上颌单前牙即刻种植修复与延期种植修复对患者的临床疗效对比

doi:10.12337/zgkqzzxzz.2018.03.004

摘要/Abstract

摘要： 目的： 研究对比上颌单前牙即刻种植修复与延期种植修复对患者的临床疗效。方法： 回顾性分析2015年4月至2016年4月,于我院接受治疗的上颌单前牙患者72例。根据随机数字表法均分为观察组与对照组,两组各36例。对照组患者予以延期种植修复治疗,观察组患者则予以即刻种植修复治疗。对两组患者予以12个月的随访。分别比较两组植牙成功率,种植修复1个月、12个月后的牙龈美学分级以及牙周袋深度,植牙12个月后的主观满意度情况。结果： 观察组与对照组种植成功率均为100.00%（36/36）,组间对比无统计学意义（均P> 0.05）。观察组种植修复1个月后、12个月后的牙龈美学分级评分分别为（8.92± 1.31）分、（8.41± 1.38）分,均明显高于对照组的（8.13± 1.22）分、（7.73± 0.87）分（均P< 0.05）。观察组种植修复1个月后、12个月后的牙周袋深度水平分别为（1.38± 0.22）mm、（1.49± 0.36）mm,均明显低于对照组的（3.71± 0.08）mm、（2.02± 0.14）mm（均P< 0.05）。观察组患者咀嚼功能、附着高度以及整体美观满意度评分分别为（8.74± 0.64）分、（8.74± 1.24）分、（8.81± 1.28）分,均明显高于对照组的（6.67± 1.32）分、（7.38± 0.68）分、（7.56± 1.32）分（均P< 0.05）。结论： 即刻种植与延期种植修复治疗上颌单前牙的成功率相当,但即刻种植在改善患者牙龈美学分级以及牙周袋深度方面效果更佳,有利于提高患者主观满意度。

关键词: 前牙种植, 即刻种植, 延期种植, 美学效果, 主观满意度

Abstract: Objective: To compare and analyze the clinical effects of immediate implant repair and delayed im-plant repair of maxillary single front teeth. Methods: A retrospective analysis from April 2015 to April 2016 in our hospital treatment of 72 cases of maxillary anterior teeth. According to single patients were randomly divided into observation group and control group, two groups of 36 cases in each. The patients in control group was given delayed implant treatment, the observation group was given immediate implant treatment in the two groups. With 12 months of follow-up were compared between two groups. The suc-cess rate of dental implant, 1 months, 12 months after the classification of gingival aesthetics and the depth of periodontal pocket implant, subjective satisfaction after 12 months were compared. Results: The observation group and the control group of success rate was 100%(36/36), the comparison between the two groups was not statistically significant(P>0.05). The observation group 1 months after implant restoration, gingival aesthetics grading scores after 12 months respectively (8.92±1.31), (8.41±1.38), which were sig-nificantly higher than the control group (8.13±1.22), (7.73±0.87)(P< 0.05). The observation group of im-plant after 1 months, 12 months after periodontal pocket depth levels were (1.38±0.22) mm, (1.49±0.36) mm, which was significantly lower than the control group (3.71±0.08) mm, (2.02±0.14)mm(all P<0.05). The patients in the observation group were chewing function, attachment height and overall appearance satisfaction scores were (8.74±0.64), (8.74±1.24), (8.81±1.28), were significantly higher than that in the control group (6.67±1.32), (7.38±0.68), (7.56±1.32)(P<0.05). Conclusion: Immediate implantation and delayed implant treatment of maxillary anterior teeth single success rate, but the immediate implant in im-proving patients with gingival aesthetic grade and depth of periodontal pocket has better effect, can im-prove the subjective satisfaction of patients.

Key words: anterior implant, immediate implant, delayed implant, aesthetic effect, subjective satis-faction

中图分类号:

782.1

姚钟雄,等邵军. 上颌单前牙即刻种植修复与延期种植修复对患者的临床疗效对比[J]. 中国口腔种植学杂志, 2018, 23(1): 14-17. DOI: 10.12337/zgkqzzxzz.2018.03.004

YAO Zhongxiong, SHAO Jun. Comparison of clinical efficacy between immediate implant repair and delayed implant repair of maxillary single front teeth[J].Chinese Journal of Oral Implantology, 2018, 23(1): 14-17.DOI: 10.12337/zgkqzzxzz.2018.03.004.

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