摘要
目的:探讨即刻种植修复与延期种植修复对上颌单前牙患者牙周组织健康、美学效果以及炎症因子的影响。方法:回顾性分析2017年3月~2018年12月期间收治的80例上颌单前牙患者的临床资料,根据种植修复方式的不同分为A组(n=40,延期种植修复)和B组(n=40,即刻种植修复),比较两组患者植牙成功率、牙周组织健康、美学效果、炎症因子及并发症。结果:两组植牙成功率比较无差异(P>0.05)。两组修复后1个月、3个月、6个月、12个月牙周袋深度依次降低(P<0.05);B组修复后1个月、3个月、6个月、12个月牙周袋深度均低于A组(P<0.05)。两组修复后1个月、3个月、6个月、12个月红色美学指数(PES)评分依次升高(P<0.05);B组修复后1个月、3个月、6个月、12个月PES评分均高于A组(P<0.05)。两组修复前、修复后7 d、修复后30 d血清肿瘤坏死因子-α(TNF-α)、C反应蛋白(CRP)水平均呈升高后降低趋势,B组修复后7 d、修复后30 d血清TNF-α、CRP水平均低于A组(P<0.05)。两组均未见严重并发症发生。结论:与延期种植修复相比,即刻种植修复治疗上颌单前牙患者对其牙周组织健康改善效果更佳,且炎症反应更轻微,美学效果更好,疗效显著且安全性好。
Objective:To investigate the effects of immediate and delayed implant restoration on periodontal tissue health,aesthetic effect and inflammatory factors in patients with maxillary single anterior teeth.Methods:The clinical data of 80 patients with maxillary single anterior teeth from March 2017 to December 2018 were retrospectively selected,and patients were divided into group A(n=40,delayed implant restoration)and group B(n=40,immediate implant restoration)according to the different ways of implant restoration.The success rate of dental implant,periodontal tissue health,aesthetic effect,inflammatory factors and complications were compared between the two groups.Results:There was no significant difference in success rate of dental implant between the two groups(P>0.05).The periodontal pocket depth decreased successively at 1 month,3 months,6 months and 12 months after restoration in the two groups(P<0.05).The periodontal pocket depth in group B at 1 month,3 months,6 months and 12 months after restoration were lower than that in group A(P<0.05).The scores of red aesthetic index(PES)in the two groups increased successively at 1 month,3 months,6 months and 12 months after restoration(P<0.05).The scores of PES in group B were higher than those in group A at at 1 month,3 months,6 months and 12 months after restoration(P<0.05).The levels of serum tumor necrosis factor-α(TNF-α)and C-reactive protein(CRP)in the two groups showed an increasing and decreasing trend before,7 d after and 30 d after restoration.The levels of serum TNF-αand CRP in group B were lower than those in group A at 7 d and 30 d after restoration(P<0.05).There was no significant complication in both groups.Conclusion:Compared with delayed implant restoration,immediate implant restoration has a better effect on the periodontal tissue health in patients with single maxillary anterior teeth,with less inflammatory reaction,better aesthetic effect,significant curative effect and good security.
作者
张璐
冯艳芬
张瑞平
白青心
任琼
ZHANG Lu;FENG Yan-fen;ZHANG Rui-ping;BAI Qing-xin;REN Qiong(Department of Stomatology,The Fourth Medical Center of General Hospital of Chinese People's Liberation Army,Beijing,100089,China;Department of Prosthodontics,Oral Branch of Cangzhou People's Hospital,Cangzhou,Hebei,061000,China;Department of Stomatology,Ordos Central Hospital of Inner Mongolia,Ordos,Inner Mongolia,071000,China;Department of Stomatology,Xiamen Changgeng Hospital,Xiamen,Fujian,361028,China;Department of Stomatology,Henan Electric Power Hospital,Zhengzhou,Henan,450000,China)
出处
《现代生物医学进展》
CAS
2021年第11期2061-2064,2132,共5页
Progress in Modern Biomedicine
基金
北京市自然科学基金项目(7202181)。
关键词
即刻种植修复
延期种植修复
上颌单前牙
牙周组织健康
美学效果
炎症因子
Immediate implant restoration
Delayed implant restoration
Maxillary single anterior teeth
Periodontal tissue health
Aesthetic effect
Inflammatory factors
