数字化外科导板引导下不翻瓣非埋入式种植存留率和植体边缘骨吸收5年观察  

A 5-years observation on the implant retention rate and marginal bone resorption of flapless surgery under the guidance of digital surgical template

作　　者：焦银坡 牛光良 JIAO Yin-po;NIU Guang-liang(Department of Stomatology,Beijing Hospital of Integrated Traditional Chinese and Western Medicine,Beijing 100039,China)

机构地区：[1]北京中西医结合医院口腔科,北京100039 [2]北京中西医结合医院,北京100039

出　　处：《口腔颌面修复学杂志》2025年第2期97-100,共4页Chinese Journal of Prosthodontics

摘　　要：目的:观察数字化外科导板引导下不翻瓣种植非埋入式愈合患者术后5年种植体存留率和边缘骨吸收量。方法:收集2015年1月~2017年12月在北京中西医结合医院口腔科行数字化外科导板引导下不翻瓣种植非埋入式愈合的38例患者,其中男性23例(60.5%),女性15例(39.5%),年龄19-77岁,平均(48.71±13.19)岁,共植入93颗种植体。根据Wheeler标准评估种植体5年存留率,使用锥形束CT测量种植体周围边缘骨吸收量并统计分析。结果:种植体5年存留率为97.9%(91/93);单因素方差分析显示种植体唇(颊)侧边缘骨吸收量(1.04±0.97)mm较舌(腭)侧边缘骨吸收量(0.57±0.49)mm多,且差异有统计学意义(P<0.05)。结论:数字化外科导板引导下不翻瓣非埋入式愈合术式的种植体5年存留率与文献报道的传统翻瓣种植埋入式愈合术式一致;种植体唇(颊)侧较舌(腭)侧有更高的5年边缘骨吸收风险。Objective:To observe the implant retention rate with flapless surgery and non-submerged healing under the guidance of digital surgical template after 5 years and statistically analyze the marginal bone resorption at the four sites of implants:proximal,distal,labial(buccal),and lingual(palatal).Methods:38 patients with flapless surgery and non-submerged healing under the guidance of digital surgical template in the Department of Stomatology of Beijing Integrated Traditional and Western Medicine Hospital From January 2015 to December 2017 were collected,including 23 male patients(60.5%)and 15 female patients(39.5%),aged 19-77 years,with an average age of(48.71±13.19)years.A total of 93 implants were implanted.The retention of implants was recorded according to the Wheeler standard and the marginal bone resorption of implants was measured by CBCT and statistically analyzed.Results:The 5-year retention of implants was 97.9%(91/93).One way ANOVA showed that the risk of marginal bone resorption on the lip(buccal)side of the implant(1.04±0.97)mm was higher than that on the tongue(palatal)side(0.57±0.49)mm,and the difference was statistically significant(P<0.05).Conclusion:Digital surgical template guided flapless surgery and non-submerged healing has a similar effect compared with the traditional operation reported in the literature.The labial(buccal)side has a higher risk of 5-year marginal bone resorption compared to the lingual(palatal)side.

关 键 词：数字化外科导板 不翻瓣种植 边缘骨吸收 种植体存留率 

分 类 号：R783.4[医药卫生—口腔医学]