口腔正畸联合种植牙修复技术治疗创伤性牙缺失伴牙槽骨缺损的临床效果研究  

Clinical effect of orthodontic combined with dental implant restoration technology in the treatment of traumatic tooth loss with alveolar bone defect

作　　者：汪幼梅 Wang Youmei(The Second Affiliated Hospital of Nanjing Medical University,210000)

机构地区：[1]南京医科大学第二附属医院,210000

出　　处：《医学前沿》2024年第4期47-50,共4页Frontiers of Medicine

摘　　要：目的:为了更好地提高创伤性牙缺失伴牙槽骨缺损患者的治疗效果,深入探究对患者采取口腔正畸以及种植牙修复技术的重要意义。方法:从我院诊治的创伤性牙缺损伴牙槽骨缺损患者中选取80例参与实验研究,诊治时间为2021年1月-2023年12月,分为两组,分别采取直接种植牙修复治疗和口腔正畸基础上的种植牙修复治疗,比较两组患者的咀嚼和咬合功能、并发症发生情况、种植体稳定性情况以及牙槽骨宽度的差异。结果:治疗前,两组患者的咀嚼和咬合功能没有显著差异,P>0.05。治疗后,观察组患者的咀嚼接触面积(192.47±8.15)、咬合功能(7.35±0.86),对照组的咀嚼接触面积(179.26±7.52)、咬合功能(6.18±0.62);观察组并发症发生率(2/40)明显低于对照组的(8/40);观察组患者的种植体留存率为100%,对照组为87.5%;初始状态下,两组病患的牙槽骨宽度并无显著区别。治疗完成后,治疗前,两组患者的牙槽骨宽度没有显著差异,治疗后,观察组牙槽骨宽度为5.70±0.17,明显大于对照组的5.53±0.28;观察组满意度为(40/40)明显高于对照组的(34/40),经过统计检验,结果P<0.05,有力地证明了观察组与对照组之间牙槽骨宽度增加的差异具有统计学意义。结论:对于创伤性牙缺失伴牙槽骨缺损的患者,在采取正畸与种植修复的联合治疗后,能够有效改善患者的咀嚼和咬合功能,减少并发症的发生,促进牙槽骨再生,提高种植体留存率,提升美观效果。In order to better improve the treatment effect of patients with traumatic tooth loss and alveolar bone defect,and to explore the importance of using orthodontic and dental implant restoration techniques for patients.Method:80 patients with traumatic tooth defects and alveolar bone defects treated in our hospital were selected to participate in the experimental study.The treatment period was from January 2021 to December 2023,and they were divided into two groups:direct dental implant restoration treatment and dental implant restoration treatment based on orthodontics.The differences in chewing and biting function,incidence of complications,implant stability,and alveolar bone width between the two groups of patients were compared.Result:Before treatment,there was no significant difference in chewing and biting function between the two groups of patients,P>0.05.After treatment,the chewing contact area and biting function of the observation group were(192.47±8.15)and(7.35±0.86),respectively,while those of the control group were(179.26±7.52)and(6.18±0.62),respectively;The incidence of complications in the observation group(2/40)was significantly lower than that in the control group(8/40);The implant retention rate of the observation group patients was 100%,while that of the control group was 87.5%;In the initial state,there was no significant difference in alveolar bone width between the two groups of patients.After treatment,there was no significant difference in alveolar bone width between the two groups of patients before treatment.After treatment,the observation group had an alveolar bone width of 5.70±0.17,which was significantly greater than the control group's 5.53±0.28;The satisfaction rate of the observation group(40/40)was significantly higher than that of the control group(34/40).After statistical testing,the result was P<0.05,which strongly proves that the difference in alveolar bone width increase between the observation group and the control group is statistically significant.Conclusion:For patie

关 键 词：种植牙修复 口腔正畸 牙槽骨再生 种植体稳定性 

分 类 号：R78[医药卫生—口腔医学]