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首页> 外文期刊>The International journal of oral & maxillofacial implants >A Retrospective Analysis of Dental Implants Replacing Failed Implants in Grafted Maxillary Sinus: A Case Series
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A Retrospective Analysis of Dental Implants Replacing Failed Implants in Grafted Maxillary Sinus: A Case Series

机译:牙种植体替代上颌窦嫁接失败种植体的回顾性分析:一个病例系列

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Purpose: To evaluate the survival rate of dental implants replacing failed implants in grafted maxillary sinuses using the lateral approach vs nongrafted posterior maxillae. Materials and Methods: A retrospective analysis was conducted to study the survival of secondary dental implants inserted in the posterior maxilla in previously failed implant sites between the years 2000 and 2010. The study group consisted of patients who had also undergone maxillary sinus augmentation, and the control group consisted of patients in whom implants in the posterior maxilla had failed. Clinical and demographic data were analyzed using a structured form. Results: Seventy-five patients with a total of 75 replaced implants were included in the study. The study group comprised 40 patients and the control group, 35 patients. None of the replaced implants in the study group failed, resulting in an overall survival of 100%; three replaced implants in the control group failed (92% survival). The main reason for the primary implant removal was lack of osseointegration (35 [87.5%] of 40 study group implants and 23 [65.7%] of 35 control group implants [P = .027]). The difference between the groups with regard to the timing of primary implant failure was statistically significant. The study group had more early failures of the primary implant than did the control group (77% vs 62%; P = .038). Conclusion: Dental implants replaced in the posterior maxilla had a high survival rate. A higher rate of survival was found in augmented maxillary sinus sites. Within the limits of the present study, it can be concluded that previous implant failures in the grafted maxillary sinus should not discourage practitioners from a second attempt.
机译:目的:评估使用侧入路与未移植的上颌后牙替代上颌窦的失败种植体的牙种植体的存活率。材料和方法:进行回顾性分析,以研究2000年至2010年间在先前失败的种植体位点中插入后上颌骨的二次牙种植体的存活情况。研究组包括接受过上颌窦增大手术的患者,以及对照组包括上颌后部植入失败的患者。临床和人口统计数据使用结构化形式进行分析。结果:该研究共纳入75例患者,共75例被替换的植入物。研究组包括40例患者,对照组35例。在研究组中,没有一个被替换的植入物失败,导致总存活率为100%。对照组中三颗替换的植入物失败(92%存活)。去除主要植入物的主要原因是骨整合不足(40个研究组植入物中有35个[87.5%],而35个对照组植入物中有23个[65.7%] [P = .027])。两组之间在原发性植入失败时间方面的差异具有统计学意义。与对照组相比,研究组的早期植入失败率更高(77%比62%; P = .038)。结论:上颌后牙置换种植牙的成活率较高。在上颌窦增大部位发现较高的存活率。在本研究的范围内,可以得出的结论是,先前在上颌窦窦移植物中的植入失败不应使从业者不愿意进行第二次尝试。

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