摘要
目的探讨美学种植修复同期应用异种骨引导再生术对唇侧骨板及骨吸收情况的影响。方法将2016年2月至2018年3月进行美学种植修复的82例(128颗)患者根据是否进行异种骨引导再生术分组,A组41例(62颗)进行美学种植修复,B组41例(66颗)美学种植修复同期应用异种骨引导再生术,以异种骨为骨移植材料将种植体全长覆盖,取一层可吸收性膜横向覆盖于骨移植材料表面,膜在冠方跨过种植位点的唇侧和腭侧,对两组植体唇侧牙槽骨厚度、吸收情况、美学评分进行观察,采用iCAT Vision数字化软件对种植体颈部肩台下2mm、体部中点及根尖处唇侧骨板进行测量,测量线与种植体长轴垂直,将纵切线向近中及远中各移动1mm,的得到新的纵切面,以同样方法对唇侧骨板厚度进行测量并记录数值。结果B组修复后3个月、6个月的种植体唇侧牙槽骨厚度明显优于A组(P <0.05);B组种植体肩台下2mm、体部中点、根尖处平均骨吸收值均较A组低(P <0.05)。结论美学种植修复同期应用异种骨引导再生术可减少骨吸收,近远期效果理想,值得推广。
Objective To investigate the effects of aesthetic implants and repairs on the lateral bone plate and bone resorption in the same period.Methods 82(128)patients who underwent aesthetic implant restoration from February 2016 to March 2018 were grouped according to whether or not heterogeneous bone-guided regeneration was performed.41 patients(62)in group A were treated with aesthetic implants.In group B,41 cases(66)of aesthetic implants were repaired simultaneously with xenogenic bone-guided regeneration.The alveolar bone thickness,absorption and aesthetic scores of the two groups of implants were observed.Results The alveolar bone thickness of the implants at 3 months and 6 months after repair in group B was significantly better than that in group A(P<0.05).The average bone resorption values of the 2 mm,the midpoint of the body and the apex of the implants in group B were lower than those in group A(P<0.05).Conclusion Aesthetic implant restoration and simultaneous application of xenogenic bone guided regeneration can reduce bone resorption and is worth promoting.
作者
张慧敏
孟庆梅
金娜娜
ZHANG Hui-min;MENG Qing-mei;JIN Na-na(Department of Stomatology,Heze Medical College,Shandong Province,274000,China;He Ze Medical College,Shandong Province,274000,China;Department of Stomatology,People’s Hospital of Changping District,Beijing City,102200,China)
出处
《中国医疗美容》
2019年第3期72-76,共5页
China Medical Cosmetology
关键词
美学种植修复
异种骨引导再生术
唇侧骨板
骨吸收
aesthetic implant restoration
xenogeneic bone guided regeneration
labial bone plate
bone resorption
