解码成功：牙种植体存活的五年回顾性研究

Q1 Medicine

Journal of oral biology and craniofacial research Pub Date : 2025-06-26 DOI:10.1016/j.jobcr.2025.06.021

Jaideep Mahendra , Uma Subbiah , Pavithra GopalaKrishnan , K. Karunanidhi , Sathish Rajendran , Saranya Mohan

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引用次数: 0

摘要

牙种植体是替代缺失牙齿的首选，具有美观和功能上的优点。然而，诸如全身健康、吸烟和假体设计等因素都会影响假体的存活。本研究旨在评估临床、全身和假体因素对种植体5年以上存活率的影响。材料和方法本回顾性队列研究包括143例患者，他们在2016年至2018年期间接受了161例种植体，每位患者至少随访5年。评估临床参数、全身状况和假体因素。x线摄影分析测量牙冠骨质流失。统计分析包括多元回归，评估影响种植体存活的因素。结果种植体整体成活率为92.5%。影响种植体成活率的因素包括性别（女性患者成活率较高，p = 0.01）、吸烟状况（不吸烟患者成活率较高，p = 0.04）、无辅助功能习惯（p = 0.02）。糖尿病和维生素D缺乏等全身性疾病也与种植体成活率降低有关(p <；0.05)。种植体相关参数，包括较少的嵴骨丢失和种植体放置方案IV型（延迟放置）显示与高种植体存活率有统计学意义的关联。多元回归分析证实，女性和无全身性疾病的患者更有可能成功种植。结论年龄、全身健康状况、吸烟状况和假体设计对假体存活有显著影响。综合评估这些因素对于改善临床结果和优化种植成功率至关重要。

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Decoding success: A five-year retrospective study of dental Implant survival

Background

Dental implants are the preferred option for replacing missing teeth, offering aesthetic and functional benefits. However, factors such as systemic health, smoking, and prosthetic design can influence implant survival. This study aimed to evaluate the impact of clinical, systemic, and prosthetic factors on the survival of dental implants over five years.

Materials and methods

This retrospective cohort study included 143 patients who received 161 dental implants between 2016 and 2018, each followed for a minimum of five years. Clinical parameters, systemic conditions and prosthetic factors were evaluated. Radiographic analysis was performed to measure crestal bone loss. Statistical analysis, including multiple regression, was conducted to assess the factors influencing implant survival.

Results

The overall implant survival rate was 92.5 %. Factors significantly associated with implant survival included gender (female patients had a higher survival rate, p = 0.01), smoking status (non-smokers had a higher survival rate, p = 0.04), and the absence of parafunctional habits (p = 0.02). Systemic conditions such as diabetes and vitamin D deficiency were also associated with less implant survival rate (p < 0.05). Implant-related parameters, including less crestal bone loss and implant placement protocol type IV (delayed placement) demonstrated statistically significant association with high implant survival. Multiple regression analysis confirmed that females and patients without systemic conditions were significantly more likely to experience implant success.

Conclusion

Age, systemic health conditions, smoking status, and prosthetic design significantly influence implant survival. A comprehensive evaluation of these factors is crucial for improving clinical outcomes and optimizing implant success rates.

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来源期刊

Journal of oral biology and craniofacial research Medicine-Otorhinolaryngology

CiteScore

4.90

自引率

0.00%

发文量

133

审稿时长

167 days

期刊介绍： Journal of Oral Biology and Craniofacial Research (JOBCR)is the official journal of the Craniofacial Research Foundation (CRF). The journal aims to provide a common platform for both clinical and translational research and to promote interdisciplinary sciences in craniofacial region. JOBCR publishes content that includes diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the mouth and jaws and face region; diagnosis and medical management of diseases specific to the orofacial tissues and of oral manifestations of systemic diseases; studies on identifying populations at risk of oral disease or in need of specific care, and comparing regional, environmental, social, and access similarities and differences in dental care between populations; diseases of the mouth and related structures like salivary glands, temporomandibular joints, facial muscles and perioral skin; biomedical engineering, tissue engineering and stem cells. The journal publishes reviews, commentaries, peer-reviewed original research articles, short communication, and case reports.