28例上颌前牙即刻种植游离软组织瓣移植的临床观察

›› 2015, Vol. 35 ›› Issue (3): 197-200.

28例上颌前牙即刻种植游离软组织瓣移植的临床观察

王生杰¹,陆钰²,汪庆胜²,康林²,胡芳芳²,王群³,吴海珍²

1. 安徽医科大学
2. 解放军第一O五医院
3. 安徽医科大学解放军临床学院

收稿日期:2014-06-16 修回日期:2014-08-20 出版日期:2015-03-28 发布日期:2015-03-30
通讯作者: 王生杰 E-mail:yxw19731024@163.com

Clinical observation on 28 cases of missing maxillary anterior teeth immediately implanted with free tissue flap transplantation

Received:2014-06-16 Revised:2014-08-20 Online:2015-03-28 Published:2015-03-30

摘要/Abstract

摘要： 　目的　评估即刻种植同时进行游离结缔组织瓣移植的上颌单颗前牙病例软组织瓣的成活情况及重建效果。方法　2012年12月—2013年5月由同一术者对28名因外伤导致上颌单颗前牙缺失行即刻种植游离结缔组织瓣移植手术，术中不翻瓣拔牙，同期采用非埋入式植入28颗种植体，在硬腭部取瓣，采用游离结缔组织瓣移植行种植体周软组织重建，观察组织瓣成活情况及术后植体软组织重建情况。结果　游离结缔组织瓣愈合良好，临床成活率为96.43%，软组织形态达到预期结果，红色美学评分（PES）分值较高，软组织重建达到了美学效果。结论　上颌单颗前牙即刻种植软组织重建采用游离结缔组织瓣移植安全可靠,且取瓣方便，手术时间短，是其软组织重建的合理选择。

关键词: 即刻种植, 游离组织瓣移植, 软组织重建

Abstract: Objective　 28 cases of immediately planted upper front teeth, soft tissue of which were reconstructed with the transplantation of free connective tissue flap ,were retrospectively analyzed. Methods　28 cases of transplantation of free connective tissue flap of immediately planted upper front teeth were completed by the same dentist between December 2012 and May 2013, in which 28 implants were embedded immediately, with teeth dragged without flap by way of non-burying. In palatal side lobe the flap of isolated connective tissue was cut off and the reconstruction with the transplantation of free connective tissue flap was retrospectively analyzed and studied in order to observe the situation of the survival of tissue flap and the prospect of reconstruction of implant soft tissue after surgeon. Results　Free connective tissue flap healed very well with 96.43% clinical survival rate. In addition, the soft tissue morphology achieved the expected results with higher scores on pink esthetic score (PES), and reconstruction of soft tissue attained the aesthetic effect. Conclusion　The reconstruction of soft tissue which was immediately embedded in upper front single planted teeth is safe and reliable as well as convenient for disc with short surgical time so that it can be viewed as a reasonable choice of the soft tissue reconstruction.

Key words: immediate implant placement , free tissue flap transplantation, soft tissue reconstruction

中图分类号:

R782.12

王生杰陆钰汪庆胜康林胡芳芳王群吴海珍. 28例上颌前牙即刻种植游离软组织瓣移植的临床观察[J]. 口腔医学, 2015, 35(3): 197-200.

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