- 期刊
嘉北地區進行人工植牙贋復治療－四年臨床經驗報告
Dental Implant Therapy in The North Region of Chiayi City - A Four- year Clinical Experience Report
摘要
本報告之目的是統計從2010年至2014年期間，嘉北地區患者在嘉義基督教醫院牙科進行人工植牙復之臨床經驗。本次研究共選取167位接受人工植牙復治療之患者從中加以分類統計，並將上述資料利用統計軟體進行分析。統計結果以百分比顯示：A.系統性疾病方面：83.2% 無全身性系統疾病，2.4%有糖尿病，11.4%有心血管疾病，0.6%有骨質疏鬆症，2.4%有其他系統性疾病。B.抽煙習慣部分：有80.2%無抽煙習慣，12%已戒，7.8%有抽煙習慣；在嚼食檳榔上：有86.8%無嚼檳榔習慣，11.4%已戒，1.8%有嚼檳榔習慣。C.缺牙因素上：有37.1%因嚴重牙周病缺牙，30.5%為嚴重齲齒，27.5%為牙齒斷裂，其它因素為4.8%。D.植牙系統及數量方面：Straumann®佔58.5%，Ankylos®佔27.9%，其它系統佔13.6%；在單一患者植牙數目方面：54%植入單支植體，25.2%植入2支植體，其它支數佔20.9%。E. 復物型式方面：95.7%為固定補綴，4.2%為覆蓋式義齒。F.植牙時機中：早期植入佔93.4%，立即植入佔1.2%，延遲植入佔5.4%。G.植牙輔助術式方面有：70.7%進行骨脊增生術，17.4%無其它術式，10.8%進行佔上顎竇增高術。H.臨床併發症方面：有70.4%無併發症，14.0%為生物性併發症，1.8%為機械性併發症。研究結果顯示本院在嘉北地區進行人工植牙治療的臨床結果是可預期的，但術後併發症仍然無法完全避免，其中有3例因此移除植體，統計植體存活率為98.2%。
並列摘要
The purpose of this clinical report focuses on data of dental implantation in the Dental Department of Chia- Yi Christian Hospital from October 2010 to July 2014. There were 167 patients (85 males and 82 females, mean age of the population was 48.68 ±12.25 years old) who received dental implantation include 314 implants. Data were collected from the following parameters: systemic condition, smoking and betel nut history, factors of tooth missing, implant system and numbers, the types of prosthesis, timing of implantation, supplementary surgery, complications of the procedure. All data were processed and analyzed. There were 83.2% patients who were general healthy without obvious systemic disease. Most patients were nonsmokers and no betel-nut chewing. The most factors of missing teeth were periodontitis and severe decay and most implants were Straumann® system. 97.5% of the prosthesis was implant support fixed partial denture and the other was implant-supported overdenture. The most portion was early implant placement and ridge augmentation applied in 70.7% of the population. Complications included biological and mechanical factors and there were 3 cases whose dental implants were removed. This clinical data which indicates that the result of dental implantation is highly predictable for Taiwanese. However, postoperative complications still exists and the survival rate is 98.2%.