8 - 10年后植入物周围炎的患病率和危险指标

C. Marcantonio, L. G. Nícoli, Carolina Mendonça de Almeida Malzoni, C. Susin, E. Marcantonio Júnior, D. Zandim-Barcelos
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Multivariate analysis was used to identify potential risk indicator factors related to the occurrence of peri-implantitis. Overall, 211 implants had been placed; 197 were in function, 9 were still submerged, and 5 had been lost. Result Success and survival rates were 81.5% and 97.6%, respectively. Peri-implant mucositis affected 77.1% of subjects and 52.3% of implants. Peri-implantitis was diagnosed in 14 individuals (29.2%) and 25 implants (12.7%). Subjects with osteoporosis (OR = 2.84) and generalized bleeding on probing (OR = 8.03) were significantly associated with higher odds of peri-implantitis. At the implant level, visible plaque (OR = 4.45) and deep probing depths (OR = 4.47) were significantly associated with peri-implantitis. 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引用次数: 1

摘要

摘要:研究种植体周围疾病的危险指标有助于预防和有针对性的治疗技术。目的通过横断面研究,了解种植体周围炎的发生情况及其潜在的危险指标因素,评估种植体功能恢复后8 ~ 10年的远期成功率和生存率。材料和方法本研究纳入了2003年至2005年间接受过种植体支持康复治疗的50名患者。收集了有关人口统计、医疗和牙科病史的数据,并进行了全面的临床检查。采用多因素分析确定与种植体周围炎发生相关的潜在危险指标因素。总共植入了211个;197个仍在使用,9个仍在水下,5个已经失踪。结果手术成功率81.5%,生存率97.6%。77.1%的受试者和52.3%的种植体发生种植体周围粘膜炎。种植体周围炎14例(29.2%),种植体25例(12.7%)。骨质疏松(OR = 2.84)和探查时全身性出血(OR = 8.03)的受试者与种植体周围炎的发生率显著相关。在种植体水平,可见菌斑(OR = 4.45)和深探探深度(OR = 4.47)与种植体周围炎显著相关。结论骨质疏松症和牙周/种植周黏膜全身性炎症增加了种植周炎发生的可能性。
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Prevalence and risk indicators of peri-implantitis after 8 to 10 years of function
Abstract Introduction The investigation of peri-implant diseases risk indicators helps to prevent and target treatment techniques. Objective The aim of this cross-sectional study was to determine the occurrence of peri-implantitis and its potential risk indicator factors, besides to assess the long-term success and survival rates of dental implants after 8 to 10 years of function. Material and method For this, fifty individuals who had received their implant-supported rehabilitation between 2003 and 2005 were included. Data regarding demographics, medical and dental history were collected and a complete clinical examination was performed. Multivariate analysis was used to identify potential risk indicator factors related to the occurrence of peri-implantitis. Overall, 211 implants had been placed; 197 were in function, 9 were still submerged, and 5 had been lost. Result Success and survival rates were 81.5% and 97.6%, respectively. Peri-implant mucositis affected 77.1% of subjects and 52.3% of implants. Peri-implantitis was diagnosed in 14 individuals (29.2%) and 25 implants (12.7%). Subjects with osteoporosis (OR = 2.84) and generalized bleeding on probing (OR = 8.03) were significantly associated with higher odds of peri-implantitis. At the implant level, visible plaque (OR = 4.45) and deep probing depths (OR = 4.47) were significantly associated with peri-implantitis. Conclusion Through these results, our study suggests that osteoporosis and generalized periodontal/peri-implant mucosa inflammation increase the likelihood of peri-implantitis.
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