即刻种植即刻修复在上颌前牙修复中的应用及对患者美观效果的影响
|
摘要
目的:分析即刻种植即刻修复在上颌前牙修复中的应用及对患者美观效果的影响。方法:选取2015年1月-2017年10月在笔者科室接受上颌前牙修复的900例患者为研究对象,根据治疗方法不同分为对照组和研究组。对照组:450例,采用常规的种植、延期修复方法治疗;研究组:450例,采用德国贝格Bego种植体即刻种植修复治疗。观察并比较两组患者的种植体体积(种植体直径、种植体长度)、骨吸收水平、治疗效果及术后美观效果。结果:研究组患者的种植体直径、种植体长度均高于对照组,6个月骨吸收水平低于对照组,差异有统计学意义(P<0.05);研究组总有效率93.3%,高于对照组的73.3%,差异有统计学意义(P<0.05);研究组患者术后1年美观效果(唇侧牙龈曲线、近中龈乳头、唇侧牙龈高度、远中龈乳头以及根部突度及牙龈色质)优于对照组,差异有统计学意义(P<0.05)。结论:即刻种植即刻修复在上颌前牙修复中的应用效果显著,能有效改善患者的上颌前牙牙槽骨吸收水平,提高美观效果,值得临床推广应用。
Objective To study the application of immediate implant immediate repair in maxillary anterior teeth repair and the impact on the aesthetic effect of patients. Methods 900 cases of patients who underwent maxillary anterior teeth restoration in our hospital from January 2015 to October 2017 were selected as the research subjects. All the patients were divided into control group and study group according to different treatment methods, 450 cases in each group. The patients in the control group underwent routine implantation and postponement for treatment, the patients in the study group were treated with immediate implant immediate repair. The implant volume(implant diameter, implant length), bone resorption level, therapeutic effect and postoperative aesthetic effect were observed and compared between the two groups. Results The diameter of implants and length of implants in the study group were all higher than those in the control group, and the level of bone resorption in 6 months was lower than that in the control group(P<0.05). The total effective rate of the study group was 93.3%, which was higher than that of the control group(73.3%), the difference was statistically significant(P<0.05).The aesthetic effect(labial gingival curve, mesial papillae, labial gingival height, distal papillae and root curvature and gingival mass) in the study group was better than that in the control group at 1 year after operation, with significant difference(P<0.05). Conclusion Immediate implant immediate repair in the maxillary anterior teeth repair effect is significant, can effectively improve the patient's maxillary anterior teeth alveolar bone absorption and improve the aesthetic effect, it is worth to clinical promotion.
Objective To study the application of immediate implant immediate repair in maxillary anterior teeth repair and the impact on the aesthetic effect of patients. Methods 900 cases of patients who underwent maxillary anterior teeth restoration in our hospital from January 2015 to October 2017 were selected as the research subjects. All the patients were divided into control group and study group according to different treatment methods, 450 cases in each group. The patients in the control group underwent routine implantation and postponement for treatment, the patients in the study group were treated with immediate implant immediate repair. The implant volume(implant diameter, implant length), bone resorption level, therapeutic effect and postoperative aesthetic effect were observed and compared between the two groups. Results The diameter of implants and length of implants in the study group were all higher than those in the control group, and the level of bone resorption in 6 months was lower than that in the control group(P<0.05). The total effective rate of the study group was 93.3%, which was higher than that of the control group(73.3%), the difference was statistically significant(P<0.05).The aesthetic effect(labial gingival curve, mesial papillae, labial gingival height, distal papillae and root curvature and gingival mass) in the study group was better than that in the control group at 1 year after operation, with significant difference(P<0.05). Conclusion Immediate implant immediate repair in the maxillary anterior teeth repair effect is significant, can effectively improve the patient's maxillary anterior teeth alveolar bone absorption and improve the aesthetic effect, it is worth to clinical promotion.
引文
[1]曹建强,王丽芳,田碧嫒,等.上颌前牙翻瓣植骨即刻种植美学修复128例疗效观察[J].中国医药导刊,2017,19(4):364,366.
