重度牙周破坏对下颌第一磨牙拔牙后种植手术方式影响的回顾性研究

doi:10.13701/j.cnki.kqyxyj.2024.04.014

摘要/Abstract

摘要： 目的: 对下颌第一磨牙拔除后行种植修复的病例进行回顾性研究,探索重度牙周破坏(advanced periodontal defect, APD)对拔牙后种植手术方式的影响。方法: 纳入下颌第一磨牙拔除后自然愈合3~12个月行种植手术的患者176例,共179个种植位点,进行回顾性分析,记录患者年龄、性别、缺牙时间以及拔牙时是否有APD。采用多因素Logistic回归,分析拔牙前APD是否是种植时行引导性骨再生(guided bone regeneration,GBR)的风险因素。结果: 对年龄、性别、缺牙时间等因素校正后,结果显示,有APD的下颌第一磨牙,种植时行GBR的风险是无APD位点的4.738倍(95%可信区间:1.650~13.609,P<0.05)。结论: APD的下颌第一磨牙拔除后,种植手术时行GBR的可能性更大。

关键词: 下颌第一磨牙, 重度牙周破坏, 种植

Abstract: Objective: To determine whether advanced periodontal defect (APD) was the risk factor of guided bone regeneration (GBR) in implant surgery of mandibular first molar. Methods: One-hundred and seventy-six patients with 179 implants placed in naturally healed mandibular first molars sites were included. The time interval between tooth extraction and implant surgery was 3-12 months. Age, sex, the time interval, and APD (yes or no) of extracted teeth were recorded. The risk factors of GBR were assessed using Logistic regression. Results: Adjusting for age, sex , and the time interval, the risk of GBR for implant surgery was 4.738 times higher in mandibular first molars with APD than non-APD sites(95%CI:1.650-13.609, P<0.05). Conclusion: APD increases the risk of GBR in implant surgery of mandibular first molar.

Key words: mandibular first molar, advanced periodontal defect, implant

朱洁, 秦毅, 彭东, 李聪, 刘存瑞. 重度牙周破坏对下颌第一磨牙拔牙后种植手术方式影响的回顾性研究[J]. 口腔医学研究, 2024, 40(4): 356-359.

ZHU Jie, QIN Yi, PENG Dong, LI Cong, LIU Cunrui. Influence of Advanced Periodontal Defect on Implant Surgery of Mandibular First Molars: A Retrospective Study[J]. Journal of Oral Science Research, 2024, 40(4): 356-359.

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