下颌前牙区种植修复的临床应用研究

摘要/Abstract

摘要： 【摘要】：目的探讨下颌前牙区种植修复的临床应用效果。方法选择2013年2月至2017年8月期间在本院进行下颌前牙区种植修复的60例患者作为研究对象，根据种植区的条件及适应症，设置对照组和实验组，各30例。实验组实施即刻种植，对照组采取择期种植，对比两组患者修复后牙周组织情况 [改良龈沟出血指数(mBI)、探诊深度(PD)和边缘骨吸收(MBL)],采用红色美学指数(PES)评估两组美学效果，并监测两组患者修复后1年种植体留存情况。结果修复完成后1、6和12个月实验组和对照组mBI指数比较，均无显著差异p＞0.05，无统计学意义；修复后1、6和12个月实验组和对照组PD值比较，均无显著差异p＞0.05，无统计学意义；修复后1、6和12个月实验组MBL值（0.37±0.11 mm、0.52±0.13 mm、0.54±0.17 mm）均显著低于对照组（0.65±0.12、0.93±0.19、0.85±0.33mm），差异具有统计学意义（p＜0.05）。修复后即刻、6个月和12个月实验组美学效果PES评分（9.19±1.32分、9.86±1.02分、10.04±1.14分）均显著高于对照组（7.27±1.63分、8.63±1.37分、8.02±1.25分），差异具有统计学意义（p＜0.05）。实验组修复1年后种植体留存率（93.75%）与对照组（93.55%）比较，无显著差异p＞0.05，无统计学意义。结论下颌前牙区种植修复中采取即刻种植方式，可有效减少边缘骨吸收，改善美学效果，且对牙周组织和种植体留存情况无明显影响，可作为下颌前牙区种植修复的首选方式。

关键词: 【关键词】：下颌, 前牙区, 种植, 修复, 临床应用效果, 牙周组织

Abstract: [Abstract] Objective To investigate the clinical effect of implant prosthesis in mandibular anterior teeth. Methods 60 patients with mandibular anterior teeth implanted in our hospital from February 2013 to August 2017 were selected as the research objects. According to the conditions and indications of the implant area, the control group and the experimental group were set up, 30 cases in each group. Immediate implantation was performed in the experimental group and selective implantation in the control group. The periodontal tissues of the two groups were compared after restoration [improved gingival sulcus bleeding index (mBI), probing depth (PD) and marginal bone resorption (MBL)]. The aesthetic effects of the two groups were evaluated by red aesthetic index (PES). The implant retention of the two groups was monitored one year after restoration. Results There was no significant difference in the mBI index between the experimental group and the control group at 1, 6 and 12 months after repair (p > 0.05, no statistical significance); there was no significant difference in the PD value between the experimental group and the control group at 1, 6 and 12 months after repair (p > 0.05, no statistical significance); the MBL value of the experimental group at 1, 6 and 12 months after repair (0.37±0.11 mm, 0.52±0.13 mm, 0.54±0.17 mm) was significantly lower than that of the control group. Group (0.65±0.12, 0.93±0.19, 0.85±0.33 mm), the difference was statistically significant (p < 0.05). The PES scores of (+ aesthetic effect in the experimental group (9.19±1.32, 9.86±1.02, 10.04±1.14) were significantly higher than those in the control group (7.27±1.63, 8.63±1.37, 8.02±1.25), and the difference was statistically significant (p < 0.05). There was no significant difference in the implant retention rate (93.75%) between the experimental group and the control group (93.55%) one year after restoration (p > 0.05). Conclusion Immediate implantation in mandibular anterior teeth can effectively reduce bone resorption and improve aesthetic effect, and has no significant impact on periodontal tissue and implant retention. It can be the preferred method for implant restoration in mandibular anterior teeth.

Key words: [keyword]:Mandible, Anterior tooth area, Implantation, Restoration, Clinical application effect, Periodontal tissue

中图分类号:

R783.4

潘文辉汤春波. 下颌前牙区种植修复的临床应用研究[J]. , 2019, 39(10): 924-927.

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