种植体失败位点再种植的临床回顾分析
|
摘要
目的:评估种植体失败位点再种植修复治疗的临床效果及其影响因素。方法:选择2005年1月—2011年12月间就诊的失败位点再种植的患者共12例(15颗种植体),统计再植人种植体的存留情况,收集并分析影响再植入种植体存留相关危险因素的临床资料。采用SPSS13.0软件包对数据进行统计学分析。结果:首次失败位点再植入的种植体存留率为100%[(33.5±15.4)个月]。再种植时选择的平均种植体直径为(4.5±0.6)mm,大于首次种植时的(4.1±0.7)mm(P<0.05)。首次植入种植体的平均存留时间为(12.9±15.9)个月,从种植体脱落到再种植的平均间隔时间为(6.8±4.4)个月。患者自身因素、种植体因素以及手术、修复治疗因素并未对失败位点再植入种植体的存留产生影响。结论:种植失败位点可考虑再种植治疗的修复方案,种植医师对取得满意的种植体存留率应具有足够信心。
PURPOSE:To evaluate the clinical outcomes as well as related factors of dental implants replaced in previously failed sites.METHODS:A total of 12 patients(15 implants) who received replacement in previously failed sites during January 2005 to December 2011 were included.Outcomes of redo-implants were collected and clinical data was recorded and analyzed regarding risk factors related to redo-implants' survival using SPSS13.0 software package.RESULTS:The survival rate of redo-implants was 100%[(33.5±15.4) months].The mean redo-implant diameter(4.5±0.6) mm was significantly larger than the previous one(4.1 ±0.7) mm(P<0.05).The mean survival time of implants placed for the first time was(12.9±15.9) months.Implant replacement occurred(6.8±4.4) months after original implant removal.No significant influence was observed on patient and implant-related factors as well as surgery and prosthesis-dependent factors.CONCLUSIONS:Reimplantation in previously failed site is considered as one of feasible prosthesis plans,and surgeons ought to get enough confidence to achieve satisfactory implant survival rates.
PURPOSE:To evaluate the clinical outcomes as well as related factors of dental implants replaced in previously failed sites.METHODS:A total of 12 patients(15 implants) who received replacement in previously failed sites during January 2005 to December 2011 were included.Outcomes of redo-implants were collected and clinical data was recorded and analyzed regarding risk factors related to redo-implants' survival using SPSS13.0 software package.RESULTS:The survival rate of redo-implants was 100%[(33.5±15.4) months].The mean redo-implant diameter(4.5±0.6) mm was significantly larger than the previous one(4.1 ±0.7) mm(P<0.05).The mean survival time of implants placed for the first time was(12.9±15.9) months.Implant replacement occurred(6.8±4.4) months after original implant removal.No significant influence was observed on patient and implant-related factors as well as surgery and prosthesis-dependent factors.CONCLUSIONS:Reimplantation in previously failed site is considered as one of feasible prosthesis plans,and surgeons ought to get enough confidence to achieve satisfactory implant survival rates.
引文
[1]邓飞龙,庄秀妹.无牙颌种植修复长期成功的因素分析[J].中国实用口腔科杂志,2013,6(1):11-15.
[2]Machtei EE,Mahler D,Oettinger-Barak 0,et al.Dental implants placed in previously failed sites:survival rate and factors affecting the outcome[J].Clin Oral Implants Res,2008,19(3):259-264.
[3]Grossmann Y,Levin L.Success and survival of single dental implants placed in sites of previously failed implants[J].J Periodontal,2007,78(9):1670-1674.
[4]Machtei EE,Horwitz J,Mahler D,et al.Third attempt to place implants in sites where previous surgeries have failed[J].J Clin Periodontal,2011,38(2):195-198.
[5]Mardinger O,Ben Zvi Y,Chaushu G,et al.A retrospective analysis of replacing dental implants in previously failed sites[J].Oral Surg Oral Med Oral Pathol Oral Radiol,2012,114(3):290-293.
[6]Gotfredsen K.A 5-year prospective study of single-tooth replacements supported by the Astra Tech implant:a pilot study[J].Clin Implant Dent Relat Res,2004,6(1):1-8.
