拔牙位点保存技术对前牙口腔种植患者牙槽骨骨量及牙槽美学效果的影响  

Effect of Tooth Extraction Site Preservation Technology on Alveolar Bone Mass and Alveolar Aesthetic Effect in Patients with Anterior Dental Implantation

作　　者：汪金华 余文 WANG Jin-hua;YU Wen(Department of Stomatology,Leping Maternal and Child Health Hospital,Leping 333300,Jiangxi,China)

机构地区：[1]乐平市妇幼保健院口腔科,江西乐平333300

出　　处：《医学信息》2024年第11期127-130,共4页Journal of Medical Information

摘　　要：目的 分析拔牙位点保存技术对前牙口腔种植患者牙槽骨骨量及牙槽美学效果的影响。方法 选取2021年1月-2023年1月乐平市妇幼保健院行拔牙与前牙口腔种植的68例患者为研究对象,依据随机数字表法分为对照组与观察组,各34例。对照组拔牙后行常规处理,观察组在其基础上进行拔牙位点保存处理,待拔牙窝愈合后,行口腔种植修复治疗,比较两组牙槽骨骨量(牙槽骨高度、牙槽骨宽度、牙槽骨密度)、附着龈质量[附着龈宽度、牙龈乳头指数(PIS)]、种植修复效果[种植成功率、种植体稳定系数(ISQ)]、牙槽美学效果。结果 两组种植前牙槽骨高度、牙槽骨宽度、牙槽骨密度均小于拔牙后,但观察组牙槽骨高度、牙槽骨宽度、牙槽骨密度大于对照组(P<0.05);两组种植前附着龈宽度、PIS均小于拔牙后,但观察组附着龈宽度、PIS大于对照组(P<0.05);观察组种植成功率与ISQ高于对照组(P<0.05);观察组牙槽美学优良率为91.18%,高于对照组的70.59%(P<0.05)。结论 拔牙位点保存技术可减少牙槽骨骨量丢失,保证附着龈质量,有助于种植成功率与种植体稳定性的提高,且牙槽美学效果理想。Objective To analyze the effect of tooth extraction site preservation technology on alveolar bone mass and alveolar aesthetic effect in patients with anterior dental implantation.Methods From January 2021 to January 2023,68 patients who underwent tooth extraction and anterior dental implant in Leping Maternal and Child Health Hospital were selected as the research objects.According to the random number table method,they were divided into control group and observation group,with 34 patients in each group.The control group was treated with routine treatment after tooth extraction,and the observation group was treated with tooth extraction site preservation on the basis of the control group.After the extraction socket healed,oral implant repair was performed.The alveolar bone mass(alveolar bone height,alveolar bone width,alveolar bone density),attached gingival quality[attached gingival width,papilla index score(PIS)],implant repair effect[success rate of implantation,implant stability quotient(ISQ)],and alveolar aesthetic effect were compared between the two groups.Results The alveolar bone height,alveolar bone width and alveolar bone density of the two groups before implantation were lower than those after tooth extraction,but the alveolar bone height,alveolar bone width and alveolar bone density of the observation group were higher than those of the control group(P<0.05).The width of attached gingiva and PIS before implantation in the two groups were smaller than those after tooth extraction,but the width of attached gingiva and PIS in the observation group were larger than those in the control group(P<0.05).The success rate of implantation and ISQ score in the observation group were higher than those in the control group(P<0.05).The excellent and good rate of alveolar aesthetics in the observation group was 91.18%,which was higher than 70.59%in the control group(P<0.05).Conclusion The tooth extraction site preservation technology can reduce the loss of alveolar bone mass,ensure the quality of attached gingiva,he

关 键 词：口腔种植 前牙区 拔牙位点保存技术 牙槽骨骨量 附着龈质量 牙槽美学效果 

分 类 号：R783[医药卫生—口腔医学]