上颌前牙锥形束计算机断层扫描测量对上颌前牙种植治疗的种植成功效果观察及对满意度影响  

Effects of cone beam computed tomography measurement of maxillary anterior teeth on implant success and patient satisfaction of maxillary anterior teeth

作　　者：黄凌霞 屠青青 陈建治[1] Huang Lingxia;Tu Qingqing;Chen Jianzhi(School of Stomatology,Zhejiang University of Traditional Chinese Medicine,Hangzhou 310053,Zhejiang Province,China)

机构地区：[1]浙江中医药大学口腔医学院,杭州310053

出　　处：《中国基层医药》2021年第10期1547-1550,共4页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨上颌前牙锥形束计算机断层扫描(CBCT)测量对上颌前牙种植治疗的种植成功效果观察及对满意度影响。方法选取杭州口腔医院2017年10月至2019年10月行上颌前牙种植术患者120例作为研究对象,采用随机数字表法分为研究组与对照组,每组60例。对照组行常规上颌前牙种植术;观察组在上颌前牙种植术前行上颌前牙CBCT测量。比较两组种植成功率,种植即刻、种植3个月及种植12个月牙槽骨骨厚度和ISQ值变化,种植满意度。结果观察组种植成功率[96.67%(58/60)]高于对照组[85.00%(51/60)](χ^(2)=4.904,P<0.05)。观察组牙槽骨骨厚度种植3个月[(1.53±0.05)mm]和种植12个月[(1.78±0.12)mm]均高于对照组[(1.46±0.04)mm、(1.64±0.10)mm](t=9.839、8.066,均P<0.001)。观察组ISQ值种植3个月[(76.83±5.49)]和种植12个月[(82.91±4.85)]均高于对照组[(67.81±4.61)、(74.18±5.21)](t=11.324、11.038,均P<0.001)。观察组总满意率95.00%(57/60)高于对照组[81.67%(49/60)](χ^(2)=5.175,P<0.05)。结论上颌前牙CBCT测量对上颌前牙种植治疗的种植成功效果明显,不仅可提高种植成功率,且可提高种植满意度。Objective To investigate the effects of cone beam computed tomography measurement of maxillary anterior teeth on implant success and patient satisfaction of maxillary anterior teeth.Methods 120 patients who underwent maxillary anterior teeth implantation in Hangzhou Dental Hospital from October 2017 to October 2019 were included in this study.They were randomly assigned to receive either conventional maxillary anterior teeth implantation(control group,n=60)or cone beam computed tomography measurement of maxillary anterior teeth and maxillary anterior teeth implantation(study group,n=60).The implant success rate was compared between the two groups.Alveolar bone thickness and ISQ value immediately,3 and 12 months after implantation as well as patient satisfaction were compared between the two groups.Results Implant success rate in the observation group was significantly higher than that in the control group[96.67%(58/60)vs.85.00%(51/60),χ^(2)=4.904,P<0.05].In the observation group,alveolar bone thickness at 3 and 12 months after implantation was(1.53±0.05)mm and(1.78±0.12)mm,respectively,which was significantly higher than that in the control group[(1.46±0.04)mm,(1.64±0.10)mm,t=9.839,8.066,both P<0.001].In the observation group,ISQ value at 3 and 12 months after implantation was(76.83±5.49)and(82.91±4.85),respectively,which was significantly higher than that in the control group[(67.81±4.61),(74.18±5.21),t=11.324,11.038,both P<0.001].Total satisfaction rate in the observation group was significantly higher than that in the control group[95.00%(57/60)vs.81.67%(49/60),χ^(2)=5.175,P<0.05].Conclusion Cone beam computed tomography measurement of maxillary anterior teeth can help increase implant success rate and patient satisfaction.

关 键 词：锥束计算机体层摄影术 牙测量学 切牙 尖牙 牙种植体 牙槽骨 牙骨质 义齿固位 功能恢复 治疗结果 

分 类 号：R783.6[医药卫生—口腔医学]