A retrospective cohort study of how alveolar ridge preservation affects the need of alveolar ridge augmentation at posterior tooth implant sites

被引:14
|
作者
Hu, Kai-Fang [1 ,2 ,3 ,4 ]
Lin, Ying-Chu [5 ]
Huang, Yu-Ting [6 ]
Chou, Yu-Hsiang [4 ,5 ]
机构
[1] Kaohsiung Med Univ, Coll Med, PhD Program Environm & Occupat Med, Kaohsiung, Taiwan
[2] Natl Hlth Res Inst, Kaohsiung, Taiwan
[3] Natl Yang Ming Univ, Inst Clin Med, Taipei, Taiwan
[4] Kaohsiung Med Univ Hosp, Div Periodont, Dept Dent, Kaohsiung, Taiwan
[5] Kaohsiung Med Univ, Coll Dent Med, Sch Dent, 100,Tzyou 1st Rd, Kaohsiung 807, Taiwan
[6] Kaohsiung Med Univ, Kaohsiung Med Univ Hosp, Dept Med Res, Div Med Stat & Bioinformat, Kaohsiung, Taiwan
关键词
Retrospective study; Implant; Alveolar ridge augmentation; Alveolar ridge preservation; ALTERATIONS POST-EXTRACTION; GUIDED BONE REGENERATION; FREEZE-DRIED BONE; AESTHETIC ZONE; SOCKETS; METAANALYSIS; PLACEMENT; GRAFT;
D O I
10.1007/s00784-021-03778-y
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Objectives The aim of this study was to assess whether alveolar ridge preservation (ARP) can reduce the need of ridge augmentation at posterior tooth sites. Material and methods This study enrolled patients who received dental implants at posterior tooth sites during 2013-2019. Demographic data and dental treatment histories were collected. Based on healing patterns after tooth extraction, patients were divided into ARP and spontaneous healing (SH) groups. Three surgical treatment plans were devised according to the alveolar bone volume on cone-beam computed tomography (CBCT). The three treatment plans were to perform implant alone, simultaneous guided bone regeneration (GBR) and implantation, and staged GBR before implantation. Statistical analyses were performed to determine relationships. Results There were 92 implant records in the ARP group and 249 implant records in the SH group. A significant intergroup difference was observed regarding the frequency distribution of the treatment modality of staged GBR before implant (chi(2) = 15.07, p = 0.0005). Based on the implant alone treatment modality and simple logistic regression, the SH pattern was related to staged GBR before implant (SH vs. ARP: crude odds ratio (OR) = 4.65, 95% confidence interval (CI) = 2.15-11.61, p = 0.0003). After adjusting confounding factors, the risk was still significant (adjusted OR = 5.02, 95% CI = 2.26-12.85, p = 0.0002). Conclusions The study results suggested that ARP is more likely to lead to the treatment modality of implant alone and reduce the need for staged GBR before implantation.
引用
收藏
页码:4643 / 4649
页数:7
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