窄直径种植体在下颌前牙区临床疗效的回顾性研究

doi:10.13701/j.cnki.kqyxyj.2022.04.006

口腔医学研究 ›› 2022, Vol. 38 ›› Issue (4): 320-324.DOI: 10.13701/j.cnki.kqyxyj.2022.04.006

窄直径种植体在下颌前牙区临床疗效的回顾性研究

高静, 江鹭鹭, 何晶, 张翀, 王丹宁, 赵宝红^*

中国医科大学口腔医学院种植中心, 辽宁省口腔医学研究所口腔种植研究室,辽宁省口腔疾病重点实验室,辽宁省口腔疾病转化医学研究中心辽宁沈阳 110002

收稿日期:2021-09-30 出版日期:2022-04-28 发布日期:2022-04-22
通讯作者: *赵宝红,E-mail:bhzhao@cmu.edu.cn
作者简介:高静(1995~ ),女,辽宁营口人,硕士在读,主要从事口腔种植修复相关研究。
基金资助:
国家自然科学基金(编号:82071151)辽宁省自然科学基金(编号:20170541059)辽宁省科技局资助项目(编号:2013225049)沈阳市科技局资助项目(编号:F11-264-1-25)

A Retrospective Study on Clinical Performance of Narrow Diameter Implant in Mandibular Anterior Region

GAO Jing, JIANG Lulu, HE Jing, ZHANG Chong, WANG Danning, ZHAO Baohong^*

Implant Center, School of Stomatology, China Medical University; Institute of Stomatology of Liaoning Province, Liaoning Provincial Key Laboratory of Oral Diseases; Translational Medicine Research Center of Oral Diseases of Liaoning Province, Shenyang 110002, China

Received:2021-09-30 Online:2022-04-28 Published:2022-04-22

摘要/Abstract

摘要： 目的: 回顾性分析下颌前牙区应用窄直径种植体的临床疗效。方法: 纳入下颌前牙区植入窄直径种植体的患者149例,种植体227颗。检查指标包括种植体存留率、并发症情况、美学评分及边缘骨吸收。结果: 窄直径种植体存留率为98.68%;随访期间软硬组织情况较好,美学效果均较为满意;种植体边缘骨吸收量为(0.28±0.41) mm,口腔卫生情况、牙周病及吸烟是影响骨吸收的风险因素。结论: 下颌前牙区应用窄直径种植体的临床效果理想可靠。严格控制风险因素、合理制定种植方案、定期随诊维持疗效是成功的关键。

关键词: 下颌前牙区, 窄直径种植体, 种植义齿, 并发症

Abstract: Objective: To analyze the clinical curative effect of narrow diameter implant in mandibular anterior region retrospectively. Methods: A total 227 implants in 149 patients with narrow diameter implants in mandibular anterior region were enrolled in this study. The clinical examination indexes included implant survival rate, complications, pink-white esthetic score, and marginal bone loss. Results: The cumulative survival rate of narrow diameter implant was 98.68%. Soft and hard tissues were in good condition, and aesthetic effectiveness was satisfactory during the follow-up. Marginal bone loss was (0.28±0.41) mm, which was affected by oral hygiene, periodontal disease, and smoking. Conclusion: The clinical effect of narrow diameter implant in mandibular anterior region is ideal and reliable. The key to the success of implant supported dentures is to strictly control the risk factors, reasonably formulate the plan of implant restorations, and follow-up regularly to maintain the curative effect.

Key words: anterior mandibular area, narrow diameter implant, implant denture, complications

高静, 江鹭鹭, 何晶, 张翀, 王丹宁, 赵宝红. 窄直径种植体在下颌前牙区临床疗效的回顾性研究[J]. 口腔医学研究, 2022, 38(4): 320-324.

GAO Jing, JIANG Lulu, HE Jing, ZHANG Chong, WANG Danning, ZHAO Baohong. A Retrospective Study on Clinical Performance of Narrow Diameter Implant in Mandibular Anterior Region[J]. Journal of Oral Science Research, 2022, 38(4): 320-324.

