未经结构化培训的牙医提供的与牙医相关的危险因素对种植体存活的影响:一项回顾性横断面研究结果

IF 1.7 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Zian Tong, Jue Shi, Fuming He, Lijie Fan, Yu Wang, Misi Si
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引用次数: 0

摘要

目的:评估缺乏结构化培训的中国牙医种植体的累积存活率(CSR),并确定与牙科相关的种植体失败的危险因素。材料和方法:收集了某大学附属口腔医院2036例接受种植体支持修复的患者的数据。将CSR作为因变量。收集患者相关特征(年龄、性别、植入部位和手术复杂性)和牙医相关因素(经验、使用种植体品牌数量、教育水平、性别和专业)作为自变量。在使用倾向评分匹配(PSM)处理与患者相关的潜在混杂因素后,使用卡方检验来确定与牙科相关的种植失败因素。在亚组内使用多变量逻辑回归进一步分析与牙医和患者相关的危险因素。结果:观察48 ~ 60个月后,单颗或多颗种植体患者的CSRs为98.48%,种植体患者的CSRs为98.86%。在解决了潜在的与患者相关的混杂因素后,在种植牙方面经验小于5年的牙医和专家与种植失败显著相关。在经验小于5年的牙医组中,复杂病例是主要的危险因素。在种植牙专科组中,工作经验小于5年和男性患者是主要的危险因素。结论:新牙医(少于5年的经验)和种植牙专家被认为是种植失败的牙医相关危险因素。这证实了新专家达到熟练程度和专业水平的学习曲线是存在的。口腔颌面种植[J]; 2009;38(3):553-561。doi: 10.11607 / jomi.9969。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Influence of Dentist-Related Risk Factors on Implant Survival Provided by Dentists Without Structured Training: Results of a Retrospective Cross-Sectional Study.

Purpose: To evaluate the cumulative survival rate (CSR) of implants placed by Chinese dentists who lacked structured training and to identify the dentist-related risk factors associated with implant failure.

Materials and methods: Data from 2,036 patients who underwent implant-supported restoration at a university-affiliated stomatology hospital were collected. CSR was regarded as the dependent variable. Patient-related characteristics (age, sex, insertion site, and surgical complexity) and dentist-related factors (experience, number of implant brands used, education level, sex, and specialty) were collected as independent variables. The chi-square test was used to identify dentist-related factors for implant failure after addressing patient-related potential confounders using propensity score matching (PSM). Dentist- and patient-related risk factors were further analyzed using multivariable logistic regression within the subgroups.

Results: The CSRs were 98.48% for patients (with single or multiple implants) and 98.86% for implants after 48 to 60 months of observation. Dentists with < 5 years of experience and specialists in implant dentistry were significantly associated with implant failure after addressing potential patient-related confounders. Within the group of dentists with < 5 years of experience, complicated cases were the major risk factor. For the group of specialists in implant dentistry, < 5 years of experience and male patient were the major risk factors.

Conclusion: New dentists (< 5 years of experience) and specialists in implant dentistry are considered to be dentist-related risk factors for implant failure. This confirms that a learning curve exists for new specialists to reach the level of proficiency and expertise. Int J Oral Maxillofac Implants 2023;38:553-561. doi: 10.11607/jomi.9969.

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来源期刊
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.
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