Risk Factors for Early Implant Failure Following Sinus Augmentation: A Multi-Centre Nested Case-Control Study.

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

Journal of Clinical Periodontology Pub Date : 2025-06-05 DOI:10.1111/jcpe.14191

Björn Bonsmann, Mohamed Abughalia, Constantin von See, Thomas Dietrich

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引用次数: 0

Abstract

Aim: To evaluate the determinants of early implant failure after sinus augmentation (SA).

Materials and methods: We conducted a nested case-control study of implants placed after SA between 2016 and 2021 in eight centres across Germany. We included a total of 129 implants that were lost within 12 months after placement (cases) and 273 implants that were not lost within 12 months (controls). Multivariable logistic regression models were fitted to estimate odds ratios (ORs) and 95% confidence intervals for the association of various clinical and radiographic parameters with the risk of early implant failure, independent of confounders.

Results: Marked associations with early failure risk were found for male sex (OR 1.6, 95% CI: 1.1-2.5), current smoking (OR 1.9, 95% CI: 1.0-3.6), history of severe periodontitis (OR 7.5, 95% CI: 2.4-23), number of missing teeth (OR 1.4, 95% CI: 1.2-1.6), residual bone height of 3 to < 5 mm (OR 2.4, 95% CI: 1.4-4.2) and < 3 mm (OR 3.8, 95% CI: 2.2-6.8) and insertion torque < 8 Ncm (OR 5.8, 95% CI 1.3-26).

Conclusion: Male sex, current smoking, low residual bone height, very low insertion torque, a history of severe periodontitis and number of missing teeth are associated with early implant failure after SA.

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鼻窦增强术后早期种植失败的危险因素：一项多中心嵌套病例对照研究。

目的：探讨鼻窦隆胸术后早期种植体失效的影响因素。材料和方法：我们在德国的八个中心进行了一项巢式病例对照研究，研究对象是2016年至2021年间SA后放置的植入物。我们共纳入了129例植入后12个月内丢失的种植体（病例）和273例12个月内未丢失的种植体（对照组）。拟合多变量logistic回归模型来估计各种临床和影像学参数与早期种植体失败风险之间的比值比（ORs）和95%置信区间，独立于混杂因素。结果：男性（OR 1.6, 95% CI: 1.1-2.5）、吸烟史（OR 1.9, 95% CI: 1.0-3.6）、重度牙周炎史（OR 7.5, 95% CI: 2.4-23）、缺牙数（OR 1.4, 95% CI: 1.2-1.6）、残留骨高3到3之间与早期种植体失败风险显著相关。结论：男性、吸烟史、低残留骨高、极低插入转力、重度牙周炎史和缺失牙数与SA后早期种植体失败相关。

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.