上海口腔医学

上海口腔医学 ›› 2023, Vol. 32 ›› Issue (1): 69-74.doi: 10.19439/j.sjos.2023.01.013

• 论著 • 上一篇    下一篇

种植义齿生物学并发症危险因素的回顾性分析

徐晓乾1, 李镭2   

  1. 1.武汉大学口腔医学院 武胜路门诊部,湖北 武汉 430032;
    2.武汉大学口腔医院 口腔种植科,湖北 武汉 430079
  • 收稿日期:2021-09-16 修回日期:2022-05-16 出版日期:2023-02-25 发布日期:2023-06-12
  • 通讯作者: 李镭,E-mail: 58043414@qq.com
  • 作者简介:徐晓乾（1986-）,男,硕士,主治医师,E-mail: xxq0402@126.com
  • 基金资助:
    湖北省自然科学基金（040010002）

A retrospective cohort study of risk factors for prevalence of implant biological complications

XU Xiao-qian1, LI Lei2   

  1. 1. Wusheng Road Outpatient Department, School and Hospital of Stomatology, Wuhan University. Wuhan 430032;
    2. Department of Dental Implant, School and Hospital of Stomatology, Wuhan University. Wuhan 430079, Hubei Province, China
  • Received:2021-09-16 Revised:2022-05-16 Online:2023-02-25 Published:2023-06-12

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摘要： 目的: 分析引起种植固定义齿修复后生物学并发症的危险因素。方法: 对2012年3月—2016年3月植入的725颗种植体随访5~9年,分别于修复完成3个月~1年、2~3年、4~5年、6~7年、8~9年测量种植体周黏膜指数（implant mucosal index, IMI）和种植体边缘骨丧失（implant marginal bone loss, MBL）,确定种植体周黏膜炎和种植体周炎的数量,统计种植修复后种植体周黏膜炎和种植体周炎发生率及其危险因素。采用SPSS 28.0软件包对数据进行统计学分析。结果: 种植体5年存留率为98.7%。种植修复后8~9年的种植体周黏膜炎和种植体周炎发生率分别为37.5%和8.3%。吸烟、牙周炎、小直径种植体、非光滑颈部种植体、前牙区种植位点、种植体颈部骨增量等因素引起较高的种植体生物学并发症（P<0.05）。结论: 种植义齿修复后生物学并发症的危险因素有吸烟、牙周炎、种植体直径、种植体颈部形态、种植位点、种植体颈部骨增量等。

关键词: 种植体周黏膜炎, 种植体周炎, 危险因素

Abstract: PURPOSE: To analyze the risk factors of biological complications after implant-fixed denture restoration. METHODS: Seven hundred and twenty-five implants were placed between March 2012 and March 2016. Follow-up period was 5 to 9 years. The implant mucosal index (IMI) and implant marginal bone loss (MBL) were measured at 3 months-1 year, 2-3 years, 4-5 years, 6-7 years and 8-9 years after restoration. The prevalence and risk factors of peri-implantitis and mucositis were analyzed. SPSS 28.0 software package was used to analyze the date. RESULTS: The implant survival rate of 5 years was 98.7%. The prevalence of mucositis and peri-implantitis were 37.5% and 8.3% at 8 to 9 years. Smoking, periodontitis, narrow diameter, rough neck , anterior location, bone augmentation caused higher prevalence of peri-implantitis or mucositis (P<0.05). CONCLUSIONS: Smoking, periodontitis, implant diameter, implant design, implant location and bone augmentation are the risk factors of implant biological complications.

Key words: Mucositis, Peri-implantitis, Risk factor

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