請用此 Handle URI 來引用此文件:
http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/89809
完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 陳秀熙 | zh_TW |
dc.contributor.advisor | Hsiu-Hsi Chen | en |
dc.contributor.author | 陳建宇 | zh_TW |
dc.contributor.author | Chien-Yu Chen | en |
dc.date.accessioned | 2023-09-22T16:12:40Z | - |
dc.date.available | 2023-11-09 | - |
dc.date.copyright | 2023-09-22 | - |
dc.date.issued | 2023 | - |
dc.date.submitted | 2023-08-07 | - |
dc.identifier.citation | Atieh MA, Alsabeeha NH, Faggion CM Jr, Duncan WJ. The frequency of peri-implant diseases: a systematic review and meta-analysis. J Periodontol. 2013; 84:1586-1598.
Becker W, Becker BE, Alsuwyed A, Al-Mubarak S. Long-term evaluation of 282 implants in maxillary and mandibular molar positions: a prospective study. J Periodontol. 1999; 70:896-901. Becker ST, Beck-Broichsitter BE, Rossmann CM, Behrens E, Jochens A, Wiltfang J. Long-term Survival of Straumann Dental Implants with TPS Surfaces: A Retrospective Study with a Follow-up of 12 to 23 Years. Clin Implant Dent Relat Res. 2016; 18:480-488. GBD 2017 Oral Disorders Collaborators; Bernabe E, Marcenes W, Hernandez CR, et al. Global, Regional, and National Levels and Trends in Burden of Oral Conditions from 1990 to 2017: A Systematic Analysis for the Global Burden of Disease 2017 Study. J Dent Res. 2020; 99:362-373. Berglundh T, Armitage G, Araujo MG, Avila-Ortiz G, Blanco J, et al. Peri-implant diseases and conditions: Consensus report of workgroup 4 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Clin Periodontol. 2018; 45 Suppl: S286-S291. Brånemark PI, Adell R, Breine U, Hansson BO, Lindström J, Ohlsson A. Intra-osseous anchorage of dental prostheses. I. Experimental studies. Scand J Plast Reconstr Surg. 1969; 3:81-100. Brocard D, Barthet P, Baysse E, Duffort JF, Eller P, Justumus P, Marin P, Oscaby F, Simonet T, Benqué E, Brunel G. A multicenter report on 1,022 consecutively placed ITI implants: a 7-year longitudinal study. Int J Oral Maxillofac Implants. 2000; 15:691-700. Buser D, Janner SF, Wittneben JG, Brägger U, Ramseier CA, Salvi GE. 10-year survival and success rates of 511 titanium implants with a sandblasted and acid-etched surface: a retrospective study in 303 partially edentulous patients. Clin Implant Dent Relat Res. 2012; 14:839-851. Buser D, Mericske-Stern R, Bernard JP, Behneke A, Behneke N, Hirt HP, Belser UC, Lang NP. Long-term evaluation of non-submerged ITI implants. Part 1: 8-year life table analysis of a prospective multi-center study with 2359 implants. Clin Oral Implants Res. 1997; 8:161-172. Buser D, Sennerby L, De Bruyn H. Modern implant dentistry based on osseointegration: 50 years of progress, current trends and open questions. Periodontol 2000. 2017 ; 73:7-21. Cochran D, Oates T, Morton D, Jones A, Buser D, Peters F. Clinical field trial examining an implant with a sand-blasted, acid-etched surface. J Periodontol. 2007 ; 78:974-982. Congress of Oral Implantologists (ICOI) Pisa Consensus Conference. Implant Dent. 2008 ; 17:5-15. Da Silva JD, Kazimiroff J, Papas A, Curro FA, Thompson VP, Vena DA, Wu H, Collie D, Craig RG; Practitioners Engaged in Applied Research and Learning (PEARL) Network Group. Outcomes of implants and restorations placed in general dental practices: a retrospective study by the Practitioners Engaged in Applied Research and Learning (PEARL) Network. J Am Dent Assoc. 