Clinical Outcomes of Dental Implant Fractures: A Case Series and Analysis of Influencing Factors.

Zhen Li, M M Yun Yang, Mbbs Meng Yang, M M Xin Tong
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Abstract

Objective: To observe and analyse patients with dental implant fracture and explore the factors influencing the fracture with the aim of providing reference for physicians' clinical work.

Methods: The clinical data of 19 patients with dental implant fracture who visited the Department of Implantology of our hospital between 2007 and 2019 were retrospectively observed and analysed, and the fracture's influencing factors (e.g. the fracted implant site, implant diameter and connection mode, upper prosthetic method and fracture site) were analysed and investigated.

Results: The fractured implants comprised 12 Straumann implants (5 fractured at the smooth dental neck and 7 atop the central screws), 5 Bego implants (4 fractured at the smooth dental neck and 1 atop the central screw), 3 Lifecore implants fractured atop the central screws and 1 Anthogyr implant fractured atop the central screw. Of the 19 patients, 6 had anterior dental implant fracture, and 13 had posterior dental implant fracture (21 fractured implants in total). Maxillary anterior dental implant fracture was observed in 6 patients (8 implants), maxillary posterior implant fracture was observed in 3 patients (3 implants), and mandibular posterior dental implant fracture was observed in 10 patients (10 implants).

Conclusions: A good implant system design, appropriate implant diameter and reasonable upper prosthetic method are key to maintaining long-term stability of a dental implant.

种植牙骨折的临床结果:病例系列及影响因素分析
目的方法:对我院种植科2007年至2019年就诊的19例种植牙骨折患者的临床资料进行回顾性观察分析,探讨骨折的影响因素,旨在为医生的临床工作提供参考:回顾性观察分析2007年至2019年在我院种植科就诊的19例种植牙骨折患者的临床资料,分析研究骨折的影响因素(如种植体骨折部位、种植体直径及连接方式、上部修复方式及骨折部位等):骨折的种植体包括 12 个 Straumann 种植体(5 个在光滑的牙颈部骨折,7 个在中心螺丝上骨折)、5 个 Bego 种植体(4 个在光滑的牙颈部骨折,1 个在中心螺丝上骨折)、3 个在中心螺丝上骨折的 Lifecore 种植体和 1 个在中心螺丝上骨折的 Anthogyr 种植体。在 19 名患者中,6 名患者的前牙种植体断裂,13 名患者的后牙种植体断裂(共有 21 个种植体断裂)。其中上颌前牙种植体断裂 6 例(8 个种植体),上颌后牙种植体断裂 3 例(3 个种植体),下颌后牙种植体断裂 10 例(10 个种植体):结论:良好的种植系统设计、适当的种植体直径和合理的上部修复方法是保持种植牙长期稳定性的关键。
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