The loss of interproximal contact between posterior fixed implant prostheses and adjacent teeth:a retrospective study
10.3760/cma.j.issn.1002-0098.2016.01.005
- VernacularTitle:后牙种植冠桥修复邻接触丧失的临床回顾研究
- Author:
Qiang LUO
1
;
Qian DING
;
Lei ZHANG
;
Dong PENG
;
Qiufei XIE
Author Information
1. 解放军总医院口腔内科,北京,100853
- Keywords:
Dental implantation;
Denture,partial,fixed;
Food impact
- From:
Chinese Journal of Stomatology
2016;51(1):15-19
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the interproximal contact(IC) loss rate and the associated risk factors of IC loss between posterior fixed implant prostheses and the adjacent teeth.Methods Ninety-seven posterior fixed implant prostheses including 165 IC in 78 patients(34 men, 44 women) between 23 and 76 years of age were investigated.The period after restoration ranged from 1 to 44 months.The IC between implant prostheses and adjacent teeth was evaluated using a 30-μm-thick contact gauge and dental floss, and the IC was regarded as lost when the gauge or dental floss was inserted into an IC without any resistance at follow-up visits.The state of IC, region of implant prostheses, the condition of opposing dentition, the vitality of the adjacent teeth and the time interval of tooth loss were also confirmed for correlation analysis.Results All 78 patients finished follow-up examination.Forty-eight of 165 IC(29％)were regarded as lost.The IC loss rate at the mesial aspect[75％(36/48)] was significantly greater than that at the distal aspect[25％(12/48)](x2=7.344, P=0.007).The difference between IC loss rate in the maxilla[46％ (22/48)] and that in the mandible[54％(26/48)] was not significant(x2=2.992, P=0.084).Free-end[hazard ratio (HR)=2.870], and the time interval of tooth loss(HR=0.919) affected the loss of IC significantly(P＜0.05, Cox regression analysis).Conclusions Loss of IC between posterior fixed implant prostheses and adjacent teeth was one of biological complications, which was observed frequently at follow-up visits.Patients who have the free-end fixed implant prostheses, or undergo short time interval of tooth loss before restoration may have high risk of the IC loss.
