Comparison Between Implants Inserted Into Piezo Split and Unsplit Alveolar Crests
Comparison Between Implants Inserted Into Piezo Split and Unsplit Alveolar Crests
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DOI：
10.1016/j.joms.2009.04.041
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发表时间：
2009-11-01
影响因子：
1.9
通讯作者：
Carinci, Francesco
中科院分区：
文献类型：
--
作者：
Danza, Matteo;Guidi, Riccardo;Carinci, Francesco
目的：压电手术（PES）使用调制超声频率，允许高精度和安全的硬组织切割进行了一系列螺旋系列植入物的回顾性研究，使用或不使用PES分裂嵴插入，以验证植入物插入使用PES分裂嵴是否具有与插入未分裂骨相当的结果。材料和方法：在2004年5月至2007年11月期间，86名患者（55名女性和31名男性，中位年龄53岁）接受了手术，植入了234个螺旋系列种植体。其中21例植入PES劈裂冠。平均随访13个月（3 - 35个月）。结果：234颗种植体中，仅有9颗种植体丢失（存活率96.2%），均为未劈裂组，但差异无统计学意义。为了检测PES劈裂牙槽嵴是否比插入未劈裂牙槽嵴的固定装置产生更好的临床结果，在剩余的加载种植体中比较了牙槽骨损失（234 - 9丢失-5未修复= 220）通过比较插入PES分裂嵴的种植体与未处理的牙槽嵴，结论：PES劈裂冠提供了几个优点和临床结果，如果与标准手术相比，骨重建的不良条件并不更糟。(C)2009美国口腔颌面外科医师协会J Oral Maxillofac Surg 67：2460-2465 2009
Purpose: Piezoelectric surgery (PES) uses a modulated ultrasonic frequency that permits highly precise and safe hard tissue Cutting A retrospective study oil a series of spiral family implants inserted with or Without PES split crest was performed to verify if implants inserted into crests split using PES have a comparable outcome to those inserted into unsplit bone.Material and Methods: In the period from May 2004 to November 2007, 86 patients (55 women and 31 men, median age 53 yrs) were operated on and 234 spiral family implants were inserted. Among these, 21 were inserted into PES split crest. Mean follow-up was 13 months (3 to 35 months). The Kaplan-Meier algorithm was used to compare the 2 groups in survival and clinical success (ie, decreased bone resorption around implant neck).Results: Only 9 of 234 implants were lost (ie, survival rate 96.2%), all of which belonged to the unsplit group but no statistical difference was demonstrated. To detect if PES split crest produces a better clinical outcome in comparison with fixtures inserted into unsplit alveolar ridges, crestal bone loss was compared in the remaining loaded implants (234 - 9 lost - 5 not prosthetized = 220) No statistical significant difference was detected by comparing implants inserted into PES split crests with untreated alveolar ridges, although a better trend was visible for fixtures inserted into PES split crests.Conclusion: PES split crests provide several advantages and clinical outcomes that are not worse ill terms of bone remodeling, if compared with standard procedures. (C) 2009 American Association of Oral and Maxillofacial Surgeons J Oral Maxillofac Surg 67:2460-2465 2009