中国实用口腔科杂志2025，Vol.18Issue(6)：697-702,6.DOI:10.19538/j.kq.2025.06.009
种植体周病风险评估工具在种植治疗患者中临床应用效果及改良方案初探
Preliminary exploration of the clinical application effect and improvement plan of a peri-implant disease risk assessment tool in patients undergoing dental implant therapy
摘要
Abstract
Objective To preliminarily explore the clinical application effect of the implant disease risk assessment(IDRA)model in patients undergoing implant treatment and propose an improvement plan.Methods This was a retro-spective case-control study.A total of 58 patients(with 58 implants)diagnosed with peri-implantitis and 33 pa-tients(with 33 implants)diagnosed with healthy peri-im-plant status were enrolled,who visited the Department of Periodontology,Peking University School and Hospital of Stomatology from January 2020 to May 2024.They were divided into the peri-implantitis group and the healthy peri-implant group,respectively.Data of both groups were collected,including the history of periodontitis,bleeding index(BI),probing depth(PD),periodontitis susceptibility,frequency of supportive periodontal therapy(SPT),distance from the restorative margin of the implant-supported prosthesis to the bone,and implant prosthesis-related factors.The positive rate of bleeding on probing(BOP)(percentage of sites with BI ≥ 2)and the periodontal bone loss in relation to age(BL/Age)were calculated.These parameters were substituted into the IDRA model to assess the risk level,and improvements were made based on the assessment results.Results The proportion of patients at high risk of peri-implant disease was 100％in both groups,and all patients had a history of periodontitis.There were statistically significant differences be-tween the two groups in percentage of sites with BOP,number of sites with PD ≥ 5 mm,grading of the number of sites with PD ≥ 5 mm,grading of SPT frequency and implant prosthesis-related factors(all P＜0.05);no statistically significant dif-ferences were observed in other factors between the two groups(P＞0.05).After improving the two risk factors of PD and BI,risk level assessment was conducted based on the number of sites with PD ≥ 6 mm and the percentage of sites with BI ≥ 3.The results showed that there were statistically significant differences between the two groups in the number of sites with PD ≥ 6 mm,grading of the number of sites with PD≥6 mm,full-mouth average PD,percentage of sites with BI ≥ 3,and grading of the percentage of sites with BI ≥ 3(all P＜0.05).Conclusion The application effect of the IDRA model may be suboptimal in Chinese implant patients with a history of periodontitis.It is recommended that the number of sites with PD≥6 mm and the percentage of sites with BI ≥ 3 be used to replace the number of sites with PD ≥ 5 mm and the BOP positive rate in the original model,and further exploration of improvement methods is needed in the future.关键词
种植体周炎/牙周炎/种植体周病风险评估工具Key words
peri-implantitis/periodontitis/implant disease risk assessment,IDRA分类
医药卫生引用本文复制引用
SUN Wen-xuan,DAI Shi-ai,JIANG Lu-yi,FENG Xiang-hui,SHI Dong,HU Wen-jie..种植体周病风险评估工具在种植治疗患者中临床应用效果及改良方案初探[J].中国实用口腔科杂志,2025,18(6):697-702,6.基金项目
2022国家重点研发子课题(2022YFC2504202-1) （2022YFC2504202-1）
北京大学医学部大学生创新实验项目(2023-SSDC-07) （2023-SSDC-07）
