牙周炎患者种植牙同期行引导骨组织再生术的美学修复效果及对牙槽骨吸收的影响研究  

Study on the Aesthetic Restoration Effect and Alveolar Bone Resorption of GBR in Patients with Periodontitis

作　　者：申丁 李婧 张爱凤 SHEN Ding;LI Jing;ZHANG Aifeng(Department of Periodontology,College of Stomatology,Xi'an Jiaotong University,Xi'an 710000,Shaanxi,China;Department of Medical,Northwest Polytechnic University Hospital,Xi'an 710072,Shaanxi,China)

机构地区：[1]西安交通大学口腔医院牙周病科,陕西西安710000 [2]西北工业大学医院医务部,陕西西安710072

出　　处：《中国美容医学》2024年第4期136-139,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探究伴牙周炎患者种植牙同期行引导骨组织再生术(Guided bone regeneration,GBR)治疗的美学修复效果及对牙槽骨吸收的影响。方法:病例选取笔者医院2019年6月-2021年6月收治的牙周炎牙种植患者78例作为研究对象,按照随机数字表法分为对照组和观察组,对照组给予患者常规种植修复,观察组在对照组基础上采用GBR治疗,比较两组患者术后6个月、12个月的牙周探查深度(Periodontal exploration depth,PD)、改良龈沟出血指数(Sulcular bleeding index,mSBI)、改良菌斑指数(Plaque index,mPLI)、骨吸收量以及美学修复效果。结果:术后6个月、12个月,观察组患者的mSBI均低于对照组患者(P<0.05)。种植体周围骨吸收量比较,术后12个月两组患者的近中骨吸收量和远中骨吸收量均较术后6个月显著降低(P<0.05),且术后12个月观察组患者的近中骨吸收量和远中骨吸收量均显著低于对照组。美学效果比较,观察组患者术后6个月、12个月红色美学指数评分均显著高于对照组(P<0.05),且术后12个月两组红色美学指数评分均显著高于术后6个月(P<0.05),术后6个月、12个月,两组白色美学指数评分差异无统计学意义(P>0.05),且两组术后12个月与术后6个月白色美学指数评分比较,差异无统计学意义(P>0.05)。结论:牙周炎患者牙种植同期应用GBR能有效改善患者牙周健康指标,防止种植体周围骨吸收,进而提高种植体留存率,满足患者治疗中种植美学的要求。Objective To explore the aesthetic restoration effect of guided bone regeneration(GBR)in patients with periodontitis and its effect on alveolar bone resorption.Methods The cases selected 78 patients with periodontitis and dental implants treated in the author’s hospital from June 2019 to June 2021 as the research objects,and were divided into the control group and the observation group according to the random number table method.The patients in the control group did not receive GBR treatment,and the patients in the observation group received After GBR treatment,the periodontal exploration depth(PD),modified sulcular bleeding index(mSBI),and modified plaque index were compared between the two groups at 6 months and 12 months after surgery(mPLI),bone resorption,and aesthetics.Results The mSBI of the observation group was lower than that of the control group at 6 months and 12 months after operation(P<0.05).Comparing the amount of peri-implant bone resorption,the mesial bone resorption and distal bone resorption of the two groups at 12 months after operation were significantly lower than those at 6 months after operation(P<0.05),and the observation at 12 months after operation Mesial bone resorption and distal bone resorption in the group were significantly lower than those in the control group.Compared with the aesthetic effect,the red aesthetic scores of the observation group at 6 months and 12 months after the operation were significantly higher than those of the control group(P<0.05),and the red aesthetic scores of the two groups of patients were significantly higher at 12 months after the operation.There was no significant difference in the white aesthetic scores between the two groups at 6 months after operation(P<0.05),6 months after operation and 12 months after operation(P>0.05).There was no significant difference in the white aesthetic scores between the two groups in months(P>0.05).Conclusion Simultaneous application of GBR to dental implants in patients with periodontitis can effectively improve the pa

关 键 词：牙周炎 种植牙 引导骨组织再生术 种植美学 牙槽骨吸收 

分 类 号：R781.42[医药卫生—口腔医学]