吸烟程度对种植体周围组织影响的回顾研究

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1、授予单位代码10089学号或申请号13463HebeiMedicalUniversity硕士学位论文科学学位吸烟程度对种植体周围组织影响的回顾研究作者姓名：卢丽先导师：陈惠珍教授李文静副教授专业：口腔临床医学二级学院：河北医科大学第二医院2015年03月河北医科大学学位论文使用授权及知识产权归属承诺本学位论文在导师（或指导小组）的指导下，由本人独立完成。本学位论文研宄所获得的研宄成泉：其知识#权归河北医科大学所有。河北医科大学有权对本学位论文进行交流、公开和使用。凡发表与学位论文主要内容相关的论文，第一署名为单位河北医科大学，试验材料、原始数据、

2、申报的专利等_识产权均归河北医科大学所有。否则，承担相应法律责任。.研宄生签名:导师签章二级学院领导_章：年上雕曰河北医科太学硕究生学位论文独创性声明本论文是在导师攮辱下进吁_爾•究Iff歲取得的研宄成果，除了文中特别加以标注和致齒等内容夕h文中不包含其他人已经发表或撰写的研宄成果，指导教师对此进行了审定。本论文由本人独立撰写，文责自负。f—研宄生签名�尊_着：童丨年广月r日目录中文摘要·············································································1英文摘

3、要·············································································3研究论文吸烟程度对周围组织影响的回顾研究前言·············································································5材料与方法····································································5结果·····················

4、························································8附表·············································································10讨论·············································································12结论·······················································

5、······················15参考文献·······································································15综述吸烟对牙种植的影响·····················································17致谢···················································································21个人简历··················

6、···························································22中文摘要吸烟程度对种植体周围组织影响的回顾研究摘要目的:随着口腔医学的发展，种植义齿修复已成为牙列缺损或缺失修复的重要方法之一。然而，许多局部或全身因素均会影响种植治疗的结局[1]即种植的成功率，如菌斑、牙周炎、过载、吸烟等因素。吸烟习惯是其中较重要的一个因素。吸烟对人体器官有局部和全身两方面影响，它可导致牙龈炎和牙周炎的发生率、牙齿缺失率以及牙槽嵴的吸收率增高。有很多学者的研究表明吸烟对种植体的成功率有影响，可以导致种植体周

7、围[2]组织炎的发生，但也有学者如KumarA等认为吸烟并不影响种植体的早期骨整合,有些学者进行的回顾性分析认为其对于种植体累积成功率没有[1,3]显著性影响。本研究旨在分析已种植修复完成的病例中吸烟程度和吸烟时长对于种植体成功率和植体周围软硬组织的影响方法:本研究选取2007-2009年，于邯郸市中心医院口腔科就诊的种植患者，对其病历进行回顾性分析，除去患有糖尿病、磨牙症、慢性牙周炎等其他因素的影响共选取65例，男38例，女27例，共98枚种植体。分为术后重度吸烟组28例(每天吸烟≥20支者)，轻度吸烟组10例(每天吸烟＜20支者)，不吸烟组2

8、7例(无吸烟史或戒烟达到5年患者)，对其缺牙区均进行ITIStraumann牙种植体、6个月后复诊，进行二期修复。回顾其负载1月、1年、