种植体周围炎发病影响因素的病例对照研究  

The case-control study of affecting factors leading to peri-implantitis

作　　者：曹裕杰[1] 施斌[1] 陈江[2] 谢勤[3] 

机构地区：[1]福建医科大学附属第一医院口腔科,福建福州350005 [2]福建医科大学附属口腔医院种植科,福建福州350002 [3]福建医科大学口腔医学院,福建福州350000

出　　处：《中国口腔颌面外科杂志》2014年第6期525-529,共5页China Journal of Oral and Maxillofacial Surgery

摘　　要：目的 :探讨种植体周围炎发生的相关影响因素,为临床预防和控制提供依据。方法 :采用病例对照研究收集相关资料,病例为2010年1月—2013年6月期间完成的种植修复后确诊种植体周围炎新发病例(A组)52例,对照为同期完成种植修复种植体周围健康者(B组)95例。采用SPSS16.0软件包中的非条件logistic回归分析,明确种植体周围炎发生密切相关的患者自身和手术修复相关因素。结果:单因素分析结果中,有意义的变量包括年龄、文化程度、牙周病、吸烟、糖尿病、定期洁牙并使用种植专门护理产品、上部结构修复方式(P<0.05)。多因素回归分析表明,吸烟、糖尿病、牙周疾病、种植部位是种植体周围炎的危险因素;定期洁牙是种植体周围炎的保护因素。结论:影响种植体周围炎发生的危险因素多为患者自身因素,建议严格掌握种植手术适应证,对高风险患者加强卫生宣教,术后注意随访,尽早发现、治疗种植体周围炎。PURPOSE： The relevant factors leading to peri-implantitis are discussed so as to provide evidence for clinical prevention and control. METHODS： A case-control study was conducted. The cases were divided into 2 groups. Group A consisted of 52 cases with confirmed peri-implantitis after dental implantation and prosthesis in our hospital from January 2010 to June 2013; Group B consisted of 95 cases without peri-implantitis after dental implantation and prosthesis at the same time. Logistic regression analysis was conducted to analyze the patients＇ own factors and doctors＇ surgical performance which were closely related to peri-implantitis with SPSS16.0 software package. RESULTS： Variables significant in single factor analysis were age, diploma, periodontosis, smoking, diabetes, regular teeth cleaning, special care products after implantation and prosthesis pattern of upper structure （P〈0.05）. Multifaetor retrospective analysis suggested that smoking, diabetes, periodontosis, site of implantation were risk factors leading to peri-implantitis while regular teeth cleaning was a protective factor. CONCLUSIONS： Patients＇ own factors are main risk factors for peri-implantitis. Therefore we suggest that operation candidates should be strictly selected; hygiene education for high risk patients should be strengthened; follow up visits after operation are necessary in order to detect and treat peri-implantitis in time if it should occur.

关 键 词：种植体周围炎 影响因素 病例对照研究 

分 类 号：R783.6[医药卫生—口腔医学]