[2]张国明.对比即刻种植和延迟种植术后牙槽骨的吸收情况[J].中国医学创新,2017,14(18):110-113.
[3]Sanz-Sánchez I,Ortiz-Vigón A,Matos R,et al.Clinical efficacy of subgingival debridement with adjunctive Er:YAG Laser in chronic periodontitis patients a randomised clinical trial[J].J Periodontol,2014,86(4):1-15.
[4]王娜.上颌单前牙即刻种植修复和延期种植修复的美学效果比较[J].中国实用医药,2017,12(30):99-100.
[5]符起亚,张黎,段莉,等.慢性牙周炎患者治疗前后患牙龈沟液中T细胞亚群表达水平的研究[J].海南医学,2014,25(21):3138-3140.
[6]王莺,林野,陈波,等.上颌前牙区即刻种植即刻修复与延迟修复牙槽嵴改建的锥形束CT观察[J].中华口腔医学杂志,2016,51(10):600-604.
[7]欧阳冰.上颌单前牙即刻种植修复和延期种植修复的临床效果对比[J].临床研究,2017,25(4):15-16.
[8]姜阳,何权敏,刘清蒙.外周血TNF-α、IL-6、IL-10和HMGB-1与慢性牙周炎伴口臭的相关性研究[J].牙体牙髓牙周病学杂志,2017,27(5):261-265.
[9]王熙,刘莎.即刻种植即刻修复多颗牙对牙龈乳头保留的临床研究[J].全科口腔医学电子杂志,2016,3(8):114-115.
[10]袁丹.牙周基础治疗对慢性牙周炎患者龈沟液IL-6TNF-α及hsCRP的影响[J].河北医学,2016,22(7):1057-1059.
[11]孙国能.镍铬、金合金烤瓷牙修复后不同时期龈沟液IL-8含量水平探讨[J].湖南师范大学学报(医学版),2016,13(3):94-96.
[12]董健,佟庆敏,李敏.牙周病患者前牙即刻种植的短期临床疗效观察[J].口腔颌面修复学杂志,2017,18(2):79-83.
[13]潘成琼,李明,秦燕军,等.上颌前牙牙槽骨骨皮质切开辅助治疗轻度骨性Ⅱ类错牙合畸形的临床观察[J].实用口腔医学杂志,2016,32(4):495-500.
[14]姚希,张宁,李昀生,等.前牙的即刻与延期种植:牙周组织健康程度及成功率比较[J].中国组织工程研究,2015,19(12):1958-1963.
[15]姜阳,何权敏,刘清蒙.外周血TNF-α、IL-6、IL-10和HMGB-1与慢性牙周炎伴口臭的相关性研究[J].牙体牙髓牙周病学杂志,2017,27(5):261-265.
[16]Zhao Y,Yin Y,Tao L,et al.Er:YAG laser versus scaling and root planing as alternative or adjuvant for chronic periodontitis treatment:a systematic review[J].J Clin Periodontol,2014,41(11):1069-1079.
[17]张宇,林野,刘洋,等.牙周炎晚期伴上颌牙槽骨前突畸形患者即刻种植全牙列固定修复的侧貌变化初探[J].中华口腔医学杂志,2017,52(10):625-630.
[18]纪晓霞,韩正贵,刘雪芹,等.观察与分析牙周炎患者应用中西联合治疗临床效果[J].湖南师范大学学报(医学版),2015,10(6):56-58.
[19]尹敏,冯伟,金巧霞,等.慢性牙周炎患者牙龈卟啉单胞菌感染与NLRP3、IL-1β、IL-18在牙周膜细胞中的表达研究[J].中华全科医学,2017,15(7):1102-1104.
[20]刘宇明,邬琪,黄锦洪.前牙即刻与延期种植在美学、唇侧骨量及牙周组织健康的临床评价[J].中国口腔种植学杂志,2016,21(3):116-119.
