上颌前牙缺失种植修复患者牙龈和口唇厚度与修复后美观度的相关性分析  

Analysis of the Correlation Between Gingival and Lip Thickness and Aesthetics in Patients with Maxillary Anterior Tooth Defect Implantation

作　　者：李敏[1] 徐旻洁 张静[1] LI Min;XU Minjie;ZHANG Jing(Department of Stomatology,Jiangyin Hospital of Traditional Chinese Medicine,Wuxi 214400,Jiangsu,China)

机构地区：[1]江阴市中医院口腔科,江苏无锡214400

出　　处：《中国美容医学》2024年第7期129-132,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨上颌前牙缺失种植修复患者牙龈和口唇厚度与美观度的相关性。方法:选取2019年1月-2021年10月笔者医院收治的102例上颌前牙缺损的患者,均接受上颌前牙种植修复治疗。随访观察6个月,采用红色-白色美学标准(Pink esthetic score,White esthetic score,PES-WES)评估修复后美观度,并根据PES-WES得分情况分为美观组(PES≥8分且WES≥6分)和欠美观组(PES<8分或WES<6分)。记录两组人口社会学特征、采用锥形束CT测量上颌前牙唇侧牙龈厚度,采用面部姿势位图片测量口唇厚度,采用Pearson相关性分析上颌前牙缺失修复患者牙龈厚度和口唇厚度与美观度的相关性,采用二元Logistic分析上颌前牙修复患者美观度的影响因素。结果:102例患者中,4例因搬迁等原因失访,最终纳入98例,其中68例(69.39%)PES≥8分且WES≥6分为美观组,其余30例为欠美观组;两组牙龈厚度、口唇厚度对比差异具有统计学意义(P<0.05);Pearson相关性分析显示,牙龈厚度、口唇厚度与美观度呈正相关(r=0.439,P<0.01;r=0.475,P<0.01);二元Logistic回归分析结果显示:牙龈厚度(OR=0.003,95%CI 0.001~0.077)、口唇厚度(OR=0.181,95%CI 0.181~0.470)为上颌前牙修复患者美观度的影响因素(P<0.05)。结论:上颌前牙缺失种植修复患者牙龈厚度和口唇厚度与美观度有关,修复前可根据患者牙龈厚度和口唇厚度制定修复方案。Objective To investigate the correlation between gingival and lip thickness and aesthetic degree in patients with maxillary anterior dental implant restoration.Methods A total of 102 patients with maxillary anterior tooth loss admitted to the author's hospital from January 2019 to October 2021 were selected.The patients were followed up for 6 months,used the redwhite aesthetic standard(PES-WES)to evaluate the aesthetics after restoration,and according to the PES-WES score,they were divided into the aesthetic group(PES≥8 points and WES≥6 points)and those with poor aesthetics.Aesthetics group(PES<8 or WES<6).The demographic and sociological characteristics of the two groups were recorded,the gingival thickness of the maxillary anterior teeth was measured by cone beam CT,and the thickness of the lips was measured by facial posture pictures.Pearson correlation was used to analyze the correlation between gingival thickness and lip thickness and aesthetics in patients with maxillary anterior restorations.Binary Logistic was used to analyze the infl uencing factors of aesthetics in patients with maxillary anterior restorations.Results Among the 102 patients,4 patients were lost to follow-up due to relocation and other reasons,and 98 patients were finally included.Among them,68 patients(69.39%)with PES≥8 and WES≥6 were divided into the aesthetic group,and the remaining 30 patients were in the less aesthetic group.There were statistically significant differences in gingival thickness and lip thickness between the two groups(P<0.05).Pearson correlation analysis showed that gingival thickness and lip thickness were positively correlated with aesthetics(r=0.439,P<0.01;r=0.475,P<0.01).Binary Logistic regression analysis showed that gingival thickness(OR=0.003,95%CI 0.001~0.077)and lip thickness(OR=0.181,95%CI 0.181~0.470)were the infl uences of aesthetics in patients with maxillary anterior restorations factor(P<0.05).Conclusion The gingival thickness and lip thickness of patients undergoing implant restoration of max

关 键 词：上颌前牙缺失 种植修复 牙龈厚度 口唇厚度 美观度 

分 类 号：R782.12[医药卫生—口腔医学]