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身体质量指数是围植入炎的独立风险因素吗?
Harrison Selznick1, Kevin C Lee2, Matthew Hershberger3
1DMD Student, University of Pennsylvania School of Dental Medicine.
概括
肥胖是指高体重指数 (BMI),独立地增加了围植入炎的风险,这是一种影响牙植入物的并发症. 这凸显了BMI查对于更好的植入结果的重要性.
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
- 公共卫生 公共卫生
背景情况:
- 牙周植入物炎是牙科植入物治疗的重要并发症,影响长期成功.
- 全球肥胖率的上升需要了解体质指数 (BMI) 在围植入炎发展中的作用.
研究的目的:
- 调查身体质量指数 (BMI) 与周植入炎发病率之间的独立关联.
- 确定高BMI是否是接受牙科植入物患者周植入炎的危险因素.
主要方法:
- 一项回顾性队列研究分析了2006年至2019年之间放置的牙科植入物的数据.
- 体重指数 (BMI) 被归类为非肥胖 (<30 kg/m2) 或肥胖 (≥30 kg/m2).
- 使用卡普兰-梅尔曲线和考克斯比例危险模型分析了围植入炎的时间 (由骨损失和临床症状定义).
主要成果:
- 这项研究包括325名受试者和1138个植入物;24.6%的植入物发生了围植入炎.
- 在肥胖受试者 (34.0%) 中,五年周植入炎的发病率明显高于非肥胖受试者 (22.7%).
- 较高的BMI (≥30 kg/m2) 独立地与56%的围植入炎风险增加有关 (HR=1.56,P=.04).
结论:
- 身体质量指数 (BMI) 升高是围部植入炎的重要独立预测因素.
- 将BMI评估纳入植入物治疗规划和维护是风险识别的关键.
- 了解肥胖的炎症作用可以提高预防策略,以改善长期牙植入物结果.
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