14例牙槽突裂种植修复临床效果分析

doi:10.19439/j.sjos.2025.03.018

上海口腔医学 ›› 2025, Vol. 34 ›› Issue (3): 326-331.doi: 10.19439/j.sjos.2025.03.018

14例牙槽突裂种植修复临床效果分析

兰嵘¹, 吴轶群¹, 黄伟¹, 陈振琦², 潘晓岗², 王凤¹

1.上海交通大学医学院附属第九人民医院口腔第二门诊;
2.口腔正畸科,上海交通大学口腔医学院, 国家口腔医学中心,国家口腔疾病临床医学研究中心,上海市口腔医学重点实验室, 上海市口腔医学研究所,上海 200011

收稿日期:2024-01-04 修回日期:2024-03-06 出版日期:2025-06-25 发布日期:2025-06-24
通讯作者: 王凤,E-mail: diana_wangfeng@aliyun.com
作者简介:兰嵘（1998-）,女,在读硕士研究生,E-mail: lanrongcq@163.com
基金资助:
上海交通大学医学院附属第九人民医院研究型医师（2022yxyjxys-wf）; 上海交通大学医学院附属第九人民医院先天性牙缺失生物样本库的建立（YBKB202101）; 上海交通大学医学院附属第九人民医院“交叉”研究基金(JYJC202305)

A retrospective study on clinical outcomes of implant-supported rehabilitations in patients with alveolar cleft

Lan Rong¹, Wu Yiqun¹, Huang Wei¹, Chen Zhenqi², Pan Xiaogang², Wang Feng¹

1. Department of Second Dental Center;
2. Department of Orthodontics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology; Shanghai Research Institute of Stomatology. Shanghai 200011, China

Received:2024-01-04 Revised:2024-03-06 Online:2025-06-25 Published:2025-06-24

摘要/Abstract

摘要： 目的: 对牙槽突裂患者种植修复的临床效果进行回顾性分析。方法: 收集2015年1月至2023年1月在上海交通大学医学院附属第九人民医院进行种植修复的牙槽突裂患者14例。其中,男9例,女5例;年龄18~52岁,平均（26.1±10.6）岁。对患者唇腭裂序列治疗史及种植修复效果进行回顾分析。结果: 1例患者裂隙区植骨反复失败,未植入种植体。其余13例牙槽突裂患者共植入21颗种植体,均获得良好骨结合。其中,10例在裂隙区各植入一颗种植体进行单冠或单端桥修复;3例在非裂隙区域植入11颗种植体进行固定桥修复。7例植入单颗种植体患者在修复完成后随访6~96个月,平均（39.4±29.2）个月。随访期种植体及冠修复的留存率为100%,粉色美学评分（PES）平均为(10.16±0.98）分,白色美学评分（WES）平均为(8.50±1.23）分,牙龈指数（GI）平均为1.14±1.12,探诊深度（PD）平均为（2.69±0.56） mm,边缘骨丧失（MBL）平均为（0.17±0.35） mm,角化龈宽度平均为（5.14±2.10） mm。结论: 经过完善的唇腭裂多学科序列治疗后,牙槽突裂种植修复能获得良好的中期成功率,修复体美学效果和种植体周软硬组织稳定。

关键词: 唇腭裂, 牙槽突裂, 种植修复, 成功率, 种植体周围疾病

Abstract: PURPOSE: To retrospectively evaluate the clinical outcomes of implant-supported prosthesis in alveolar cleft patients. METHODS: A total of 14 patients with alveolar cleft underwent implant restoration in Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine from January 2015 to January 2023 were collected. Among them, 9 were male and 5 were female. The age ranged from 18 to 52 years, with a mean of (26.1±10.6) years. The sequence treatment history of patients with cleft lip and palate and the effect of implant repair were retrospectively analyzed. RESULTS: Bone grafting in the fissured area failed repeatedly in 1 patient and no implant was implanted. A total of 21 implants were implanted in the remaining 13 patients with alveolar cleft, all of which achieved good osseointegration. In 10 cases, one implant was implanted in each fissure area for single crown or single end bridge repair. In 3 cases, 11 implants were implanted in the non-fissure area for fixed bridge repair. Seven patients with single implant were followed up for 6 to 96 months, with an average of (39.4±29.2) months. During their visits, patients underwent various examinations, including pink aesthetic score (PES) averaging 10.16±0.98, white aesthetic score(WES) averaging 8.50±1.23, and probing depth(PD) with a mean of (2.68±0.61) mm. Additionally, gingival index(GI) was recorded with a mean of 1.33±1.10, and marginal bone loss(MBL) was measured with a mean of (0.17±0.35) mm. The width of the mid-labial keratinized mucosa was observed to be (5.14±2.10) mm. CONCLUSIONS: Implant-supported prosthesis in the alveolar cleft area after well-established multidisciplinary sequential treatments have predictable middle-term success rate, satisfactory aesthetic outcomes and stable peri-implant soft and hard tissue conditions.

Key words: Cleft lip-palate, Alveolar cleft, Implant-supported dental prosthesis, Success rate, Peri-implant disease

中图分类号:

R783.4

兰嵘, 吴轶群, 黄伟, 陈振琦, 潘晓岗, 王凤. 14例牙槽突裂种植修复临床效果分析[J]. 上海口腔医学, 2025, 34(3): 326-331.

Lan Rong, Wu Yiqun, Huang Wei, Chen Zhenqi, Pan Xiaogang, Wang Feng. A retrospective study on clinical outcomes of implant-supported rehabilitations in patients with alveolar cleft[J]. Shanghai Journal of Stomatology, 2025, 34(3): 326-331.

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14例牙槽突裂种植修复临床效果分析

A retrospective study on clinical outcomes of implant-supported rehabilitations in patients with alveolar cleft

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