中国口腔种植学杂志 ›› 2018, Vol. 23 ›› Issue (4): 187-189.DOI: 10.12337/zgkqzzxzz.2018.12.009

• 临床研究 • 上一篇    下一篇

拔牙位点保存技术应用于种植牙的临床研究分析

刘焕磊   

  1. 455000 河南省安阳市安阳市第六人民医院口腔颌面外科
  • 出版日期:2018-12-10 发布日期:2021-09-06

Clinical analysis of tooth extraction site preservation technology applied to dental implants

LIU Huanlei   

  1. Anyang Sixth People's Hospital, Department of oral and maxillofacial surgery, 455000, Henan Province, China
  • Online:2018-12-10 Published:2021-09-06

摘要: 目的: 探讨在接受种植牙修复的患者中应用拔牙位点保存技术的临床效果。方法: 从2016年7月~2017年8月在本院接受前牙区拔牙患者中随机选取86例分2组,对照组未应用拔牙位点保存技术,观察组于拔牙后立即植入Bio-Oss胶原、Bio-Gide膜表面覆盖,同时制作临时义齿,回顾性观察2组患者种植成功率等。结果: 观察组患者拔牙后6个月与拔牙前比较,牙槽骨高度、宽度差值均显著小于对照组(P< 0.05);治疗后,观察组患者种植体成功率高达100%,对照组成功率为88.37%,观察组成功率相关对照组显著增高(P< 0.05);治疗后6个月,与对照组相比,观察组患者PES评分、新骨密度均显著增高,牙槽嵴垂直向骨吸收量、唇腭(舌)向骨吸收量均显著更低(P< 0.05)。结论: 在给予患者种植牙治疗过程中应用拔牙位点保存技术,可使拔牙引起骨缺损明显减少,为新骨形成创造更好条件,进而使牙槽骨骨量获得有效保存,有助于种植成功率获得有效提高。

关键词: 拔牙, 种植牙, 拔牙位点保存技术

Abstract: Objective: To investigate the clinical effect of extraction site preservation technique in implant treat-ment. Methods: 86 patients with anterior teeth extraction from July 2016 to August 2017 were randomly divided into two groups. in the control group, implants were not preserved at the extraction site. in the ob-servation group, Bio-Oss collagen implants and Bio-Gide membrane were applied immediately after ex-traction, and temporary dentures were made. The success rate of implantation in 2 groups was retrospec-tively observed. Results: The difference of alveolar bone height and width in the observation group was significantly smaller than that in the control group at 6 months after extraction(P<0.05). After treatment, the implant success rate of the observation group was as high as 100%, and that of the control group was 88.37%. The success rate of the observation group was significantly higher than that of the control group(P <0.05). Six months after treatment, compared with the control group, the PES score and new bone mineral density of the observation group were significantly higher, and the vertical alveolar ridge bone absorption and the lip and palate(tongue) bone absorption were significantly lower(P<0.05). Conclusion: The tech-nique of tooth extraction site preservation can significantly reduce the bone defect caused by tooth extrac-tion, create better conditions for new bone formation, and consequently effectively preserve alveolar bone mass, which is conducive to the effective improvement of implant success rate.

Key words: extraction, dental implant, extraction site preservation technology

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