Clin Implant Dent Relat Res：种植牙也需谨慎！大样本量数据分析种植相关问题的发生

2017-04-25 MedSci MedSci原创

目前对于常规种植修复后的大样本量的随访研究鲜有报道，本研究旨在通过回顾性研究探究一个私人诊所中种植体周围炎及整体种植失败的情况。研究中共纳入了2000年至2011年接受种植修复治疗的1017名患者，这些患者连续接受了1592次种植手术共植入了3082颗种植体，植体表面的处理为阳极氧化。对所有患者以下4个种植修复后出现的问题进行鉴定：种植体周围炎、手术相关的种植体周围炎、整体种植失败以及晚期种植失败

目前对于常规种植修复后的大样本量的随访研究鲜有报道，本研究旨在通过回顾性研究探究一个私人诊所中种植体周围炎及整体种植失败的情况。

研究中共纳入了2000年至2011年接受种植修复治疗的1017名患者，这些患者连续接受了1592次种植手术共植入了3082颗种植体，植体表面的处理为阳极氧化。对所有患者以下4个种植修复后出现的问题进行鉴定：种植体周围炎、手术相关的种植体周围炎、整体种植失败以及晚期种植失败。使用逻辑多变量分析模型来确定与以上4个事件发生相关的可能的因素。

结果发现，下颌手术(HR = 3.03)以及术中即刻牙龈移植术(HR = 3.34)分别是种植体周围炎及手术相关的种植体周围炎发生最密切相关的影响因素。自2000年以来种植体周围炎的发生率不断上升(HR = 1.28)。整体种植失败与吸烟(HR = 2.11)、外科技术（直接安放最高；HR = 1.67）以及植体类型（NobelActive CC; HR = 2.48）相关。与其他类型的种植体相比，NobelActive CC多用于上颌种植，使用即刻或同期骨及牙龈移植(P <0 .05)。种植修复后一年植体脱落与下颌(HR = 2.63)以及早期炎症(HR = 17.95)相关。

总而言之，常规下颌后区种植术中种植体周围炎的发生似乎与手术操作相关。愈合期各种并发症的发生率似乎有所增加，这或与直接安放技术以及膜龈手术操作相关。既往研究已报道过早期炎症问题与中年患者种植失败之间的关联。整体/晚期种植失败与早期炎症、吸烟习惯、外科手术以及下颌后区种植相关。

原始出处：

Jemt T, Karouni M, Abitbol J, et al.A retrospective study on 1592 consecutively performed operations in one private referral clinic. Part II: Peri-implantitis and implant failures. Clin Implant Dent Relat Res. 2017 Mar 1. doi: 10.1111/cid.12481.

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2017-06-23 zhzhxiang

#样本#

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2017-10-02 huangdf

#种植#

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2017-06-21 xuyu

#plant#

67 0
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content=阅读了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=109, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2017/04/21/72142930668371951a41ef4ea4b233e6.jpg, createdBy=dcbc1715228, createdName=刘煜, createdTime=Tue Apr 25 05:55:23 CST 2017, time=2017-04-25, status=1, ipAttribution=)]
2018-03-21 xuyong536

#MPL#

91 0
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replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/icyLhIGqru6gIknBJqfuPhQkEvDREF6S2vZq3ZIpUYjdqicKVoAWaJSGoe8xNvS6o6QpmOlh2AQ7xuUpj8NiaDjJJgjbc7Xj3T6/0, createdBy=1c242047915, createdName=daiyaozu, createdTime=Tue Apr 25 07:42:40 CST 2017, time=2017-04-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=190350, encodeId=23ca1903500a, content=看来吸烟的危害波及有点广, beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/DYAIOgq83er7lBrMCuvxicCR3XJQhu2X3SmEzicSFDknz19Vav0ln3PHYSicIKQRIiazzcibtEchpeQNrjh2jfOYC0w/132, createdBy=eb931929187, createdName=美丽明天在等我, createdTime=Tue Apr 25 06:38:34 CST 2017, time=2017-04-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=190339, encodeId=d7af190339f0, content=阅读了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=109, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2017/04/21/72142930668371951a41ef4ea4b233e6.jpg, createdBy=dcbc1715228, createdName=刘煜, createdTime=Tue Apr 25 05:55:23 CST 2017, time=2017-04-25, status=1, ipAttribution=)]
2017-04-26 grace5700

