上颌结节处取骨在前牙美学区种植手术中的应用  

Application of Bone Extraction from Maxillary Tubercle in Implant Surgery of Aesthetic Area of Anterior Teeth

作　　者：周颖[1] ZHOU Ying(The 908th Hospital of the Joint Logistics Support Force,PLA,Yingtan 335000,China)

机构地区：[1]中国人民解放军联勤保障部队第九○八医院,江西鹰潭335000

出　　处：《中国医学创新》2020年第35期17-20,共4页Medical Innovation of China

基　　金：鹰潭市科技计划项目(Ykz2019050)。

摘　　要：目的:探讨上颌结节处取骨在前牙美学区种植手术中的应用。方法:选择2018年9月-2019年9月本院收治的前牙美学区种植手术患者86例,按随机数字表法将其分为对照组和观察组,每组43例。对照组采用普通骨凿取骨并将其植入骨缺损部位,观察组在上颌结节处取骨并将其植入骨缺损部位,6个月后对患者修复效果进行评估,比较两组美学修复效果、并发症发生情况及满意度。结果:修复后6个月,两组PES各项评分均高于修复前,且观察组近中龈乳头、软组织形态、软组织颜色、软组织质地、边缘龈水平、牙槽嵴外形及远中龈乳头评分均高于对照组,差异均有统计学意义(P<0.05)。修复后6个月,两组WES各项评分均高于修复前,且观察组牙冠形态、修复体色调、牙冠体积及外形、修复体表面纹理、透明度评分均高于对照组,差异均有统计学意义(P<0.05)。观察组感染、膜外暴露及软组织红肿发生率均低于对照组,差异均有统计学意义(P<0.05);修复后6个月,观察组修复方法、修复美观、修复安全性满意度均高于对照组,差异均有统计学意义(P<0.05)。结论:上颌结节处取骨用于前牙美学区种植手术中能获得良好的美学修复效果,有助于提高患者满意度,降低术后并发症发生率,值得推广。Objective:To investigate the application of bone extraction from maxillary tubercle in implant surgery of aesthetic area of anterior teeth.Method:A total of 86 patients admitted to our hospital from September 2018 to September 2019 for anterior dental implantation in aesthetic area were selected.They were divided into control group and observation group by random number table method,43 cases in each group.In the control group,ordinary bone was chiseled and implanted into the bone defect site,in the observation group,bone was taken from the maxillary tubercle and implanted into the bone defect site.After 6 months,the repair effect of the patients was evaluated,and the aesthetic repair effect,complications and satisfaction of the two groups were compared.Result:At 6 months after repair,PES scores of both groups were higher than those before repair,and scores of proximal gingival papilla,soft tissue morphology,soft tissue color,soft tissue texture,marginal gingival level,alveolar ridge shape and distal gingival papilla of the observation group were all higher than those of the control group,with statistically significant differences(P<0.05).At 6 months after repair,WES scores in both groups were higher than those before repair,and crown shape,restoration tone,crown volume and shape,surface texture and transparency scores in the observation group were higher than those in the control group,with statistically significant differences(P<0.05).The incidence of infection,membrane exposure and soft tissue swelling in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).6 months after repair,satisfaction with repair methods,repair aesthetics and repair safety in the observation group were all higher than those in the control group,with statistically significant differences(P<0.05).Conclusion:Taking bone from the maxillary tuberculum for aesthetic implant surgery of the anterior teeth can achieve good aesthetic repair effect,which is helpful to improve patien

关 键 词：上颌结节处取骨 前牙美学区 种植手术 修复效果 并发症 

分 类 号：R783.6[医药卫生—口腔医学]