摘要
目的回顾近十年报告先天缺牙患者进行种植义齿修复后疗效的有关文献,综述不同角度下种植体留存率,以为临床决策提供信息。方法在PubMed等数据库中使用检索组合("hypodontia"OR"oligodontia"OR"anodontia"OR"tooth agenesis"OR"congenitally missing teeth")AND"dental implant*",时间限制为2014年2月至2024年2月,根据制定的纳入及排除标准筛选文献,并对所选研究文章的参考文献目录进行人工检索。结果最终纳入34篇先天缺牙患者种植修复的前瞻性/回顾性研究及部分病例报告,通过整理数据发现,受患者个体、治疗技术的影响,先天缺牙种植体总体留存率较高,平均为96.53%。根据与全身疾病的关系,先天缺牙分为单纯型先天缺牙和综合征型先天缺牙,单纯型患者种植体留存率为97.32%,综合征型患者种植体留存率为95.54%。患者在不同年龄段行种植手术留存率略有差异,17岁及以下患者种植体留存率为93.82%,18岁及以上成人患者种植体留存率为96.83%。有较高先天缺失率且涉及前牙美学区的上颌侧切牙部位拥有理想的种植体留存率(98.48%)。结合骨增量技术的先天缺牙患者种植体留存率为96.19%。穿颧种植体及小直径种植体(或微型种植体)留存率分别为98.18%和97.18%。结论种植手术是恢复先天缺牙患者口腔功能和结构的较好解决方案,但仍需根据患者自身情况具体分析,以提高种植体的留存率和种植修复的成功率。
Objective To review the relevant literature from the last decade reporting on the outcomes of congenitally edentulous patients after implant prosthetic restoration,and to synthesize the implant survival rates from different perspectives to provide information for clinical decision-making.Methods A search using the combination("hypodontia"OR"oligodontia"OR"anodontia"OR"tooth agenesis"OR"congenitally missing teeth")AND"dental implant*"was used in databases such as PubMed,with a time frame from February 2014 to February 2024.The literature was screened according to the established inclusion and exclusion criteria,and the bibliographies of the selected research articles were manually searched.Results A total of 34 prospective/retrospective studies and some case reports on implant restorations in congenitally edentulous patients were finally included.It was found that the overall implant survival rate in these patients was high,with an average of 96.53%,depending on individual patient factors and treatment techniques.Congenital edentulism was categorized into simple congenital edentulism and syndromic congenital edentulism,with survival rates of 97.32%and 95.54%,respectively,based on the relationship with systemic diseases.There were slight differences in implant survival rates between different age groups,with 93.82%for patients aged 17 years and younger,and 96.83%for adult patients aged 18 years and older.The maxillary lateral incisors,with a high rate of congenital defects involving the anterior esthetic zone,had an ideal implant survival rate(98.48%).The implant survival rate for congenitally edentulous patients combined with bone augmentation techniques was 96.19%.The survival rates for zygomatic implants and small-diameter implants(or mini-implants)were 98.18%and 97.18%,respectively.Conclusion Implant surgery is a better solution to restoring oral function in congenitally edentulous patients.However,it still needs to be analyzed according to the patient's situation to improve the implant survival rates and the success of implant restoration.
作者
赵昱
昝冰欣
代庆刚
Zhao Yu;Zan Bingxin;Dai Qinggang(Department of Second Dental Center,Shanghai Ninth People’s Hospital,Shanghai Jiao Tong University School of Medicine,College of Stomatology,Shanghai Jiao Tong University,National Center for Stomatology,National Clinical Research Center for Oral Diseases,Shanghai Key Laboratory of Stomatology,Shanghai Research Institute of Stomatology,Shanghai 201999,China;Center of Stomatology,Hainan Hospital,Danzhou 571700,Hainan,China)
出处
《中国口腔种植学杂志》
2024年第3期242-251,共10页
Chinese Journal of Oral Implantology
基金
上海市自然科学基金(21ZR1436900)
海南省自然科学基金(824MS152)。
关键词
种植义齿修复
先天缺牙
留存率
成功率
外胚层发育不良
Implant prosthesis
Congenitally missing teeth
Survival rate
Success rate
Ectodermal dysplasia
