摘要
目的:分析上颌前牙单牙即刻种植修复与延期修复的临床疗效。方法:选择2018年1月-2019年12月在笔者医院行上颌前牙单牙种植修复的92例患者为研究对象,随机分为对照组和观察组,每组46例。观察组行即刻种植即刻修复,对照组行即刻种植延期修复,两组患者术后均随访6个月。比较两组患者术后即刻和术后6个月的牙槽嵴宽度和软组织美学效果,统计两组患者术后6个月主观满意度和随访期间的并发症发生情况。结果:术后即刻,观察组软组织美学修复效果总分高于对照组,差异有统计学意义(P<0.05);术后6个月,两组软组织美学修复效果总分较术后即刻提高,且观察组高于对照组,差异有统计学意义(P<0.05)。术后6个月,两组M1、M2牙槽嵴宽度较术后即刻均变窄(P<0.05),对照组M3、M4、M5牙槽嵴宽度较术后即刻变窄(P<0.05),而观察组M5牙槽嵴宽度较术后即刻变宽(P<0.05),且观察组M1、M2、M4、M5牙槽嵴宽度均宽于对照组,差异有统计学意义(P<0.05)。术后6个月,观察组咀嚼功能、附着高度、整体美观满意度评分均显著高于对照组,差异有统计学意义(P<0.05)。随访期间,观察组总并发症发生率为8.70%,与对照组(17.39%)比较,差异无统计学意义(P>0.05)。结论:在严格选择适应证的前提下,采用即刻种植即刻修复可有效改善患者术后修复效果,患者的主观满意度高。
Objective To analyze the clinical effect of immediate implant restoration and delayed restoration of single maxillary anterior teeth. Methods 92 patients admitted to the hospital from January 2018 to December 2019 who received single tooth implants in the anterior maxilla were selected as the study objects, and they were divided into the control group and the observation group, with 46 patients in each group. The observation groups was treated with immediate implant and immediate restoration,the control group was treated with immediate implantation and delayed restoration. All patient were followed up for 6 months after operation. Aesthetic repair effect and alveolar bone width were compared between the two groups immediately after operation and 6 months after operation, and subjective satisfaction at 6 months after operation and complications during follow-up were counted. Results Immediately after operation, the total score of aesthetic repair in the observation group was higher than that in the control group(P<0.05). 6 months after operation, the total score of aesthetic repair effect of soft tissue in the two groups was higher than that immediately after operation, and that in the observation group was higher than that in the control group(P<0.05). 6 months after operation, the widths of M1 and M2 alveolar bone in both groups were narrower than immediately after operation(P<0.05),the widths of M3, M4 and M5 alveolar bone in the control group were narrower than immediately after operation(P<0.05). The widths of M5 alveolar bone in the observation group were wider than immediately after operation(P<0.05). The widths of M1, M2, M4 and M5 alveolar bone in the observation group were wider than that in the control group(P<0.05). 6 months after operation, the masticatory function, attachment height and overall aesthetic satisfaction scores of the observation group were significantly higher than those of the control group(P<0.05). During follow-up, the total incidence of complications in the observation group was 8.7
作者
刘国春
杨露
郭航
LIU Guochun;YANG Lu;GUO Hang(Special Consultation of Ruitai Stomatological Hospital,Beijing 100107,China;Department of Stomatology,Army 79th Group Military Hospital,Shenyang 111000,Liaoning,China)
出处
《中国美容医学》
CAS
2022年第4期121-124,共4页
Chinese Journal of Aesthetic Medicine
关键词
上颌前牙
即刻种植
即刻修复
延期修复
美学修复效果
maxillary anterior tooth
immediate planting
immediate restoration
delayed repair
aesthetic repair effect
