Effectiveness of Implant Therapy Analyzed in a Swedish Population: Prevalence of Peri-implantitis
Effectiveness of Implant Therapy Analyzed in a Swedish Population: Prevalence of Peri-implantitis
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DOI：
10.1177/0022034515608832
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发表时间：
2016-01-01
影响因子：
7.6
通讯作者：
Berglundh, T.
中科院分区：
文献类型：
--
作者：
Derks, J.;Schaller, D.;Berglundh, T.
种植体周围炎是一种影响牙种植体周围软硬组织的炎症性疾病。随着全球通过牙种植体进行修复治疗的人数增加，种植体周围炎被认为是牙科中的一个主要且日益严重的问题。随机选择的588例患者均在9年前接受了种植体支持治疗，并进行了临床和影像学检查。通过多水平回归分析评估种植体周围炎的患病率并确定风险指标。45%的患者出现种植体周围炎（探查出血/化脓和骨质流失>0.5 mm）。14.5%的患者诊断为中度/重度种植体周围炎（探诊出血/化脓和骨丢失>2 mm）。牙周炎患者和>= 4个种植体，以及某些品牌的种植体和全科医生提供的修复治疗，显示出中度/重度种植体周围炎的更高比值比。同样，下颌骨种植体和牙冠修复边缘定位的优势比更高
Peri-implantitis is an inflammatory disease affecting soft and hard tissues surrounding dental implants. As the global number of individuals that undergo restorative therapy through dental implants increases, peri-implantitis is considered as a major and growing problem in dentistry. A randomly selected sample of 588 patients who all had received implant-supported therapy 9 y earlier was clinically and radiographically examined. Prevalence of peri-implantitis was assessed and risk indicators were identified by multilevel regression analysis. Forty-five percent of all patients presented with peri-implantitis (bleeding on probing/suppuration and bone loss >0.5 mm). Moderate/severe peri-implantitis (bleeding on probing/suppuration and bone loss >2 mm) was diagnosed in 14.5%. Patients with periodontitis and with >= 4 implants, as well as implants of certain brands and prosthetic therapy delivered by general practitioners, exhibited higher odds ratios for moderate/severe peri-implantitis. Similarly, higher odds ratios were identified for implants installed in the mandible and with crown restoration margins positioned