改良盾构术与传统即刻种植术的临床效果对比研究  

Comparison of clinical effects of a modified socket shield technique and the conventional immediate implant placement

作　　者：尹曦 郭琳 陈亮 YIN Xi;GUO Lin;CHEN Liang(Stomatological Hospital of Wuhan Aishang dazhong,Hubei Wuhan 430000,China.)

机构地区：[1]武汉爱尚大众口腔医院,湖北武汉430000

出　　处：《临床口腔医学杂志》2024年第12期745-748,共4页Journal of Clinical Stomatology

摘　　要：目的:对比研究美学区改良盾构术(socket-shield technique,SST)与传统即刻种植术后牙槽嵴体积变化以及软组织的长期稳定性。方法:选取24例行上颌前牙区单颗即刻种植患者,实验组12例,行改良盾构术,对照组12例,行传统即刻种植术。随访3年,对比两组患者的种植成功率、唇侧骨板吸收情况、以及红色美学指数(pink esthetic score,PES)。结果:术后3年,两组患者种植成功率均达100%,实验组PES评分高于对照组,唇侧骨板吸收低于对照组。结论:与传统即刻种植相比,改良根盾技术种植能够保持唇侧骨组织轮廓,从而获得长期稳定的软组织美学效果。Objective:To compare the long-term stability of alveolar ridge volume and soft tissue of a modified socket-shield technique(SST)and the conventional immediate implant placement in the esthetic zone.Methods:Twenty-four patients with immediate implants in the maxillary anterior region were selected,12 patients in the experimental group who underwent a modified socket shield technique,whereas the others in the control group who underwent a conventional procedures.Radiographic and clinical data were obtained preoperatively,immediately after surgery,and 3 years after surgery.The success rate of the implants,the pink esthetic score(PES)were analyzed.Results:Three years after operation,the success rate of the implants was 100%in both groups.The PES of the experimental group were significantly higher than those of the control group(P<0.05).The buccal bone plate resorbed less in the experimental group than in the control group(P<0.05).Conclusion:The modified SST is advantageous over the conventional immediate implant placement in terms of buccal bone,resulting in a long-term stability soft tissue aesthetic result.

关 键 词：改良盾构术 即刻种植 唇侧骨板 美学区 

分 类 号：R782.1[医药卫生—口腔医学]