[1]汪金华,余 文.拔牙位点保存技术对前牙口腔种植患者牙槽骨骨量及牙槽美学效果的影响[J].医学信息,2024,37(11):127-130.[doi:10.3969/j.issn.1006-1959.2024.11.025]
 WANG Jin-hua,YU Wen.Effect of Tooth Extraction Site Preservation Technology on Alveolar Bone Mass and Alveolar Aesthetic Effect in Patients with Anterior Dental Implantation[J].Journal of Medical Information,2024,37(11):127-130.[doi:10.3969/j.issn.1006-1959.2024.11.025]
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拔牙位点保存技术对前牙口腔种植患者牙槽骨骨量及牙槽美学效果的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年11期
页码:
127-130
栏目:
论著
出版日期:
2024-06-01

文章信息/Info

Title:
Effect of Tooth Extraction Site Preservation Technology on Alveolar Bone Mass and Alveolar Aesthetic Effect in Patients with Anterior Dental Implantation
文章编号:
1006-1959(2024)11-0127-04
作者:
汪金华余 文
(乐平市妇幼保健院口腔科,江西 乐平 333300)
Author(s):
WANG Jin-huaYU Wen
(Department of Stomatology,Leping Maternal and Child Health Hospital,Leping 333300,Jiangxi,China)
关键词:
口腔种植前牙区拔牙位点保存技术牙槽骨骨量附着龈质量牙槽美学效果
Keywords:
Dental implantationAnterior dental areaTooth extraction site preservation technologyAlveolar bone massAttachment gingival massAesthetic effect of alveolar bone
分类号:
R783
DOI:
10.3969/j.issn.1006-1959.2024.11.025
文献标志码:
A
摘要:
目的 分析拔牙位点保存技术对前牙口腔种植患者牙槽骨骨量及牙槽美学效果的影响。方法 选取2021年1月-2023年1月乐平市妇幼保健院行拔牙与前牙口腔种植的68例患者为研究对象,依据随机数字表法分为对照组与观察组,各34例。对照组拔牙后行常规处理,观察组在其基础上进行拔牙位点保存处理,待拔牙窝愈合后,行口腔种植修复治疗,比较两组牙槽骨骨量(牙槽骨高度、牙槽骨宽度、牙槽骨密度)、附着龈质量[附着龈宽度、牙龈乳头指数(PIS)]、种植修复效果[种植成功率、种植体稳定系数(ISQ)]、牙槽美学效果。结果 两组种植前牙槽骨高度、牙槽骨宽度、牙槽骨密度均小于拔牙后,但观察组牙槽骨高度、牙槽骨宽度、牙槽骨密度大于对照组(P<0.05);两组种植前附着龈宽度、PIS均小于拔牙后,但观察组附着龈宽度、PIS大于对照组(P<0.05);观察组种植成功率与ISQ高于对照组(P<0.05);观察组牙槽美学优良率为91.18%,高于对照组的70.59%(P<0.05)。结论 拔牙位点保存技术可减少牙槽骨骨量丢失,保证附着龈质量,有助于种植成功率与种植体稳定性的提高,且牙槽美学效果理想。
Abstract:
Objective To analyze the effect of tooth extraction site preservation technology on alveolar bone mass and alveolar aesthetic effect in patients with anterior dental implantation.Methods From January 2021 to January 2023, 68 patients who underwent tooth extraction and anterior dental implant in Leping Maternal and Child Health Hospital were selected as the research objects. According to the random number table method, they were divided into control group and observation group, with 34 patients in each group. The control group was treated with routine treatment after tooth extraction, and the observation group was treated with tooth extraction site preservation on the basis of the control group. After the extraction socket healed, oral implant repair was performed. The alveolar bone mass (alveolar bone height, alveolar bone width, alveolar bone density), attached gingival quality [attached gingival width, papilla index score(PIS)], implant repair effect [success rate of implantation, implant stability quotient (ISQ)], and alveolar aesthetic effect were compared between the two groups.Results The alveolar bone height, alveolar bone width and alveolar bone density of the two groups before implantation were lower than those after tooth extraction, but the alveolar bone height, alveolar bone width and alveolar bone density of the observation group were higher than those of the control group (P<0.05). The width of attached gingiva and PIS before implantation in the two groups were smaller than those after tooth extraction, but the width of attached gingiva and PIS in the observation group were larger than those in the control group (P<0.05). The success rate of implantation and ISQ score in the observation group were higher than those in the control group (P<0.05). The excellent and good rate of alveolar aesthetics in the observation group was 91.18%, which was higher than 70.59% in the control group (P<0.05).Conclusion The tooth extraction site preservation technology can reduce the loss of alveolar bone mass, ensure the quality of attached gingiva, help to improve the success rate of implantation and implant stability, and the alveolar aesthetic effect is ideal.

