前磨牙区不同时期行种植术对接受义齿种植或修复治疗的患者牙槽骨吸收的影响  

Influence of Implantation in Premolar Region at Different Stages on Alveolar Bone Resorption in Patients Receiving Denture Implantation or Restoration Therapy

作　　者：韩丽会 HAN Lihui(The Fourth Outpatient Department,Nanyang Stomatological Hospital,Nanyang Henan 473000,China)

机构地区：[1]河南省南阳市口腔医院第四门诊部,河南南阳473000

出　　处：《临床研究》2023年第2期61-64,共4页Clinical Research

摘　　要：目的 探讨前磨牙区不同时期行种植术对牙槽骨吸收的影响。方法 按照随机摸球法将2017年4月至2018年4月南阳市口腔医院收治的106例接受种植及修复治疗的患者分成对照组(53例)与观察组(53例),分别给予延迟种植术和即刻种植术。比较两组牙槽吸收度、种植效果、红色美学指数(PES)、白色美学指数(WES)、生活质量及不良反应,以视觉模拟量表(VAS)评估患者满意度。结果 观察组下颌前磨牙区、上颌前磨牙区与总体牙槽骨吸收度均明显小于对照组,差异有统计学意义(P<0.05)。两组种植效果比较,组间差异无统计学意义(P>0.05);术后当天、术后2个月两组软组织美观度比较,差异无统计学意义(P>0.05)。两组满意度、不良反应发生率及术后3个月生活质量评分比较,组间差异无统计学意义(P>0.05)。结论 前磨牙区行延迟种植术与即刻种植术的种植效果、软组织美观度、患者满意度、不良反应发生率及生活质量均无显著差异,不过即刻种植患者的牙槽骨吸收程度更轻。Objective To investigate the effect of implantation in premolar region on alveolar bone resorption in different periods. Methods According to the random ball touching method, a total of 106 patients who received implant and prosthetic treatment in Nanyang Stomatological Hospital from April 2017 to April 2018 were divided into the control group(53 cases)and the observation group(53 cases), and were given delayed implant and immediate implant respectively. Alveolar resorption,implant effect, red aesthetic index(PES), white aesthetic index(WES), quality of life and adverse reactions were compared between the two groups, and patients’ satisfaction was evaluated with visual analog scale(VAS). Results The bone resorption of mandibular premolars, maxillary premolars and the total alveolar bone in the observation group was significantly lower than that in the control group, with significant difference(P<0.05);There was no significant difference between the two groups on implant effect(P>0.05);There were no significant differences in the aesthetic degree of soft tissues between the two groups on the day after operation and 2 months after operation(P>0.05);There were no significant differences between the two groups in terms of satisfaction the incidence rate of adverse reactions and quality of life scores 3 months after operation(P>0.05).Conclusion There are no significant differences in implant effect, soft tissue aesthetics, patient satisfaction,the incidence rate of adverse reactions and quality of life between immediate implant and delayed implant in premolar area, but the alveolar bone absorption of immediate implant patients is less.

关 键 词：牙槽骨吸收 延迟种植术 即刻种植术 美观学 满意度 疗效 

分 类 号：R783.6[医药卫生—口腔医学]