2014; 145:704-713. De Boever AL, Quirynen M, Coucke W, Theuniers G, De Boever JA. Clinical and radiographic study of implant treatment outcome in periodontally susceptible and non-susceptible patients: a prospective long-term study. Clin Oral Implants Res. 2009 ; 20:1341-1350. Derks J, Tomasi C. Peri-implant health and disease. A systematic review of current epidemiology. J Clin Periodontol. 2015 Apr;42 Suppl 16:S158-171 Derks J, Schaller D, Håkansson J, Wennström JL, Tomasi C, Berglundh T. Effectiveness of Implant Therapy Analyzed in a Swedish Population: Prevalence of Peri-implantitis. J Dent Res. 2016; 95:43-49. Derks J, Schaller D, Håkansson J, Wennström JL, Tomasi C, Berglundh T. Peri-implantitis - onset and pattern of progression. J Clin Periodontol. 2016; 43:383-388. Dreyer H, Grischke J, Tiede C, Eberhard J, Schweitzer A, Toikkanen SE, Glöckner S, Krause G, Stiesch M. Epidemiology and risk factors of peri-implantitis: A systematic review. J Periodontal Res. 2018; 53:657-681. Ferreira SD, Martins CC, Amaral SA, Vieira TR, Albuquerque BN, Cota LOM, Esteves Lima RP, Costa FO. Periodontitis as a risk factor for peri-implantitis: Systematic review and meta-analysis of observational studies. J Dent. 2018; 79:1-10. Ferrigno N, Laureti M, Fanali S, Grippaudo G. A long-term follow-up study of non-submerged ITI implants in the treatment of totally edentulous jaws. Part I: Ten-year life table analysis of a prospective multicenter study with 1286 implants. Clin Oral Implants Res. 2002;13:260-273 Fiske J, Davis DM, Frances C, Gelbier S. The emotional effects of tooth loss in edentulous people. Br Dent J. 1998; 184:90-93; discussion 79. French D, Larjava H, Ofec R. Retrospective cohort study of 4591 Straumann implants in private practice setting, with up to 10-year follow-up. Part 1: multivariate survival analysis. Clin Oral Implants Res. 2015; 26:1345-1354. French D, Ofec R, Levin L. Long term clinical performance of 10 871 dental implants with up to 22 years of follow-up: A cohort study in 4247 patients. Clin Implant Dent Relat Res. 2021; 23:289-297. Graetz C, El-Sayed KF, Geiken A, Plaumann A, Sälzer S, Behrens E, Wiltfang J, Dörfer CE. Effect of periodontitis history on implant success: a long-term evaluation during supportive periodontal therapy in a university setting. Clin Oral Investig. 2018; 22(1):235-244. Heneghan C, Goldacre B, Mahtani KR. Why clinical trial outcomes fail to translate into benefits for patients. Trials. 2017; 18:122. Howe MS, Keys W, Richards D. Long-term (10-year) dental implant survival: A systematic review and sensitivity meta-analysis. J Dent. 2019; 84:9-21. Hu KF, Lin YC, Ho KY, Chou YH. Compliance with Supportive Periodontal Treatment in Patients with Dental Implants. Int J Oral Maxillofac Implants. 2017; 32:1364–1370. Jung RE, Zembic A, Pjetursson BE, Zwahlen M, Thoma DS. Systematic review of the survival rate and the incidence of biological, technical, and aesthetic complications of single crowns on implants reported in longitudinal studies with a mean follow-up of 5 years. Clin Oral Implants Res. 2012; 23 Suppl 6:2-21. Karoussis IK, Brägger U, Salvi GE, Bürgin W, Lang NP. Effect of implant design on survival and success rates of titanium oral implants: a 10-year prospective cohort study of the ITI Dental Implant System. Clin Oral Implants Res. 2004;15:8-17. Lemos CA, Ferro-Alves ML, Okamoto R, Mendonça MR, Pellizzer EP. Short dental implants versus standard dental implants placed in the posterior jaws: A systematic review and meta-analysis. J