Retrospective analysis of jaw bone quality in 387 dental implants

doi:10.19438/j.cjoms.2019.01.011

Abstract

Abstract: POURPOSE: To retrospectively analyze jaw bone quality in patients with dental implants in the People's Hospital of Inner Mongolia Autonomous Region from October 2015 to October 2017, in order to provide clinical reference for bone quality classification. METHODS: The age, sex, implant site, and surgical technique and bone quality classifications of 387 patients were recorded. The related data were statistically and retrospectively analyzed using Excel and SPSS 22.0 software package. RESULTS: Among 387 patients, the classification of bone mass was mainly Class Ⅱ and ClassⅢ. There was no Class IV bone. The site of implantation was mainly the posterior region. The proportion of missing teeth in the mandibular posterior region was the largest, and the proportion of Class Ⅲ bone in the maxillary posterior region was the highest. The proportion of Class Ⅱ bone in the lower anterior region was the highest. There were more female patients than male patients, and most patients were between the age of 20-60 years old, Class Ⅲ bone was mostly found in all the groups. The number of Class Ⅲ bones was the greatest among patients undergoing additional surgery. CONCLUSIONS: Different types of implant sites have different types of bone quality; age and gender may affect the bone quality of the jaws, and implants in areas with poor bone quality will lead to an increase in the proportion of additional operations. Different types of bone quality also have an impact on the failure rate of implantation.

Key words: Alveolar bone, Dental implant, Influencing factor, Retrospective analysis

CLC Number:

R782.1

KAN Wen-jiao, FAN Bo-xi, LIU Xu, LIU Xu-zheng, SUI Jiang, SHAO Bo. Retrospective analysis of jaw bone quality in 387 dental implants[J]. China Journal of Oral and Maxillofacial Surgery, 2019, 17(1): 58-61.

References

[1] 宓努, 龚志敏, 包祥, 等. 324例牙种植病例的临床应用分析[J].中国口腔种植学杂志, 2016, 21(1): 14-16.
[2] 任利秀. 种植牙周围颌骨质量的评价方法和意义[J]. 中国卫生产业, 2013, 10(33): 118-119.
[3] 赖红昌, 庄龙飞, 张志勇. 密度不同的颌骨内单个种植体稳定性的测量观察[J]. 中华口腔医学杂志, 2007, 42(5): 292-293.
[4] Zarb GA, Lewis DW.Dental implants and decision making[J]. J Dent Educ, 1992, 56(12): 863-872.
[5] 阿兰, 周延民. 骨质、骨量对即刻种植即刻负重影响的生物力学研究[J].中国口腔种植学杂志, 2009, 14(2): 119.
[6] Trisi P, Berardi D, Paolantonio M, et al.Primary stability, insertion torque, and bone density on conical implants with internal hexagon: Is there a relationship?[J]. J Craniofac Surg, 2013, 24(3): 841-844.
[7] Sakka S, Coulthard P.Bone quality: a reality for the process of osseointegration[J]. Implant Dent, 2009, 18(6): 480-485.
[8] Isoda K, Ayukawa Y, Tsukiyama, et al. Relationship between the bone density estimated by cone-beam computed tomography and the primary stability of dental implants[J]. Clin Oral Implants Res, 2012, 23(7): 832-836.
[9] Moy PK, Medina D, Shetty V, et al.Dental implant failure rates and associate drisk factors[J]. Int J Oral Maxillofac Implants, 2005, 20(4): 569-577.
[10] Alsaadi G, Quirynen M, Komarek A, et al.Impact of local and systemic factors on the incidence of late oral implant loss[J]. Clin Oral Implants Res, 2008, 19(7): 670-676.
[11] Bryant SR.The effects of age, jaw site, and bone condition on oral implant outcomes[J]. Int J Prosthodont, 1998, 11(5): 470-490.
[12] Artzi Z, Carmeli G, Kozlovsky A.A distinguishable observation between survival and success rate outcome of hydroxyapatite-coated implants in 5-10 years in function[J]. Clin Oral Implants Res, 2006, 17(1): 85-93.
[13] Penarrocha M, Guarinos J, Sanchis J, et al.A retrospective study (1994-1999) of 441 ITI (r) implants in 114 patients followed-up during an average of 2.3 years[J]. Med Oral, 2002, 7(2): 144-155.
[14] Glauser R, Ree A, Lundgren A, et al.Immediate occlusal loading of Brånemark implants applied in various jawbone regions: a prospective, 1-year clinical study[J]. Clin Implant Dent Relat Res, 2001, 3(4): 204-213.
[15] de Oliveira RCG, Leles CR, Normanha LM, et al. Assessments of trabecular bone density at implant sites on CT images[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2008, 105(2): 231-238.
[16] Turkyilmaz I, Tözüm TF, Tumer C.Bone density assessments of oral implant sites using computerized tomography[J]. J Oral Rehabil, 2007, 34(4): 267-272.
[17] Norton MR, Gamble C.Bone classification: an objective scale of bone density using the computerized tomography scan[J]. Clin Oral Implants Res, 2001, 12(1): 79-84.
[18] 吴豪阳, 张克, 吴东. 487 例牙种植治疗的临床分析[J]. 河南医学研究, 2011, 20(2): 172-173.
[19] Martinez H, Davarpanah M, Missika P, et al.Optimal implant stabilization in low density bone[J]. Clin Oral Implants Res, 2001, 12(5): 423-432.
[20] Jeong MA, Kim SG, Kim YK, et al.A multicenter prospective study in type Ⅳ bone of a single type of implant[J]. Implant Dent, 2012, 21(4): 330-334.
[21] 周爽英, 曹采方, 张刚, 等. 牙周炎基础治疗后牙槽骨变化的动态观察[J]. 中华口腔医学杂志, 1997, 32(5): 303-305.
[22] MazessRB. On ageing bone loss[J]. Clin Orthop Relat Res, 1982, (165): 239-252.
[23] 刘忠厚. 中国健康人群皮质骨和松质骨骨量变化的研究[A]//中国老年学学会骨质疏松委员会.骨质疏松研究与防治文集[C].中国老年学学会骨质疏松委员会,1994: 11.
[24] Zarb G, Schmitt A.Implant prosthodontic treatment options for the edentulous patient[J]. J Oral Rehabil, 1995, 22(8): 661-671.
[25] Albrektsson T, Brånemark PI, Hansson HA, et al.Osseointegrated titanium implants. Requirements for ensuring a long-lasting, direct bone-to-implant anchorage in man[J]. Acta Orthop aedica, 1981, 52(2): 155-170.
[26] Martinez H, Davarpanah M, Missika P, et al.Optimal implant stabilization in low density bone[J]. Clin Oral Implants Res, 2001, 12(5): 423-432.
[27] 苏爱军, 邹敬才, 姚小娣, 等. 种植体直径和长度在Ⅰ类骨质中的优化选择[J]. 口腔医学研究, 2008, 23(2): 677-680.
[28] 苏爱军, 邹敬才, 姚小娣. 种植体直径和长度在下颌骨Ⅱ类骨质中的优化选择[J]. 口腔疾病防治, 2007, 15(11): 500-503.
[29] 苏爱军, 邹敬才, 姚小娣, 等.种植体直径和长度在Ⅲ类骨质中的优化选择[J]. 北京口腔医学, 2008, 16(2): 76-80.
[30] 苏爱军, 邹敬才, 姚小娣, 等. 种植体直径和长度在Ⅳ类骨质中的优化选择[J]. 临床口腔医学杂志, 2008, 23(10): 592-594.