短种植体在骨量不足后牙区应用的临床效果评价

doi:10.19439/j.sjos.2018.04.013

上海口腔医学 ›› 2018, Vol. 27 ›› Issue (4): 401-406.doi: 10.19439/j.sjos.2018.04.013

短种植体在骨量不足后牙区应用的临床效果评价

张佳¹, 姜焕焕¹, 尚将², 许胜¹, 柳忠豪¹

1.滨州医学院附属烟台市口腔医院种植中心,2.口腔颌面外科,山东烟台 264000

收稿日期:2017-09-05 修回日期:2017-11-01 出版日期:2018-08-25 发布日期:2018-10-09
通讯作者: 柳忠豪,E-mail: dentlzh@163.com
作者简介:张佳（1990-）,女,硕士,E-mail: 616178719@qq.com
基金资助:
项目基金: 山东省自然科学基金（ZR2015PH007）; 山东省医药卫生发展计划(2016WS0694); 山东省高等学校科技计划项目（J13LL54）

Clinical evaluation of short implants in atrophic posterior region

ZHANG Jia¹, JIANG Huan-huan¹, SHANG Jiang², XU Sheng¹, LIU Zhong-hao¹

1.Center of Implant Dentistry, 2.Department of Oral and Maxillofacial Surgery, Yantai Stomatological Hospital Affiliated to Binzhou Medical University. Yantai 264000, Shandong Province, China

Received:2017-09-05 Revised:2017-11-01 Online:2018-08-25 Published:2018-10-09

摘要/Abstract

摘要： 目的: 观察短种植体在骨高度不足后牙区种植修复的临床效果。方法: 自2012年1月—12月,选取剩余牙槽骨高度为3~10 mm的后牙缺失病例,共计30例患者植入38颗Bicon短种植体（≤8 mm）。随访4年,检测指标包括X线、临床检查（改良菌斑指数、改良出血指数、探诊深度）以及采用牙列缺损患者种植义齿修复疾病专表（OHIP-I）调查患者的满意度。应用SPSS17.0软件包对数据进行统计学分析。结果: 短种植体存留率、成功率分别为100%、94.7%,总体边缘骨吸收为（0.25±0.65）mm,近中、远中边缘骨水平变化分别为（-0.23±0.74）mm、（-0.27±0.59) mm。冠根比C/I=1.77±0.34,按C/I≤1、1<C/I≤2和C/I>2进行分组,各组边缘骨变化无显著差异,且C/I与骨吸收之间无关联。临床检查平均改良菌斑指数为1.08±0.88,出血指数为1.11±0.83,探诊深度为（3.08±1.19）mm。OHIP-I得分为2.66±0.88分,与手术前相比具有显著差异（P<0.01）。结论: 在骨高度不足的后牙区应用短种植体是可行的,其成功率较高且种植体周围软组织健康状况良好。短种植体能够避免复杂手术,减少创伤,缩短治疗时间,患者易于接受且满意度较高。定期复诊及预防性维护对种植义齿的长期稳定十分重要。

关键词: 短种植体, 骨量不足, 后牙区

Abstract: PURPOSE: To evaluate the clinical effect of short implants in atrophic posterior region. METHODS: A total of 38 Bicon short implants (≤8 mm) were placed in 30 patients with 3-10 mm of bone height in the posterior region from January to December 2012. The follow-up period was 4 years, radiographic, clinical examination(improved plaque index, improved bleeding index, probing depth)were conducted and patient satisfactions were investigated with Oral Health Impact Profile (OHIP-I). Statistical analysis was performed using SPSS17.0 software package. RESULES: Implant survival rate of short implants was 100% and implant success rate was 94.7%. The mean peri-implant bone resorption value was (0.25±0.65) mm,the change of mesial and distal marginal bone was (-0.23±0.74) mm and (-0.27±0.59) mm, respectively. Crown to implant ratio (C/I)= 1.77±0.34, the implants were divided into 3 groups according to C/I≤1,1<C/I≤2 and C/I>2,there was no significant difference in marginal bone changes and no correlation between C/I and bone resorption. Through clinical examination,improved plaque index was 1.08±0.88,improved bleeding index was 1.11±0.83 and the average probing depth was (3.08±1.19) mm. OHIP-I score was 2.66±0.88, there was significant difference compared with preoperative OHIP-I score. CONCLUSIONS: Short implants are feasible and the success rate is high in the posterior region with insufficient bone height. The soft tissue around the short implants is in good health.While avoiding complex surgical procedures, reducing trauma, shortening the duration of treatment,short implants have a high degree of acceptance and the patient satisfactions are excellent.At the same time, regular preventive maintenance is important to maintain the long-term stability of implant dentures.

