Splinting or Nonsplinting Adjacent Implants? A Retrospective Study Up to 15 Years: Part I-Biologic and Mechanical Complication Analysis.

IF 1.7 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

International Journal of Oral & Maxillofacial Implants Pub Date : 2023-05-01 DOI:10.11607/jomi.10053

Yuseung Yi, Seong-Joo Heo, Jai-Young Koak, Seong-Kyun Kim, Ki-Tae Koo

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引用次数: 1

Abstract

Purpose: To analyze the biologic and mechanical complications of splinted and nonsplinted implant restorations.

Materials and methods: A total of 423 patients (n = implants: 888) were included in the study. Biologic and mechanical complications that occurred for 15 years were analyzed using the multivariable Cox regression model, and the significant effect of the splinting of prostheses and other risk factors were evaluated.

Results: Biologic complications occurred in 38.7% of implants: 26.4% of nonsplinted implants (NS) and 45.4% of splinted implants (SP). Mechanical complications occurred in 49.2% of implants: 59.3% NS and 43.9% SP. Implants splinted with both mesial and distal adjacent implants (SP-mid) had the highest risk of peri-implant diseases. As the number of implants splinted increased, the risk of mechanical complications decreased. Long crown lengths increased the risk of both biologic and mechanical complications.

Conclusion: Splinted implants had a higher risk of biologic complications and lower risk of mechanical complications. The implant splinted to both adjacent implants (SP-mid) had the highest risk of biologic complications. The greater the number of implants splinted, the lower the risk of mechanical complications. Long crown lengths increased the risk of both biologic and mechanical complications. Int J Oral Maxillofac Implants 2023;38:435-442. doi: 10.11607/jomi.10053.

查看原文本刊更多论文

使用夹板或不使用夹板相邻种植体?一项长达15年的回顾性研究:第一部分-生物和机械并发症分析。

目的:分析有夹板和无夹板种植体修复体的生物学和力学并发症。材料与方法:共纳入423例患者(n =种植体:888例)。采用多变量Cox回归模型分析15年内发生的生物和机械并发症，评估假体夹板及其他危险因素的显著影响。结果:生物并发症发生率为38.7%，无夹板种植体(NS) 26.4%，有夹板种植体(SP) 45.4%。机械并发症发生在49.2%的种植体中:59.3%的NS和43.9%的SP。种植体夹板与近中和远端相邻种植体(SP-mid)有种植体周围疾病的最高风险。随着植入物数量的增加，机械并发症的风险降低。冠长增加了生物和机械并发症的风险。结论:夹板种植体发生生物并发症的风险较高，机械并发症的风险较低。与相邻种植体(SP-mid)夹板固定的种植体发生生物并发症的风险最高。固定的种植体数量越多，机械并发症的风险越低。冠长增加了生物和机械并发症的风险。口腔颌面种植[J]; 2009;38(8): 335 -442。doi: 10.11607 / jomi.10053。

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来源期刊

International Journal of Oral & Maxillofacial Implants 医学-牙科与口腔外科

CiteScore

3.30

自引率

5.00%

发文量

115

审稿时长

6 months

期刊介绍： Edited by Steven E. Eckert, DDS, MS ISSN (Print): 0882-2786 ISSN (Online): 1942-4434 This highly regarded, often-cited journal integrates clinical and scientific data to improve methods and results of oral and maxillofacial implant therapy. It presents pioneering research, technology, clinical applications, reviews of the literature, seminal studies, emerging technology, position papers, and consensus studies, as well as the many clinical and therapeutic innovations that ensue as a result of these efforts. The editorial board is composed of recognized opinion leaders in their respective areas of expertise and reflects the international reach of the journal. Under their leadership, JOMI maintains its strong scientific integrity while expanding its influence within the field of implant dentistry. JOMI’s popular regular feature "Thematic Abstract Review" presents a review of abstracts of recently published articles on a specific topical area of interest each issue.