#样本量#

71 0
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topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/11/23/d95fde48d2044f401185c488baba9736.jpg, createdBy=ac6c78427, createdName=test1797, createdTime=Tue Apr 25 09:49:07 CST 2017, time=2017-04-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=190405, encodeId=98931904052a, content=非常好的文章，学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7LIiaRZTzJ3SEfiauCzTMPW7YvPPYLNJBXG9oh6Al1icq2VQQkIHWxqXehcicTS62YKJVBhxeth3wggw/0, createdBy=7ce01621306, createdName=天涯183, createdTime=Tue Apr 25 08:32:52 CST 2017, time=2017-04-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=190383, encodeId=3b7419038312, content=学习了，不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/icyLhIGqru6gIknBJqfuPhQkEvDREF6S2vZq3ZIpUYjdqicKVoAWaJSGoe8xNvS6o6QpmOlh2AQ7xuUpj8NiaDjJJgjbc7Xj3T6/0, createdBy=1c242047915, createdName=daiyaozu, createdTime=Tue Apr 25 07:42:40 CST 2017, time=2017-04-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=190350, encodeId=23ca1903500a, content=看来吸烟的危害波及有点广, beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/DYAIOgq83er7lBrMCuvxicCR3XJQhu2X3SmEzicSFDknz19Vav0ln3PHYSicIKQRIiazzcibtEchpeQNrjh2jfOYC0w/132, createdBy=eb931929187, createdName=美丽明天在等我, createdTime=Tue Apr 25 06:38:34 CST 2017, time=2017-04-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=190339, encodeId=d7af190339f0, content=阅读了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=109, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2017/04/21/72142930668371951a41ef4ea4b233e6.jpg, createdBy=dcbc1715228, createdName=刘煜, createdTime=Tue Apr 25 05:55:23 CST 2017, time=2017-04-25, status=1, ipAttribution=)]
2017-04-25 test1797

不错

93 0
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topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/11/23/d95fde48d2044f401185c488baba9736.jpg, createdBy=ac6c78427, createdName=test1797, createdTime=Tue Apr 25 09:49:07 CST 2017, time=2017-04-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=190405, encodeId=98931904052a, content=非常好的文章，学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7LIiaRZTzJ3SEfiauCzTMPW7YvPPYLNJBXG9oh6Al1icq2VQQkIHWxqXehcicTS62YKJVBhxeth3wggw/0, createdBy=7ce01621306, createdName=天涯183, createdTime=Tue Apr 25 08:32:52 CST 2017, time=2017-04-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=190383, encodeId=3b7419038312, content=学习了，不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/icyLhIGqru6gIknBJqfuPhQkEvDREF6S2vZq3ZIpUYjdqicKVoAWaJSGoe8xNvS6o6QpmOlh2AQ7xuUpj8NiaDjJJgjbc7Xj3T6/0, createdBy=1c242047915, createdName=daiyaozu, createdTime=Tue Apr 25 07:42:40 CST 2017, time=2017-04-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=190350, encodeId=23ca1903500a, content=看来吸烟的危害波及有点广, beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/DYAIOgq83er7lBrMCuvxicCR3XJQhu2X3SmEzicSFDknz19Vav0ln3PHYSicIKQRIiazzcibtEchpeQNrjh2jfOYC0w/132, createdBy=eb931929187, createdName=美丽明天在等我, createdTime=Tue Apr 25 06:38:34 CST 2017, time=2017-04-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=190339, encodeId=d7af190339f0, content=阅读了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=109, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2017/04/21/72142930668371951a41ef4ea4b233e6.jpg, createdBy=dcbc1715228, createdName=刘煜, createdTime=Tue Apr 25 05:55:23 CST 2017, time=2017-04-25, status=1, ipAttribution=)]
2017-04-25 天涯183

非常好的文章，学习了

97 0
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content=阅读了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=109, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2017/04/21/72142930668371951a41ef4ea4b233e6.jpg, createdBy=dcbc1715228, createdName=刘煜, createdTime=Tue Apr 25 05:55:23 CST 2017, time=2017-04-25, status=1, ipAttribution=)]
2017-04-25 daiyaozu

学习了，不错

99 0
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2017-04-25 美丽明天在等我

看来吸烟的危害波及有点广

76 0
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content=阅读了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=109, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2017/04/21/72142930668371951a41ef4ea4b233e6.jpg, createdBy=dcbc1715228, createdName=刘煜, createdTime=Tue Apr 25 05:55:23 CST 2017, time=2017-04-25, status=1, ipAttribution=)]
2017-04-25 刘煜

阅读了谢谢分享

109 0

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