种植体早期失败的相关因素分析

›› 2020, Vol. 40 ›› Issue (6): 526-530.

种植体早期失败的相关因素分析

章惠娅¹,²,林国芬³,⁴,管叶⁵,盛爱萍¹,何福明⁴

1. 金华职业技术学院
2. 浙江大学医学院附属口腔医院,
3.
4. 浙江大学医学院附属口腔医院
5. 浙江大学医学院

收稿日期:2019-12-13 修回日期:2020-02-26 出版日期:2020-06-28 发布日期:2020-06-28
通讯作者: 何福明 E-mail:hfm@zju.edu.cn
基金资助:
纯钛种植体表面锶微纳米形貌调控巨噬细胞表型转化控制骨髓基质干细胞向成骨分化的机制研究

Analysis of factors related to early failure of implants

Received:2019-12-13 Revised:2020-02-26 Online:2020-06-28 Published:2020-06-28
Contact: Fu-Ming HE E-mail:hfm@zju.edu.cn

摘要/Abstract

摘要： 目的　回顾分析2018年度浙江大学医学院附属口腔医院的种植数据，探讨可能与种植体早期失败相关的影响因素。方法：收集浙江大学医学院附属口腔医院2018年1月至12月行种植治疗的患者资料及种植情况，从患者自身因素、种植体因素、附加骨增量外科手术因素分析口腔种植早期失败的影响因素。结果：2018年度共有3 504名种植患者，共计植入6 178颗种植体，其中男性1 626例，女性1 878例。截止到2019年8月31日，明确记录的早期失败病例有46例、共计47颗种植体。患者水平早期失败率为1.31%（46/3504）；种植体水平早期失败率为0.76%(47/6178)。男性患者的早期失败率明显高于女性患者，具有统计学意义（P <0.05）。直径≤3.5 mm的种植体植入总数1 829颗，失败22颗，早期失败率为1.2%，高于直径3.6~4.5 mm的种植体，差异有统计学意义（P <0.05）。ZDI系统的种植体植入419颗，早期失败11颗，早期失败率2.63%，高于Nobel、Straumann等其他种植体系统，差异有统计学意义（P <0.05）。结论：男性患者更容易发生种植体早期失败，直径≤3.5 mm的种植体、下颌前牙区、ZDI系统种植体早期失败率更高。

关键词: 种植, 早期失败, 早期失败率

Abstract: Objective To explore the influencing factors related to early implant failure based on the retrospective analysis of the implant data of the Stomatological Hospital Affiliated to Zhejiang University School of Medicine in 2018. Methods The data and implant situation of patients who received implant surgeries at the Affiliated Stomatology Hospital of Zhejiang University School of Medicine were collected during January to December in 2018. The factors influencing the early implant failure were analyzed from the patients’ own factors, implant factors, and additional bone incremental surgical factors. Results A total of 3504 patients received 6,178 dental implants in 2018, including 1,626 males and 1,878 females. Up to August 31, 2019, a total of 46 patients (47 implants) of early failures were clearly recorded. The early failure rate was 1.31% (46/3504) at the patient level, and 0.76% (47/6178) at the implant level. The early implant failure rate of male patients was significantly higher than that of female patients, which was statistically significant (P <0.05). The early implant failure rate of the implants with a diameter ≤3.5mm was 1.2% (22/1829), which was significantly higher than that of implants with a diameter of 3.6mm-4.5mm (P <0.05). A total of 419 ZDI implants were placed in 2018, and there were 11 implant failures at the early stage. The early implant failure rate was 2.63%, which was statistically higher than that of other implant systems such as Nobel and Straumann, and the difference was statistically significant (P <0.01). Conclusion Male patients are more likely to have early implant failures, and the implant with a diameter ≤ 3.5mm, mandibular anterior teeth and ZDI implants have higher early failure rates.

Key words: implantation, early failure, early implant failure rates

中图分类号:

R782.1

章惠娅林国芬管叶盛爱萍何福明. 种植体早期失败的相关因素分析[J]. 口腔医学, 2020, 40(6): 526-530.

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