慢性牙周炎患者行种植修复后中短期内种植体存活情况研究.docVIP

慢性牙周炎患者行种植修复后中短期内种植体存活情况研究 　　【摘要】 目的 观察慢性牙周炎患者行种植修复后中短期内的种植体存活情况。方法 52例行种植修复慢性牙周炎患者， 分为轻度组（13例， 种植体25个）、中度组（30例， 种植体85个）以及重度组（9例， 种植体20个）。比较三组种植修复后3年的种植体存活情况及种植体周围炎发生情况。结果 52例患者种植修复后3年种植体存活率为97.7%（127/130）。三组种植体存活率比较差异无统计学意义（P0.05）；重度组种植体周围炎发生率高于轻度组、中度组， 差异具有统计学意义（P0.05）；在非定期牙周支持治疗（SPT）中， 重度组种植?w周围炎发生率显著高于轻度组、中度组， 差异具有统计学意义（P0.05）。 　　结论 慢性牙周炎行种植修复， 在中短期内种植体存活率较高， 定期行牙周支持治疗、积极控制菌斑使牙周炎程度减轻可降低种植体周围炎发生率。 　　【关键词】 种植体存活；慢性牙周炎；种植修复 　　DOI：10.14163/j.cnki.11-5547/r.2017.33.012 　　Study on survival status of implant in patients with chronic periodontitis after implant repair in the short and medium term SUI Jiang. Department of Stomatology， Inner Mongolia Autonomous Region People’s Hospital， Hohhot 010010， China 　　【Abstract】 Objective To observe the survival status of implant in patients with chronic periodontitis after implant repair in the short and medium term. Methods A total of 52 patients with chronic periodontitis with implant repair were divided into mild group （13 cases， 25 implants）， moderate group （30 cases， 85 implants） and severe group （9 cases， 20 implants）. Comparison were made on survival status of the implants and the occurrence of peri-implantitis after 3 years of implantation in three groups. Results The implant survival rate was 97.7% （127/130） in 52 patients after 3 years of implant repair. There was no significant difference in the survival rate in the three groups （P0.05）. The severe group had higher incidence of peri implant inflammation than mild group and moderate group， and their difference was statistically significant （P0.05）. In non regular supportive periodontal therapy （SPT）， the severe group had obviously higher incidence of peri implant inflammation than mild group and moderate group， and their difference was statistically significant （P0.05）. Conclusion Implant repair provides high implant survival rate in the short and medium term for chronic periodontitis. Regular supportive periodontal therapy and active control of plaque can reduce