规范牙周治疗后慢性牙周炎患者牙种植体存活率及影响因素分析

doi:10.19439/j.sjos.2026.03.018

摘要/Abstract

摘要： 目的: 探讨经规范牙周治疗后慢性牙周炎患者行牙种植修复的临床效果,分析牙周炎病史及相关因素对牙种植体存活率的影响,为牙周炎患者的牙种植治疗提供单中心循证依据。方法: 选择2020年11月—2025年10月南通市口腔医院口腔种植科接受牙种植修复的患者232例（共植入种植体656颗）,根据种植术前牙周检查情况分为试验组（有牙周炎史,133例,428颗种植体）和对照组（无牙周炎史,99例,228颗种植体）。采用Kaplan-Meier法进行种植体生存分析,Log-rank检验比较各组存活率差异,分析牙周炎严重程度、种植体品牌等因素对存活率的影响。结果: 随访3个月至5年,平均（2.01±0.56）年,种植体总存活率为92.4%;其中试验组存活率91.8%,对照组存活率93.4%,两组无显著差异（P>0.05）。试验组内不同严重程度牙周炎患者的种植体存活率差异无统计学意义（P>0.05）,但不同品牌的种植体存活率差异有显著性（P<0.05）,S品牌存活率最高（94.2%）,C品牌最低（72.7%）。种植体长度、植入时机、负荷时间及修复体类型对种植体存活率无显著影响（P>0.05）。结论: 经规范术前牙周治疗及术后个性化维护后,慢性牙周炎患者行牙种植治疗安全可行,其种植体存活率与无牙周炎史患者无显著差异;种植体品牌可能影响牙周炎患者种植体早期存活率,临床上可优先选择骨结合性能良好的种植体品牌。

关键词: 牙周疾病, 牙种植体, 存活率, 回顾性分析, 种植体维护

Abstract: PURPOSE: To investigate the clinical efficacy of dental implant treatment in patients with chronic periodontitis who received standardized periodontal therapy, and to analyze the influence of a history of chronic periodontitis and related factors on dental implant survival rate, so as to provide single-center evidence-based evidence for dental implant treatment in periodontitis patients. METHODS: A total of 232 patients (656 implants inserted) who received dental implant treatment in the Department of Oral Implantology, Nantong Stomatological Hospital from November 2020 to October 2025 were enrolled. According to preoperative periodontal examination findings, they were divided into the experimental group (with a history of periodontitis, 133 patients, 428 implants) and the control group (without a history of periodontitis, 99 patients, 228 implants). Survival analysis of implants was performed using Kaplan-Meier method, and Log-rank test was used to compare survival rates between groups. The effects of periodontitis severity, implant brand and other factors on survival rate were analyzed. RESULTS: The follow-up period ranged from 3 months to 5 years, with a mean time of (2.01±0.56) years. The overall implant survival rate was 92.4%, including 91.8% in the experimental group and 93.4% in the control group, with no significant difference between the two groups (P>0.05). Within the experimental group, there was no significant difference in implant survival rate among patients with different severities of periodontitis (P>0.05), whereas a significant difference was observed among different implant brands (P<0.05). Brand S showed the highest survival rate (94.2%), while Brand C showed the lowest (72.7%). Implant length, placement timing, loading time and prosthesis type had no significant impact on implant survival rate in either group (P>0.05). CONCLUSIONS: After standardized preoperative periodontal treatment and personalized postoperative maintenance, dental implant therapy is safe and feasible in patients with chronic periodontitis, and the implant survival rate shows no significant difference from that in patients without a history of periodontitis. Implant brand may affect the early implant survival rate in periodontitis patients, and implant brands with favorable osseointegration properties can be preferred in clinical practice.

Key words: Periodontitis, Dental implant, Survival rate, Retrospective analysis, Implant maintenance

中图分类号:

R781.4

郝丹, 陈冬雷, 张哲维, 郭海波. 规范牙周治疗后慢性牙周炎患者牙种植体存活率及影响因素分析[J]. 上海口腔医学, 2026, 35(3): 331-336.

Hao Dan, Chen Donglei, Zhang Zhewei, Guo Haibo. Survival rate and influencing factors of dental implants in patients with chronic periodontitis after standardized periodontal treatment[J]. Shanghai Journal of Stomatology, 2026, 35(3): 331-336.

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