前牙缺失患者应用不同基台联合全瓷冠修复治疗的效果比较

doi:10.12337/zgkqzzxzz.2025.02.012

摘要/Abstract

摘要： 目的对比分析个性化全瓷基台、个性化纯钛基台分别联合全瓷冠修复前牙缺失患者的治疗效果。方法收集金水慧慈医院口腔科2022年10月至2023年8月前牙缺失患者76例（85个缺牙位点）,行临床资料病例对照研究,依照基台材料差异分为2组：纯钛基台组（38例41个缺牙位点）接受个性化纯钛基台联合全瓷冠修复治疗,全瓷基台组（38例44个缺牙位点）接受个性化全瓷基台联合全瓷冠修复治疗,比较2组不同时间点（治疗后1个月、3个月和6个月）种植牙健康情况[种植体周软组织指数、菌斑指数（plaque index,PLI）]、治疗前与治疗后6个月生活质量[口腔健康影响程度量表（oral health impact profile-14,OHIP-14）评估]、修复红色美学评分（pink esthetic score,PES）、白色美学评分（white esthetic score,WES）满意度及并发症。结果重复测量方差分析结果显示,2组不同时间点种植体周软组织指数、PLI交互效应差异有统计学意义（P<0.05）;经测量时间主效应分析：2组治疗后3个月、6个月种植体周软组织指数、PLI水平均呈升高趋势发展（P<0.05）;经组别主效应分析：全瓷基台组治疗后3个月、6个月,种植体周软组织指数、PLI均较纯钛基台组低（P<0.05）;治疗后6个月2组生活质量均提升,且全瓷基台组OHIP-14评分低于纯钛基台组（P<0.05）;治疗后6个月全瓷基台组PES、WES满意度均较纯钛基台组高（P<0.05）;2组并发症发生率无明显差异（P>0.05）。结论与个性化纯钛基台相比,前牙缺失患者接受个性化全瓷基台联合全瓷冠修复治疗,更能提高种植体周软组织健康水平,改善口腔健康生活质量,且患者修复满意度高。

关键词: 前牙缺失, 个性化, 全瓷基台, 纯钛基台, 生活质量, 修复满意度

Abstract: Objective To compare and analyze the effectiveness of individualized all-ceramic abutments versus individualized pure titanium abutments in combination with all-ceramic crowns for the restoration of anterior tooth loss. Methods Clinical data from 76 patients (85 missing tooth sites) with anterior tooth loss, treated at Jinshui Huici Hospital from October 2022 to August 2023, were retrospectively collected for a case-control study. Patients were divided into two groups based on the treatment method: the pure titanium group (38 patients, 41 missing tooth sites), which received individualized pure titanium abutments combined with all-ceramic crowns, and the all-ceramic group (38 cases, 44 missing tooth sites),which received individualized all-ceramic abutments combined with all-ceramic crowns. The health status of the dental implants, including the peri-implant soft tissue index and plaque index (PLI), was evaluated at different time points (1 month, 3 months, and 6 months after treatment). Additionally, quality of life was assessed before and 6 months after treatment using the oral health impact profile-14 (OHIP-14), and the satisfaction with the prosthetic restoration was measured using the red aesthetic score (PES) and white aesthetic score (WES). The incidence of complications was also compared between the groups. Results Repeated measures analysis of variance showed a significant difference in the interaction effects of peri-implant soft tissue index and PLI between the two groups at different time points (P<0.05). Analysis of the time effect indicated that both groups showed an increasing trend in the soft tissue index and PLI at 3 and 6 months after treatment (P<0.05). Group effect analysis showed that the soft tissue index and PLI were lower in the all-ceramic group than in the pure titanium group at 3 and 6 months after treatment (P<0.05). At six months after treatment, the quality of life in both groups improved, and the OHIP-14 score in the all-ceramic group was lower than in the pure titanium group (P<0.05). Satisfaction with the prosthetic restoration, as measured by PES and WES, was also significantly higher in the all-ceramic group than in the pure titanium group (P<0.05). There was no significant difference in the incidence of complications between the two groups (P>0.05). Conclusion Compared with individualized pure titanium abutments, the use of individualized all-ceramic abutments combined with all-ceramic crowns in patients with anterior tooth loss results in better soft tissue health around the implant, improved quality of life, and higher patient satisfaction with the restoration.

Key words: Anterior tooth loss, Individualization, All-ceramic abutment, Pure titanium abutment, Quality of life, Satisfaction with the restoration

赵伟举,姚树宾,王亚婷. 前牙缺失患者应用不同基台联合全瓷冠修复治疗的效果比较[J]. 中国口腔种植学杂志, 2025, 30(1): 68-73. DOI: 10.12337/zgkqzzxzz.2025.02.012

Zhao Weiju, Yao Shubin, Wang Yating. Comparison of the effectiveness of different abutments combined with all-ceramic crowns for the restoration of anterior tooth loss in patients[J].Chinese Journal of Oral Implantology, 2025, 30(1): 68-73.DOI: 10.12337/zgkqzzxzz.2025.02.012.

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