Dent. 2016; 47:8-17. Michael G, Newman Henry H, Takei Fermin A. Carranza. Carranza's clinical periodontology, 9th ed. Philadelphia, PA: W.B. Saunders Co, 2002:889. Misch CE, Perel ML, Wang HL, Sammartino G, Galindo-Moreno P, Trisi P, Steigmann M, Rebaudi A, Palti A, Pikos MA, Schwartz-Arad D, Choukroun J, Gutierrez-Perez JL, Marenzi G, Valavanis DK. Implant success, survival, and failure: the International Congress of Oral Implantologists (ICOI) Pisa Consensus Conference. Implant Dent. 2008; 17:5-15. Monje A, Wang HL, Nart J. Association of Preventive Maintenance Therapy Compliance and Peri-Implant Diseases: A Cross-Sectional Study. J Periodontol. 2017; 88:1030-1041. Moraschini V, Poubel LA, Ferreira VF, Barboza Edos S. Evaluation of survival and success rates of dental implants reported in longitudinal studies with a follow-up period of at least 10 years: a systematic review. Int J Oral Maxillofac Surg. 2015; 44:377-388. Renvert S, Persson GR, Pirih FQ, Camargo PM. Peri-implant health, peri-implant mucositis, and peri-implantitis: Case definitions and diagnostic considerations. J Periodontol. 2018; 89 Suppl 1:S304-S312. Roccuzzo M, De Angelis N, Bonino L, Aglietta M. Ten-year results of a three-arm prospective cohort study on implants in periodontally compromised patients. Part 1: implant loss and radiographic bone loss. Clin Oral Implants Res. 2010; 21:490-496. Roccuzzo M, Layton DM, Roccuzzo A, Heitz-Mayfield LJ. Clinical outcomes of peri-implantitis treatment and supportive care: A systematic review. Clin Oral Implants Res. 2018; 29 Suppl 16:331-350. Rösing CK, Fiorini T, Haas AN, Muniz FWMG, Oppermann RV, Susin C. The impact of maintenance on peri-implant health. Braz Oral Res. 2019; 33(suppl 1):e074. Saravi BE, Putz M, Patzelt S, Alkalak A, Uelkuemen S, Boeker M. Marginal bone loss around oral implants supporting fixed versus removable prostheses: a systematic review. Int J Implant Dent. 2020; 6:20. Schroeder A, van der Zypen E, Stich H, Sutter F. The reactions of bone, connective tissue, and epithelium to endosteal implants with titanium-sprayed surfaces. J Maxillofac Surg. 1981; 9:15-25. Sgolastra F, Petrucci A, Severino M, Gatto R, Monaco A. Periodontitis, implant loss and peri-implantitis. A meta-analysis. Clin Oral Implants Res. 2015; 26:e8-e16. Shulman LB, Driskell TD. Dental implants: a historical perspective. In: Block M, Kent J, Guerra L, eds. Implants in Dentistry. Philadelphia, PA: W.B. Saunders, 1997:2. Simonis P, Dufour T, Tenenbaum H. Long-term implant survival and success: a 10-16-year follow-up of non-submerged dental implants. Clin Oral Implants Res. 2010; 21:772-777. The Toronto Osseointegration Conference Revisited: An interview with Dr. Asjborn Jokstad. Osseointegration. 2008;7-9. Tomasi C, Derks J. Clinical research of peri-implant diseases--quality of reporting, case definitions and methods to study incidence, prevalence and risk factors of peri-implant diseases. J Clin Periodontol. 2012; 39 Suppl 12:207-223. Tonetti M, Palmer R; Working Group 2 of the VIII European Workshop on Periodontology. Clinical research in implant dentistry: study design, reporting and outcome measurements: consensus report of Working Group 2 of the VIII European Workshop on Periodontology. J Clin Periodontol. 2012; 39 Suppl 12:73-80. van Velzen FJ, Ofec R, Schulten EA, Ten Bruggenkate CM. 10-year survival rate and the incidence of peri-implant disease of 374 titanium dental implants with a SLA surface: a prospective cohort study in 177 fully and partially edentulous patients. Clin Oral Implants Res. 2015; 26:1121-1128. Wheeler SL. Eight-year clinical retrospective study of titanium plasma-sprayed and hydroxyapatite-coated cylinder implants. Int J Oral Maxillofac Implants. 1996;11:340-350. | - |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/89809 | - |
