短种植体治疗下颌后牙区垂直骨量不足的临床研究

doi:10.12337/zgkqzzxzz.2018.12.005

摘要/Abstract

摘要： 目的： 研究短种植体治疗下颌后牙区垂直骨量不足的临床效果。方法： 选取2017年1月~2017年6月我院收治的82例下颌后牙区垂直骨量不足患者为研究对象,将其以随机法均分成试验组和对照组。对照组予以常规种植体治疗,试验组则予以短种植体治疗。比较两组在临床治疗效果、边缘骨高度变化情况、并发症发生情况以及满意度情况等方面的差异。结果： 试验组与对照组种植体存留率分别为100.00%（41/41）、90.24%（37/41）,前者高于后者,差异有统计学意义（P< 0.05）。试验组边缘骨高度近中变化、远中变化水平均低于对照组,差异有统计学意义（均P< 0.05）。试验组并发症发生率相比对照组较低,差异有统计学意义（P< 0.05）。试验组满意度相比对照组较高,差异有统计学意义（P< 0.05）。结论： 短种植体治疗后下颌后牙区垂直骨量不足的临床效果显著,有利于提高种植体存留率,改善边缘骨高度,降低并发症发生风险,提高满意度。值得临床推广应用。

关键词: 下颌后牙区垂直骨量不足, 短种植体, 并发症, 存留率, 边缘骨高度变化

Abstract: Objective: To study and analyze the clinical effect of short implant treatment on vertical bone deficiency at mandibular posterior area. Methods: A total of 82 cases with vertical bone deficiency at mandibular posterior area treated in our hospital from January 2017 to June 2017 were selected as study objects, and were randomly divided into the experimental group and the control group. The control group received conventional implant treatment, and the experimental group received short implant treatment. The differences in clinical treatment effect, marginal bone height, complications and satisfaction were compared between the two groups. Results: The retention rate of implant in the experimental group and the control group was 100.00%(41/41) and 90.24%(37/41) respectively, the former was higher than the latter, and the difference was statistically significant(P<0.05). The marginal bone height of the experimental group was significantly lower than the control group(all P<0.05). The complication rate of the experimental group was lower than the control group, and the difference was statistically significant(P< 0.05). The satisfaction of the experimental group was higher than the control group, and the difference was statistically significant(P<0.05). Conclusion: The clinical effect of vertical bone deficiency at mandibular posterior area treatment is significant, which is beneficial to increase the implant retention rate, improve the edge bone height, reduce the risk of complications and improve the satisfaction. It is worthy of clinical application.

Key words: vertical bone deficiency at mandibular posterior area, short implants, complications, retention, marginal bone height changes

中图分类号:

R782.1

符镇南,张佩芬,黄锦洪,等. 短种植体治疗下颌后牙区垂直骨量不足的临床研究[J]. 中国口腔种植学杂志, 2018, 23(4): 172-175. DOI: 10.12337/zgkqzzxzz.2018.12.005

FU Zhennan, ZHANG Peifen, HUANG Jinhong, et al. Clinical study on treatment of vertical bone deficiency at mandibular posterior area with short implants[J].Chinese Journal of Oral Implantology, 2018, 23(4): 172-175.DOI: 10.12337/zgkqzzxzz.2018.12.005.

