20例上颌无牙颌种植固定修复的临床疗效观察  

Clinical observation of 20 cases of implant-supported fixed dental protheses in edentulous maxilla

作　　者：姚源 邱憬 汤春波[1,3] 王琰玲 程杰[1,2] YAO Yuan;QIU Jing;TANG Chunbo;WANG Yanling;CHENG Jie(Jiangsu Key Laboratory of Oral Diseases,Nanjing Medical University t Nanjing 210029,China)

机构地区：[1]江苏省口腔疾病研究重点实验室,江苏南京210029 [2]南京医科大学附属口腔医院颌面外科,江苏南京210029 [3]南京医科大学附属口腔医院种植科,江苏南京210029

出　　处：《口腔医学》2021年第10期888-892,共5页Stomatology

基　　金：国家自然科学基金(82072991);江苏省重点研究计划(社会发展)项目(BE2020706);江苏省青年医学人才(QNRC2016851)。

摘　　要：目的回顾性分析上颌无牙颌患者行种植固定修复恢复牙列缺失的临床疗效.方法回顾分析2017年—2020年在南京医科大学附属口腔医院行上颌无牙颌种植固定修复的20例患者,共植入109枚植体,观察比较术后即刻及随访过程中种植体存留率及边缘骨吸收情况;通过OHIP-EDENT(Oral Health Impact Profile-EDENT)问卷、视觉模拟评分法(VAS)评估牙列缺失修复的临床效果,应用SPSS软件进行描述性统计分析.结果在随访期间,109枚种植体中有3枚因骨结合失败而被取出,种植体存留率为97.24%.植体周边缘骨吸收(MBL)约0.74 mm/年,OHIP-EDENT问卷平均得分为8.00,VAS平均得分为9.15.结论上颌无牙颌种植固定修复短期临床效果稳定,患者满意度较高.Objective To retrospectively analyze the clinical effect of implant-supported fixed dental prostheses in patients with edentulous maxillaries. Methods A total of 109 implants in 20 patients with edentulous maxillaries in the Affiliated Stomatological Hospital of Nanjing Medical University from January 2017 to January 2020 were reviewed. Panoramic radiographs were taken immediately after the operation and during the follow-up, and the implant survival rate and peri-implant marginal bone loss(MBL) were observed and compared. The clinical effect was measured by the OHIP-EDENT questionnaire(Oral Health Impact Profile-EDENT) and a visual analog scale(VAS), and SPSS software was used for descriptive statistical analysis. Results During the follow-up, 3 out of 109 implants were removed due to the failure of osseointegration, and the implant survival rate was 97.24%. The MBL was about 0.74 mm/year;the average score of the OHIP-EDENT questionnaire was 8.00, and the VAS score was 9.15 on average. Conclusion The short-term clinical effect of maxillary edentulous implant-supported fixed dental prostheses is stable, and patient satisfaction is high.

关 键 词：上颌无牙颌 种植固定修复 回顾性研究 边缘骨吸收 

分 类 号：R783.4[医药卫生—口腔医学]