3557例口腔种植病例外科并发症的回顾性研究

发布时间：2018-04-03 02:00

本文选题：牙种植　切入点：外科并发症　出处：《大连医科大学》2017年硕士论文

【摘要】：目的:通过对3557例口腔种植病例进行回顾性研究,分析种植义齿外科并发症的发生率及其相关性因素,从而为临床预防种植外科并发症和规范种植治疗提供参考。方法:选取2009年1月-2014年12月于烟台市口腔医院种植科进行种植修复的所有病历,按照病例排除标准,筛除不合格病例。共纳入3557名患者。录入患者基本情况、术者、附加手术情况、种植体系统及规格型号、并发症类型、临床表现、处置及愈后,统计种植外科并发症及种植外科术中、术后并发症的相关影响因素。结果:共纳入3557名患者,男性患者1672名,女性患者1885名,共植入6223颗种植体,种植体存留率是98.92%;264例患者发生种植外科并发症,发生率为7.4%;种植外科并发症包括创口裂开、种植体早期失败、瘀斑、出血、感染、上颌窦黏膜穿孔、神经损伤,其中创口裂开发生率最高,发生率为3.1%;不同医师级别外科并发症发生率无统计学差异(P0.05);上后牙位外科并发症的发生率最高10.6%,下前牙位外科并发症的发生率最低3.6%;伴骨增量手术方法外科并发症的发生率比常规手术方法和微创手术方法明显高(P0.05);种植外科术后并发症的发生率比术中并发症高;性别、吸烟、牙龈生物型、缺牙范围、植骨与创口裂开有相关性(P0.05);上颌窦间隔和上颌窦黏膜厚度与上颌窦黏膜穿孔有相关性(P0.05);骨量不足、感染、早期负重与种植体早期失败有相关性(P0.05)。结论:1.种植外科并发症中创口裂开的发生率最高。2.不同种植外科并发症影响因素不同,性别、吸烟、牙龈生物型、缺牙范围、植骨与创口裂开有相关性;上颌窦间隔、上颌窦黏膜厚度与上颌窦黏膜穿孔有相关性;骨量不足、感染、早期负重与种植体早期失败有相关性。
[Abstract]:Objective: to analyze the incidence and related factors of surgical complications of implant denture in 3557 cases of dental implant, so as to provide reference for clinical prevention of complications of implant surgery and standardization of implant treatment.Methods: from January 2009 to December 2014, all the medical records of implant repair in Department of Stomatology of Yantai Stomatological Hospital were selected, and the cases were screened out according to the standard of exclusion of cases.A total of 3557 patients were included.The basic condition of the patient, the operator, the additional operation, the implant system and its specification, the type of complications, the clinical manifestation, the treatment and the recovery were analyzed.Results: a total of 3557 patients, 1672 males and 1885 females, were implanted with 6223 implants. The survival rate of implants was 98.922%, and the incidence was 7.4%.Early implants failure, ecchymosis, bleeding, infection, maxillary sinus mucosal perforation, nerve injury, among which the rate of wound rupture is the highest.The incidence of surgical complications was 3.1. There was no significant difference in the incidence of surgical complications among different physician levels (P 0.05). The incidence of surgical complications in upper posterior teeth was the highest (10.6) and that in lower anterior teeth was the lowest (3.6%). The surgical complications associated with bone increment surgery were the lowest (P 0.05).The incidence of complications after implant surgery was higher than that of conventional surgery and minimally invasive surgery, and the incidence of postoperative complications was higher than that of intraoperative complications.Sex, smoking, gingival biotype, range of missing teeth, bone graft and wound rupture were associated with P0.05, maxillary sinus septum and thickness of maxillary sinus mucosa were correlated with maxillary sinus mucosal perforation (P0.05), bone insufficiency, infection,There was a correlation between early loading and early failure of implants (P 0.05).Conclusion 1.The incidence of fracture in implant surgery was the highest. 2. 2.Sex, smoking, gingival biotype, range of missing teeth, bone graft were correlated with fracture of maxillary sinus, thickness of mucosa of maxillary sinus and perforation of mucosa of maxillary sinus were correlated with the thickness of maxillary sinus mucosa.Infection, early loading and early failure of implants were associated.
【学位授予单位】：大连医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R783.6

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