下颌骨缺损腓骨肌皮瓣重建后种植义齿修复的临床效果评价  

Clinical evaluation of implant-supported prosthetic rehabilitation after reconstruction with fibular muscle flap for mandibular defect

作　　者：周卓靓 袁之然 杜一飞[2] 曹亚男 戈善为 王瑞霞[1] ZHOU Zhuoliang;YUAN Zhiran;DU Yifei;CAO Yanan;GE Shanwei;WANG Ruixia(Department of Dental Implantology,The Affiliated Stomatological Hospital of Nanjing Medical University,Jiangsu Province Key Laboratory of Oral Diseases,Jiangsu Province Engineering Research Center of Stomatological Translational Medicine,Nanjing 210029,China;Department of Oral and Maxillofacial Surgery,The Affiliated Stomatological Hospital of Nanjing Medical University,Nanjing 210029,China)

机构地区：[1]南京医科大学附属口腔医院口腔种植科,江苏省口腔疾病研究重点实验室,江苏省口腔转化医学工程研究中心,江苏南京210029 [2]南京医科大学附属口腔医院口腔颌面外科,江苏南京210029

出　　处：《口腔生物医学》2024年第2期103-107,共5页Oral Biomedicine

基　　金：江苏省科教能力提升工程——江苏省研究型医院(YJX-YYJSDW4);江苏省医学创新中心(CXZX202227);江苏省自然科学基金(BK20221301)。

摘　　要：目的:评价下颌骨缺损腓骨肌皮瓣重建后种植义齿修复的临床疗效。方法:纳入15例因肿瘤行下颌骨缺损腓骨肌皮瓣重建后的患者,评价在种植义齿修复后2年种植体的存留率、种植体周探诊深度(PD)、改良龈沟出血指(mSBI)、种植体边缘骨高度(MBL)。结果:62枚种植体在行使功能后2年种植体存留率100%;种植修复2年后,与修复前相比,MBL、PD及mSBI未见统计学差异(P>0.05);PD>4 mm时,mSBI显著增加(P<0.05)。结论:下颌骨缺损腓骨肌皮瓣重建后种植义齿修复取得了良好的临床疗效,PD≤4 mm的种植体表现出更好的稳定性。Objective:To analyze the clinical effect of implant-supported prosthetic rehabilitation after reconstruction with fibular muscle flap for mandibular defect.Methods:Fifteen patients who underwent mandibular defect reconstruction with fibular muscle flap due to tumor were included.Evaluate the retention rate of implants,marginal bone level of implants,depth of soft tissue exploration,and modified sulcus bleeding index 2 years after implant restoration.Results:A total of 62 implants were included,and the implant retention rate was 100%after 2 years of functional use.There was no statistically significant difference in the marginal bone level of the implant,and there was no statistically significant difference in the depth of soft tissue exploration around the implant and the modified sulcus bleeding index(P>0.05).When the depth of implant probing is greater than 4 mm,the modified sulcus bleeding index significantly increases(P<0.05).Conclusions:The reconstruction of mandibular defect with fibular muscle flap and implantation of dentures has achieved good clinical efficacy.Implants with a soft tissue depth of less than 4 mm around the implant exhibit better stability.

关 键 词：下颌骨缺损 腓骨肌皮瓣 种植体 

分 类 号：R782.12[医药卫生—口腔医学]