种植体周围黏膜炎和种植体周围炎危险因素分析  

Analysis of risk factors for peri-implant mucositis and peri-implantitis

作　　者：金文静[1] 张媛 张杰夫[1] 董坚[1] JIN Wen-jing;ZHANG Yuan;ZHANG Jie-fu;DONG Jian(Department of Stomatology,Beijing Anzhen Hospital Affiliated to Capital Medical University,Beijing 100029 China)

机构地区：[1]首都医科大学附属北京安贞医院口腔科,北京100029

出　　处：《临床口腔医学杂志》2024年第6期351-354,共4页Journal of Clinical Stomatology

摘　　要：目的:评估种植体修复后的种植体周围黏膜炎和种植体周围炎的发生情况,调查分析相关危险因素。方法:本研究回顾性收集2010年1月~2016年9月接受种植体修复的218名患者,共218枚种植体。随访种植体周围黏膜炎和种植体周围炎发生情况,调查患者的临床资料并进行多因素分析。结果:218枚种植体中有9枚失败,整体种植体存活率为95.87%。在209枚成功存活的种植体中,79例表现为种植体周围黏膜炎,占比37.8%;35例表现为种植体周围炎,占比16.7%,其中轻度骨质流失25例,中度骨质流失7例,重度骨质流失3例。多元Logistic回归分析显示吸烟、种植体位置、牙菌斑、种植体直径均为导致种植体周围黏膜炎、种植体周围炎发生的危险因素(P<0.05)。Spearman相关分析显示吸烟、种植体位置、牙菌斑、种植体直径与种植体周围黏膜炎、种植体周围炎等均存在相关性(P<0.05)。结论:种植体周围炎和种植体周围黏膜炎是一种影响种植体周围组织的常见疾病,吸烟、种植体位置、牙菌斑、种植体直径为重要的危险因素。Objective:To evaluate the occurrence of peri-implant mucositis and peri-implantitis related risk factors after implant repair.Methods:This study retrospectively collected 218 cases of patients with a total of 218 implants, who underwent implant restoration from January 2010 to September 2016.Followed up on the occurrence of peri-implant mucositis and peri-implantitis, investigated the clinical data of patients, and conducted multivariate analysis.Results:There were 9 cases of failed, with an overall implant survival rate of 95.87%.In the 209 successfully surviving implants, 79 cases showed peri-implant mucosal inflammation, accounting for 37.8%,35 cases presented with peri-implantitis, accounting for 16.7%,that including 25 cases of mild bone flow, 7 cases of moderate bone flow, and 3 cases of severe bone flow.Multiple Logistic regression analysis showed that smoking, implant location, dental plaque, and implant diameter were all risk factors for the occurrence of peri-implant mucositis and peri-implantitis(P<0.05).Spearman analysis showed there were correlation between smoking, implant location, dental plaque, implant diameter, and peri-implant mucositis and peri-implantitis(P<0.05).Conclusion:Peri-implant mucositis and peri-implantitis are common diseases that affect the surrounding tissues of implants, with smoking, implant location, dental plaque, and implant diameter being important risk factors.

关 键 词：种植牙 种植体周围黏膜炎 种植体周围炎 危险因素 种植体修复 

分 类 号：R782.1[医药卫生—口腔医学]