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

有大量文献支持发生生物和假体并发症， 干扰种植体周围组织的健康、种植体修复体的功能和美观。种植体周围疾病分为种植体周围粘膜炎，局限于种植体周围粘膜的炎症， 和以种植体周围骨损失为特征的种植体周围炎。目前的文学作品的局限性， 生物和假体并发症是基于许多小型研究，大部分是在一个 学术和专业设置。我们建议在国家牙科诊所内建立一个种植体登记处。 基于研究网络（NDPBRN），将记录设置和植入治疗，使用的植入物， 提供的修复治疗和并发症的发生率。登记册将创造机会， 随后，从登记数据中获得的关于特定并发症的其他有针对性的研究将导致 到诊断驱动的治疗策略。目标入组总数为2000例， 全网为期一年的UG3阶段将用于制定一项战略，以满足 招募和入组目标，并制定数据收集方案以促进数据 为他们注册的科目聚集从业者。我们提出的数据收集模型将被设计为 对从业者来说是有效的、简洁的和易于使用的。我们将开发一个基于Web的决策树， 通过数据收集指导从业者。UH3阶段将招募具有代表性的从业人员 该网络的所有6个区域将招募2000个植入体的受试者。数据收集将详细说明， 全面，将包括种植体治疗和X光片的手术、修复和生物学方面 进行为期3年的骨水平评估。这些数据将提供有关以下方面的有临床意义的信息： 各种植入治疗的流行率，假体和生物植入并发症的发生率， 种植体并发症的风险因素和基于证据的种植体治疗策略。 我们预计，这项研究的结果将对种植牙的临床实践产生重大影响， 为患者提供的护理质量。

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.