影响种植体失败的因素:系统回顾

Leila Bazli, Hiva Nargesi khoramabadi, A. M. Chahardehi, Hasni Arsad, B. Malekpouri, Mohammadreza Asgari Jazi, Negar Azizabadi
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引用次数: 26

摘要

目前,种植牙被认为是牙齿缺失的有效替代方法,尽管它们可能会失败。本研究回顾了目前的科学文献,重点介绍了影响种植体失败的危险因素。头颈部癌症、糖尿病、吸烟、骨质疏松症和艾滋病毒的放疗可增加种植体失败的危险因素。由于对骨整合、骨质疏松、吸烟和头部的负面影响,颈部放疗导致种植体失败的风险较高。放疗过程中照射靶体积的增大是导致种植体失败的主要原因,尤其是由于边缘骨吸收的增加。此外,由于愈合速度的降低,大量吸烟会对种植牙周围的骨骼愈合产生负面影响。但糖尿病的危险因素较低(如并发症损害软组织愈合、牙周炎、牙齿脱落、伤口愈合延迟和对感染的反应受损等),hiv阳性患者的危险因素也较低,如愈合期间骨膜值降低等。因此,应更加重视这类患者,并对其进行控制的口腔外科手术治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Factors influencing the failure of dental implants: A Systematic Review
Currently, dental implants are considered as useful alternatives to missing teeth although they may suffer from failure. In this study the current scientific literature has been reviewed to highlight the risk factors which affect dental implant failure. Radiotherapy in neck and head cancers, diabetes, smoking, Osteoporosis, and HIV can increase the occurrence of risk factors for the failure of dental implant. As a result of negative impacts on osseointegration, osteoporosis, smoking, and head, the neck radiotherapy causes higher risk of dental implant failure. The irradiation target volume during radiotherapy is the main cause of implant failure especially due to the increment of marginal bone resorption. Additionally, healing of bones around dental implants is negatively affected by heavy smoking due to the reduction of the healing speed. But diabetes has lower risk factors (i.e. complication compromise the healing of soft tissues, periodontitis, tooth loss, delayed wound healing, and impaired response to infection, etc.) and also in HIV-positive such as reducing the periotest values ‎during healing, etc. ‎Therefore, more attention should be paid to this patients and treat them with controlled oral surgical procedures.
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