Early Failure Rate and Associated Risk Factors for Dental Implants Placed With and Without Maxillary Sinus Augmentation: A Retrospective Study
Early Failure Rate and Associated Risk Factors for Dental Implants Placed With and Without Maxillary Sinus Augmentation: A Retrospective Study
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DOI：
10.11607/jomi.8447
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发表时间：
2020-11-01
影响因子：
2
通讯作者：
Abdulkareem, Ali
中科院分区：
文献类型：
--
作者：
Atarchi, Ahmed;Miley, Douglas;Abdulkareem, Ali
目的：种植牙治疗是最成功的方法之一，以取代失去的牙齿。然而，有几个因素会导致种植体早期失败，这种情况可能发生在插入修复部件之前。本研究旨在调查上颌后部区域在有和没有上颌窦提升的情况下早期种植体失败的发生率以及其他相关风险因素。材料与方法：从接受后上颌骨（前磨牙和磨牙）种植体治疗的患者记录中收集数据。这些信息包括鼻窦是否被增强，增强方法，性别，年龄，吸烟和病史。此外，还记录了植入物的长度和直径、窦膜是否穿孔、植入部位、接受植入物的患者（有或没有窦提升）以及植入物的制造商。结果：共纳入1，343例患者，植入2，323枚种植体，失败率为4.4%。Logistic回归显示，失败率与吸烟（比值比[OR]：7.843）、糖尿病（OR：3.190）、老年组（OR：1.027）和长植入体（OR：1.177）显著相关。外侧增强手术的失败率显著降低（OR：0.345）。结论：结果表明，外侧加固手术与失败率呈负相关。然而，老年、吸烟、糖尿病和更长的植入物与增加的比率呈正相关。
Purpose: Dental implant treatment is one of the most successful methods to replace lost teeth. However, several factors play a role in the early failure of implants, which could occur prior to the insertion of the restorative component.This study aimed to investigate the rate of early implant failure in the maxillary posterior area with and without sinus augmentation and other related risk factors. Materials and Methods: Data were collected from the records of patients who received implant treatment in the posterior maxilla (premolars and molars). The information included whether the sinus was augmented or not, method of augmentation, sex, age, smoking, and medical history. In addition, length and diameter of the implant, whether the sinus membrane was perforated or not, implant sites, patients who received implants both with and without sinus augmentation, and manufacturers of the implants were also recorded. Results: A total of 1,343 patients who received 2,323 implants were included with a failure rate equal to 4.4%. Logistic regression showed that failure rate was significantly associated with smoking (odds ratio [OR]: 7.843), diabetes (OR: 3.190), older age groups (OR: 1.027), and long implants (OR: 1.177). Failure rate significantly decreased with the lateral augmentation procedure (OR: 0.345). Conclusion: The results suggested that the lateral augmentation procedure was negatively associated with failure rate. Yet, old age, smoking, diabetes, and longer implants showed a positive association with the increased rate.