前牙种植义齿修复美学效果评价及其影响因素分析  

Assessment of esthetic factors for implants of lost anterior teeth and evaluation of influencing factors

作　　者：王春晶 傅其宏 

机构地区：[1]浙江省杭州口腔医院综合一科,杭州310006

出　　处：《口腔医学》2013年第2期116-118,共3页Stomatology

摘　　要：目的探讨前牙种植义齿修复美学效果评价及其影响因素分析。方法选择2009年4月—2010年12月在我院接受前牙种植固定修复的134例患者,随访种植义齿情况,且通过视觉模拟评分法(VAS)和种植牙冠美学指数(ICAI)评价修复体的美学效果并分析其影响因素。结果术后回访,种植体成功率98.26%,患者VAS评分为(89.21±3.12)分,医生ICAI总评分为(1.81±0.11)分,说明种植义齿美学效果令人满意。种植方法、种植体周围软组织处理方法和骨吸收与修复美学效果成正相关(P<0.05);采用切开翻瓣方法与修复美学效果成负相关(P<0.05)。结论影响种植义齿美学效果的因素较多,在修复过程中不但需根据患者自身状况选择适宜的手术方法,而且需加强医患沟通,及时纠正影响美学效果的因素,从而提高患者对种植义齿美学效果的满意度。Objective To assess the esthetic effects and factors for implants of lost anterior teeth. Methods Clinical data of 134 patients who received restoration of anterior teeth from April,2009 to December,2010 in our hospital were analysed retrospectively. The situation of implants was followed up. Assess the esthetic effects of implants of lost anterior teeth by visual analog scale（VAS） and im plant crown esthetic index（ICAI） ,and analyze the factors. Results The survival ratio of implants was 98.26% in the followedup. The score of VAS from patients was （89.21±3.12）. The total ICAI score was （1.81± 0.11 ） from doctors. It showed that the esthetic effects of all implants were satisfying. The esthetic effects were positively related to implantation methods, treatment of soft tissues a round the implants,and bone resorption （P 〈0.05）. There was a negative correlation between the esthetic effects and the way of inci sion and flap surgery （ P 〈 0.05 ）. Conclusions There are lots of factors that affect esthetic effects of implants. It＇s necessary to choose proper ways of operation according to patients＇ condition and to improve communication between doctors and patients so as to adjust fac tors that affect esthetic effects,so that patients＇ satisfaction degrees can be improved.

关 键 词：种植义齿 美学效果 影响因素 视觉模拟评分法 种植牙冠美学指数 

分 类 号：R783.4[医药卫生—口腔医学]