不翻瓣即刻牙种植对患者口腔软硬组织的影响分析  

Effect of immediate dental implant on the oral and soft tissue of patients with anterior teeth area

作　　者：方杨 

机构地区：[1]东莞康华医院口腔科,523000

出　　处：《中国口腔种植学杂志》2016年第2期60-62,87,共4页Chinese Journal of Oral Implantology

摘　　要：目的:研究不翻瓣即刻牙种植对患者口腔软硬组织的影响并进行分析。方法:选取从2013年1月至2015年6月,于我院进行即刻牙种植患者30例。以数字法随机随机分为观察组及对照组各15例。其中对照组患者进行翻瓣即刻牙种植术,观察组则进行不翻瓣即刻牙种植术,对比两组效果。结果:观察组种植成活率为93.33%(14/15),显著高于对照组的86.67%(13/15),而术后各类症状发生率均显著低于对照组;观察组手术时间以及牙槽骨状况均显著低于对照组;治疗前两组VAS、PES评分对比无差异,分别治疗后观察组VAS评分显著低于对照组,而PES评分则显著高于对照组;术后1年观察组嵴顶吸收为(0.71±0.15)mm,显著低于对照组的(1.13±0.32)mm,差异均有统计学意义(均P<0.05)。结论:不翻瓣即刻牙种植术效果显著,能减少术后疼痛,降低水肿的发生率,且能减轻患者痛苦,安全性较好,值得临床推广应用。Objective： To study the effect of immediate dental implantation on the oral and soft tissue of the patients with anterior teeth area. Methods： From January 2013 to June 2015 in our hospital for imme-diate dental implant patients （n=30）. The digital random were randomly divided into observation group and control group, 15 cases. The patients in the control group were flap in immediate implant in, the observa tion group of flapless immediate dental implantation. The effects of two groups were compared. Results： The survival rate of the observation group was 93.33%（14/15）, significantly higher than that in the control group of 86.67%（13/15）. The incidence of postoperative symptoms was significantly lower than that of the control group. Observation group, operation time and alveolar bone status were signifi-cantly lower than those of the control group, two groups of vas before treatment, PES score compared to no difference, respectively after the treatment, the observation group VAS score was significantly lower than that of the control group, and PES score was significantly higher than that of control group. After 1 years of operation, the crest crest absorption of the observation group was （0.71 ±0.15）mm, was signifi-cantly lower than that of the control group（1.13±0.32）mm. The difference was statistically significant （all P〈0.05）. Conclusion： The immediate dental implantation in the anterior teeth area of the maxillary an-terior teeth is significant, which can reduce postoperative pain, reduce the incidence of edema, and can relieve the pain and safety of the patients, which is worthy of clinical application.

关 键 词：不翻瓣即刻牙种植 口腔软硬组织 影响 

分 类 号：R783.6[医药卫生—口腔医学]