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首页> 外文期刊>The International journal of oral & maxillofacial implants >Immediately Loaded Fixed Full-Arch Implant-Retained Prosthesis: Clinical Analysis When Using a Moderate Insertion Torque
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Immediately Loaded Fixed Full-Arch Implant-Retained Prosthesis: Clinical Analysis When Using a Moderate Insertion Torque

机译：立即加载固定的全拱植入保留的假体：使用中等插入扭矩时的临床分析

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Purpose: This study uses intentionally tilted implants with a moderate insertion torque to retain an immediately loaded fixed full-arch implant-retained prosthesis using four implants. The aims of this study were to determine the likelihood that this type of implant-retained prosthesis can be predictably provided on the day of implant placement, the survival rate when providing immediate load, and the importance of insertion torque on the survival of the implants. Materials and Methods: All implants that were placed after August 1,2015 and before December 31,2016 at the ClearChoice Dental Implant Center of Minneapolis were recorded. The performance of these implants was followed to determine the success rate in the category of "intention to treat" where the treatment is provided on the same day as implant placement. Insertion torque was recorded for all implants. Implants were followed to determine survival of the implants and complications observed. Results: Between August 1, 2015 and December 31, 2016, a total of 1,903 implants were placed. These implants were utilized to support 441 prostheses, with 440 actually being restored with a provisional prosthesis on the day of implant placement. Mean follow-up time was 484 days with a maximum of 972 days and a median of 474 days. A total of 36 implants failed to achieve osseointegration, resulting in an overall survival rate of 98.1% with a confidence interval (CI) of 98.7% to 97.5%. Survival was 97.6% in the maxilla and 98.9% in the mandible. Insertion torque of less than 15 Ncm (n = 80, 77 survival), between 15 and 34 Ncm (n = 122,120 survival), and greater than 35 Ncm (n = 1,701,1,670 survival) demonstrated no difference in implant survival. Conclusion: Based on this study of 1,903 implants placed between August 1, 2015 and December 31, 2016, the following observations were made: (1) this surgical/prosthetic treatment approach succeeded in the "intention to treat" category with 440/441 (99.8%) prostheses inserted on the day of implant surgery; (2) overall implant survival was 98.1%; (3) insertion torque appeared to have no effect on implant survival.
机译：目的：本研究使用有意倾斜的植入物，其具有中等插入扭矩，以使用四个植入物保留立即装载的固定全拱形植入的假体。该研究的目的是确定这种类型的植入物保留假体可以在植入物放置的当天可以预测地提供这种类型的植入式假体，在提供立即载荷时的存活率，以及插入扭矩对植入物的存活率的重要性。材料和方法：记录了所有植入物于8月1,2015年8月1日和12月31,2016之前进行了记录明尼阿波利斯的Clecearchoce牙科植入中心。遵循这些植入物的性能，以确定在同一天提供的“治疗意图”范畴中的成功率，以便在同一天提供植入物放置。为所有植入物记录插入扭矩。植入物被遵循，以确定植入物的存活率和观察到的并发症。结果：2016年8月1日至2016年12月31日，占地1,903名植入物。这些植入物用于支持441个假体，其中440人实际上恢复了植入物临时假体的临时假体。平均随访时间为484天，最多972天，中位数为474天。总共36种植入物未能实现骨整合，导致总生存率为98.1％，置信区间（CI）为98.7％至97.5％。上颌骨存活率为97.6％，下颌骨98.9％。在15至34ncm（n = 122,120存活率之间的插入扭矩（n = 80,77存活率），大于35ncm（n = 1,701,1,670存活率）在植入物存活中没有差异。结论：根据本研究2016年8月1日至2016年8月31日的1,903名植入物，进行了以下观察结果：（1）这种外科/假肢治疗方法成功地成功地将“意图治疗”类别，440/441（ 99.8％）在植入手术日插入的假体; （2）总植入物存活率为98.1％; （3）插入扭矩似乎对植入物存活没有影响。

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