改良盾构术即刻种植对上颌前牙区唇侧骨量、牙周组织及美学效果的影响  

Effect of Immediate Implantation with Modified Shield Tunneling on the Bone Mass,Periodontal Tissue and Aesthetic Effect of the Upper Anterior Teeth

作　　者：邹晶[1] 丁丽 ZOU Jing;DING Li(Department of Stomatology,Ankang Hospital of Traditional Chinese Medicine,Ankang Shaanxi 725000)

机构地区：[1]安康市中医院口腔科,陕西安康725000 [2]西安石油大学口腔科,陕西西安710065

出　　处：《医学临床研究》2022年第9期1353-1355,1359,共4页Journal of Clinical Research

摘　　要：【目的】探讨改良盾构术(改良SST)即刻种植对上颌前牙区唇侧骨量、牙周组织及美学效果的影响。【方法】选取2016年11月至2021年11月在安康市中医院口腔科就诊的120例上颌前牙区单颗牙即刻种植修复患者为研究对象,其中60例行传统即刻种植为对照组,60例行改良SST为观察组。随访12个月,比较两组患者种植成功率、种植体唇侧骨吸收情况、种植体周围牙周组织情况[包括改良龈沟出血指数、牙周探诊深度、龈乳头指数、红色美学指数(PES)],统计所有患者不良反应发生率。【结果】两组患者的种植成功率均为100%。观察组患者修复即刻改良龈沟出血指数显著低于对照组(P<0.05),修复后6个月、修复后12个月,两组患者改良龈沟出血指数比较,差异无统计学意义(P>0.05);修复后6个月、修复后12个月,观察组龈乳头指数均高于对照组(P<0.05)。观察组修复后6个月、修复后12个月唇侧骨吸收均显著低于对照组(P<0.05)。两组患者修复后12个月唇侧骨吸收均高于修复6个月,观察组患者修复后6个月、修复后12个月唇侧骨吸收均低于对照组(P<0.05)。两组患者修复后6个月、12个月PES评分均升高,且观察组高于对照组(P<0.05)。两组患者修复不良反应发生率比较,差异无统计学意义(P>0.05)。【结论】改良SST即刻种植术对于维持唇侧骨量有积极作用,同时可获得更好的软组织美学效果,且安全性高。【Objective】To investigate the effect of modified shield tunneling(modified SST)immediate implantation on the bone mass,periodontal tissue and aesthetic effect of the labial maxillary anterior teeth.【Methods】From November 2016 to November 2021,120 patients with immediate implant repair of a single tooth in the maxillary anterior tooth area who were treated in Ankang Hospital of Traditional Chinese Medicine were selected as the study objects,of which 60 patients were treated with traditional immediate implant as the control group,and 60 patients were treated with modified SST as the observation group.After 12 months of follow-up,the implant success rate,bone absorption at the lip side of the implant,and periodontal tissue around the implant were compared between the two groups[Including modified gingival sulcus bleeding index,periodontal probing depth,gingival papilla index,red aesthetic index(PES)].The incidence of adverse reactions of all patients was counted.【Results】The successful rate of implantation was 100%in both groups.The improved gingival sulcus bleeding index in the observation group was significantly lower than that in the control group(P<0.05).At 6 months and 12 months after repair,there was no significant difference in the improved gingival sulcus bleeding index between the two groups(P>0.05);The gingival papilla index of the observation group was higher than that of the control group at 6 months and 12 months after repair(P<0.05).Lip bone resorption in the observation group was significantly lower than that in the control group 6 months after repair and 12 months after repair(P<0.05).Lip bone absorption was higher in both groups 12 months after repair than in 6 months after repair.The bone resorption at the lip side of the patients in the observation group was lower than that in the control group 6 months and 12 months after the repair(P<0.05).The PES scores of the two groups increased 6 and 12 months after repair,and the scores of the observation group were higher than those of the cont

关 键 词：上颌骨 牙周组织 牙缺失/治疗 牙修复体 牙种植体 

分 类 号：R782[医药卫生—口腔医学]