慢性牙周炎对平台转移种植体边缘骨吸收的影响

›› 2019, Vol. 39 ›› Issue (4): 321-324.

慢性牙周炎对平台转移种植体边缘骨吸收的影响

薛敏¹,刘贺²,刘国惠¹,郭秀娟²

1. 济宁市第一人民医院
2. 济宁医学院附属医院

收稿日期:2018-07-18 修回日期:2018-08-13 出版日期:2019-04-28 发布日期:2020-01-13
通讯作者: 刘国惠 E-mail:liuguohui@163.com
基金资助:
山东省自然科学基金;山东省医药卫生计划项目

An assessment of periodontitis on platform-switched implant marginal bone level alterations

Received:2018-07-18 Revised:2018-08-13 Online:2019-04-28 Published:2020-01-13

摘要/Abstract

摘要： 目的探讨平台转移种植体在慢性牙周炎与牙周健康患者边缘骨吸收差异。方法选择2013年1月至2016年1月间后牙区接受Ankylos系统种植修复牙周炎患者和牙周健康患者各20例，共植入56颗种植体，随访36～50个月，收集复诊临床检查及影像学检查结果，测量两组的种植体与天然邻牙边缘骨吸收量，评估两组种植体功能负载3年以上颈部年均骨吸收量的变化及差异。应用SPSS 13.0软件包对数据进行统计学分析。结果所有病例平均随访时间为（39.2±6.1）个月，无种植体脱落。牙周炎患者种植体年均骨吸收与天然邻牙相比，差异有统计学意义（P<0.001）。牙周健康患者种植体年均骨吸收与天然邻牙相比，差异无统计学意义（P=0.849）。而两组的种植体年均骨吸收差异无统计学意义（P=0.612）。结论慢性牙周炎患者平台转移种植体周围骨组织稳定，可获得与牙周健康患者相同的理想修复效果。

关键词: 慢性牙周炎, 平台转移, 种植体周围炎, 年均骨吸收量

Abstract: Objective To explore the influence of periodontitis on platform-switched implant marginal bone level alterations compared with the periodontal health group. Methods From January 2013 to January 2016，20 periodontitis patients（PP） and 20 health-periodontal patients（HP） with a total of 56 Ankylos implants in the posterior region were?incorporated into the retrospective study. Peri-implant conditions were examined and X-ray during the follow-up periods was recorded in both groups.Radiographic marginal bone loss of implants and adjacent teeth was calculated and analyzed with SPSS13.0 software package. Results No implant loss occurred in both groups with the mean prosthesis function time of 39.2±6.1months. The annual crestal bone loss was significantly greater at teeth than that around implants in the PP group （P<001）, while no statistically significant difference was found in the HP group（P=0.849）. No statistically significant difference was found between groups when comparing the peri-implant marginal bone loss（P=0.612）.Conclusions The platform-switched implant marginal bone level seemed more stable in comparison to that around the natural teeth in periodontitis patients，which can obtain the same successful implant restoration as patients with health periodontium.

Key words: Periodontitis, Platform switching, Peri-implantitis, Annual crestal bone loss

中图分类号:

R781.4+2

薛敏刘贺刘国惠郭秀娟. 慢性牙周炎对平台转移种植体边缘骨吸收的影响[J]. , 2019, 39(4): 321-324.

参考文献 18

[1]	Chappuis V，Buser R，Braegger U，et al.Long-term outcomes of dental implants with a titanium plasma-sprayed surface: a 20-year prospective case series study in partially edentulous patients[J]. Clin Implant Dent Relat Res，2013，15（6）：780–790.
[2]	Albrektsson T，Buser D，Sennerby L. On crestal/marginal bone loss around dental implants[J]. Int J Periodontics Restorative Dent，2013，33（1）：9–11.
[3]	Cecchinato D，Marino M，Lindhe J. Bone loss at implants and teeth in the same segment of the dentition in partially dentate subjects[J]. Clin Oral Implants Res. 2017，28（5）：626–630
[4]	Sanz M，Chapple IL. Clinical research on peri-implant diseases: consensus report of Working Group 4[J]. J Clin Periodontol. 2012，39（suppl12）：202–206.
[5]	Sgolastra F，Petrucci A，Severino M，et al. Periodontitis，implant loss and peri-implantitis. a meta-analysis[J]. Clin Oral Implants Res，2015，26（4）：e8–e16.
[6]	Salvi GE，Cosgarea R，Sculean A. Prevalence and mechanisms of peri-implant diseases[J]. J Dent Res，2017，96（1）：31–37.
[7]	Turri A，Rossetti PH，Canullo L，et al. Prevalence of peri-implantitis in medically compromised patients and smokers: a systematic review[J]. Int J Oral Maxillofac Implants，2016，31（1）：111–118
[8]	王雨薇，王了，包崇云. 种植体颈部的优化设计在预防种植体周围炎中的应用[J].口腔医学，2018，38（2）：177-180.
[9]	Cho-Yan Lee J，Mattheos N，Nixon KC，et al. Residual periodontal pockets are a risk indicator for peri-implantitis in patients treated for periodontitis[J]. Clin Oral Implants Res，2012，23（3）：325–333.
[10]	Wang X，Qin L，Lei C et al. Effects of uncontrolled periodontitis on marginal bone alterations around implants: A case-control study[J]. Clin Implant Dent RelatRes，2017，19（4）：654–662.
[11]	Rasperini G，Siciliano VI，Cafiero C，et al.Crestal bone changes at teeth and implants in periodontally healthy and periodontally compromised patients. a 10-year comparative case-series study[J]. J Periodontol，2014，85（6）：e152–e159
[12]	Doornewaard R，Christiaens V，De Bruyn H，et al. Long-term effect of surface roughness and patients’ factors on crestal bone loss at dental implants. a systematic review and meta-analysis[J]. Clin Implant Dent Relat Res，2017，19（2）372–399.
[13]	封伟，耿进友，孙园园，等. 不同种植深度Ankylos种植体边缘骨吸收的对比研究[J].临床口腔医学杂志，2016，32（12）：744-746.
[14]	Van Steenberghe D，Naert I，Jacobs R，et al. Influence of inflammatory reactions vs. occlusal loading on peri-implant marginal bone level[J]. Adv Dental Res，1999，13：130–135.
[15]	Vazquez Alvarez R，Perez Sayans M，Gayoso Diz P，et al. Factors affecting peri-implant bone loss: a post-five-year retrospective study[J]. Clin Oral Implants Res. 2015，26（9）：1006–1014.
[16]	Carcuac O，Berglundh T. Composition of human peri-implantitis and periodontitis lesions[J]. J Dent Res. 2014，93（11）：1083–1088.
[17]	Becker ST，Beck-Broichsitter BE，Graetz C，et al. Peri-implantitis versus periodontitis: functional differences indicated by transcriptome profiling[J]. Clin Implant Dent Relat Res，2014，（16）：401–411.
[18]	Coli P，Christiaens V，Sennerby L，et al. Reliability of periodontal diagnostic tools for monitoring peri-implant health and disease[J]. Periodontol 2000， 2017，73（1）：203–217.