中国口腔种植学杂志 ›› 2020, Vol. 25 ›› Issue (1): 20-23.DOI: 10.12337/zgkqzzxzz.2020.03.006

• 临床研究 • 上一篇    下一篇

100例牙列缺损患者口腔种植修复并发症及其危险因素探讨

兰静, 李彪, 孙良丰, 杨介平   

  1. 641000 四川省内江市第一人民医院口腔科
  • 出版日期:2020-03-10 发布日期:2021-08-17
  • 基金资助:
    四川省卫生厅科研课题(NO.120206)

Study on complications and risk factors of oral implant restoration in 100 patients with dentition defect

LAN Jing, LI Biao, SUN Liangfeng, et al   

  1. Department of Stomatology, the First People's Hospital of Neijiang, Neijiang 641000, Sichuan Province China
  • Online:2020-03-10 Published:2021-08-17

摘要: 目的: 通过对我院100例种植修复患者进行随访研究,探讨种植修复后种植体的存留率、并发症的发生情况及其危险因素,以期预防和减少种植修复并发症的发生。方法: 纳入本院口腔科2017年1月至2019年9月行种植修复的患者100例作为研究对象,记录患者的入院信息、基本临床资料、种植修复和并发症发生情况,并探讨并发症发生的相关危险因素。结果: 本研究共纳入本院口腔科2017年1月至2019年9月行种植修复的患者100例,种植体 143 枚。种植体累计取出、脱落3颗,存留率为 97.90%,不同分类种植体留存率与并发症发生率无统计学差异(均P>0.05)。按照修复并发症类型统计各修复并发症总体发生率,具体结果如下表所示,其中发生率前三的的并发症分别是食物嵌塞(45.0%)、基台或基台螺丝松动(6.0%)和邻接丧失(5.0%)(均P<0.05)。Logistic回归分析发现,年龄> 50岁的患者发生并发症的危险性较≤18岁的患者更高;相较于骨量充足的患者,骨量不足患者发生并发症的危险性升高,糖尿病是并发症发生的独立危险因素,在糖尿病患者中并发症的发生率更高。性别和吸烟对并发症发生无显著影响。结论: 食物嵌塞和基台或基台螺丝松动是较常见的并发症,后牙区、高龄、骨量不足和糖尿病患者的并发症发生率相对较高。

关键词: 牙列缺损, 种植修复, 并发症, 危险因素

Abstract: Objective: A follow-up study of 100 implanted patients in our hospital was conducted to investigate the retention rate, complications and risk factors of implants after implant restoration, in order to prevent and reduce the occurrence of implant restoration complications. Methods: 100 patients who underwent implant restoration in our hospital from January 2017 to September 2019 were enrolled in the study. The patient's admission information, basic clinical data, implant restoration and complications were recorded, and the complications were discussed. Results: The study included 100 patients with dental implants from January 2017 to September 2019, and 143 implants. The total number of implants was removed and dropped, and the retention rate was 97.90%. There was no significant difference in the retention rate of implants and the incidence of complications(P>0.05). According to the type of repair complications, the overall incidence of each repair complication was counted. The specific results are shown in the following table. The top three complications were food impaction(45.0%), abutment or abutment screw loosening (6.0%). And loss of adjacency(5.0%) (both P<0.05). Logistic regression analysis found that patients>50 years of age had a higher risk of complications than patients≤18 years of age; compared with patients with adequate bone mass, the risk of complications was increased in patients with insufficient bone mass, diabetes is independent risk factors for complications occur more frequently in diabetic patients. Gender and smoking had no significant effect on complications. Conclusion: Food caulking and abutment or abutment screw loosening are common complications, and the incidence of complications in the posterior region, advanced age, insufficient bone mass, and diabetes is relatively high.

Key words: dentition defect, implant restoration, complications, risk factors

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