四种不同方法骨增量种植临床研究  

Clinical study of four different methods of bone augmentation technology in dental implant

作　　者：张宾[1] 张俊花[2] 孙丽华[3] 刘玉三[1] 李友瑞 ZHANG Bin;ZHANG Junhua;SUN Lihua;LIU Yusan;LI Yourui(Department of Stomatology,Binzhou Medical University Hospital,Binzhou 256603,Shandong,P.R.China;Department of Dermatology,Binzhou Medical University Hospital;Department of Endocrinology,Binzhou Medical University Hospital)

机构地区：[1]滨州医学院附属医院口腔科,山东滨州256603 [2]滨州医学院附属医院皮肤科 [3]滨州医学院附属医院内分泌科

出　　处：《滨州医学院学报》2020年第1期49-51,共3页Journal of Binzhou Medical University

基　　金：山东省医药卫生科技计划项目(BY2013KJ23)

摘　　要：目的评价四种不同方法骨增量种植效果的研究。方法79例牙列缺损病例,其中引导骨组织再生(GBR)术27例、Onlay植骨12例、上颌窦内提升23例、上颌窦外提升17例。种植术后6个月行种植体水平转移取模制作氧化锆全瓷修复体。修复后1、2、3年复诊,观察种植体周围牙龈组织健康状况及全瓷冠使用情况;种植体周围骨组织吸收;患者对种植义齿的主观满意度。结果全冠修复前,GBR组1枚植体因隐形义齿早接触造成植体松动脱落;全冠修后,上颌窦内提升组2颗基台螺丝松动;上颌窦外提升组1颗全瓷冠蹦瓷,其余植体稳定度好;Onlay植骨组第1年骨吸收较多,与其他组比较,P<0.05,第2、3年4组骨吸收比较,P>0.05,均获得了良好的软硬组织效果。结论四种不同骨增量方法的种植义齿修复均能取得良好的临床效果。Objective To evaluate the four different methods of bone augmentation technology in dental implant.Methods Seventy-nine cases of dental defects were selected,including the guided bone regeneration(GBR)27 cases,12 cases of onlay bone grafting,23 cases of intra-maxillary sinus elevation,17 cases of extra-maxillary sinus elevation.Six months after the implantation,the horizontal transfer mold was used to make zirconia all-ceramic prosthesis.One,two and three years after the repair,the patients were examined again to observe the health of the gingival tissue around the implant and the use of all-ceramic crown,the bone tissue absorption around the implant and subjective satisfaction of patients with implant denture.Results Before full crown restoration,one implant in GBR group became loose and fell off due to early contact with the invisible denture.After full crown repair,2 base table screws in intra-maxillary sinus elevation group were loose.In group of extra-maxillary sinus elevation,1 crown porcelain fell off,and the rest of the implants had good stability.The onlay group had more bone resorption in the first year,P<0.05.There was no statistical difference in bone resorption between the four groups in the second and third years,and all obtained good soft and hard tissue effect.Conclusion Four different bone augmentation methods can achieve good clinical results.

关 键 词：骨增量 种植牙 临床研究 

分 类 号：R782[医药卫生—口腔医学]