中国口腔种植学杂志
中國口腔種植學雜誌
중국구강충식학잡지
CHINESE JOURNAL OF ORAL IMPLANTOLOGY
2014年
2期
62-65
,共4页
牙周病%即刻种植%风险
牙週病%即刻種植%風險
아주병%즉각충식%풍험
periodontitis%immediate implant%risk
目的：通过对牙周病患者前牙的即刻种植临床研究，探讨牙周病患者前牙即刻种植的成功及风险因素。方法：对186名患者进行拔牙后即刻种植。所有患者都有轻度至中度的牙周病且均要求即刻种植治疗。种植术前患者均进行了牙周的基础治疗。最长临床跟踪随访5年。通过临床和放射的角度评估即刻种植的治疗效果。结果：自2007-2012年，186名牙周病患者超过500枚CDIC或replace种植体即刻植入拔牙窝，种植体存留率达到95.1%。接近80%的种植体松动发生在种植术后的六个月以内。结论：牙周病患者前牙的即刻种植较延期种植风险更大。上颌前牙即刻种植风险高于下颌。感染是失败的主要原因。根据患者的全身和局部条件合理选择手术时机和手术方式能有效控制失败风险。
目的：通過對牙週病患者前牙的即刻種植臨床研究，探討牙週病患者前牙即刻種植的成功及風險因素。方法：對186名患者進行拔牙後即刻種植。所有患者都有輕度至中度的牙週病且均要求即刻種植治療。種植術前患者均進行瞭牙週的基礎治療。最長臨床跟蹤隨訪5年。通過臨床和放射的角度評估即刻種植的治療效果。結果：自2007-2012年，186名牙週病患者超過500枚CDIC或replace種植體即刻植入拔牙窩，種植體存留率達到95.1%。接近80%的種植體鬆動髮生在種植術後的六箇月以內。結論：牙週病患者前牙的即刻種植較延期種植風險更大。上頜前牙即刻種植風險高于下頜。感染是失敗的主要原因。根據患者的全身和跼部條件閤理選擇手術時機和手術方式能有效控製失敗風險。
목적：통과대아주병환자전아적즉각충식림상연구，탐토아주병환자전아즉각충식적성공급풍험인소。방법：대186명환자진행발아후즉각충식。소유환자도유경도지중도적아주병차균요구즉각충식치료。충식술전환자균진행료아주적기출치료。최장림상근종수방5년。통과림상화방사적각도평고즉각충식적치료효과。결과：자2007-2012년，186명아주병환자초과500매CDIC혹replace충식체즉각식입발아와，충식체존류솔체도95.1%。접근80%적충식체송동발생재충식술후적륙개월이내。결론：아주병환자전아적즉각충식교연기충식풍험경대。상합전아즉각충식풍험고우하합。감염시실패적주요원인。근거환자적전신화국부조건합리선택수술시궤화수술방식능유효공제실패풍험。
Objective:The purpose of this clinical study on periodontal patients with anterior immediate im-plant was to discuss the survival and risk factors, which affect anterior teeth immediate implant of peri-odontitis patient. Methods: In this study 186 patients were be operated with anterior teeth immediate implant. All the patient had moderate chronic periodontitis and required immediate implant therapy. Before the operation of implant, the patients received the basic periodontal therapy. The longest clinical followed-up were for 5 years. Clinical results of treatment were evaluated from clinical and radiographic standpoint. Results: More than 500 dental implants of 186 patients were placed in the sockets that the anterior teeth were extracted immediately from 2007 to 2012. The survival rate of immediate implant in periodontitis patient was 95.1% during 5 years. Nearly 80% of implant loosing happened during the first 6 months after the operation of implant. Conclusion: Anterior teeth immediate implant of peri-odontitis patient had higher risk than delay implant of periodontitis patient. Immediate implant in max-illa had higher risk than immediate implant in mandible. Inflammation was the primary risk that caused the implant loosing. According to the systemic and local conditions of the patients, the appropriate choice of operation and operation mode can effectively control failure risk.
