上颌窦内提升与共振频率分析技术在牙列缺损患者中的应用  

Observation of the curative effect of maxillary sinus lift technique and resonance frequency analysis technique in the restoration of dental implant technology in patients with dentition defect

作　　者：孔瑞英 郭风英[2] 郭海粟 杜倩 KONG Rui-ying;GUO Feng-ying;GUO Hai-su;DU Qian(Departmemt of Otorinolaryngology,Eye Hospital(The Third Hosptial)of Handan,Hebei Handan 056001,China;Department of Stomatology,Eye Hospital(The Third Hosptial)of Handan,Hebei Handan 056001,China;Department of Stomatology,The Second Hosptial of Handan,Hebei Handan O56001,China)

机构地区：[1]邯郸市眼科医院(邯郸市第三医院)耳鼻喉科,河北邮056001 [2]邯郸市眼科医院(邯郸市第三医院)口腔科,河北邮056001 [3]邯郸市第二医院口腔科,河北邯郸056001

出　　处：《临床口腔医学杂志》2023年第1期29-33,共5页Journal of Clinical Stomatology

摘　　要：目的:探讨上颌窦内提升技术与共振频率分析(resonance frequency analysis,RFA)技术在牙列缺损患者口腔种植技术修复中的效果。方法:选取2018年1月~2019年4月在我院诊治的牙列缺损患者48例,均采用上颌窦内提升技术口腔种植修复,共56颗种植体。术后当天测量剩余骨高度(residual bone height,RBH),根据RBH值分为A组(<4 mm,n=20)、B组(4 mm≤RBH<6 mm,n=22)、C组(6 mm≤RBH<8 mm,n=14)。统计种植成功率。对比3组不同时间ISQ值,并分析ISQ值与RBH相关性。术后随访检测改良出血指数、探诊深度、边缘骨吸收以及种植体根尖高度。结果:56颗种植体成功率为98.21%,3组种植体成功率差异无统计学意义(P>0.05)。术后即刻至术后8周ISQ无明显变化(P>0.05),之后呈增加趋势(P<0.05);不同时间3组ISQ值差异均无统计学意义(P>0.05)。经Pearson相关性分析显示,ISQ值与RBH不存在相关性(P>0.05)。55颗成功种植体术后1年、2年、3年随访时改良出血指数、探诊深度比较,差异均无统计学意义(P>0.05),随着随访时间延长,边缘骨吸收呈增加趋势(P<0.05)。不同时间点3组改良出血指数、探诊深度以及边缘骨吸收差异均无统计学意义(P>0.05)。随着随访时间延长,种植体根尖高度呈降低趋势(P<0.05),不同时间点3组种植体根尖高度比较,差异无统计学意义(P>0.05)。结论:牙列缺损患者采用上颌窦内提升术种植修复,种植成功率高,可获得良好的种植体稳定性,且RBH对患者早期种植体稳定性、随访效果无显著影响。Objective:To investigate the effect of maxillary sinus lift technique and resonance frequency analysis(RFA)technique in the restoration of dental implants in patients with dentition defect.Methods:A total of 48 patients with dentition defects who were diagnosed and treated in our hospital from January 2018 to April 2019 were selected.They all used the maxillary sinus lift technique for oral implant restoration,with a total of 56 implants.The residual bone height(RBH)was measured on the day after surgery,and according to RBH,they were divided into group A(<4 mm,n=20),group B(4 mm≤RBH<6 mm,n=22)and group C(6 mm≤RBH<8 mm,n=14).The success rate of planting was statisticsed.The implant stability coefficient(ISQ)values of the three groups at different times were compared,and the correlation between ISQ values and RBH was analyzed.The modified bleeding index,probing depth(PD),marginal bone resorption,and implant apex height were measured at 1,2,and 3-year follow-up.Results:The success rate of 56 implants was 98.21%.There was no significant difference in the implant success rate among the three groups(P>0.05).There was no significant change in ISQ from immediately after operation to 8 weeks after operation(P>0.05),and then increased(P<0.05).There was no significant difference in ISQ values among the three groups at different times(P>0.05).The results of Pearson correlation analysis showed that there was no correlation between ISQ value and RBH(P>0.05).There was no significant difference in the improved bleeding index and PD of the 55 implants successfully implanted at 1-year,2-year and 3-year follow-up(P>0.05),marginal bone resorption showed an increasing trend(P<0.05).There was no significant difference in the modified bleeding index,PD and marginal bone resorption among the three groups at different time points(P>0.05),the apical height of implants decreased(P<0.05).There was no significant difference in the apical height of implants among the three groups at different time points(P>0.05).Conclusion:For patients wi

关 键 词：上颌窦内提升技术 共振频率分析技术 牙列缺损 口腔种植技术修复 

分 类 号：R782.1[医药卫生—口腔医学]