中国口腔种植学杂志 ›› 2021, Vol. 26 ›› Issue (3): 164-168.DOI: 10.12337/zgkqzzxzz.2021.06.004

• 论著·临床研究 • 上一篇    下一篇

种植体早、晚期失败相关危险因素的对比研究

迟义凡1, 王宏浩1, 张磊2, 韩晓兰1   

  1. 1安徽医科大学附属第一医院口腔科,合肥 230022;
    2合肥市口腔医院种植科230022
  • 收稿日期:2021-03-07 出版日期:2021-06-10 发布日期:2021-07-14
  • 通讯作者: 韩晓兰,Email:3265758393@qq.com,电话:0551-62923369;张磊,Email:zshanshi@sina.com,电话:0551-62635920
  • 作者简介:迟义凡, 医师、研究生在读,研究方向:口腔疾病的综合防治、口腔卫生保健及口腔种植学相关研究;韩晓兰, 主任医师、教授、硕士生导师,研究方向:口腔疾病的综合防治、口腔卫生保健、牙周病、牙体牙髓病及美学修复相关研究;张磊, 主任医师、副教授,研究方向:牙列缺损及牙列缺失患者的种植固定或活动修复治疗,全口无牙颌种植及即刻修复;前牙美学区域的即刻种植、即刻修复以及微创种植相关研究
  • 基金资助:
    2015年度公益性行业科研专项(201502002)

A comparative study of risk factors related to early and late implant failure

Chi yifan1, Wang honghao1, Zhang Lei2, Han Xiaolan1   

  1. 1Department of Stomatology, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, Anhui Province,China;
    2Implantology Department, Hefei Stomatological Hospital, Hefei 230022, Anhui Province, China
  • Received:2021-03-07 Online:2021-06-10 Published:2021-07-14
  • Contact: Han Xiaolan, Email:3265758393@qq.com, Tel:0086-551-62923369; Zhang Lei, Email:zshanshi@sina.com, Tel:0086-551-62635920
  • Supported by:
    2015 Public Welfare Industry Scientific Research Project(201502002)

摘要: 目的 研究和讨论种植体相关危险因素在早、晚期失败中的影响差异,以指导种植的术前准备与术后维护,提高种植体留存率。方法 收集2011年1月至2018年12月期间,在合肥市口腔医院行种植修复的7334名患者中种植体失败的177例病例,按失败时间分为早期失败组和晚期失败组,分别统计可能影响患者种植体失败的相关危险因素,分析两组数据间的差异。结果 种植体早期失败与晚期失败在性别、植入部位、种植体尺寸及是否使用骨替代材料等因素上的差异有统计学意义。女性患者、前牙区、植入骨替代材料更易发生早期失败,男性患者、后牙区更易发生晚期失败。结论 完善的术前评估与危险因素的预防性治疗可有效降低种植体的早期失败率。术后定期随访、控制风险因素、及时的种植体维护性治疗可有效的预防种植体的晚期失败。

关键词: 种植体, 早期失败, 晚期失败, 种植体维护

Abstract: Objective To study and analyse the differences of risk factors between early and late failures of implants, in order to guide the preoperative preparation and postoperative maintenance of implant and improve the implants survival rate. Methods A total of 177 cases of implant failure among 7334 patients who underwent implant restoration in Hefei Stomatological Hospital from January 2011 to December 2018 were collected. According to the time of failure, cases were divided into early failure group and late failure group. The related risk factors that may affect the failure of planting were analyzed respectively, and the difference between the two groups of data were analyzed. Results There were significant differences between early implant failure and late implant failure in factors of gender, implant site, implant size and bone substitute. The female patients, with implants in anterior region or with bone substitute are more likely to fail early, while the male patients in posterior region are more likely to fail late. Conclusion The improved preoperative assessment and preventive treatment of risk factors can effectively reduce the early failure rate of implant. Regular follow-up, control of risk factors and timely maintenance would effectively prevent the late failure of implan.

Key words: Implant, Early failure, Late failure, Implant maintenance