数字化替代体应用于自体牙移植的临床研究  

Clinical Study on the Application of Digital Substitutes in Autologous Tooth Transplantation

作　　者：及捷 王雅俐 张蕾 裴晓雪 王雯 JI Jie;WANG Yali;ZHANG Lei;PEI Xiaoxue;WANG Wen(Department of Oral and Maxillofacial Surgery Stomatological Hospital Hohhot,Hohhot 010000 China;Department of Stomatology,Inner Mongolia Autonomous Region Armed Police Corps Hospital,Hohhot 010010 China)

机构地区：[1]呼和浩特市口腔医院口腔颌面外科,呼和浩特010000 [2]武警内蒙古自治区总队医院口腔科,呼和浩特010010

出　　处：《内蒙古医学杂志》2024年第4期397-400,共4页Inner Mongolia Medical Journal

基　　金：呼和浩特市科技计划项目(编号:2019-社-3-3)。

摘　　要：目的基于CBCT影像分析移植牙的相关数据,评价数字化技术和替代体在自体牙移植术中的应用效果。方法选取2019年9月至2021年9月就诊于呼和浩特市口腔医院口腔颌面外科的120例患者作为研究对象,采用随机分组法将其分为实验组和对照组。实验组60例,术中采用数字化和替代体辅助自体牙移植手术;对照组60例,采用传统方法进行自体牙移植手术。收集并分析研究对象基本信息、术中牙槽窝预备时间、供牙离体时间、植入部位、供牙的形态、根管治疗时机,以及术后6个月、12个月移植牙存留率和成功率,观察移植后美学、牙周情况、患者满意度。结果两组间年龄、性别、供牙牙根数量、根管治疗时间差异无统计学意义(P>0.05);实验组术中供牙离体时间为(3.01±2.79)min,对照组术中供牙离体时间为(18.05±4.31)min,差异有统计学意义(P<0.05);术中实验组牙槽窝预备时间为(14.22±3.17)min,对照组牙槽窝预备时间为(19.54±4.67)min,差异有统计学意义(P<0.05);随访6个月、12个月后移植牙存留率,实验组为100.00%(60/60)、98.33%(59/60),对照组为100.00%(60/60)、96.61%(57/59),差异无统计学意义(P>0.05);术后随访6个月、12个月成功率,实验组为95.00%(57/60)、93.33%(56/60),对照组为91.67%(55/60)、88.14%(52/59),差异无统计学意义(P>0.05)。结论在进行磨牙自体牙移植手术时,应用数字化技术及代替体是一种有效的方法,术中可以缩短供牙离体时间、减少牙槽窝预备时间;同时替代体也有助于术前进行宣教,提高患者满意度,有效提高自体牙移植术的临床成功率。Objective Based on CBCT imaging analysis of relevant data of transplanted teeth patients,evaluate the application effect of digital technology and substitutes in autologous tooth transplantation surgery.Methods A total of 120 patients in Oral and maxillofacial surgery Department of Hohhot Stomatological Hospital from 2019.09~2021.09 were selected as the research objects.They were randomly divided into two groups:the experimental group and the control group.A total of 60 patients were in the experimental group.During the operation,digital and surrogate assisted autologous tooth transplantation was used.A total of 60 patients in the control group were in the traditional method of autologous tooth transplantation.Collect and analyze basic information of the research object,intraoperative preparation time for alveolar fossa,donor tooth detachment time,implantation site,donor tooth morphology,root canal treatment timing,as well as the survival and success rates of transplanted teeth at 6 and 12 months after surgery.Observe the aesthetics,periodontal condition,and patient satisfaction after transplantation.Results There was no statistically significant difference in age,gender,number of donor teeth roots,and root canal treatment time between the two groups(P>0.05);The intraoperative tooth detachment time of the experimental group was(3.01±2.79)minutes,while the intraoperative tooth detachment time of the control group was(18.05±4.31)minutes,with a statistically significant difference(P<0.05);The preparation time of the experimental group's alveolar fossa during surgery was(14.22±3.17)minutes,while the preparation time of the control group's alveolar fossa was(19.54±4.67)minutes,with a statistically significant difference(P<0.05);After 6 and 12 months of follow-up,the survival rates of transplanted teeth were 100.00%and 98.33%in the experimental group and 100.00%and 96.61%in the control group,respectively,with no statistically significant difference(P>0.05);The success rates of postoperative follow-up for 6 and 12 m

关 键 词：自体牙移植术 磨牙 数字化 替代体 CBCT 

分 类 号：R782.1[医药卫生—口腔医学]