摘要
目的:研究在口腔种植修复中应用根向复位瓣技术重建颊侧角化龈的作用。方法:选择我院口腔科2015年6月～2017年6月收治的100例上颌后牙区单颗牙种植术后颊侧角化龈缺失或过窄的患者作为研究对象,按照颊侧角化龈重建方法的不同分为对照组和观察组,每组50例。其中对照组患者进行传统种植方法治疗,观察组患者则进行根向复位瓣技术重建颊侧角化龈,比较两组患者颊侧角化龈的重建效果。结果:观察组患者治愈的有27例,占比54.00%,其治疗总有效率为94.00%,显著高于对照组的14例、28.00%、74.00%(P<0.05);修复后,观察组患者角化龈宽度为(1.85±0.71) mm、角化龈厚度为(2.91±0.53) mm,显著优于对照组的(1.23±0.33) mm、(1.98±0.46) mm (P<0.05);观察组患者6个月后邻牙的牙龈指数为(0.38±0.23),显著低于对照组的(0.54±0.25)(P<0.05),两组患者在邻牙和术区牙龈指数、邻牙和术区的龈沟探诊出血情况差异不大;观察组患者的邻牙的吻合度、牙冠美观度以及牙齿不完美度均显著优于对照组(P<0.05)。结论:在口腔种植修复中应用根向复位瓣技术重建颊侧角化龈的作用大,疗效好,美观度高,患者恢复快,可在临床上广泛推荐应用。
Objective： To study the effect of root-reposition flap in reconstruction of buccal keratinized gingival. Methods： From June 2015 to June 2017, 100 patients with missing or too narrow buccal keratinized gingival were selected from our department of stomatology. According to the different methods of buccal keratinization gingival reconstruction were divided into control group and observation group with50 cases in each group. Among them, the patients in the control group were treated with traditional implant methods. In the observation group, the buccal keratinized gingiva was reconstructed by root reduction flap technique. The reconstruction effect of buccal keratinized gingival was compared between the two groups. Results： There were 27 cases（54.00%） cured person in the observation group. The total effective rate of treatment was 94.00. Which were significantly higher than the control group 14 cases（P〈0.05）. After repair, the observation group of width of keratinized gingival was（1.85±0.71） mm, and the thickness of keratinized gingival was（2.91±0.53）mm, which was significantly better than the control group（1.23±0.33）mm,（1.98±0.46）mm（P〈0.05）. The gingival index of the implant teeth in the observation group was（0.38 ±0.23） after 6 months. It was significantly lower than that in the control group（0.54±0.25）（P〈0.05）. There was no significant difference in gingival index, gingival bleeding between adjacent teeth and operation area between the two groups. The degree of anastomosis of adjacent teeth, the beauty of crown and the degree of tooth imperfection in the observation group were significantly better than the control group（P〈0.05）. Conclusion： The application of root reduction flap in the reconstruction of buccal keratinized gingival is more effective, good effect, high aesthetic degree and quick recovery,so it can be widely recommended in clinic.
作者
王新全
WANG Xinquan(Department of Stomatology,Rizhao City Traditional Chinese Medicine Hospital,Rizhao 276800,Shangdong Province,China)
出处
《中国口腔种植学杂志》
2018年第3期127-130,共4页
Chinese Journal of Oral Implantology
关键词
口腔种植修复
根向复位瓣技术
颊侧角化龈
重建
dental implant prosthesis
root reposition flap technique
buccal keratosis gingiva
reconstruction