参考文献

[1] Walton JN, MacEntee MI. Choosing or refusing oral implants: a prospective study of edentulous volunteers for a clinical trial[J]. Int J Prosthodont, 2005, 18(6):483-488.
[2] Zinsli B, Sagesser T, Mericske E, et al.Clinical evaluation of small-diameter ITI implants: A prospective study[J]. Int J Oral Maxillofac Implants, 2004, 19(1):92-99.
[3] Klein MO, Schiegnitz E, Al-Nawas B. Systematic review on success of narrow-diameter dental implants[J]. Int J Oral Max Impl, 2014, 29(Suppl):43-54.
[4] Ellis JS, Levine A, Bedos C, et al. Refusal of implant supported mandibular overdentures by elderly patients[J]. Gerodontology, 2011, 28(1):62-68.
[5] Allum SR, Tomlinson RA, Joshi R.The impact of loads on standard diameter,small diameter and mini-implants: a comparative laboratory study[J]. Clin Oral Implants Res, 2008, 19(6):553-559.
[6] Jung RE, Al-Nawas B, Araujo M, et al. Group 1 ITI Consensus Report: The influence of implant length and design and medications on clinical and patient-reported outcomes[J]. Clin Oral Impl Res, 2018, 29 Suppl 16:69-77.
[7] Wheeler Sl, Holmes RE, Calhoun CJ. Six-year clinical and histologic study of Sinus life grafts[J]. Int J Oral Maxillofac Implant, 1996, 11(1):26-34.
[8] Sanz M, Chapple IL.Clinical research on peri-implant diseases: consensus report of Working Group 4[J]. J Clin Periodontol, 2012, 39(12):202-206.
[9] Rodrigo D, Sanz-Sánchez I, Figuero E, et al. Prevalence and potential risk indicators of peri-implant diseases in Spain[J]. J Clin Periodontol, 2018, 45(12):1510-1520.
[10] 江鹭鹭,赵宝红.种植义齿生物学并发症的病因及防治[J].中国实用口腔科杂志,2014,7(3):133-138.
[11] 田思睿,赵宁宁,谢艳婷,等.慢性牙周炎患者后牙区种植修复后5年临床疗效分析[J].中国实用口腔科杂志,2019,12(10):604-607.
[12] Fürhauser R, Florescu D, Benesch T, et al. Evaluation of soft tissue around single-tooth implant crowns: the pink esthetic score[J]. Clin Oral Impl Res, 2010, 16(6):639-644.
[13] Belser UC, Grütter L, Vailati F, et al. Outcome evaluation of early placed maxillary anterior single-tooth implants using objective esthetic criteria: a cross-sectional,retrospective study in 45 patients with a 2-to 4-year follow-up using pink and white esthetic scores[J]. J Periodontol, 2009, 80(1):140-151.
[14] 张佳,姜焕焕,尚将,等.短种植体在骨量不足后牙区应用的临床效果评价[J].上海口腔医学,2018,27(4):401-406.
[15] Telles LH, Portella FF, Rivaldo EG. Longevity and marginal bone loss of narrow-diameter implants supporting single crowns: A systematic review[J]. PLoS One, 2019, 14(11):e0225046.
[16] Cruz RS, Lemos CAA, de Batista VES, et al. Narrow-diameter implants versus regular-diameter implants for rehabilitation of the anterior region: a systematic review and meta-analysis[J]. Int J Oral Maxillofac Surg, 2021, 50(5):674-682.
[17] Corcuera-Flores JR, Pérez-Fierro M, Blanco-Carrión A, et al. Bone loss around narrow implants versus standard diameter implants: Retrospective 2-years case-control study[J]. J Clin Exp Dent, 2020, 12(1):79-84.
[18] Ding X, Zhu XH, Liao SH, et al.Implant-bone interface stress distribution in immediately loaded implants of different diameters: A three-dimensional finite element analysis[J]. J Prosthodont, 2009, 18(5):393-402.
[19] Alrabiah M. Comparison of survival rate and crestal bone loss of narrow diameter dental implants versus regular dental implants: a systematic review and meta-analysis[J]. J Investig Clin Dent, 2019, 10(1):e12367.
[20] Assaf A, Saad M, Daas M, et al. Use of narrow-diameter implants in the posterior jaw: a systematic review[J]. Implant Dent, 2015, 24(3):294-306.
[21] Flanagan D. Fixed partial dentures and crowns supported by very small diameter dental implants in compromised sites[J]. Implant Dent, 2008, 17(2):182-191.
[22] 姚本栈,黄慧,董海东.窄直径钛锆种植体应用于后牙区的种植体周围软硬组织状况和疗效观察[J].中国医师杂志,2018,20(10):1502-1505.
[23] de Souza AB, Sukekava F, Tolentino L, et al. Narrow- and regular-diameter implants in the posterior region of the jaws to support single crowns: A 3-year split-mouth randomized clinical trial[J]. Clin Oral Implants Res, 2018, 29(1):100-107.
[24] Chrcanovic BR, Kisch J, Albrektsson T, et al. A retrospective study on clinical and radiological outcomes of oral implants in patients followed up for a minimum of 20 years[J]. Clin Implant Dent Relat Res, 2018, 20(2):199-207.
[25] Schwarz MS. Mechanical complications of dental implants[J]. Clin Oral Implants Res, 2000, 11(1):156-158.
[26] Rasperini G, Siciliano VI, Cafiero C, et al. Crestal bone changes at teeth and implants in periodontally healthy and periodontally compromised patientsA 10-year comparative case-series study[J]. J Periodontol, 2014, 85(6):e152-e159.
[27] Nociti F. Effect of anti-infective mechanical therapy on clinical parameters and cytokine levels in human peri-implant diseases[J]. J Periodontol, 2009, 80(2):234-243.
[28] Marcello-Machado RM, Faot F, Schuster AJ, et al. Mapping of inflammatory biomarkers in the peri-implant crevicular fluid before and after the occlusal loading of narrow diameter implants[J]. Clinical Oral Investigations, 2020, 24(3):1311-1320.
[29] BinShabaib MS, Mehmood A, Akram Z, et al. Peri-implant clinical and radiographic status and whole salivary cotinine levels among cigarette and waterpipe smokers and never-smokers[J]. J Oral Sci, 2018, 60(2):247-252.

窄直径种植体在下颌前牙区临床疗效的回顾性研究

A Retrospective Study on Clinical Performance of Narrow Diameter Implant in Mandibular Anterior Region

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