不翻瓣技术应用在前牙即刻种植修复中的临床效果研究

doi:10.12337/zgkqzzxzz.2019.06.005

摘要/Abstract

摘要： 目的： 探究前牙修复患者采取不翻瓣即刻修复技术治疗的临床效果。方法： 本次研究共择取45例需进行前牙修复的患者参与,所有患者均在2016年12月至2017年10月期间入院,采取随机数字表法将其分为对照组23例与观察组22例。对照组患者行常规翻瓣技术进行修复,观察组患者采取不翻瓣即刻种植修复技术进行治疗,对比两组患者红色美学指数(PES)、牙槽骨吸收量、种植成功率、修复满意度、术后稳定性(ISQ值)等临床指标。根据牙龈乳头充盈指数(PIS)对两组患者治疗后的临床效果进行侧面评价。同时对两组患者术后不良症状进行记录和比较。结果： 与对照组患者的PES、ISQ相比,观察组患者的相应指标数据更高,数据差异在统计学中有意义(P< 0.05);观察组患者牙槽骨吸收量相比对照组更低,数据经过统计学计算有意义(P< 0.05);观察组患者的术后种植成功率、以及修复满意度与对照组患者相应指标比较更高,数据差异有统计学意义(P< 0.05);观察组患者PIS指数0度、1度结果显著高于对照组,数据差异有统计学意义(P< 0.05)。观察组患者术后不良症状发生率显著低于对照组,数据差异有统计学意义(P< 0.05)。结论： 前牙修复患者采取不翻瓣即刻种植方法进行修复的效果显著,有利于患者种植后软组织塑型,术后稳定性和成功率高,因此该种修复方式更值得在临床中进行推广。

关键词: 不翻瓣技术, 前牙修复, 即刻种植, 临床效果, 研究

Abstract: Objective： To explore the clinical effect on patients with immediate repair without flap in anterior teeth. Methods： A total of 45 patients undergoing anterior tooth restoration were enrolled in this study. All patients were admitted to the hospital from December 2016 to October 2017. Random number table was used to divide them into 23 cases in the control group and 22 cases in the observation group example. The patients in the control group were repaired with conventional flap inversion technique, and the pa- tients in the observation group were treated with immediate implant repair without flap. The red aesthetic index (PESN), alveolar bone resorption and implant success rate, Repair satisfaction, postoperative stabili- ty(ISQ), and other clinical indicators were compared between the two groups. The clinical effects of the two groups of patients after treatment were evaluated side by side according to the gingival papilla filling index(PIS). At the same time, the adverse symptoms of two groups of patients were recorded and com-pared. Results： Compared with the control group, the corresponding index data of the observation group was higher than that of the control group(P<0.05), and the alveolar bone resorption of the observation group was lower than that of the control group. The results were statistically significant(P<0.05), the suc- cess rate of implantation and the satisfaction degree of repair were higher in the observation group than in the control group(P<0.05). PIS index in observation group 0 and 1 degrees were significantly higher than the control group, the difference was statistically significant(P<0.05). The incidence of adverse symptoms in the observation group was significantly lower than that in the control group, the difference was statisti- cally significant(P<0.05). Conclusion： The effect of immediate implantation without flap is significant, which is beneficial to the patients' soft tissue shape, stability and success rate after implantation, so it is worth popularizing in clinic.

Key words: flapless technique, anterior tooth restoration, immediate implant, clinical efficacy

中图分类号:

782.12

张华金,黄志斌,陈伟基,等. 不翻瓣技术应用在前牙即刻种植修复中的临床效果研究[J]. 中国口腔种植学杂志, 2019, 24(2): 67-70. DOI: 10.12337/zgkqzzxzz.2019.06.005

ZHANG Huajin, HUANG Zhibin, CHEN Weiji, et al. Clinical study on the application of flapless technique in immediate implant restoration of anterior teeth[J].Chinese Journal of Oral Implantology, 2019, 24(2): 67-70.DOI: 10.12337/zgkqzzxzz.2019.06.005.

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