微创拔牙联合牙龈成形术对义齿美观修复患者牙周组织损伤及并发症的影响  

Effect of Minimally Invasive Tooth Extraction Combined with Gingival Plasty on Periodontal Tissue Injury and Complications in Patients with Aesthetic Denture Repair

作　　者：田艳红 徐婷 赵楠[1] TIAN Yan-hong;XU Ting;ZHAO Nan(Seth Stomatological Hospital of Henan University,Henan Zhengzhou 450000)

机构地区：[1]河南大学赛思口腔医院,河南郑州450000

出　　处：《深圳中西医结合杂志》2022年第12期90-93,共4页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:探讨微创拔牙联合牙龈成形术对义齿美观修复患者牙周组织的损伤及并发症的影响。方法:选取2017年8月至2019年1月于河南大学赛思口腔医院进行义齿美观修复的88例患者,按照随机数表法分为对照组和观察组,每组各44例。对照组患者行常规拔牙术,观察组患者行微创拔牙联合牙龈形成术,术后7 d评估患者效果,并完成12个月门诊随访,比较两组患者牙槽突情况、并发症发生情况、美学效果及炎症因子水平。结果:观察组患者经治疗后牙槽突形态明显优于对照组,差异具有统计学意义(Z=5.191,P<0.05);观察组患者治疗后感染、发音障碍、龈缘呈非扇贝样的总发生率为9.09%,低于对照组的43.18%,差异具有统计学意义(P<0.05);修复1个月、3个月、6个月及12个月后,两组患者的红色美学指数(PES)评分均较修复前得到明显改善,且观察组均高于对照组,差异均具有统计学意义(P<0.05);修复7 d后,两组患者血清肿瘤坏死因子-α(TNF-α)、C反应蛋白(CRP)水平均较修复前得到降低,且观察组均低于对照组,差异均具有统计学意义(P<0.05)。结论:对义齿美观修复患者行微创拔牙联合牙龈成形术,相较于常规拔牙术,可减少对牙周组织的损伤,降低并发症的发生率和炎症因子水平,并能获得更好的美学效果。Objective To investigate the effect of minimally invasive tooth extraction combined with gingival plasty on periodontal tissue injury and complications in patients with aesthetic denture repair.Methods A total of 88 patients who underwent aesthetic denture repair in Seth Stomatological Hospital of Henan University from August 2017 to January 2019 were randomly divided into a control group and an observation group according to random number table method,with 44 cases in each group.The control group received routine tooth extraction,and the observation group received minimally invasive tooth extraction combined with gingival formation.The effect of the patients was evaluated 7 days after surgery,and the 12 months outpatient followup was completed.The situation of alveolar process,complications,aesthetic effect and inflammatory factor levels of the two groups were compared.Results After treatment,the alveolar process morphology of the observation group was significantly better than that of the control group,the difference was statistically significant(Z=5.191,P<0.05).After treatment,the total incidence of infection,articulation disorder and non-scallop-like gingival margin in the observation group was 9.09% which was lower than 43.18% in the control group,and the difference was statistically significant(P<0.05).After 1,3,6 and 12 months of repair,the pink esthetic scores(PES)of the two groups were significantly improved compared with before repair,and the PES scores of the observation group was higher than that of the control group,the differences were statistically significant(P<0.05).After 7 days of repair,the levels of tumor necrosis factor(TNF-α)and C-reactive protein(CRP)in the two groups were lower than those before repair,and the levels of TNF-α and CRP of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).Conclusion Compared with conventional extraction,minimally invasive extraction combined with gingival plasty can reduce the damage to p

关 键 词：义齿美观修复 微创拔牙 牙龈成形术 

分 类 号：R781.4[医药卫生—口腔医学]