慢性牙周炎患者种植体3年存活情况分析

发布时间：2018-04-17 10:25

本文选题：牙周炎 + 种植修复　；参考：《上海交通大学学报(医学版)》2017年03期

【摘要】：目的·观察慢性牙周炎患者行种植修复后中短期内的种植体存活情况。方法·收集2011年8月—2013年8月接受种植修复的牙周炎患者54例(133枚种植体),观察植入后存活状况,对不同病变程度牙周炎患者发生种植体周围病变的情况进行比较分析。结果·种植体3年存活率为97.74%,不同程度牙周炎间种植体存活率的差异无统计学意义(P=0.452),重度牙周炎患者的种植体周袋探诊深度(PPD)和改良菌斑指数(m PLI)均显著高于轻、中度牙周炎患者。在未定期接受牙周支持治疗的患者中,重度牙周炎的种植体周围炎患病率显著高于轻、中度牙周炎(P=0.009);在吸烟的患者中,重度牙周炎的种植体周围炎患病率显著高于轻、中度牙周炎(P=0.016)。结论·慢性牙周炎患者行种植修复可获得较好的疗效,积极控制菌斑、定期行牙周支持治疗及戒烟可降低种植体周围炎的患病率。
[Abstract]:Objective to observe the short-term implant survival after implant repair in patients with chronic periodontitis.Methods from August 2011 to August 2013, a total of 133 implants were collected from 54 patients with periodontitis undergoing implant repair. The survival status of the patients with periodontitis with different degrees of periodontitis was observed.Results the 3-year survival rate of implants was 97.74. There was no significant difference in the survival rate of implants between different degrees of periodontitis. The PPDs and modified plaque index (MPLI) in patients with severe periodontitis were significantly higher than those in patients with severe periodontitis.Moderate periodontitis.The prevalence of peri-implant inflammation in severe periodontitis was significantly higher than that in mild and moderate periodontitis patients without regular periodontal support therapy, while in smoking patients, the prevalence rate of severe periodontitis was significantly higher than that of mild periodontitis.Moderate periodontitis (P = 0.016).Conclusion Implant repair in patients with chronic periodontitis can obtain better curative effect. Active control of plaque, regular periodontal support therapy and smoking cessation can reduce the prevalence of peri-implant inflammation.
【作者单位】：上海交通大学医学院附属第九人民医院牙周科上海市口腔医学重点实验室;
【基金】：上海市科学技术委员会医学重点项目(13411951300) 上海高校高峰高原学科建设项目~~
【分类号】：R781.4

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