种植风险的规避演示文稿1.pptVIP

种植技术的外科适应症选择 患者的选择 外科条件的选择 骨量不足 咬合间距 软组织不足 外科技术的选择 外科技术的选择 治疗设计要符合种植义齿的生理学原则和生物 力学原则；要符合种植义齿的支持、稳定和固位的修复原则。 延期种植 即刻种植 患者的选择 Int J Oral Maxillofac Implants.?2005 Jul-Aug;20(4):569-77. Dental implant failure rates and associated risk factors. Moy PK,?Medina D,?Shetty V,?Aghaloo TL. Source Oral and Maxillofacial Surgery, University of California at Los Angeles, School of Dentistry, Los Angeles, California, USA. Abstract PURPOSE: To guide treatment planning by analyzing the rates of dental implant failure to determine associated risk factors. MATERIALS AND METHODS: All consecutively treated patients from January 1982 until January 2003 were included in a retrospective cohort study, as defined in the hierarchy of evidence for dental implant literature. Data regarding gender, age, implant location, bone quality, bone volume, and medical history were recorded. Correlations between these data and implant survival were calculated to establish relative risk (RR) ratios. RESULTS: Increasing age was strongly associated with the risk of implant failure. Compared to patients younger than 40 years, patients in the 60-to-79 age group had a significantly higher risk of implant failure (RR = 2.24; P .05). Gender, hypertension, coronary artery disease, pulmonary disease, steroid therapy, chemotherapy, and not being on hormone replacement therapy for postmenopausal women were not associated with a significant increase in implant failure. Smoking (RR = 1.56), diabetes (RR = 2.75), head and neck radiation (RR = 2.73), and postmenopausal estrogen therapy (RR = 2.55) were correlated with a significantly increased failure rate. Overall, implant failure was 8.16% in the maxilla and 4.93% in the mandible (P .001). DISCUSSION: Patients who were over age 60, smoked, had a history of diabetes or head and neck radiation, or were postmenopausal and on hormone replacement therapy experienced significantly increased implant failure compared with healthy patients. CONCLUSION: Overall, dental im