微创拔牙结合牙龈成形术在义齿美观修复中的应用分析  

Application analysis of minimally invasive tooth extraction combined with gingivoplasty in aesthetic restoration of dentures

作　　者：徐营营 XU Ying-ying(Zaozhuang Yingkou Stomatological Hospital,Zaozhuang 277101,China)

机构地区：[1]枣庄市口腔医院,277101

出　　处：《中国现代药物应用》2024年第3期11-15,共5页Chinese Journal of Modern Drug Application

摘　　要：目的探讨义齿美观修复中实施微创拔牙结合牙龈成形术的临床效果。方法90例行义齿美观修复的患者,基于随机数字表法分为对照组与观察组,每组45例。对照组实行常规拔牙术,观察组实行微创拔牙联合牙龈成形术。比较两组牙槽突形态、炎症因子[血清肿瘤坏死因子-α(TNF-α)、C反应蛋白(CRP)]、美学效果[红色美学指数(PES)]、种植牙稳定性[种植体稳定系数(ISQ)]、牙周指标(探诊深度、菌斑指数、龈沟出血指数)、并发症发生率。结果观察组修复后牙槽突形态较对照组明显更优(P<0.05)。修复后1、3、6个月,观察组PES评分分别为(9.28±1.85)、(10.32±2.17)、(11.15±1.36)分,ISQ分别为(65.17±6.28)、(69.18±7.25)、(71.25±8.25),均高于对照组的(8.21±0.51)、(9.31±1.26)、(10.38±1.21)分和(59.67±5.84)、(62.47±6.33)、(62.44±6.78)(P<0.05)。修复后7 d,两组CRP、TNF-α水平较修复前均有不同程度的降幅,且观察组CRP(1.43±0.36)mg/L、TNF-α(4.36±1.02)ng/L低于对照组的(5.04±0.87)mg/L、(6.05±1.33)ng/L(P<0.05)。修复后3个月,观察组探诊深度为(2.41±0.87)mm、菌斑指数为(1.10±0.24)、龈沟出血指数为(1.84±0.63),对照组分别为(3.78±1.12)mm、(1.46±0.42)、(2.51±0.86);修复后3个月,观察组探诊深度、菌斑指数、龈沟出血指数均低于对照组(P<0.05)。观察组并发症发生率6.67%低于对照组的28.89%(χ^(2)=7.601,P=0.006<0.05)。结论义齿美观修复中实施微创拔牙结合牙龈成形术,相较常规拔牙术,可更好地保护修复区软组织,提高种植修复质量,美学效果佳及稳定性高,降低炎症因子水平,减少并发症发生。Objective To explore the clinical effect of minimally invasive tooth extraction combined with gingivoplasty in the aesthetic restoration of dentures.Methods 90 patients who underwent aesthetic restoration of dentures were divided into a control group and an observation group based on"random number table",with 45 cases in each group.The control group underwent routine tooth extraction,and the observation group underwent minimally invasive tooth extraction combined with gingivoplasty.Comparison was made on alveolar process morphology,inflammatory factors[tumor necrosis factor-α(TNF-α),C-reactive protein(CRP)],aesthetic effects[pink esthstic score(PES)],implant stability[implant stability quotient(ISQ)],periodontal indicators(probing depth,plaque index,sulcus bleeding index),and incidence of complications between the two groups.Results The alveolar process morphology in the observation group after restoration were significantly better than those in the control group(P<0.05).After 1,3 and 6 months of repair,PES scores were(9.28±1.85),(10.32±2.17),(11.15±1.36)points,ISQ scores were(65.17±6.28),(69.18±7.25),(71.25±8.25)points,which were higher than(8.21±0.51),(9.31±1.26),(10.38±1.21)and(59.67±5.84),(62.47±6.33),(62.44±6.78)points in the control group(P<0.05).After 7 d of repair,CRP and TNF-αlevels in both groups showed varying degrees of decrease compared to those before repair;and CRP of(1.43±0.36)mg/L and TNF-αof(4.36±1.02)in the observation group were lower than(5.04±0.87)mg/L and(6.05±1.33)in the control group(P<0.05).After 3 months of repair,the probing depth,plaque index and sulcus bleeding index in the observation group were(2.41±0.87)mm,(1.10±0.24)and(1.84±0.63)points,while those in the control group were(3.78±1.12)mm,(1.46±0.42)and(2.51±0.86)points.After 3 months of repair,the probing depth,plaque index and sulcus bleeding index in the observation group were lower than those in the control group(P<0.05).The incidence of complications in the observation group was 6.67%,which was lower

关 键 词：微创拔牙 牙龈成形术 义齿美观修复 炎症因子 美学效果 

分 类 号：R783.6[医药卫生—口腔医学]