老年人应用微创和常规骨劈开技术种植牙疗效比较  

A comparative study on the clinical efficacy and satisfaction degree between minimally invasive operation and conventional bone cleavage in dental implants in the elderly

作　　者：许辉[1] 刘磊[2] 靳昕欣 刘远航 胡永权[1] 张亚宏[1] XU Hui;LIU Lei;JIN Xinxin(Department of Stomatology,The Second Hospital of Shijiazhuang City,Hebei,Shijiazhuang 050000,China;不详)

机构地区：[1]河北省石家庄市第二医院口腔科,050000 [2]河北医科大学第三医院口腔科

出　　处：《河北医药》2022年第1期79-82,共4页Hebei Medical Journal

基　　金：河北省医学科学研究重点课题计划(编号:20181034)。

摘　　要：目的研究老年人应用微创与常规骨劈开技术种植牙临床疗效和患者满意度。方法就诊于口腔科种植牙的老年患者中,选择上前牙缺失,CBCT测量患者牙槽嵴顶2 mm范围内骨宽度为3.0~4.5 mm,骨高度>10 mm的患者。选用3510植体共140颗,随机分为试验组和对照组。记录手术持续时间,术后疼痛、肿胀时间及疼痛强度,均于术后3个月行二期手术、4个月种植体稳定性系数(implant stability quotient,ISQ)>60后进行修复。术后当日、修复当日、及修复后6个月、12个月、24个月CBCT测量植体颈部唇侧骨板厚度及牙槽嵴骨厚度增加量,患者根据手术情况、功能及美观情况进行满意度评价;术后24个月计算种植体成功率。结果2组患者术后当日及修复后6个月、12个月试验组满意度明显高于对照组,差异有统计学意义(P<0.05),修复后24个月2组差异无统计学意义(P>0.05);2年种植体成功率差异无统计学意义(P>0.05)。结论微创骨劈开种植牙技术更适合应用于老年上前牙缺失的患者,应做为首选技术。Objective To investigate and compare the clinical efficacy and satisfaction degree of patients between minimally invasive operation and conventional bone cleavage in dental implants in the elderly.Methods The elderly patients,who underwent dental implants in our hospital,with missing premolars,and bone width was 3.0~4.5mm and height was more than 10mm within the range of 2mm at the crest of alveolar crest measured by CBCT,were enrolled in the study.A total of 140 implants of 3,510 ones were selected and randomly divided into experimental group and control group.The duration of surgery,postoperative pain,swelling time and pain intensity were recorded.The second surgery was performed at 3m after surgery,and repairing operation was performed when the implant stability quotient(ISQ)was more than 60.On the day after operation,on the day of repair,and 6m,12m and 24m after repairing,the thickness of labial-buccal bone plate and the increase of bone thickness of implant neck were measured by CBCT.Moreover the satisfaction degree of patients was evaluated,and implant success rate was calculated at 24 months after operation.Results The satisfaction levels of patients on the day after operation,and at 6m and 12m after repairing in experimental group were significantly higher than those in control group(P<0.05),however,there were no significant differences at 24m after repairing between the two groups(P>0.05).There was no significant difference in the 2-year implant success rate between the two groups(P>0.05).Conclusion The minimally invasive bone splitting implant technique is more suitable for the elderly patients with anterior tooth loss,which should be regarded as the preferred technique.

关 键 词：微创 牙槽嵴 骨劈开 种植体 满意度 

分 类 号：R782.12[医药卫生—口腔医学]