Peri-implantitis and late implant failures in postmenopausal women: a cross-sectional study

Peri-implantitis and late implant failures in postmenopausal women: a cross-sectional study
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DOI:
10.1111/j.1600-051x.2011.01772.x
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发表时间:
2011-10-01
影响因子:
6.7
通讯作者:
Gruber, Reinhard
Gruber, Reinhard
中科院分区:
医学1区
文献类型:
--
作者:
Dvorak, Gabriella;Arnhart, Christoph;Gruber, Reinhard

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目的:全身性骨丢失是绝经后妇女骨折的一个主要原因,也可能会影响颌骨,然而,其后果的成功牙科植入物仍然知之甚少。材料和方法:在这个横断面研究中,自我报告的骨质疏松症和成功率的牙科植入物在成年女性人口之间的关系进行了评估。主要结局参数为种植体周围炎和晚期种植体失效的发生率。骨状态未知的女性被排除在研究之外。潜在的混杂因素的年龄,受体网站,吸烟,牙周疾病和加载时间recorded.Results:数据从203名妇女,平均年龄为63 +/- 9岁和967牙种植体进行了调查。根据病史将患者分为三组:骨质疏松症(47名女性),骨质减少症(16名女性)和健康对照组(140名女性)。排除了骨状态未知的患者(n=26)。多水平统计分析显示种植体周围炎[优势比(OR)2.1; p=0.6]或种植体失败[风险比(HR)2.5; p=0.2]与全身性骨丢失之间无相关性。结论:在成年女性人群中,未发现骨质疏松症与种植体周围炎之间存在相关性。
Aim: Systemic bone loss is a major cause of fractures in postmenopausal women and may also affect the jawbone; however, its consequences on the success of dental implants remain poorly understood.Materials and Methods: In this cross-sectional study, the relation between self-reported osteoporosis and the success rate of dental implants in an adult female population was evaluated. The primary outcome parameters were the occurrence of peri-implantitis and late implant failures. Women with unknown bone status were excluded from the study. The potential confounders age, recipient site, smoking, periodontal disease and time of loading were recorded.Results: Data from 203 women with a mean age of 63 +/- 9 years and 967 dental implants were investigated. The patients were classified according to their medical history into one of three groups: osteoporosis (47 women), osteopenia (16 women) and healthy controls (140 women). Patients with unknown bone status (n=26) were excluded. The multi-level statistical analysis showed no association between peri-implantitis [odds ratio (OR) 2.1; p=0.6] or implant failure [hazards ratio (HR) 2.5; p=0.2] and systemic bone loss.Conclusions: No relation was found between osteoporosis and peri-implantitis in an adult female population.