Risk of Late Implant Loss and Peri‐Implantitis Based on Dental Implant Surfaces and Abutment Types: A Nationwide Cohort Study in the Elderly

IF 5.8 1区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Clinical Periodontology Pub Date : 2024-10-16 DOI:10.1111/jcpe.14079

Su Young Lee, René Daher, Jin‐Hyung Jung, Kyungdo Han, Irena Sailer, Jae‐Hyun Lee

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引用次数: 0

Abstract

AimThis nationwide population‐based cohort study aimed to assess the incidence of implant complication treatments, including implant removal procedures and peri‐implantitis treatments, in relation to implant surfaces and abutment types.MethodsData from the National Health Insurance Service, covering approximately 50 million individuals, were used. Implants and abutments were categorized by codes, including surfaces such as resorbable blasting media, sandblasted large grit and acid‐etched (SA) and hydroxyapatite coating, along with abutment structures (one‐piece straight, two‐piece straight, angled). The incidence of implant complication treatments was analysed using Kaplan–Meier curves and Cox proportional hazards regression (α = 0.05).ResultsThe study included 2,354,706 implants. The SA group had the lowest hazard ratio for implant removal procedures (p < 0.0001). No significant differences were found in the risk of peri‐implantitis treatments between implant surfaces (p = 0.0587). The risk of implant complication treatments did not differ significantly by the abutment type (p = 0.9542). The incidence rate of implant complication treatments was < 3.9 per 1000 implant‐years across all groups.ConclusionsThe SA group showed a slightly lower risk of late implant loss, whereas no significant association was found for the abutment type groups. All implant and abutment type groups showed an incidence rate of < 3.9 per 1000 implant‐years for complication treatments.

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基于种植体表面和基台类型的种植体晚期脱落和种植体周围炎风险：一项针对老年人的全国队列研究

目的这项以全国人口为基础的队列研究旨在评估种植并发症治疗的发生率，包括与种植体表面和基台类型相关的种植体移除程序和种植体周围炎治疗。种植体和基台按代码分类，包括可吸收喷砂介质、大颗粒喷砂、酸蚀（SA）和羟基磷灰石涂层等表面，以及基台结构（一片式直基台、两片式直基台、斜基台）。研究采用 Kaplan-Meier 曲线和 Cox 比例危险回归法（α = 0.05）分析了种植体并发症的发生率。SA组的种植体移除风险比最低（p < 0.0001）。不同种植体表面的种植体周围炎治疗风险无明显差异（p = 0.0587）。基台类型不同，种植并发症的治疗风险也无明显差异（p = 0.9542）。结论SA组种植体晚期脱落的风险略低，而基台类型组则无明显差异。所有种植体和基台类型组的并发症发生率均为每 1000 个种植年 3.9 例。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Periodontology 医学-牙科与口腔外科

CiteScore

13.30

自引率

10.40%

发文量

175

审稿时长

3-8 weeks

期刊介绍： Journal of Clinical Periodontology was founded by the British, Dutch, French, German, Scandinavian, and Swiss Societies of Periodontology. The aim of the Journal of Clinical Periodontology is to provide the platform for exchange of scientific and clinical progress in the field of Periodontology and allied disciplines, and to do so at the highest possible level. The Journal also aims to facilitate the application of new scientific knowledge to the daily practice of the concerned disciplines and addresses both practicing clinicians and academics. The Journal is the official publication of the European Federation of Periodontology but wishes to retain its international scope. The Journal publishes original contributions of high scientific merit in the fields of periodontology and implant dentistry. Its scope encompasses the physiology and pathology of the periodontium, the tissue integration of dental implants, the biology and the modulation of periodontal and alveolar bone healing and regeneration, diagnosis, epidemiology, prevention and therapy of periodontal disease, the clinical aspects of tooth replacement with dental implants, and the comprehensive rehabilitation of the periodontal patient. Review articles by experts on new developments in basic and applied periodontal science and associated dental disciplines, advances in periodontal or implant techniques and procedures, and case reports which illustrate important new information are also welcome.