Evaluation of the Peri-Implant Tissues of Patients with Severe Bone Atrophy Treated with a New Short and Extra-Short Implant System-A Pilot Study.

IF 5 3区 医学 Q1 ENGINEERING, BIOMEDICAL
Kely Cristina de Moraes, Geninho Thomé, Flávia Noemy Gasparini Kiatake Fontão, Carolina Accorsi Cartelli, Rosemary Adriana Chierici Marcantonio, Carolina Mendonça de Almeida Malzoni, Elcio Marcantonio Junior
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Abstract

This study aimed to assess clinical and radiographic outcomes, including implant survival, marginal bone loss, and patient satisfaction, in individuals with severe bone atrophy treated using a newly developed system of short and extra-short implants. A total of 44 implants (37 short and 7 extra-short) were placed with immediate loading in 11 patients. The patients were followed up at between 6 and 24 months. Bone changes, keratinized mucosa, bleeding on probing, probing depth, crown-to-implant ratio, and patient satisfaction were evaluated. An implant survival and success rate of 100% was observed. The peri-implant bone condition showed no significant associations between marginal bone loss (MBL) and gingival recession. In extra-short implants, the crown-to-implant ratio did not affect MBL in the evaluated times. However, short implants showed a statistically significant inverse correlation between mesial measurement and crown-to-implant ratio (p = 0.006) and between distal measurement and crown-to-implant ratio (p = 0.004) over six months. Plaque was present in the mesiobuccal regions in 38.64% of the implants, with extra-short implants having the highest relative frequency (71.4%). Bleeding was observed in 18.9% of the short implants in the mesiolingual region and 14.3% of the extra-short implants. There was a statistically significant association between bleeding on probing in the mesiobuccal region and the type of implant (p = 0.026). The analysis of probing depth showed no difference between the types of implants. Within the limits of this study, short and extra-short implants presented similar clinical and radiographic behavior of soft and hard tissues in the evaluated times.

使用新型短型和超短型种植体系统治疗严重骨质萎缩患者的种植体周围组织评估--一项试点研究。
这项研究旨在评估使用新开发的短种植体和超短种植体系统治疗严重骨萎缩患者的临床和影像学效果,包括种植体存活率、边缘骨损失和患者满意度。共为 11 名患者植入了 44 个种植体(37 个短种植体和 7 个超短种植体),并进行了即刻加载。对患者进行了 6 至 24 个月的随访。对骨质变化、角化粘膜、探查出血、探查深度、牙冠与种植体比例以及患者满意度进行了评估。结果显示,种植体的存活率和成功率均为 100%。种植体周围的骨质状况显示,边缘骨质流失(MBL)和牙龈退缩之间没有明显的关联。在超短种植体中,牙冠与种植体的比例在评估时间内不会影响骨质疏松。但是,短种植体在 6 个月内的中轴测量值与牙冠与种植体比值之间(p = 0.006)以及远轴测量值与牙冠与种植体比值之间(p = 0.004)存在统计学意义上的显著负相关。38.64%的种植体的中颊面区域存在牙菌斑,其中超短种植体出现牙菌斑的频率最高(71.4%)。18.9%的短种植体在中叶区域出现出血,14.3%的超短种植体出现出血。中颊面区探诊出血与种植体类型之间有统计学意义(p = 0.026)。对探诊深度的分析表明,不同类型的种植体之间没有差异。在本研究的范围内,短种植体和超短种植体在软组织和硬组织的临床和影像学表现在评估时间上相似。
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来源期刊
Journal of Functional Biomaterials
Journal of Functional Biomaterials Engineering-Biomedical Engineering
CiteScore
4.60
自引率
4.20%
发文量
226
审稿时长
11 weeks
期刊介绍: Journal of Functional Biomaterials (JFB, ISSN 2079-4983) is an international and interdisciplinary scientific journal that publishes regular research papers (articles), reviews and short communications about applications of materials for biomedical use. JFB covers subjects from chemistry, pharmacy, biology, physics over to engineering. The journal focuses on the preparation, performance and use of functional biomaterials in biomedical devices and their behaviour in physiological environments. Our aim is to encourage scientists to publish their results in as much detail as possible. Therefore, there is no restriction on the length of the papers. The full experimental details must be provided so that the results can be reproduced. Several topical special issues will be published. Scope: adhesion, adsorption, biocompatibility, biohybrid materials, bio-inert materials, biomaterials, biomedical devices, biomimetic materials, bone repair, cardiovascular devices, ceramics, composite materials, dental implants, dental materials, drug delivery systems, functional biopolymers, glasses, hyper branched polymers, molecularly imprinted polymers (MIPs), nanomedicine, nanoparticles, nanotechnology, natural materials, self-assembly smart materials, stimuli responsive materials, surface modification, tissue devices, tissue engineering, tissue-derived materials, urological devices.
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