COVID-19疾病会影响种植成功率吗?

Ismayilov Orkhan, Ekemen Ali, Alpay Hakan
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摘要

尽管正在使用疫苗,但在全球迅速蔓延的COVID-19大流行继续影响着世界[1]。该研究的作者最近观察到,COVID-19患者在种植牙手术后种植成功率下降。在14例患者中,放置了85颗种植体,其中4颗种植体失败。术后4-6周,所有种植失败患者的COVID-19检测均呈阳性。14例患者中有6例感染新冠病毒,42例植入物中有4例失败。所有植入物由同一位外科医生使用同一品牌的植入物放置,具有适当的初始稳定性。其中只有1例患者在康复期间出现疼痛,其他5例种植体失败患者均无症状。放射学检查显示4个失败植入物中只有1个颈部吸收。这种情况使作者想到COVID-19疾病可能对骨整合和种植牙手术成功率产生负面影响。经过对近期文献的回顾,临床上类似的结果得到了解释,表明COVID-19疾病可能对骨骨整合产生负面影响[2]。
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Does COVID-19 Disease Affect Dental Implant Success Rate?
COVID-19 pandemics, spreading rapidly all over the world continues to affect the world even though vaccines are being applied [1]. The authors of this study recently observed that the dental implant success rates decrease in patients with COVID-19 disease after dental implant surgery. In a group of 14 patients, 85 dental implants were placed, and 4 of the implants were failed. It was observed that all the patients with failed implants had a positive COVID-19 test 4-6 weeks after the surgery. Six of the 14 patients were affected by COVID-19 and 4 out of 42 implants applied to these patients were failed. All implants were placed by the same surgeon using the same brand of an implant with appropriate primary stability. Only one of these patients had pain during the recovery period, but all other 5 patients with implant failure have no symptoms. Radiological examination reveals neck resorption in only one of the 4 failed implants. This situation brought to the mind of the authors that COVID-19 disease could have negative effects on osteointegration and the success rate of dental implant surgery. After a review of the recent literature, clinically similar results were explained, stating COVID-19 disease may negatively affect bone osseointegration [2].
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