摘要
目的·观察慢性牙周炎患者行种植修复后中短期内的种植体存活情况。方法·收集2011年8月—2013年8月接受种植修复的牙周炎患者54例(133枚种植体),观察植入后存活状况,对不同病变程度牙周炎患者发生种植体周围病变的情况进行比较分析。结果·种植体3年存活率为97.74%,不同程度牙周炎间种植体存活率的差异无统计学意义(P=0.452),重度牙周炎患者的种植体周袋探诊深度(PPD)和改良菌斑指数(m PLI)均显著高于轻、中度牙周炎患者。在未定期接受牙周支持治疗的患者中,重度牙周炎的种植体周围炎患病率显著高于轻、中度牙周炎(P=0.009);在吸烟的患者中,重度牙周炎的种植体周围炎患病率显著高于轻、中度牙周炎(P=0.016)。结论·慢性牙周炎患者行种植修复可获得较好的疗效,积极控制菌斑、定期行牙周支持治疗及戒烟可降低种植体周围炎的患病率。
Objective · To observe short and medium term survival of implants in patients with chronic periodontitis after implantation. Methods · 54 patients with chronic periodontitis （133 implants） were enrolled from August 2011 to August 2013. The survival of implants was observed and the periimplant diseases were compared and analyzed between patients with different degrees of chronic periodontitis. Results · The 3-year survival rate of implants was 97.74%. The differences between patients with different degrees of chronic periodontitis were not statistically significant （P=0.452）. Periodontal pocket depth （PPD） and modified plaque index （mPLI） were significantly higher in patients with severe chronic periodontitis than in patients with mild and moderate chronic periodontitis. For patients not receiving supportive periodontal therapy （SPT）, the peri-implantitis rate in patients with severe chronic periodontitis was significantly higher than that in patients with mild and moderate chronic periodontitis （P=0.009）. For smokers, the periimplantitis rate in patients with severe chronic periodontitis was significantly higher than that in patients with mild and moderate chronic periodontitis （P=0.016）. Conclusion · For patients with chronic periodontitis, the theraputic effect of implant treatment is good. Plaque control, SPT, and smoking cessation can reduce the incidence of peri-implantitis.
作者
钱洁蕾
束蓉
宋忠臣
谢玉峰
王依玮
QIAN Jie-lei SHU Rong SONG Zhong-chen XIE Yu-feng WANG Yi-wei(Shanghai Key Laboratory of Stomatology, Periodontal Department, Shanghai Ninth People＇s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China)
出处
《上海交通大学学报（医学版）》
CAS
CSCD
北大核心
2017年第3期368-372,共5页
Journal of Shanghai Jiao tong University:Medical Science
基金
上海市科学技术委员会医学重点项目(13411951300)
上海高校高峰高原学科建设项目~~
