J Dent:种植体支持的全牙弓即刻负荷:一项植入1-9年后种植体周围状态的评估

2017-10-27 lishiting MedSci原创

这篇研究的目的是为了长期(1-9年)评估在私人诊所内进行种植修复的患者术后即刻全牙弓义齿负荷后种植体周围的状态。

这篇研究的目的是为了长期(1-9年)评估在私人诊所内进行种植修复的患者术后即刻全牙弓义齿负荷后种植体周围的状态。

这项回顾性队列研究选取连续就诊需要种植修复的患者,均采取最少植入4个种植体(Replace? Tapered, Nobel Biocare AB) 和多单位锥形肩台(MUA?, Nobel Biocare AB)治疗并即刻全牙弓负荷修复的方法。在最终假体就位后随访超过12个月。

结果显示,56名患者共植入378枚种植体。40例上牙弓修复和36例下牙弓修复,并且有16名患者接受了双侧上颌修复。平均随访的持续时间为50个月,并且发生嵌入和患者种植体周围炎的流行趋势分别为14.3%和50%。粘膜炎影响了56.9%的植入体和50%的患者。相对于患者来说的存留率为96.4%,但对种植体的评估却高达99.5%,种植体植入成功率为95.5%而相对患者来说成功率为80.4%。

结论:即刻全牙弓负荷的修复方法在随访1-9年中的疗效是可以接受的。然而,种植体周围疾病的发生率很高。为此,还需要进一步的研究来证实是否这些会损害义齿的长期使用。

临床意义:在平均50个月的随访后,粘膜炎和种植体周围炎分别影响着96.4%和50%的患者。然而,当探诊出血和种植体周围骨缺损阈值不严格要求时,这些结果几乎下降一半。

原始出处:

Cercadillo-Ibarguren I, Sánchez-Torres A, et al. Immediately loaded implant-supported full-arches: Peri-implant status after 1-9years in a private practice. J Dent. 2017 Sep 28. pii: S0300-5712(17)30240-3. doi: 10.1016/j.jdent.2017.09.014.

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    2018-01-15 huangdf
  2. [GetPortalCommentsPageByObjectIdResponse(id=1701881, encodeId=54101e018812d, content=<a href='/topic/show?id=04b9e4784aa' target=_blank style='color:#2F92EE;'>#种植#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=74784, encryptionId=04b9e4784aa, topicName=种植)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=47e130405619, createdName=huangdf, createdTime=Mon Jan 15 01:36:00 CST 2018, time=2018-01-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1343735, encodeId=190a1343e35eb, content=<a href='/topic/show?id=d512e47853f' target=_blank style='color:#2F92EE;'>#种植体#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=74785, encryptionId=d512e47853f, topicName=种植体)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/TnzXXl41yf6V8fHrDb5JdtxOgpaY6vplUhHtL8BzDh1xMtcap9H1IOlE8umxPGovhIuVkeGTY26eNUFCFaOheQ/132, createdBy=29702500197, createdName=ms6279672939590805, createdTime=Sun Oct 29 09:36:00 CST 2017, time=2017-10-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1520418, encodeId=fa8115204182e, content=<a href='/topic/show?id=7a736264553' target=_blank style='color:#2F92EE;'>#植入#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=62645, encryptionId=7a736264553, topicName=植入)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=21015, createdName=heli0118, createdTime=Sun Oct 29 09:36:00 CST 2017, time=2017-10-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=256455, encodeId=0d9a256455ba, content=不错的.学习了.谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NdqKgfW3nMpOkC3jXxiaW2po0PtglY5ZuVjERqKADW4HyMI8bcZXWlKgH7tEP9ULBoBzuQMibia4pr1s9rQPqLvqQJ/0, createdBy=e8c02060444, createdName=中医痴, createdTime=Fri Oct 27 19:32:46 CST 2017, time=2017-10-27, status=1, ipAttribution=)]
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    2017-10-29 heli0118
  4. [GetPortalCommentsPageByObjectIdResponse(id=1701881, encodeId=54101e018812d, content=<a href='/topic/show?id=04b9e4784aa' target=_blank style='color:#2F92EE;'>#种植#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=74784, encryptionId=04b9e4784aa, topicName=种植)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=47e130405619, createdName=huangdf, createdTime=Mon Jan 15 01:36:00 CST 2018, time=2018-01-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1343735, encodeId=190a1343e35eb, content=<a href='/topic/show?id=d512e47853f' target=_blank style='color:#2F92EE;'>#种植体#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=74785, encryptionId=d512e47853f, topicName=种植体)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/TnzXXl41yf6V8fHrDb5JdtxOgpaY6vplUhHtL8BzDh1xMtcap9H1IOlE8umxPGovhIuVkeGTY26eNUFCFaOheQ/132, createdBy=29702500197, createdName=ms6279672939590805, createdTime=Sun Oct 29 09:36:00 CST 2017, time=2017-10-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1520418, encodeId=fa8115204182e, content=<a href='/topic/show?id=7a736264553' target=_blank style='color:#2F92EE;'>#植入#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=62645, encryptionId=7a736264553, topicName=植入)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=21015, createdName=heli0118, createdTime=Sun Oct 29 09:36:00 CST 2017, time=2017-10-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=256455, encodeId=0d9a256455ba, content=不错的.学习了.谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NdqKgfW3nMpOkC3jXxiaW2po0PtglY5ZuVjERqKADW4HyMI8bcZXWlKgH7tEP9ULBoBzuQMibia4pr1s9rQPqLvqQJ/0, createdBy=e8c02060444, createdName=中医痴, createdTime=Fri Oct 27 19:32:46 CST 2017, time=2017-10-27, status=1, ipAttribution=)]
    2017-10-27 中医痴

    不错的.学习了.谢谢分享!

    0

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