A Dental implant registry of treatment outcomes of implant therapy by practitioners in the National Dental Practice Based Research Network

有大量文献支持生物和假体并发症的发生，这些并发症可能 干扰种植体周围组织的健康、种植体修复的功能和美观。种植体周围疾病分为种植体周围粘膜炎、局限于种植体周围黏膜的炎症、 种植体周围炎，以种植体周围骨丢失为特征。当前文学主体的局限性 生物和假体并发症是基于许多小型研究，其中大部分是在 学术和专业设置。我们建议在国家牙科诊所内建立种植体登记处 基础研究网络(NDPBRN)，将记录环境和种植治疗，使用的种植， 假体治疗的提供情况和并发症发生率。登记处将创造一个机会 随后对登记册数据提供的具体并发症进行更多有针对性的研究，并将导致 到诊断驱动的治疗策略。登记的目标是总共2000个植入假体的人 整个网络。一年的UG3阶段将用于制定能够满足以下要求的战略 征聘和登记目标，并制定数据收集议定书，以便利数据 为他们招收的科目聚集从业者。我们提出的数据收集模型将被设计 为实践者所验证、简明和易于使用。我们将开发一个基于Web的决策树，它将 指导从业者完成数据收集。UH3阶段将招募有代表性的从业者 在该网络的所有6个地区中，将招收2000个植入物。将详细介绍数据收集和 内容全面，包括植入物治疗的外科、假体和生物学方面，以及X光片 进行为期3年的骨骼水平评估。这些数据将提供关于以下方面的临床有意义的信息 各种种植疗法的流行率，假体和生物种植并发症的发生率， 每种牙科实践中种植体并发症的危险因素和循证种植治疗策略。 我们预计，这项研究的结果将对种植牙科的临床实践产生重大影响 为病人提供的护理质量。

There is a substantial body of literature to support that biological and prosthetic complications occur which may interfere with the health of the peri-implant tissues, the function and esthetics of the implant restoration. Peri-implant diseases are classified into peri-implant mucositis, inflammation restricted to the peri-implant mucosa, and peri-implantitis, characterized by peri-implant bone loss. The limitations of the current body of literature of biologic and prosthetic complications are based on many small studies and in large part conducted in an academic and specialty setting. We propose to create an implant registry within the National Dental Practice Based Research Network (NDPBRN) that will record the setting and implant therapy, the implants used, the prosthetic therapy provided and the rate of complications. The registry will create an opportunity for subsequent, additional targeted studies on specific complications available from the registry data and will lead to diagnosis driven therapy strategies. The target enrollment is a total of 2000 implants with prosthesis across the whole network. The one year UG3 Phase will be used to create a strategy to be able to meet the recruitment and enrollment objectives and to develop the protocol for data collection to facilitate the data gathering of the practitioners for the subjects they enroll. The data collection model we propose will be designed to be validated, concise, and easy to use for practitioners. We will develop a web based decision tree that will guide the practitioner through the data collection. The UH3 phase will recruit practitioners with representation of all 6 regions of the network that will enroll subjects with 2000 implants. Data collection will be detailed and comprehensive and will include surgical, prosthetic, and biologic aspects of implant therapy and radiographs for bone level assessments for a period of 3 years. The data will present clinically meaningful information about the prevalence of the various implant therapies, the incidence of prosthetic and biologic implant complications, risk factors for implant complications and evidence-based implant therapy strategies in every dental practices. We expect that the results from this study will significantly impact the clinical practice of implant dentistry and the quality of care provided for the patients.