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J Clin Periodontol: 使用釉质基质衍生物辅助种植体周围炎治疗

2018-06-30 MedSci MedSci原创

评估手术治疗种植体周围炎本身或结合釉基质衍生物(EMD)后3年和5年的临床和影像学结果。

评估手术治疗种植体周围炎本身或结合釉基质衍生物(EMD)后3年和5年的临床和影像学结果。

在实验初始时,29名患者被随机分配到辅助EMD或无EMD的手术治疗组。种植体周围炎手术治疗一年后,有25名患者在3年和5年的随访中仍进行生存分析。主要结果是种植体脱落和在X线片上测量的骨水平(BL)变化,并且在3年和5年随访中分别对18和14名患者的每个种植体周围的探诊出血,脓液和菌斑进行了分析,作为次要结果。

结果:在排除了4名停止研究的患者后,在3年随访中,EMD组中有13例(100%)种植体存活,非EMD组12例中有10例(83%)。在5年的随访中,EMD组13例(85%)中有11例存活,非EMD组存活9例(75%)。在多变量建模中,BL变化和EMD治疗与种植体存活呈正相关。同样,在单变量分析中也出现了同样的趋势。

辅助性EMD与种植体存活长达5年以上呈正相关,但仍需要大量研究证实。

原始出处:

Catrine Isehed, et al. Surgical treatment of peri‐implantitis using enamel matrix derivative, an RCT: 3‐ and 5‐year follow‐up. Journal of Clinical Periodontology. 2018 June. doi:10.1111/jcpe.12894

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    2019-04-20 feather89
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    2018-09-06 huangdf
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    2018-06-30 虈亣靌

    了解一下.谢谢分享!

    0

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