›› 2013, Vol. 33 ›› Issue (2): 116-118.

• 基础与临床研究 • 上一篇    下一篇

前牙种植义齿修复美学效果评价及其影响因素分析

王春晶1,傅其宏2   

  1. 1. 杭州口腔医院
    2. 杭州口腔医院综合一科
  • 收稿日期:2012-08-10 修回日期:2012-10-16 出版日期:2013-02-08 发布日期:2013-02-22
  • 通讯作者: 王春晶 E-mail:738739588@qq.com

Assess of the esthetic factors for implants of lost anterior teeth and evaluation of influencing factors

  • Received:2012-08-10 Revised:2012-10-16 Online:2013-02-08 Published:2013-02-22
  • Contact: hellen E-mail:738739588@qq.com

摘要: 目的 探讨前牙种植义齿修复美学效果评价及其影响因素分析。方法 选择2009年4月~2010年12月在我院接受前牙种植固定修复的134例患者,随访种植义齿情况,且通过视觉模拟评分法(VAS)和种植牙冠美学指数(ICAI)评价修复体的美学效果并分析其影响因素。结果 术后回访,种植体成功率98.26%,患者VAS评分为(89.21±3.12)分,医生ICAI总评分为(1.81±0.11)分,说明种植义齿美学效果令人满意。种植方法、种植体周围软组织处理方法和骨吸收与修复美学效果成正相关(P<0.05);采用切开翻瓣方法与修复美学效果成负相关(P<0.05)。结论 影响种植义齿美学因素较多,在修复过程中不但需根据患者自身状况选择适宜的手术方法,而且需加强医患沟通,及时纠正影响美学效果的因素,从而提高患者对种植义齿美学效果的满意度。

关键词: 种植义齿, 美学效果, 影响因素, 视觉模拟评分法, 种植牙冠美学指数, implant, esthetic effects, factors, visual analog scale, VAS, implant crown esthetic index, ICAI

Abstract: Objective To assess the esthetic effects and factors for implants of lost anterior teeth. Methods Clinical data of 134 patients who received restoration of anterior teeth from April, 2009 to December, 2010 in our hospital were analysed retrospectively. The situation of plants was followed up. Assess the esthetic effects of implants of lost anterior teeth by visual analog scale(VAS) and implant crown esthetic index(ICAI), and analyze the factors. Results The survival ratio of implants was 98.26 % after followed-up. The score of VAS from 134 patients was(89.21±3.12). The total average ICAI score was(1.81±0.11)from doctors. It showed that the esthetic effects of all implants were well. The esthetics was positively related to implantation methods, treatment of soft tissues around the implants (P<0.05). There was a negative correlation between the esthetic effects and the way of incision and flap surgery(P<0.05). Conclusion There are lots of factors that affect esthetic effects of implants. It’s necessary to choose proper ways of operation according to patients’ condition and to improve communication between doctors and patients so as to adjust factors that affect esthetic effects, so that patients’ satisfaction degree can be improved.

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