骨水平种植联合正畸治疗牙列缺损的效果评价

doi:10.19439/j.sjos.2025.06.011

摘要/Abstract

摘要： 目的:评估骨水平种植修复联合正畸对牙列缺损患者牙周健康和种植体稳定性的影响。方法:选择2020年1月—2023年1月收治的牙列缺损患者92例（92颗牙）,利用随机数字表法分为两组,对照组和试验组各46例。两组患者均采用骨水平种植修复,试验组先进行正畸治疗。比较两组术后6个月种植成功率,种植前和种植后6个月的牙周状况[龈沟出血指数（sulcus bleeding index,SBI）、探诊深度（probing depth,PD）、菌斑指数（plaque index,PLI）]和咀嚼功能。记录骨吸收情况、种植体稳定系数和并发症发生情况（咬合抬高、无咬合接触、食物嵌塞和咬合疼痛）。结果:试验组种植成功率显著高于对照组,种植后6个月的SBI、PD、PLI显著低于对照组,最大力咬合时的颞肌表面肌电活动、双侧咬肌肌电活动及种植体稳定系数显著高于对照组（P<0.05）。两组骨吸收量无统计学差异（P>0.05）,试验组并发症发生率显著低于对照组（P<0.05）。结论:骨水平种植联合正畸治疗有助于改善牙列缺损患者牙周健康,提高种植体稳定性。

关键词: 骨水平种植体修复, 正畸, 牙列缺损, 种植体稳定性

Abstract: PURPOSE: To evaluate the effects of bone-level implantation combined with orthodontics on periodontal health and implant stability in patients with dentition defect. METHODS: A total of 92 patients(92 teeth) with dentition defect admitted to the hospital from January 2020 to January 2023 were selected and divided into 2 groups by random number table method, with 46 cases in each group. All patients in the two groups were treated with bone-level implantation, and the experimental group was treated combined with orthodontics before implantation. The implant success rate 6 months post-surgery, along with the periodontal status before and 6 months after implantation [sulcus bleeding index (SBI), probing depth(PD), plaque index (PLI)], chewing function, bone resorption, implant stability quotient and incidence of complications (occlusal elevation, non-occlusal contact, food impaction and occlusal pain) were compared. RESULTS: The implantation success rate of the experimental group was significantly higher than that of the control group, SBI, PD and PLI after 6 months of implantation were significantly lower than those of the control group, and the surface myoelectric activity of temporal muscle, bilateral masseter muscle and implant stability coefficient at maximum occlusion were significantly higher than those of the control group(P<0.05). There was no significant difference in bone absorption between the two groups(P>0.05), and the complication rate of the experimental group was significantly lower than that of the control group(P<0.05). CONCLUSIONS: Bone-level implantation combined with orthodontics helps improve periodontal health and enhances implant stability in patients with dentition defect.

Key words: Bone-level implantation, Orthodontics, Dentition defect, Implant stability

中图分类号:

R783.4

何小凤, 金丹, 谢春云. 骨水平种植联合正畸治疗牙列缺损的效果评价[J]. 上海口腔医学, 2025, 34(6): 622-625.

He Xiaofeng, Jin Dan, Xie Chunyun. Evaluation of the efficacy of bone-level implantation combined with orthodontics in patients with dentition defect[J]. Shanghai Journal of Stomatology, 2025, 34(6): 622-625.

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