参考文献

[1] 岳喜龙, 周文娟, 柳忠豪, 等. 上颌后牙骨量严重不足行上颌窦内提升术同期种植的临床效果分析[J]. 大连医科大学学报, 2014, 36(6): 559-563
[2] 蒋析, 林野, 胡秀莲, 等. 下颌后牙游离缺失伴重度垂直骨量不足的计算机辅助种植修复[J]. 北京大学学报(医学版), 2014, 46(2): 294-298
[3] 谢孟, 张智, 顾漪菲, 等. 上颌后牙区骨量严重不足时采用改良式IOSFE 技术的临床研究[J]. 西南国防医药,2017, 27(3): 269-272
[4] 冯培明, 牛光良. 短种植体和超短种植体在后牙区种植3 年临床观察[J]. 口腔颌面修复学杂志, 2014, 15(3):137-139
[5] 杜良智, 朱挺, 柴娟, 等. 上颌前牙区骨量不足应用GBR 技术同期植入种植体的研究[J]. 陕西医学杂志,2016, 45(6): 700-702
[6] 邓飞龙, 廖展澎, 吴少伟, 等. Bicon短种植体临床效果1~3 年回顾性研究[J]. 中华口腔医学研究杂志(电子版), 2013, 7(3): 50-53
[7] 李婷薇, 黄凤琼, 唐昭, 等. 上颌窦内提升同期种植体植入术在上颌后牙骨量不足病例中的应用[J]. 暨南大学学报(自然科学与医学版), 2016, 37(4): 341-344
[8] 温国胜, 魏洪武, 郭水根, 等. 上颌窦内提升植骨术在上颌后牙区骨量不足3毫米病例中的临床应用[J]. 江西医药, 2016, 51(5): 454-456
[9] 李源莹, 王劲茗, 古佩明, 等. 上颌窦黏膜囊肿对牙槽嵴顶入路上颌窦底提升术的影响[J]. 中华口腔医学研究杂志(电子版), 2018, 12(4): 241-244
[10] 刘丽, 曹阳, 郭大伟, 等. 倾斜种植方案用于上颌后牙区骨量不足患者的临床观察[J]. 全科口腔医学电子杂志, 2018, 5(7): 9-10
[11] 谢奕文, 林玉娇, 王友山, 等. 上颌窦侧壁小窗口窦底外提升同期种植体植入的近期临床分析[J]. 广东医学,2017, 38(z1): 89-92
[12] 李悦, 张燕婷, 何晶, 等. 联合应用骨劈开、骨挤压术、引导骨组织再生技术并同期种植手术方案的短期临床疗效分析[J]. 中国实用口腔科杂志, 2016, 9(9): 532-537
[13] 黄娜, 李平, 李安, 等. 超短种植体在上颌后牙区骨量严重不足中的应用[J]. 中国组织工程研究, 2015, 19(30):4810-4814
[14] 童庆春, 张兴文. 上颌后牙区骨量不足应用短种植体的临床疗效观察[J]. 中国口腔颌面外科杂志, 2014, 12(3):253-256
[15] 罗翠芬, 彭国光, 夏炜, 等. 上颌结节倾斜种植体联冠桥修复在上颌后牙区骨量不足中的应用效果评价[J]. 上海口腔医学, 2018, 27(2): 170-175
[16] 李国堂. 比较上颌后牙区骨量不足患者中Bicon短种植体与常规种植体的边缘骨高度变化及其并发症情况[J].中国口腔种植学杂志, 2016, 21(1): 20-22
[17] 孟展, 张越, 魏洪武, 等. 短种植体联合上颌窦内提升: 中期临床效果观察[J]. 口腔医学研究, 2018, 34(7): 734-737
[18] 刘林娟, 朱志军, 沈铭, 等. 短种植体在骨量不足上颌后牙区的临床应用[J]. 口腔医学, 2015, 33(10): 850-853
[19] 徐颖. 上颌后牙区骨量不足患者中常规种植体和Bicon 短种植体边缘骨高度变化的对比[J]. 中国医药指南,2017, 15(6): 21-22
[20] 温玉洁, 康博, 黄达鸿, 等. 短种植体在骨量不足后牙区种植修复的临床观察[J]. 中国口腔种植学杂志, 2015, 32(1): 11-14
[21] Raes S, Eghbali A, Chappuis V, et al.A long-term prospective cohort study on immediately restored single tooth im-plants inserted in extraction sockets and healed ridges: CBCT analyses, soft tissue alterations, aesthetic ratings, and patient-re-ported outcomes[J]. Clin Implant Dent Relat Res, 2018, 20(4): 522-530
[22] Huang H, Wang J, Zhang Y, et al.Bone resorption deficiency affects tooth root development in RANKL mutant mice due to attenuated IGF-1 signaling in radicular odontoblasts[J]. Bone, 2018, 9(114): 161-171