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Clinical implant dentistry and related research最新文献

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Budget Impact Analysis: Digital Workflow Significantly Reduces Costs of Implant Supported Overdentures (IODs). 预算影响分析:数字化工作流程显著降低了种植体支持覆盖义齿 (IOD) 的成本。
Pub Date : 2024-11-13 DOI: 10.1111/cid.13413
Thomas Van de Winkel, Frans Delfos, Bart van Oirschot, Thomas Maal, Eddy Adang, Gert Meijer
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引用次数: 0
Long-Term Clinical and Radiographic Outcomes of Hydrophilic Implants: A 10-Year Study in a Specialist Private Practice. 亲水性假体的长期临床和放射学效果:一家专科私人诊所的十年研究。
Pub Date : 2024-11-11 DOI: 10.1111/cid.13415
Andrea Roccuzzo, Isabel Thomann, Amanda Wyss, Silvio Schütz, Thomas Zumstein, Anton Sculean, Giovanni E Salvi, Jean-Claude Imber, Alexandra Stähli

Aim: To report the 10-year clinical and radiographic outcomes of implants placed in grafted (GBR) and non-grafted (no-GBR) sites in a Swiss specialist private practice using hydrophilic implants with a low surface roughness flange.

Methods: Fifty consecutively enrolled patients received 159 hydrophilic implants with a low surface roughness flange. A first re-evaluation was performed 1 year after delivery of restoration (T1). An additional examination was performed at the 10-year follow-up (T2) including the assessment of clinical (i.e., periodontal/peri-implant pockets probing depths (PPD) (mm), full-mouth bleeding score (%), implant survival rate, mid-buccal keratinized mucosa (KM) width in mm, and peri-implant phenotype), and radiographic (i.e., marginal bone level change [ΔMBL]) outcomes. Biological, mechanical and technical complications were also recorded.

Results: Out of the initial cohort, 22 patients (9/40.9% male and 13/59% female) and 63 implants (47 with GBR, 16 without GBR), could be re-examined at T2. Overall, ΔMBL (T2-T1) was -0.56 ± 0.96 mm. In the GBR group, ΔMBL were significantly higher at the distal sites compared to the no-GBR group (-0.75 ± 1.17 mm vs. -0.12 ± 1.29 mm, p = 0.045), however, in the GBR group MBL started at a higher level at T1 but were similar with the no-GBR group at T2. Implant survival was 100% with only very few technical complications (6.3%). Mean PPD amounted to 3.84 ± 1.00 mm with significantly higher values in the GBR group (3.98 ± 1.08 mm vs. 3.45 ± 0.60 mm; p = 0.016). Nineteen implants (30.1%) were diagnosed with peri-implant health while 44 (69.9%) presented with peri-implant mucositis.

Conclusion: Within the limitations of this study, favorable clinical and radiographic conditions were recorded around hydrophilic implants with a low surface roughness flange placed in pristine and augmented bone after 10 years in function.

目的:报告瑞士一家私人专科诊所使用表面粗糙度较低的亲水性凸缘种植体,在移植(GBR)和非移植(no-GBR)部位植入种植体的 10 年临床和放射学结果:50 名连续登记的患者接受了 159 个带有低表面粗糙度凸缘的亲水种植体。修复体交付 1 年后进行了第一次重新评估(T1)。10年随访(T2)时再进行一次检查,包括临床(即牙周/种植体周围探诊深度(PPD)(毫米)、全口出血评分(%)、种植体存活率、颊中角化粘膜(KM)宽度(毫米)和种植体周围表型)和影像学(即边缘骨水平变化[ΔMBL])结果评估。此外,还记录了生物、机械和技术并发症:在首批患者中,有22名患者(9/40.9%为男性,13/59%为女性)和63颗种植体(47颗有GBR,16颗无GBR)可以在T2期进行复查。总体而言,ΔMBL(T2-T1)为-0.56 ± 0.96 mm。在 GBR 组中,远端部位的 ΔMBL 明显高于无 GBR 组(-0.75 ± 1.17 mm vs. -0.12 ± 1.29 mm,p = 0.045),但 GBR 组在 T1 阶段的 MBL 水平较高,但在 T2 阶段与无 GBR 组相似。种植体存活率为 100%,只有极少数技术并发症(6.3%)。平均 PPD 为 3.84 ± 1.00 mm,GBR 组的数值明显更高(3.98 ± 1.08 mm vs. 3.45 ± 0.60 mm; p = 0.016)。19颗种植体(30.1%)被诊断为种植体周围健康,44颗种植体(69.9%)出现种植体周围粘膜炎:在本研究的限制条件下,在原始骨质和增量骨质中植入低表面粗糙度凸缘的亲水性种植体10年后,其临床和放射学状况良好。
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引用次数: 0
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Clinical implant dentistry and related research
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