[2]张国明.对比即刻种植和延迟种植术后牙槽骨的吸收情况[J].中国医学创新,2017,14(18):110-113.
[3]Sanz-Sánchez I,Ortiz-Vigón A,Matos R,et al.Clinical efficacy of subgingival debridement with adjunctive Er:YAG Laser in chronic periodontitis patients a randomised clinical trial[J].J Periodontol,2014,86(4):1-15.
[4]王娜.上颌单前牙即刻种植修复和延期种植修复的美学效果比较[J].中国实用医药,2017,12(30):99-100.
[5]符起亚,张黎,段莉,等.慢性牙周炎患者治疗前后患牙龈沟液中T细胞亚群表达水平的研究[J].海南医学,2014,25(21):3138-3140.
[6]王莺,林野,陈波,等.上颌前牙区即刻种植即刻修复与延迟修复牙槽嵴改建的锥形束CT观察[J].中华口腔医学杂志,2016,51(10):600-604.
[7]欧阳冰.上颌单前牙即刻种植修复和延期种植修复的临床效果对比[J].临床研究,2017,25(4):15-16.
[8]姜阳,何权敏,刘清蒙.外周血TNF-α、IL-6、IL-10和HMGB-1与慢性牙周炎伴口臭的相关性研究[J].牙体牙髓牙周病学杂志,2017,27(5):261-265.
[9]王熙,刘莎.即刻种植即刻修复多颗牙对牙龈乳头保留的临床研究[J].全科口腔医学电子杂志,2016,3(8):114-115.
[10]袁丹.牙周基础治疗对慢性牙周炎患者龈沟液IL-6TNF-α及hsCRP的影响[J].河北医学,2016,22(7):1057-1059.
[11]孙国能.镍铬、金合金烤瓷牙修复后不同时期龈沟液IL-8含量水平探讨[J].湖南师范大学学报(医学版),2016,13(3):94-96.
[12]董健,佟庆敏,李敏.牙周病患者前牙即刻种植的短期临床疗效观察[J].口腔颌面修复学杂志,2017,18(2):79-83.
[13]潘成琼,李明,秦燕军,等.上颌前牙牙槽骨骨皮质切开辅助治疗轻度骨性Ⅱ类错牙合畸形的临床观察[J].实用口腔医学杂志,2016,32(4):495-500.
[14]姚希,张宁,李昀生,等.前牙的即刻与延期种植:牙周组织健康程度及成功率比较[J].中国组织工程研究,2015,19(12):1958-1963.
[15]姜阳,何权敏,刘清蒙.外周血TNF-α、IL-6、IL-10和HMGB-1与慢性牙周炎伴口臭的相关性研究[J].牙体牙髓牙周病学杂志,2017,27(5):261-265.
[16]Zhao Y,Yin Y,Tao L,et al.Er:YAG laser versus scaling and root planing as alternative or adjuvant for chronic periodontitis treatment:a systematic review[J].J Clin Periodontol,2014,41(11):1069-1079.
[17]张宇,林野,刘洋,等.牙周炎晚期伴上颌牙槽骨前突畸形患者即刻种植全牙列固定修复的侧貌变化初探[J].中华口腔医学杂志,2017,52(10):625-630.
[18]纪晓霞,韩正贵,刘雪芹,等.观察与分析牙周炎患者应用中西联合治疗临床效果[J].湖南师范大学学报(医学版),2015,10(6):56-58.
[19]尹敏,冯伟,金巧霞,等.慢性牙周炎患者牙龈卟啉单胞菌感染与NLRP3、IL-1β、IL-18在牙周膜细胞中的表达研究[J].中华全科医学,2017,15(7):1102-1104.
[20]刘宇明,邬琪,黄锦洪.前牙即刻与延期种植在美学、唇侧骨量及牙周组织健康的临床评价[J].中国口腔种植学杂志,2016,21(3):116-119.
© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号 地址：北京市海淀区学院路29号 邮编：100083 电话：办公室：(+86 10)66554848；文献借阅、咨询服务、科技查新：66554700 |