口腔种植牙患者发生种植体周围病的影响因素  

Investigation and Influencing Factors of Periodontal Tissue Health in Patients with Dental Implants in Zhengzhou from 2020 to 2022

作　　者：朱丽君 陈恒 张炜[1] 施鹏伟 ZHU Lijun;CHEN Heng;ZHANG Wei;SHI Pengwei(Department of Oral and Maxillofacial Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院口腔颌面外科,河南郑州450000

出　　处：《河南医学研究》2025年第6期1040-1044,共5页Henan Medical Research

摘　　要：目的分析口腔种植牙患者发生种植体周围病的影响因素。方法选取2020年12月至2022年12月郑州大学第一附属医院接受种植义齿修复患者266例作为观察组,以同期选100例体检牙齿健康志愿者为对照组。根据观察组种植3个月后是否发生种植体周围病,分为发生组和未发生组,logistic回归分析探讨影响口腔种植牙患者发生种植体周围病的危险因素。结果266例口腔种植牙患者种植3个月后,种植体周围病发生率为25.19%(67/266)。发生组和未发生组患者性别、吸烟、饮酒、食物嵌塞、糖尿病、重度牙周炎、牙龈炎、种植体平台、软组织水平、SPD、PLI比较,差异有统计学意义(P<0.05)。logistic回归分析结果显示,吸烟(OR=2.277)、重度牙周炎(OR=2.221)、食物嵌塞(OR=2.396)、骨水平种植体(OR=3.010)、PLI高水平(OR=2.782)是影响患者发生种植体周围病的危险因素(P<0.05)。结论口腔种植牙患者种植后3个月内口腔健康状况呈下降趋势,吸烟、重度牙周炎、食物嵌塞、骨水平种植体、PLI高水平是影响患者发生种植体周围病的危险因素。Objective To investigate influencing factors in patients with dental implants.Methods A total of 266 patients with dental implants treated in the First Affiliated Hospital of Zhengzhou University from December 2020 to December 2022 were selected as the observation group,and 100 healthy dental volunteers were selected as the control group.According to presence or absence of peri-implant diseases at 3 months after implantation,patients in observation group were divided into occurrence group and non-occurrence group.The risk factors of peri-implant diseases in patients with dental implants were explored by logistic regression analysis.Results In the 266 patients,incidence of peri-implant diseases was 25.19%(67/266)at 3 months after implantation.There were significant differences in gender,smoking,drinking,food impaction,diabetes mellitus,severe periodontitis,gingivitis,implant platform,soft tissues,sulcus probing depth(SPD)and plaque index(PLI)between occurrence group and non-occurrence group(P<0.05).The results of logistic regression analysis showed that smoking(OR=2.277),severe periodontitis(OR=2.221),food impaction(OR=2.396),bone-level implant(OR=3.010)and high level of PLI(OR=2.782)were risk factors of peri-implant diseases(P<0.05).Conclusion The oral status is declined in patients with dental implants within 3 months after implantation.Smoking,severe periodontitis,food impaction,bone-level implant and high level of PLI are risk factors of peri-implant diseases.

关 键 词：口腔种植牙 牙周组织 健康状况 影响因素 

分 类 号：R783.6[医药卫生—口腔医学]