即刻种植与延期种植在牙齿外伤修复患者中的应用效果比较  

Comparison of application effects of immediate implantation and delayed implantation in patients with dental trauma repair

作　　者：张玮航 ZHANG Weihang(Department of Stomatology of People’s Hospital of Zhengzhou(East),Zhengzhou 450000 Henan,China)

机构地区：[1]郑州人民医院口腔科(东),河南郑州450000

出　　处：《中国民康医学》2024年第13期152-154,158,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:比较即刻种植与延期种植在牙齿外伤修复患者中的应用效果。方法:选取2022年1月至2023年1月于该院接受种植治疗的179例牙齿外伤患者进行前瞻性研究,按随机数字表法将其分为研究组(n=89)和对照组(n=90)。研究组实施即刻种植,对照组实施延期种植,比较两组种植体稳定程度[种植体稳定系数(ISQ)]、治疗周期、修复前后牙周相关指标[探诊深度(PD)、菌斑指数(PLI)、龈沟出血指标(SBI)]水平、美观度[红色美学指数(PES)、白色美学指数(WES)]评分和临床疗效。结果:两组ISQ评分比较,差异无统计学意义(P>0.05);研究组治疗周期短于对照组,差异有统计学意义(P<0.05);修复后,两组PD、PLI、SBI水平均低于修复前,且研究组低于对照组,差异有统计学意义(P<0.05);修复后3个月,两组PES、WES评分均高于修复前,且研究组高于对照组,差异有统计学意义(P<0.05);两组治疗总有效率比较,差异无统计学意义(P>0.05)。结论:即刻种植应用于牙齿外伤修复患者中可提高美观度评分,缩短治疗周期,降低牙周指标水平,其效果优于延期种植。Objective:To compare application effects of immediate implantation and delayed implantation in patients with dental trauma repair.Methods:A prospective study was conducted on 179 patients with dental trauma who underwent implantation treatment in this hospital from January 2022 to January 2023.They were divided into study group(n=89) and control group(n=90) according to the random number table method.The study group implemented immediate implantation,while the control group implemented delayed implantation.The implant stability [implant stability quotient(ISQ)],the treatment cycle,the periodontal related indexes levels before and after repair [probing depth(PD),plaque index(PLI),sulcus bleeding index(SBI)],the aesthetic degree [pink esthetic score(PES),white esthetic score(WES)] score,and the clinical efficacy were compared between the two groups.Results:There was no significant difference in the ISQ score between the two groups(P>0.05).The treatment cycle of the study group was shorter than that of the control group,and the difference was statistically significant(P<0.05).After repair,the levels of PD,PLI and SBI in the two groups were lower than those before repair,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).3 months after repair,the PES and WES scores of the two groups were higher than those before repair,those of the study group were higher than those of the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the total effective rate between the two groups(P>0.05).Conclusions:Immediate implantation can improve the aesthetic scores,shorten the treatment cycle and reduce the levels of periodontal index in the patients with dental trauma repair.Moreover,it is superior to delayed implantation.

关 键 词：即刻种植 延期种植 牙齿外伤修复 种植体稳定性 牙周指标 美观度 

分 类 号：R783.6[医药卫生—口腔医学]