部分无牙个体接受种植体康复的种植体周围状态

C. Silva-Boghossian, Priscila de Paula Nascente de Godoi, Tamyris Ignácio Wakoff, C. M. Pereira
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摘要

目的:种植体口腔康复已成为口腔诊所的日常工作。然而,随着时间的推移,种植体周围的疾病会影响种植体周围的组织。本研究的目的是评估部分无牙种植体康复患者种植体周围的健康状况,并与牙周健康者或牙周炎患者进行比较。方法:研究参与者接受记忆问卷和全面牙周/种植体周围检查。25名种植体携带者(45%为女性;平均年龄57.2岁),牙周健康个体35人(28.6%为女性;平均年龄24.1岁)和25例牙周炎患者(20%为女性;平均年龄47.5岁)。健康组和牙周炎组没有种植牙。采用Wilcoxon、卡方检验和Kruskal-Wallis检验分析显著差异。结果:种植体携带者平均种植3.9颗,平均种植时间5.1年。在牙种植体携带者组中,75%的个体检测到种植体周围疾病(70%有种植体周围粘膜炎)。与同一个体未受影响的牙齿(pd < 0.004)或牙周健康个体的牙齿(p<0.0001)相比,种植体的探探深度和临床附着水平显著更高。虽然种植体呈现较少的牙齿生物膜,但与同一个体中未受影响的牙齿(p=0.002)和牙周健康个体的牙齿(p<0.0001)相比,它们在探诊时出血的百分比更高。研究人群中种植体周围疾病的患病率相对较高。结论:可以证实种植体周围组织的临床特征与牙周炎患者相似。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Peri-implant status in partially edentulous individuals subjected to dental implant rehabilitation
Objective: Oral rehabilitation with dental implants has become a daily routine in dental clinics. However, peri-implant diseases can affect the tissues around dental implants over time. The aim of this study was to evaluate peri-implant health status in partially edentulous individuals rehabilitated with dental implants in comparison with either periodontally healthy individuals or those with periodontitis. Methods: Study participants were subjected to anamnestic questionnaires and full periodontal/ peri-implant examination. Twenty-five dental implant carriers (45% women; mean age, 57.2 years), 35 periodontally healthy individuals (28.6% women; mean age, 24.1 years), and 25 subjects with periodontitis (20% women; mean age, 47.5 years) were included. Those in the healthy and periodontitis groups had no dental implants. Significant differences were analyzed by Wilcoxon, Chi-square, and Kruskal-Wallis tests. Results: The dental implant carriers had an average of 3.9 implants with an average time of 5.1 years since insertion. Peri-implant disease was detected in 75% of individuals in the Dental Implant Carriers group (70% had peri-implant mucositis). Dental implants presented probing depths and clinical attachment levels significantly higher when compared with those of unaffected teeth from the same individuals (pd”0.004), or with teeth from periodontally healthy individuals (p<0.0001). Although implants presented less dental biofilm, they presented higher percentages of bleeding on probing compared with unaffected teeth in the same individuals (p=0.002) and with teeth in periodontally healthy individuals (p<0.0001). The population studied had a relatively high prevalence of peri-implant disease. Conclusion: It is possible to verify that the clinical characteristics of the peri-implant tissues resembled those of individuals with periodontitis.
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