参考文献/References:

[1]杜瑞钿,刘森庆,何娟,等.牙根留置技术在前牙区种植修复的临床效果研究[J].口腔医学研究,2022,38(11):1037-1041.[2]Avila-Ortiz G,Chambrone L,Vignoletti F.Effect of alveolar ridge preservation interventions following tooth extraction: A systematic review and meta‐analysis[J].Journal of Clinical Periodontology,2019,46(21):195-223.[3]时荣新,李冉,刘恒林.口腔种植中的拔牙位点保存技术应用价值[J].山西医药杂志,2021,50(10):1645-1648.[4]段子文,马玉,王冰杰,等.拔牙位点保存后与同期引导骨再生术种植红色美学效果临床比较[J].中国实用口腔科杂志,2018,11(5):304-307.[5]熊际文,周巍.拔牙位点保存术对不同类型骨缺损患者骨增量的差异分析[J].上海口腔医学,2020,29(6):623-627.[6]耿双双,王健,杨莉,等.位点保存对牙周病患者牙周状况影响的临床研究[J].口腔医学研究,2020,36(11):1022-1026.[7]刘宇,姜华茂,王海鑫.微创拔牙联合位点保存技术在口腔后牙种植修复中的应用效果[J].山东医药,2020,60(28):84-87.[8]徐玉丽,冉明,杨星民.拔牙后不同移植材料牙槽窝保存术对牙槽骨吸收的影响[J].口腔颌面外科杂志,2020,30(1):23-27.[9]Mazor Z,Horowitz RA,Prasad H,et al.Healing Dynamics Following Alveolar Ridge Preservation with Autologous Tooth Structure[J].Int J Periodontics Restorative Dent,2019,39(5):697-702.[10]林永丰.拔牙后不同类型骨缺损行位点保存术骨量恢复的CBCT比较研究[D].南宁:广西医科大学,2019.[11]李罗玉,关晶,李雅.位点保存对牙槽嵴不同骨量缺损延期种植的影响[J].现代口腔医学杂志,2019,33(6):353-355.[12]蒋瑷,张强,罗纬,等.上颌单颗前牙位点保存后邻面牙槽嵴高度的早期变化[J].华西口腔医学杂志,2019,37(4):394-397.[13]薛妍,梁振耕,陈婷.位点保存和数字化种植导板用于前牙美学缺陷的修复效果[J].中国美容医学,2019,28(4):96-99.[14]Lim HC,Shin HS,Cho IW,et al.Ridge preservation in molar extraction sites with an open-healing approach:A randomized controlled clinical trial[J].J Clin Periodontol,2019,46(11):1144-1154.[15]陈丹,赵峰,高也,等.牙槽骨位点保存术后即刻种植与延期种植的效果对比[J].西南国防医药,2018,28(10):907-909.[16]廖小欢,林伟钦,林伟滨.拔牙位点保存技术预防种植牙修复患者拔牙后骨缺失的效果分析[J].中南医学科学杂志,2022,50(2):235-237,244.[17]陈萍,刘旭.基于Bio-Oss Geistlich的拔牙位点保存技术对前牙种植患者短期美学效果及预后的影响[J].医学临床研究,2021,38(7):1021-1023,1027.[18]李雨轩.拔牙位点保存技术在口腔种植临床中的应用方法及效果[J].湖南中医药大学学报,2016,36(2):957-958.[19]何志伟.拔牙位点保存技术对口腔种植患者美学效果的影响[J].中国口腔种植学杂志,2019,24(2):74-76.[20]Clementini M,Castelluzzo W,Ciaravino V,et al.The effect of immediate implant placement on alveolar ridge preservation compared to spontaneous healing after tooth extraction: Soft tissue findings from a randomized controlled clinical trial[J].Journal of Clinical Periodontology,2020,9(1):47.[21]陆叶平,陈敏洁.改良位点保留法拔除复杂下颌阻生第三磨牙对临床成骨愈合的作用初探[J].上海交通大学学报(医学版),2022,42(6):729-734.[22]谢代华.拔牙位点保存技术在口腔种植临床中的应用效果观察[J].中国药物与临床,2020,20(3):409-410.[23]承峥,孙秋望月,葛昕,等.前牙拔牙位点保存术后牙槽嵴软硬组织变化的临床研究[J].口腔医学,2019,39(1):20-24.

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更新日期/Last Update: 1900-01-01