微创种植牙在牙列游离端缺失患者中的应用效果评价  

Evaluation of the application of minimally invasive dental implants in patients with missing free ends of dentition

作　　者：杨伟华 姜晟波 周莺莺 YANG Wei-hua;JIANG Sheng-bo;ZHOU Ying-ying(Department of Stomatology,Jiashan Hospital of Traditional Chinese Medicine,Jiaxing 314100,Zhejiang Province,China)

机构地区：[1]嘉善县中医医院口腔科,浙江嘉兴314100

出　　处：《中国口腔颌面外科杂志》2024年第4期390-393,共4页China Journal of Oral and Maxillofacial Surgery

摘　　要：目的:探讨微创种植牙在牙列游离端缺失患者中的应用效果。方法:选择2021年1月—2022年4月在嘉善县中医医院治疗的牙列游离端缺失患者80例,其中接受微创种植牙治疗42例(试验组),接受常规种植牙治疗38例(对照组)。比较2组患者的手术时间、术后疼痛、创口愈合时间、咀嚼功能、种植体稳定度、牙槽嵴顶骨吸收量等的差异。采用SPSS 22.0软件包对数据进行统计学分析。结果:试验组手术时间、创口愈合时间、术后红肿时间和术后疼痛VAS评分分别为(24.12±3.06) min、(3.50±0.61) d、(1.22±0.32) d和(2.50±0.46)分,均显著低于对照组(P<0.05)。试验组治疗后咬合力、咀嚼效率分别为(129.87±20.05) Ibs和(89.96±9.11)%,显著高于对照组(P<0.05)。试验组种植体稳定系数(ISQ)为70.05±4.15,显著高于对照组的63.35±5.21(P<0.05);试验组牙槽嵴顶骨吸收量为(0.56±0.14) mm,显著低于对照组的(0.63±0.12) mm(P<0.05)。结论:微创种植牙在牙列游离端缺失治疗中有较好的效果,能明显改善患者咬合效率,种植体稳定性好。PURPOSE:To investigate the effect of minimally invasive dental implants in patients with missing free end of dentition.METHODS:Eighty patients with free end loss of dentition who were treated in Jiashan Hospital of Traditional Chinese Medicine from January 2021 to April 2022 were selected,including 42 patients who received minimally invasive dental implant treatment(experimental group) and 38 patients who received conventional dental implant treatment(control group).The differences of operation time,postoperative pain,wound healing time,masticatory function,implant stability and alveolar crest bone resorption were compared between the two groups.SPSS 22.0 software package was used for data analysis.RESULTS:The operative time,wound healing time,postoperative red and swollen time and postoperative pain VAS scores of the experimental group were(24.12 ±3.06) min,(3.50 ±0.61) d,(1.22 ±0.32) d and(2.50 ±0.46) points,respectively,which were significantly lower than those of the control group(P<0.05).The periodontal biting force and masticatory efficiency of the experimental group were(129.87±20.05) Ibs and(89.96±9.11) %,respectively,which were significantly higher than those of control group(P<0.05).Implant stability coefficient(ISQ) of the experimental group was 70.05±4.15,which was significantly higher than that of the control group(63.35±5.21)(P<0.05).Alveolar crest bone resorption of the experimental group was(0.56±0.14) mm,significantly lower than that of the control group(0.63 ±0.12) mm(P<0.05).CONCLUSIONS:Minimally invasive dental implantation has a good effect in the treatment of missing free end of dentition,which can significantly improve the patient's occlusal efficiency with good implant stability.

关 键 词：微创种植 不翻瓣 牙列游离端缺失 种植体稳定度 

分 类 号：R782.1[医药卫生—口腔医学]