微创技术在老年患者牙种植术中的临床应用30例  

Clinical application for micro-injury implant surgery in elderly patients

作　　者：张文捷[1] 陈建钢[1] 王莉[1] 李茜[1] 

机构地区：[1]湖北省武汉大学中南医院口腔医学中心,武汉430071

出　　处：《口腔医学》2010年第10期587-589,共3页Stomatology

基　　金：湖北省科技攻关项目(2006AA301B59-7)

摘　　要：目的从微创技术角度,探讨老年种植患者的手术安全性。方法 30例60岁以上牙种植患者,伴有不同程度的高血压病、糖尿病、骨质疏松症等全身系统性疾病。随机分为实验组(微创)和对照组(常规埋植式),各植入种植体15枚。术后不同时期分别对比2组患者手术用时、疼痛评价及牙槽骨吸收等指标,评估微创手术临床效果。结果虽然2组患者术后均未发生种植体周围炎和牙槽骨严重吸收,但术后1周比较,实验组在手术用时和疼痛评价两方面均优于对照组。结论微创手术用时短,疼痛轻,对患者全身机能影响小,尤其适用于伴有全身系统性疾病老年患者种植修复。Objective To study the safety of micro-injury techniques by implant surgery for elderly people.Methods 30 cases,aged over 60 years,suffered from systemic diseases,such as hyperpiesia,diabetes,osteoporosis and so on.All patients were divided into two groups,experimental group（micro-injury） and control group（submerged）.Each group included 15 patients with 15 implants.Surgery time,pain severity and alveolar bone loss in different intervals were investigated and compared after operation.Results Peri-implantitis and heavy bone loss were not found in the two groups.But there were differences between the two groups in surgery time and pain evaluation.Conclusions The advantages of micro-injury surgery in implant placement are short time and slight pain in operation.It has little effect on the functions of human body.This technique is more suitable for the elderly patients who suffer from sysmetic diseases.

关 键 词：种植义齿 临床应用 

分 类 号：R783.4[医药卫生—口腔医学]