近距离接触的预防策略.
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