摘要
目的研究即刻种植修复与延期种植修复对患者植体周围软组织的影响。方法选取2017年1～6月我院收治的120例上颌单前牙需种植修复患者作为研究对象,根据不同治疗方案将其分成对照组和观察组,每组各60例。对照组采用延期种植修复方案,观察组采用即刻种植修复方案,采用红色美学指数(PES)和白色美学指数(WES)评价术后当天和术后1年患者软组织及种植牙美学效果,对比术后1年牙槽骨垂直吸收量,采用视觉模拟评分法(VAS)评价术后1年患者对义齿种植的主观满意度。结果观察组术后当天和术后1年的PES评分和WES评分高于对照组,差异有统计学意义(P<0.05);观察组术后1年的牙槽嵴骨吸收高度低于对照组,差异有统计学意义(P<0.05);观察组患者术后1年的咀嚼功能、色泽、附着高度、整体美观度评分高于对照组,差异有统计学意义(P<0.05)。结论与延期种植修复方案相比较,采用即刻种植修复方案能够有效降低牙槽骨吸收,提高软组织及种植牙美观度,诱导种植体周围软组织成形,提升患者对软组织整体美观、附着度、义齿咀嚼功能的满意度。
Objective To study the effects of immediate implant restoration and delayed implant restoration on the soft tissue around the implant.Methods A total of 120 patients with maxillary single anterior teeth treated in our hospital from January to June 2017 were selected as the subjects.The patients were divided into the control group and the observation group according to different treatment plans,with 60 cases in each group.The control group was treated with delayed implant restoration.In the protocol,the observation group used the immediate implant restoration program.The red aesthetic index(PES)and white aesthetic index(WES)were used to evaluate the soft tissue and dental implant aesthetics on the day after surgery and 1 year after surgery.The alveolar bone vertical was compared 1 year after surgery.Absorbance,visual analogue scale(VAS)was used to evaluate the subjective satisfaction of denture implants in patients 1 year after surgery.Results The PES and WES scores of the observation group were higher than those of the control group on the day after operation and 1 year after operation,and the differences were statistically significant(P<0.05).The alveolar tibia absorption height of the observation group was lower than that of the control group at 1 year after operation,and the difference was statistically significant(P<0.05).The postoperative chewing function,color,adhesion height and overall aesthetic score of the observation group were higher than those of the control group,and the difference was statistically significant(P<0.05).Conclusion Compared with the delayed implant restoration program,the immediate implant restoration program can effectively reduce alveolar bone resorption,improve the soft tissue and dental implant aesthetics,induce soft tissue formation around the implant,and improve the satisfaction of overall aesthetics,adhesion,and denture of the soft tissue function.
作者
邱骏
QIU Jun(Department of Stomatology,Fuzhou First People′s Hospital,Jiangxi Province,Fuzhou 344000,China)
出处
《中国当代医药》
2019年第11期119-121,共3页
China Modern Medicine
基金
江西省抚州市社会发展指导性科技计划项目(抚科计字[2018]5号序列号21)
关键词
即刻种植
延期种植
软组织
美学效果
Immediate planting
Delayed planting
Soft tissue
Aesthetic effect
