Factors Associated With Radiographic Vertical Bone Loss Around Implants Placed in a Clinical Study

Michael C. Manz
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引用次数: 84

Abstract

The loss of vertical bone height over time has been assessed radiographically as part of the Dental Implant Clinical Research Group studies. Radiographs were assessed from implant placement, uncovering surgeries, and recall appointments. Overall, the study implants experienced most peri-implant vertical bone loss in the first year after placement, followed by a dramatic decrease in bone loss rate through the subsequent study intervals. Stratified analysis of data up to 72 months after implant uncovering indicates different bone loss patterns by: 1) arch; 2) jaw region; 3) case type; 4) bone quality; 5) surface type; 6) implant design; 7) smoking status; and 8) postoperative antibiotic treatment. These results will be used to build statistical mixed models to indicate which clinical factors are most predictive of peri-implant vertical bone loss, controlling for confounding and accounting for correlation of data over time and within study patients. Ann Periodontol 2000;5:137-151.

临床研究中种植体周围垂直骨丢失的相关因素
随着时间的推移,垂直骨高度的损失已经作为牙科种植临床研究小组研究的一部分进行了放射学评估。从植入物放置、揭骨手术和召回预约开始评估x线片。总的来说,研究种植体在植入后的第一年经历了最多的种植体周围垂直骨丢失,随后在随后的研究期间骨丢失率急剧下降。对种植体剥离后72个月的数据进行分层分析,发现不同的骨质流失模式:1)弓;2)颌区;3)箱体类型;4)骨质量;5)表面型;6)种植体设计;7)吸烟状况;8)术后抗生素治疗。这些结果将用于建立统计混合模型,以表明哪些临床因素最能预测种植体周围垂直骨丢失,控制混杂因素,并考虑数据随时间和研究患者内部的相关性。牙周病杂志2000;5:137-151。
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