即刻种植术后即刻修复与延期修复在老年牙周病患者上前牙区修复中的效果及并发症比较  

Comparison of the effect and complications of immediate and delayed restoration after immediate implantation in the anterior tooth region of elderly patients with periodontal disease

作　　者：付钰 束明阳 葛殿奎 Fu Yu;Shu Mingyang;Ge Diankui(Department of Stomatology,The Second People′s Hospital of Huaian,Huaian 223000,China)

机构地区：[1]淮安市第二人民医院科口腔科,淮安223000

出　　处：《中国医师杂志》2025年第1期57-61,共5页Journal of Chinese Physician

基　　金：江苏省重点研发计划项目(BE2019638)。

摘　　要：目的对比即刻种植术后即刻修复与延期修复在老年牙周病患者上前牙区修复中的效果及并发症。方法前瞻性选择2019年2月—2021年8月淮安市第二人民医院收治的86例接受上前牙区修复的老年牙周病患者,按入院顺序单双号将其分为观察组(n=43)与对照组(n=43)。两组均接受即刻种植术,观察组术后接受即刻修复,对照组术后接受延期修复。两组种植完成后均随访12个月。对比两组种植体周围软组织、白色美学评分(WES)、红色美学评分(PES)、骨吸收值、种植成功率及并发症。结果修复后1个月,观察组牙周探诊深度(PD)低于对照组(P<0.05),改良龈沟液出血指数(mSBI)高于对照组(P<0.05);修复后3个月,两组PD均较修复后1个月时降低(均P<0.05),且观察组PD低于对照组(P<0.05),而两组mSBI比较差异无统计学意义(P>0.05),观察组mSBI低于修复后1个月时(P<0.05)。修复后6个月,观察组WES评分、PES评分均高于对照组(均P<0.05)。修复后6个月,观察组骨吸收值低于对照组(P<0.05);修复后12个月,两组骨吸收值均较修复后6个月时升高(均P<0.05),两组修复后12个月时骨吸收值比较差异无统计学意义(P>0.05)。种植后12个月,两组种植体成功率比较,差异无统计学意义(P>0.05)。观察组并发症总发生率(6.98%,3/43)低于对照组(27.91%,12/43)(P<0.05)。结论即刻种植术后即刻修复与延期修复在老年牙周病患者上前牙区修复中效果确切,相比于延期修复,即刻修复可降低患者牙槽骨吸收,改善种植体周围软组织健康,美学效果更佳,且可降低并发症发生风险。Objective To compare the effect and complications of immediate and delayed restoration after immediate implantation in the anterior tooth region of elderly patients with periodontal disease.MethodsA total of 86 elderly patients with periodontal disease who underwent anterior dental restoration admitted to the Second People′s Hospital of Huai′an from February 2019 to August 2021 were prospectively selected and divided into observation group(n=43)and control group(n=43)according to the order of admission.Both groups received immediate implantation,the observation group received immediate repair after surgery,the control group received delayed repair after surgery.Both groups were followed up for 12 months after implantation.The soft tissue around the implant,White Aesthetic Score(WES),Pink Esthetic Score(PES),bone resorption value,implant success rate and complications were compared between the two groups.ResultsOne month after repair,periodontal probing depth(PD)in observation group was lower than that in the control group(P<0.05),and modified sulcus bleeding index(mSBI)was higher than that in the control group(P<0.05).At 3 months after repair,PD in both groups was lower than that at 1 month after repair(all P<0.05),and PD in the observation group was lower than that in the control group(P<0.05),while mSBI in the observation group was lower than that at 1 month after repair(P<0.05),and there was no statistical significance between the two groups(P>0.05).Six months after repair,WES scores and PES scores in the observation group were higher than those in the control group(P<0.05).At 6 months after repair,the bone resorption value of the observation group was lower than that of the control group(P<0.05).At 12 months after repair,the bone resorption values of both groups were higher than those of 6 months after repair(all P<0.05),and there was no statistical significance in the bone resorption values of the two groups at 2 months after repair(P>0.05).At 12 months after implantation,there was no significant differe

关 键 词：牙周疾病 牙种植 牙修复 

分 类 号：R65[医药卫生—外科学]