机构地区:[1]安徽医科大学附属安庆第一人民医院口腔科,安徽安庆246003
出 处:《中国中西医结合耳鼻咽喉科杂志》2025年第2期124-127,155,共5页Chinese Journal of Otorhinolaryngology in Integrative Medicine
摘 要:目的探讨美学区即刻种植治疗中采取根盾技术(Socket Shield Technique,SST)的临床疗效。方法选取2021年2月~2024年02月在安徽医科大学附属安庆第一人民医院口腔科就诊的36例接受美学区即刻种植修复治疗的患者为研究对象,依据患者的修复治疗方式不同,其被分为观察组(根盾技术即刻种植)18例,对照组(常规即刻种植)18例,并对患者的临床资料进行回顾性分析。结果本组36例患者均顺利完成手术治疗,术后种植体成功率均达到100%。两组患者术前用红色美学指数(Pink Esthetic Score,PES)评分差异无统计学意义(P>0.05),术后1年观察组降低少于对照组,两者差异存在统计学意义(P<0.05)。两组患者术前龈沟出血指数(Sulcus Bleeding Index,SBI)差异无统计学意义,术后1年观察组降低少于对照组,两者差异存在统计学意义(P<0.05)。观察组种植体稳定系数(Implant Stability Quotient,ISQ)高于对照组,两者差异存在统计学意义(P<0.05),而观察组满意度虽高于对照组,但两者差异不存在统计学意义(P>0.05)。两组患者治疗术后即刻唇侧骨板厚度在1mm-IS、3mm-IS、5mm-IS差异无统计学意义(P>0.05),术后1年观察组降低少于对照组,两者差异存在统计学意义(P<0.05)。结论根盾技术用于美学区即刻种植治疗,能够降低唇侧骨板被吸收,较好的维持软硬组织轮廓,有效提升牙体稳定性及美学效果。Objective To investigate the clinical effect of socket shield technique immediate implant placement treatment in the aesthetic zone.Methods A total of 36 patients who were treated in stomatology department of Anqing First People's Hospital of Anhui Medical University,from February 2021 to February 2024,were selected as the study subjects.According to the different repair treatment methods,they were divided into the observation group(socket shield technique immediate implant placement,18 cases)and the control group(conventional immediate implant placement,18 cases),and the retrospective analysis of the clinical data was completed.Results All 36 patients were completed the operation successfully,and the success rate of postoperative implants reached 100%.There was no statistically significant difference in the preoperative pink esthetic score(PES)scores between the two groups of patients(P>0.05).One year after surgery,the PES scores in the observation group decreased less than those in the control group(P<0.05).There was no statistically significant difference in the preoperative gingival sulcus bleeding index(SBI)between the two groups of patients.SBI in the observation group decreased less than those in the control group in one year after surgery(P<0.05).The implant stability Quotient(ISQ)in the observation group were higher than those in the control group(P<0.05).The satisfaction in the observation group was higher than those in the control group(P>0.05).There was no statistically significant difference of the thickness of labial bone plate at 1mm-IS,3mm-IS,and 5mm-IS in the immediate postoperative period between the two groups of patients(P>0.05).One year after surgery,1mm-IS,3mm-IS,and 5mm-IS in the observation group decreased less than those in the control group(P<0.05).Conclusion The socket shield technique immediate implant placement treatment in the aesthetic zone can reduce the absorption of the labial bone plate,maintain the contour of soft and hard tissues,effectively improve dental stability and aesthe
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