上海口腔医学

上海口腔医学 ›› 2022, Vol. 31 ›› Issue (1): 75-78.doi: 10.19439/j.sjos.2022.01.016

• 论著 • 上一篇    下一篇

种植体黏膜与种植体乳头水平及周围软组织稳定性的关系探讨

石俊, 关振群, 王训霞   

  1. 青岛大学附属青岛市海慈医院 口腔科, 山东 青岛 266033
  • 收稿日期:2021-03-02 修回日期:2021-05-07 出版日期:2022-02-25 发布日期:2022-03-10
  • 通讯作者: 关振群,E-mail：guanzhenqun@163.com
  • 作者简介:石俊（1966-）,女,副主任医师,E-mail：shijun_1234567@126.com
  • 基金资助:
    山东省医药卫生科技发展计划(2016WS03-05)

Relationship between dental implant mucosa and dental implant papilla levels and peri-implant soft tissue stability

SHI Jun, GUAN Zhen-qun, WANG Xun-xia   

  1. Department of Stomatology, Qingdao Haici Hospital Affiliated to Qingdao University. Qingdao 266033, Shandong Province, China
  • Received:2021-03-02 Revised:2021-05-07 Online:2022-02-25 Published:2022-03-10

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摘要： 目的: 探讨种植体黏膜（dental implant mucosa,DIM）与种植体乳头（dental implant papilla,DIP）水平及周围软组织稳定性的关系。方法: 选择2015年1月—2019年1月于青岛市海慈医院接受口腔种植体修复的患者86例,从治疗起随访至2020年12月,分别于植入物放置即刻（T0）、4周（T1）、2年（T2）和随访结束（T3）时检测边缘骨吸收水平（MBLs）、中颊黏膜水平（MBMLs）、DIP、改良龈沟出血指数（mSBI）、改良出血指数（mBI）植入物稳定性系数（ISQ）水平及之间的相关性。采用SPSS 23.0软件包对数据进行统计学分析。结果: 随访1.0~5.2年,平均（4.79±0.34）年,脱落2例,最终纳入患者84例（95颗种植体）。与T0时相比,T1、T2、T3时mSBI、mPLI、mBI、邻牙接触点的远端骨水平、中骨水平依次显著降低（P<0.05）,DIP高度显著升高;T0、T1、T2、T3时,PD、MBLs、MBMLs水平相比差异无统计学意义（P>0.05）。邻牙接触点的远端骨水平、中骨水平可影响DIP高度（P<0.05）。DIP增加49例,丧失46例;T0时,DIP增加、丧失组的ISQ水平均较高;T1时较T0时DIP增加、丧失组的ISQ水平降低（P<0.05）;T2、T3时,DIP增加组ISQ值显著大于丧失组（P<0.05）。结论: DIM、DIP水平之间存在依赖性,种植体周围软组织的稳定性取决于角化组织高度和DIP高度。

关键词: 种植体黏膜, 种植体乳头, 周围软组织, 稳定性

Abstract: PURPOSE: To investigate the relationship between dental implant mucosa (DIM) and dental implant papilla (DIP) levels and peri-implant soft tissue stability. METHODS: A total of 86 patients with tooth implant in Qingdao Haici Hospital from January 2015 to January 2019 were enrolled, the patients were followed up from initial treatment till December 2020. Various indexes were recorded at the implantation moment(T0), 4 weeks(T1), 2 years(T2) after implantation and end of follow up (T3), including marginal bone loss levels (MBLs), mid-buccal mucosal levels (MBMLs), modified sulcus bleeding index(mSBI), modified bleeding index(mBI) and implant stability quotient (ISQ). Then the correlation of those indexes was analyzed. SPSS 23.0 software package was used to analyze the data. RESULTS: The follow-up period was 1.0-5.2 years, with an average of (4.79±0.34) years; two cases were lost to follow up, and finally 84 cases (95 implants) were included. Compared with indexes at T0, mSBI, mPLI, mBI, the level of distal bone adjacent to the tooth contact point, and the middle bone level adjacent to the tooth contact point at T1, T2, and T3 decreased significantly(P<0.05), and DIP height increased significantly; PD, MBLs and MBMLs at T0, T1, T2, and T3 showed no significant difference(P>0.05). The level of distal bone adjacent to the tooth contact point, and the middle bone level adjacent to the tooth contact point had an impact on DIP(P<0.05). There were 49 cases with papillae gain in height and 46 cases with papilla that lost height. ISQ of gain height group and loss height group was relatively high at T0(P<0.05). Compared with T2, there was a decrease in ISQ in both groups at T1(P<0.05). ISQ of gain height group was significantly higher than that of loss height group at T1 and T2 (P<0.05). CONCLUSIONS: There is a dependent correction between dental implant mucosa and dental implant papilla levels, and the stability of peri-implant soft tissues depends on keratinized tissue height and DIP height.

Key words: Implant mucosa, Dental implant papilla, Peri-implant soft tissue, Stability

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