[7]陈建钢,张文捷,铁朝荣,等.种植失败原因探析及再种植处理的体会[J].口腔医学,2011,31(9):522-523.
[8]Sakka S,Baroudi K,Nassani MZ.Factors associated with early and late failure of dental implants[J].J Investig Clin Dent,2012,3(4):258-261.
[9]Mardinger O,Oubaid S,Manor Y,et al.Factors affecting the decision to replace failed implants:a retrospective study[J].J Periodontol,2008,79(12):2262-2266.
[10]Kim YK,Park JY,Kim SG,et al.Prognosis of the implants replaced after removal of failed dental implants[J].Oral Surg Oral Med Oral Pathol Oral Radiol Endod,2010,110(3):281-286.
[11]Persson LG,Ericsson I,Berglundh T,et al.Osseintegration following treatment of peri-implantitis and replacement of implant components.An experimental study in the dog[J].J Clin Periodontol,2001,28(3):258-263.
[12]Kolonidis SG,Renvert S,Hammerle CH,et al.Osseointegration on implant surfaces previously contaminated with plaque.An experimental study in the dog[J].Clin Oral Implants Res,2003,14(4):373-380.
[13]Covani U,Barone A,Cornelini R,et al.Clinical outcome of implants placed immediately after implant removal[J].J Periodontol,2006,77(4):722-727.
[14]Alsaadi G,Quirynen M,van Steenberghe D,et al.The Importance of Implant Surface Characteristics in the Replacement of Failed Implants[J].Int J Oral Maxillofac Implants,2006,21(2):270-274.
[2]Machtei EE,Mahler D,Oettinger-Barak 0,et al.Dental implants placed in previously failed sites:survival rate and factors affecting the outcome[J].Clin Oral Implants Res,2008,19(3):259-264.
[3]Grossmann Y,Levin L.Success and survival of single dental implants placed in sites of previously failed implants[J].J Periodontal,2007,78(9):1670-1674.
[4]Machtei EE,Horwitz J,Mahler D,et al.Third attempt to place implants in sites where previous surgeries have failed[J].J Clin Periodontal,2011,38(2):195-198.
[5]Mardinger O,Ben Zvi Y,Chaushu G,et al.A retrospective analysis of replacing dental implants in previously failed sites[J].Oral Surg Oral Med Oral Pathol Oral Radiol,2012,114(3):290-293.
[6]Gotfredsen K.A 5-year prospective study of single-tooth replacements supported by the Astra Tech implant:a pilot study[J].Clin Implant Dent Relat Res,2004,6(1):1-8.
[7]陈建钢,张文捷,铁朝荣,等.种植失败原因探析及再种植处理的体会[J].口腔医学,2011,31(9):522-523.
[8]Sakka S,Baroudi K,Nassani MZ.Factors associated with early and late failure of dental implants[J].J Investig Clin Dent,2012,3(4):258-261.
[9]Mardinger O,Oubaid S,Manor Y,et al.Factors affecting the decision to replace failed implants:a retrospective study[J].J Periodontol,2008,79(12):2262-2266.
[10]Kim YK,Park JY,Kim SG,et al.Prognosis of the implants replaced after removal of failed dental implants[J].Oral Surg Oral Med Oral Pathol Oral Radiol Endod,2010,110(3):281-286.
[11]Persson LG,Ericsson I,Berglundh T,et al.Osseintegration following treatment of peri-implantitis and replacement of implant components.An experimental study in the dog[J].J Clin Periodontol,2001,28(3):258-263.
[12]Kolonidis SG,Renvert S,Hammerle CH,et al.Osseointegration on implant surfaces previously contaminated with plaque.An experimental study in the dog[J].Clin Oral Implants Res,2003,14(4):373-380.
[13]Covani U,Barone A,Cornelini R,et al.Clinical outcome of implants placed immediately after implant removal[J].J Periodontol,2006,77(4):722-727.
[14]Alsaadi G,Quirynen M,van Steenberghe D,et al.The Importance of Implant Surface Characteristics in the Replacement of Failed Implants[J].Int J Oral Maxillofac Implants,2006,21(2):270-274.