上颌前牙即刻种植应用翻瓣和不翻瓣技术的临床研究

doi:10.12337/zgkqzzxzz.2020.06.006

摘要/Abstract

摘要： 目的: 观察对比上颌前牙即刻种植术中应用翻瓣与不翻瓣两种手术的临床效果。方法: 选择我科行上颌前牙区即刻种植义齿修复30例,随机分为翻瓣组与不翻瓣组各15例。两组均使用SIC种植系统种植体,以Biooss骨粉作为植骨材料,混合术中种植窝制备时获得的骨屑,通过自身血液润湿,以可吸收Biogide胶原膜为屏障膜。翻瓣组,翻瓣后行即刻种植,不翻瓣组仅利用术中拔牙窝进行即刻种植。随访1年。观察两组手术后牙龈乳头指数情况、种植体周牙槽骨吸收高度及术后满意度评估。结果: 术后1年,两组牙龈乳头指数、牙槽骨吸收情况对比,翻瓣组术后满意度对比,不翻瓣组均较低（P<0.05）。结论: 即刻种植不翻瓣能够有效的提升种植效果,患者术后满意度较高。

关键词: 即刻种植, 前牙区, 翻瓣, 不翻瓣

Abstract: Objective: To observe and compare the clinical effect of flap and flapless in the immediate implantation of maxillary anterior teeth. Methods: We divided 30 patients into flap group and flapless group randomly. The two groups were used implants from SIC. Biooss bone powders mixed with the autograft obtained during the implantation surgery as bone graft material. Then infiltrated by their own blood, and the absorbable collagen membrane as the barrier membrane. In the flap group, immediate implantation was performed after gingive incised, while in the flapless group, immediate implantation was performed only with the extraction socket during operation. The patients were followed up for 1 year. The gingival papilla index, alveolar bone resorption height around the implants and the postoperative satisfaction were observed. Result: One year after the operation, the gingival papilla index and alveolar bone absorption of the two groups were compared, and the satisfaction about the operation was compared, while that of the flapless group was better（P<0.05）. Conclusion: Immediate implantation without flap can effectively improve the effect of implantation, and patients feel better.

Key words: immediate implant, anterior teeth, flap, flapless

中图分类号:

R782.1

熊航,等牛涛. 上颌前牙即刻种植应用翻瓣和不翻瓣技术的临床研究[J]. 中国口腔种植学杂志, 2020, 25(2): 72-75. DOI: 10.12337/zgkqzzxzz.2020.06.006

XIONG Hang, NIU Tao. Clinical study on the application of flap and flapless technique in the immediate implantation of maxillary anterior teeth[J].Chinese Journal of Oral Implantology, 2020, 25(2): 72-75.DOI: 10.12337/zgkqzzxzz.2020.06.006.

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