一階段牙科植體之植體成功率研究

以植牙來贋復缺牙的區域是一個癒後良好的治療方式，病人期望有更舒適的過程且可預期的成功治療，而一階段植牙是滿足病人需求的治療方式。在這篇研究，回溯研究Q植體及歐可植體臨床贋復追蹤結果，共109位病人531顆植牙被採用在這篇研究裡，其中包含有控制的系統疾病、抽菸、磨牙的病例，病患的骨量不足需種植較短植體或需配合人工骨粉重建都被包括在這篇研究裡。整體一階段植體平均存活率為91.90%，而整體的平均存活期間是848.37天。磨牙、較短植體長度、骨量不足需合併人工骨粉這些因素會增加植體的失敗率。整體而言，一階段植牙是簡單且成功率高的治療方式，若有增加失敗率的相關因素時，訂定植體贋復治療計畫應更加謹慎。

關鍵字

一階段牙科植體；危險因子

並列摘要

Implantation is a good and predictable solution to solve the edentulous problem. Patient’s expect is to receive more comfort procedure and more predictable treatment outcome. One-piece implant is a solution way to satisfy patient’s needs. The retrospective analysis of clinical outcome of one-piece implant was investigated in this research. A total 531 Q implant and OCO implants of 109 patients were included in this study. No specific case selection including controlled systemic diseases, smoking, bruxium was performed. The implants placed at insufficient bone volume region should be reconstructed with short implant or bone graft were also included in this study. The overall one-piece implants survival rate was 91.90% and the overall survival period was 848.37 days. Bruxium, short implant length and insufficient bone volume combined bone graft increased implant failure rate. Overall, one-piece implant is a simple and predictable treatment choice. Conditions that were found to be correlated with an increased risk of failure should be considered during treatment planning.

並列關鍵字

one-piece dental implant ； risk factors

參考文獻

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國際替代計量

一階段牙科植體之植體成功率研究

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