dc.description.abstract | 背景與目的
Straumann ITI(International Team for Oral Implantology)植體系統應用於牙科領域至今已過四十餘載,其良好臨床表現不論是針對局部或全口缺牙患者之重建,在過往研究文獻中也被所多記載。而考量時間資訊的存活分析和隨時間植牙失敗風險(hazard rate),皆與患者口內植體功能性年限和預後,有臨床上高度相關,亦需長時間追蹤預後分析。因此,本論文目的,在分析接受某牙周專科醫師植牙之病患的長期追蹤資料,以存活分析方法探討ITI植體成功率,並探索與植體存活相關之風險因子重要性,以進行不同植體失敗風險危險分層。 研究方法 本研究為回溯性世代研究,包含187名患者從1995年8月至2019年5月接受過一次以上ITI植牙手術病患。觀察主要事件為植體脫落 (implant loss)之發生,次要事件為植體脫落之發生或罹患植體囊袋 (peri-implant pocketing)。統計存活分析採Kaplan-Meier方法估算植體存活率 (survival rate)和成功率 (success rate),並以Cox回歸模型評估相關風險因子對植體臨床表現的效應。 結果 本世代研究追蹤超過25年,總計收納了638顆ITI植體,平均每位病患被植入3.41顆ITI植體,而每顆植體追蹤期的平均值(標準差)為7.1(5.7)年。在638顆植體當中,23顆(3.6%)被分類為發生植牙脫落,79顆(12.3%)為罹患植體囊袋,而94顆(14.7%)為發生植牙脫落或罹患植體囊袋。 藉由計算Kaplan-Meier估計值,針對主要事件,即發生植體脫落,在植體層次之累積存活率(cumulative survival rate)於第5、10、15、20、25年分別為97.6%、96.5%、94.4%、89.7%和89.7%;在患者層次之累積存活率於第5、10、15、20年則分別為95.5%、92.5%、89.5%和78.3%。而針對次要事件,亦即發生植體脫落或罹患植體囊袋,在植體層次之累積存活率於第5、10、15、20、25年分別為87.2%、81.9%、77.5%、73.9%和73.9%;在患者層次之累積存活率於第5、10、15、20年則分別為76.0%、65.4%、60.8%、60.8%。 藉由使用Cox回歸模型,結果顯示過去曾有嚴重牙周病史的患者(Roccuzzo score >26, Hazard ratio(HR)=8.56, 95% CI 2.62-27.97)有較高的植牙失敗風險(即發生植體脫落或罹患植體囊袋)並達統計顯著,而女性患者(HR=0.57, 0.36-0.90)則有較高的植牙成功率並達統計上顯著。 結論 本研究以回溯世代研究分析ITI植體25年存活率幾近90%,未發生植牙脫落或植體囊袋25年存活率則幾近75%,有嚴重牙周病史與術後感染為重要危險因子,而女性預後較男性為佳。對不同個案植牙失敗評估,有助於牙科臨床個案管理的術前評估與預測,給予對病人最適切的精準治療。 | zh_TW |
dc.description.abstract | Background and Aims
The dental implant system of International Team for Oral Implantology(ITI) Straumann have been in use for tooth replacement worldwide in dental clinical practice. Although the well performance of such a dental implementation regarding the fraction of implements remains in place and has been reported in previous studies, the time to implement failure and the corresponding hazard rate of failure, both of which were of great clinical relevance to the functionality of implement has barely been studied. The aim of this study was therefore, using data from a periodontist in private practice by the method of survival analysis, to investigate the success rate of ITI system in Taiwan and explore the detrimental factors of implant survival. Methods The present retrospective study of a longitudinal observational cohort with 187 patients was done on all ITI implants performed by a single periodontist from Aug 1995 to May 2019. The main outcome variables of this study were implant loss and peri-implant pocketing. By using the Kaplan-Meier survivor function and Cox model, estimates of cumulative survival rate and hazard ratio with relevant predictors were calculated. Results A total of 638 ITI implants was included in this study with a mean(standard deviation)follow-up of 7.1(5.7)years. Of the 638 implants, 23(3.6%)were classified as implant failure, 79(12.3%)as peri-implant pocketing and 94(14.7%)as peri-implant pocketing or implant loss. According to Kaplan-Meier estimates of survival analysis, at implant level the cumulative survival rate(CSR)at 5, 10, 15, 20 and 25 years was 97.6%、96.5%、94.4%、89.7% and 89.7%, respectively. At patient level, the CSR at 5, 10, 15 and 20 years was 95.5%、92.5%、89.5% and 78.3%, respectively. In regard to the