微创拔牙后延期种植与即刻种植的效果评价

doi:10.19439/j.sjos.2019.06.021

摘要/Abstract

摘要： 目的探讨和比较微创拔牙后延期种植与即刻种植的临床效果。方法选择南京同仁医院2013年4月—2018年4月收治的上、下颌单个前牙及前磨牙需要行微创拔牙后种植牙的患者86例,随机分为对照组（40例）和实验组（46例）。对照组微创拔牙后进行延期种植,实验组微创拔牙后进行即刻种植。比较2组患者的种植成功率,记录3个月和永久修复当天患者的种植体稳定性、种植体周围探诊深度、美学效果以及种植体边缘骨水平以及术后满意度。采用SPSS 20.0软件包对数据进行统计学分析。结果实验组和对照组种植成功率均为100%,差异无统计学意义（P>0.05）;2组在种植体植入3个月后和永久修复当天的ISQ值差异不显著 (P>0.05);实验组种植体周围探诊深度小于对照组,但差异无显著性（P=0.80）;实验组总满意度显著大于对照组（P=0.044）;2组修复后1年,牙龈乳头指数均在1~3级,软组织外形良好,均达到了良好的牙龈美学效果,2组差异无统计学意义（P=0.66）;对照组PES得分7.65±1.32,实验组为8.25±1.19,2组比较差异显著（P<0.05）;2组的近中侧骨吸收量和远中侧骨吸收量相比无显著差异（P>0.05）。结论微创拔牙后2种植修复方式均能获得良好的临床效果,种植体都具有良好的稳定性,但即刻种植的满意度更高,美学效果更佳,具有良好的临床应用前景。

关键词: 微创拔牙, 延期种植, 种植体周围探诊深度, 即刻种植, ISQ

Abstract: PURPOSE: To explore and compare the clinical effects of delayed implantation and immediate implantation after minimally invasive extraction. METHODS: Eight-six patients from Nanjing Tongren Hospital who underwent minimally invasive extraction of the upper and lower mandibular anterior teeth and premolars from April 2013 to April 2018 were randomly divided into the control group and the experimental group. Forty patients in the control group were treated with delayed implantation after minimally invasive extraction, while 46 in the experimental group underwent immediate implant treatment after minimally invasive extraction. The success rate of the two groups of patients was compared, and the implant stability, the depth of probing around the implant, the aesthetic effect, and the bone level at the edge of the implant and the satisfaction after follow-up were recorded 3 months after implantation and at the day of permanent repair. The data were analyzed using SPSS 20.0 software package. RESULTS: After treatment, the success rate of the control group was 100%, and the success rate of the experimental group was 100%(P>0.05). The ISQ of the 2 groups 3 months after implant placement and at the day of permanent repair had no significant difference(P>0.05); the depth of probing around the implants in the experimental group was smaller than that in the control group, but the difference was not significant(P=0.80); the total satisfaction of the experimental group was greater than that of the control group, and the difference was statistically significant (P=0.044); one year after repair, the gingival nipple index was in grade 1-3, the soft tissue shape was good, all achieved good gingival aesthetic effect, the difference between the two groups was not significant(P=0.66). PES score of the control group was 7.65±1.32, and 8.25±1.19 in the experimental group, the difference was significant (P<0.05). There was no significant difference in the amount of bone absorption both in the mesial and distal sides between the two groups (P>0.05). CONCLUSIONS: After minimally invasive extraction, both immediate and delayed implant placement can achieve good clinical results. Although all the implants have good stability,immediate implantation has higher satisfaction, better aesthetic effect and good clinical application prospects.

Key words: Minimally invasive extraction, Delayed, Probing depth around the implant, Immediate implantation, ISQ

中图分类号:

R782.1

黄宁, 夏斐然, 张月. 微创拔牙后延期种植与即刻种植的效果评价[J]. 上海口腔医学, 2019, 28(6): 657-661.

HUANG Ning, XIA Fei-ran, ZHANG Yue. Clinical observation of delayed implantation and immediate implantation after minimally invasive extraction[J]. Shanghai Journal of Stomatology, 2019, 28(6): 657-661.

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