Key words: Short implant, Bone mass insufficient, Posterior area

中图分类号:

R782.1

张佳, 姜焕焕, 尚将, 许胜, 柳忠豪. 短种植体在骨量不足后牙区应用的临床效果评价[J]. 上海口腔医学, 2018, 27(4): 401-406.

ZHANG Jia, JIANG Huan-huan, SHANG Jiang, XU Sheng, LIU Zhong-hao. Clinical evaluation of short implants in atrophic posterior region[J]. Shanghai Journal of Stomatology, 2018, 27(4): 401-406.

参考文献

[1] Fugazzotto PA.Shorter implants in clinical practice: rationale and treatment results[J]. Int J Oral Maxillofac Implants, 2008, 23(3): 487-496.
[2] Calvo-Guirado JL, López Torres JA, Dard M, et al.Evaluation of extrashort 4-mm implants in mandibular edentulous patients with reduced bone height in comparison with standard implants: a 12-month results[J]. Clin Oral Implants Res, 2016, 5(7): 867-874.
[3] Rossi F, Ricci E, Marchetti C, et al.Early loading of single crowns supported by 6-mm-long implants with a moderately rough surface: a prospective 2-year follow-up cohort study[J]. Clin Oral Implants Res, 2010, 21(9): 937-943.
[4] Srinivasan M, Vazquez L, Rieder P, et al.Survival rates of short (6 mm) micro-rough surface implants: a review of literature and meta-analysis[J]. Clin Oral Implants Res, 2014, 25(5): 539-545.
[5] Aksu AE, Dursun E, Calis M, et al.Intraoral use of extraoral implants for oral rehabilitation of a pediatric patient after resection of ewing sarcoma of the mandible and reconstruction with iliac osteocutaneous free flap[J]. J Craniofac Surg, 2014, 25(3): 930-933.
[6] Sohn DS, Kim WS, Lee WH, et al.A retrospective study of sintered porous-surfaced dental implants in restoring the edentulous posterior mandible: up to 9 years of functioning[J]. Implant Dent, 2010, 19(5): 409-418.
[7] das Neves FD, Fones D, Bernardes SR, et al. Short implants--an analysis of longitudinal studies[J]. Int J Oral Maxillofac Implants, 2006, 96(4): 86-93.
[8] Corrente G, Abundo R, des Ambrois AB, et al. Short porous implants in the posterior maxilla: a 3-year report of a prospective study[J]. Int J Periodontics Restorative Dent, 2009, 29(1): 23-29.
[9] Kim YK, Yun PY, Yi YJ, et al.One-year prospective study of 7 mm long implants in mandible: installation technique and crown/implant ratio of 1.5 or less[J]. J Oral Implantol, 2013, 41(2): e30-35.
[10] Hentschel A, Herrmann J, Glauche I, et al.Survival and patient satisfaction of short implants during the first 2 years of function: a retrospective cohort study with 694 implants in 416 patients[J]. Clin Oral Implants Res, 2015, 27(5): 591-596.
[11] Felice P, Pistilli R, Barausse C, et al.Short implants as an alternative to crestal sinus lift: A 1-year multicentre randomised controlled trial[J]. Eur J Oral Implantol, 2015, 8(4): 375-384.
[12] Malmstrom H, Gupta B, Ghanem A, et al.Success rate of short dental implants supporting single crowns and fixed bridges[J]. Clin Oral Implants Res, 2016, 27(9): 1093-1098.
[13] Felice P, Cannizzaro G, Barausse C, et al.Short implants versus longer implants in vertically augmented posterior mandibles: A randomised controlled trial with 5-year after loading follow-up[J]. Eur J Oral Implantol, 2014, 7(4): 359-369.
[14] Schincaglia GP, Thoma DS, Haas R, et al.Randomized controlled multicenter study comparing short dental implants (6 mm) versus longer dental implants (11-15 mm) in combination with sinus floor elevation procedures. Part 2: clinical and radiographic outcomes at 1 year of loading[J]. J Clin Periodontol, 2015, 42(11): 1042-1051.
[15] Cannizzaro G, Felice P, Leone M, et al.Immediate versus early loading of 6.5 mm-long flapless-placed single implants: a 4-year after loading report of a split-mouth randomised controlled trial[J]. Eur J Oral Implantol, 2012, 5(2): 111-121.
[16] Tawil G, Aboujaoude N, Younan R.Influence of prosthetic parameters on the survival and complication rates of short implants[J]. Int J Oral Maxillofac Implants, 2006, 21(2): 275-278.
[17] Liu JY, Pow EH, Chen ZF, et al.The mandarin Chinese shortened version of Oral Health Impact Profile for partially edentate patients with implant-supported prostheses[J]. J Oral Rehabil, 2012, 39(8): 591-599.

短种植体在骨量不足后牙区应用的临床效果评价

Clinical evaluation of short implants in atrophic posterior region

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