不同粘接固位修复方法对种植体周围组织的影响分析  

Analysis of the influence of different adhesive-retained restorations on tissues around implants

作　　者：安永谦 轩昆 张晓东 聂浩劫 AN Yong-qian(Department of stomatology,NO.962 hospital,joint logistics support force of PLA,Harbin 150080,China)

机构地区：[1]中国人民解放军联勤保障部队第九六二医院口腔科,黑龙江哈尔滨150080 [2]空军军医大学口腔医学院预防科,陕西西安710032 [3]北部战区总医院口腔科,辽宁沈阳110015 [4]黑龙江中医药大学第一附属医院,黑龙江哈尔滨150000

出　　处：《牡丹江医学院学报》2021年第4期108-112,共5页Journal of Mudanjiang Medical University

摘　　要：目的探讨传统与改良粘接固位修复对种植体周围组织的影响。方法选择2019年1月至2019年10月在本院行磨牙区单颗口腔种植修复的114例牙列缺损患者作为研究对象,根据粘接固位方式不同,将114例患者分为观察组(n=60例)和对照组(n=54例)。观察组患者采取改良粘接固位修复,对照组患者采取传统粘接固位修复,跟踪随访1年,对比两组患者术后12个月的骨吸收量,并分别于术后6个月及术后12个月比较两组患者的改良龈沟出血指数(modified sulcus bleeding index,mSBI)、改良菌斑指数(modified plaque index,mPLI)以及患者对种植义齿的满意度。结果术后12个月,观察组患者的骨吸收量明显低于对照组,均有P<0.05。术后6个月,观察组mSBI及mPLI分级0级所占比例明显高于对照组,mSBI及mPLI分级3级所占比例明显低于对照组,均有P<0.05:术后12个月,观察组mSBI及mPLI分级0级、1级所占比例明显高于对照组,mSBI及mPLI分级2级、3级所占比例明显低于对照组,均有P<0.05。术后12个月,观察组对种植义齿的美观程度、固位功能、语言功能、咀嚼功能、舒适程度5个维度的满意度评分均明显高于对照组,均有P<0.05。结论相较于传统粘接固位修复,在牙列缺损患者中应用改良粘接固位修复术,可获得更好的骨稳定性及种植体周围组织健康,且患者的满意度更高,具有重要的临床推广价值。Objective To investigate the influence of traditional and modified cement retention restorations on the tissues around implants.Methods 114 patients with dentition defect who underwent oral implant restoration in our hospital from January 2019 to October 2019 were selected as the research objects.According to the double-blind method,114 patients were divided into observation group(n=60 cases)and in the control group(n=54 cases),patients in the observation group were treated with modified adhesive-retained repair,and patients in the control group were treated with traditional adhesive-retained repair.Follow up for 1 year,the bone resorption of the two groups of patients was compared,and the Improved bleeding index(modified sulcus bleeding index,mSBI),modified plaque index(modified plaque index,mPLI),and patient satisfaction with implant dentures were compared at 6 months and 12 months after operation.Results 12 months after surgery,the mesial and distal bone resorption of the observation group were significantly lower than those of the control group,both P<0.05.At 6 months after operation,the proportion of mSBI and mPLI grade 0 in the observation group was significantly higher than that of the control group and the proportion of mSBI and mPLI grade 3 in the control group was significantly lower than that of the control group,both P<0.05:12 months after operation,the proportion of mSBI and mPLI grade 0 and 1 in the observation group was significantly higher than that in the control group,mSBI and mPLI grade 2 The proportion of grade 3 was significantly lower than that of the control group,all with P<0.05.At 12 months after the operation,the observation group's satisfaction scores on the five dimensions of implant denture aesthetics,retention function,language function,chewing function,and comfort level were significantly higher than those of the control group,all with P<0.05.Conclusion Compared with traditional cement-retained repair,the application of modified cement-retained repair in patients with dentition defe

关 键 词：种植体 骨吸收量 牙列缺损 改良粘接固位 

分 类 号：R783.4[医药卫生—口腔医学]