临床、放射学种植体周围参数和患者对上颌前磨牙区夹板和非夹板短牙种植体的满意度:一项长期回顾性临床研究。

IF 1.4 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Oral health & preventive dentistry Pub Date : 2023-08-30 DOI:10.3290/j.ohpd.b4347791
Eman M AlHamdan, Abdulaziz Alsahhaf, Khaled M Alzahrani, Fahim Vohra, Tariq Abduljabbar
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引用次数: 0

摘要

目的:本研究的目的是评估上颌前磨牙区种植体支持的短夹板牙冠(SDI-SC)和非夹板牙冠的种植体周围状况、种植体周围骨丢失(PBL)和并发症发生率。材料和方法:对上颌窦附近放置短种植体的患者进行评估。注意到患者满意度和任何技术并发症的存在,如瓷磨损和碎裂、固位损失和基牙、固定装置或螺钉松动。评估种植体周围斑块指数(PIPI)、探查深度(PIPD)、探查出血(PIBP)和种植体周围骨丢失(PBL)。为了评估假体类型和SDI放置对技术问题的影响,计算了对数秩检验。p<0.05被认为具有统计学意义。结果:共有72名患者同意接受随访,平均随访时间为3.1年。评估了总共95个表面中度粗糙的植入物(55个SDI SC和40个SDI NSC)。植入物和患者的平均PBL评分分别为1.27(0.02-3.97)和1.25(0.03-4.41)。单个牙冠的技术并发症比夹板牙冠多。SDI-SC和SDI-NSCs的种植体周围参数无统计学显著差异(p>0.05)。磨牙部位的PBL显著高于前磨牙部位(p=0.048)。60名患者(83.3%)对牙冠外观满意,57名患者(79.1%)对牙套性能满意。结论:SDI-SC和SDI-NSCs的种植体周围条件、骨水平、技术并发症发生率和患者满意度具有可比性。然而,与前磨牙部位的植入物相比,放置在磨牙部位的种植物在统计学上具有更大的骨损失。
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Clinical, Radiographic Peri-Implant Parameters and Patient Satisfaction with Splinted and Non-splinted Short Dental Implants in the Maxillary Premolar-Molar Region: A Long-Term Retrospective Clinical Study.

Purpose: The goal of this study was to assess the peri-implant condition, peri-implant bone loss (PBL), and complication rates of short dental implant-supported splinted crowns (SDI-SCs) and non-splinted crowns (SDI-NSCs) in the maxillary premolar-molar region.

Materials and methods: Patients who had short implants placed near their maxillary sinuses were evaluated. Both patient satisfaction and presence of any technical complication, e.g. porcelain wear and chipping, loss of retention and loosening of the abutment, fixture or screw, were noted. The peri-implant plaque index (PIPI), probing depth (PIPD), bleeding on probing (PIBP), and peri-implant bone loss (PBL) were evaluated. To assess the impact of prosthesis type and SDI placement on technical problems, a log-rank test was computed. p < 0.05 was considered statistically significant.

Results: A total of 72 patients agreed to be followed-up, showing a mean follow-up time of 3.1 years. Ninty-five implants in total (55 SDI-SCs, and 40 SDI-NSCs) with moderately rough surfaces were evaluated. The average PBL score for implant and patients was 1.27 (0.02-3.97) and 1.25 (0.03-4.41), respectively. More technical complications were observed with single crowns than with splinted crowns. There were no statistically significant differences in the peri-implant parameters between SDI-SCs and SDI-NSCs (p > 0.05). PBL at molar sites was substantially higher than at premolar sites (p = 0.048). Sixty patients (83.3%) were satisfied with the appearance of the crowns, while 57 patients (79.1%) were satisfied with the crowns' performance.

Conclusion: The peri-implant conditions, bone levels, technical complication rates and patient satisfaction were comparable between the SDI-SCs and SDI-NSCs. However, implants placed in the molar sites had statistically significantly greater bone loss in comparison to those at the premolar sites.

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来源期刊
Oral health & preventive dentistry
Oral health & preventive dentistry DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
3.00
自引率
0.00%
发文量
51
审稿时长
>12 weeks
期刊介绍: Clinicians, general practitioners, teachers, researchers, and public health administrators will find this journal an indispensable source of essential, timely information about scientific progress in the fields of oral health and the prevention of caries, periodontal diseases, oral mucosal diseases, and dental trauma. Central topics, including oral hygiene, oral epidemiology, oral health promotion, and public health issues, are covered in peer-reviewed articles such as clinical and basic science research reports; reviews; invited focus articles, commentaries, and guest editorials; and symposium, workshop, and conference proceedings.
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