disease-free survival for implant failures or peri-implantitis, the cumulative success rate(SR)was 87.2%、81.9%、77.5%、73.9% and 73.9% at 5, 10 , 15, 20 and 25 years, respectively. As for patient level, the SR at 5, 10, 15 and 20 years was 76.0%、65.4%、60.8% and 60.8%, respectively. By using the Cox regression model, a history of periodontally compromised patient(for score>26, HR=8.56, 2.62-27.97)was associated with a greater risk of implant failure, while female recipient(HR=0.57, 0.36-0.90)were associated with the higher success rate. Conclusions By using data on the cohort of dental implement with a 25-year longitudinal follow-up in Taiwan, we demonstrate the favourable implement survival and the composite event of disease-free survival with a time-to-event approach taking into account hierarchical structure. All relevant factors, particularly periodontal conditions, associated with the force of implement failure were examined. Our empirical evidence supports the dental practice on addressing the history of treated severe periodontitis prior to the implant placement to avoid implement failure. | en |
dc.description.provenance | Submitted by admin ntu (admin@lib.ntu.edu.tw) on 2023-09-22T16:12:40Z No. of bitstreams: 0 | en |
dc.description.provenance | Made available in DSpace on 2023-09-22T16:12:40Z (GMT). No. of bitstreams: 0 | en |
dc.description.tableofcontents | 致謝………………………………………………………………………………........... i
中文摘要……………………………………………………………………………….. ii 英文摘要………………………………………………………………………………. iv 目錄………………………………………………………………………………….... vii 圖目錄………………………………………………………………………………..... ix 表目錄……………………………………………………………………..………….... x 第一章 介紹………………………………………………………………………….. 1 1.1 研究動機……………………………………………………………………... 1 1.2 研究目的……………………………………………………………………... 2 第二章 文獻回顧…………………………………………………………………….. 3 2.1 植體存活表現……...……………………………………………………….... 3 2.2 風險因子……………………………………………………………………... 6 第三章 材料與方法………………………………………………………………… 11 3.1 實驗設計……………………………………………………………………. 11 3.2 植牙材料與術式……………………………………………………………. 11 3.3 治療過程……………………………………………………………………. 12 3.4 測量方式……………………………………………………………………. 12 3.5 統計分析……………………………………………………………………. 13 第四章 結果………………………………………………………………………… 15 4.1 敘述性統計與臨床表徵……………………………………………………. 15 4.2 存活分析……………………………………………………………………. 19 4.3 風險因子分析………………………………………………………………. 24 第五章 討論………………………………………………………………………… 28 5.1 植牙臨床表現………………………………………………………………. 28 5.2 生物性併發症………………………………………………………………. 30 5.3 預測因子……………………………………………………………………. 32 5.4 著力點與限制………………………………………………………………. 34 第六章 結論………………………………………………………………………… 35 參考文獻……………………………………………………………………………… 36 | - |
dc.language.iso | zh_TW | - |
dc.title | ITI植體效益25年追踪存活分析評估 | zh_TW |
dc.title | Evaluating the Efficacy of ITI Implants with 25-Year Follow-up | en |
dc.type | Thesis | - |
dc.date.schoolyear | 111-2 | - |
dc.description.degree | 碩士 | - |
dc.contributor.oralexamcommittee | 嚴明芳;莊紹源;賴弘明 | zh_TW |
dc.contributor.oralexamcommittee | Ming-Fang Yen;Shao-Yuan Chuang;Hong-Min Lai | en |
dc.subject.keyword | 牙科植體,存活率,植體周圍炎,成功率, | zh_TW |
dc.subject.keyword | dental implant,ITI Straumann,survival,peri-implantitis,success, | en |
dc.relation.page | 46 | - |
dc.identifier.doi | 10.6342/NTU202303106 | - |
dc.rights.note | 同意授權(全球公開) | - |
dc.date.accepted | 2023-08-07 | - |
dc.contributor.author-college | 公共衛生學院 | - |
dc.contributor.author-dept | 流行病學與預防醫學研究所 | - |
顯示於系所單位: | 流行病學與預防醫學研究所 |
文件中的檔案:
檔案 | 大小 | 格式 | |
---|---|---|---|
ntu-111-2.pdf | 1.82 MB | Adobe PDF | 檢視/開啟 |
系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。