期刊
JOURNAL OF DENTAL RESEARCH
卷 81, 期 8, 页码 572-577出版社
SAGE PUBLICATIONS INC
DOI: 10.1177/154405910208100814
关键词
survival analysis; dental implants; risk factors; follow-up study; correlation and dependence; Cox regression analysis; clustered survival data; marginal approach
资金
- NCI NIH HHS [R01 CA56844] Funding Source: Medline
- NIDCR NIH HHS [K24 DE000448, K16 DE000275] Funding Source: Medline
This study's objective was to identify, in a statistically valid and efficient manner, the risk factors associated with dental implant failure. We hypothesize that factors exist which can be modified by clinicians to enhance outcome. A retrospective cohort study design was used. Cohort members had greater than or equal to one implant placed. Risk factors were classified as demographic, health status, implant-, anatomic-, or prosthetic-specific, and reconstructive variables. The outcome variable was implant failure. The cohort was composed of 677 patients who had 2349 implants placed. Based on the adjusted multivariate model, factors associated with implant failure were tobacco use, implant length, staging, well size, and immediate implants (p less than or equal to 0.05). In the setting of correlated survival observations, we recommend adjusting for the correlation of the observations to provide statistically valid and efficient results. Three of the identified factors-tobacco use, immediate implants, and implant staging-potentially may be modified to enhance implant survival.
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