上海口腔医学

上海口腔医学 ›› 2019, Vol. 28 ›› Issue (4): 422-425.doi: 10.19439/j.sjos.2019.04.017

• 论著 • 上一篇    下一篇

个性化愈合基台对后牙种植修复患者的疗效及对食物嵌塞症状的改善作用

潘文辉1, 汤春波2   

  1. 1.江苏大学附属句容医院 口腔科,江苏 句容 212400;
    2.南京医科大学附属口腔医院 口腔种植科,江苏 南京 210029
  • 收稿日期:2019-01-03 修回日期:2019-03-08 出版日期:2019-08-25 发布日期:2019-09-23
  • 通讯作者: 汤春波,E-mail：cbtang@njmu.edu.cn
  • 作者简介:潘文辉（1989-）,硕士,住院医师,E-mail：panwenhui1989@sina.com

Effect of individualized healing abutment on patients with posterior implant prosthesis and improvement of food impaction symptoms

PAN Wen-hui1, TANG Chun-bo2   

  1. 1. Department of Stomatology, Jurong Hospital Affiliated to Jiangsu University. Jurong 212400;
    2. Department of Dental Implantation, Stomatological Hospital Affiliated to Nanjing Medical University. Nanjing 210029, Jiangsu Province, China
  • Received:2019-01-03 Revised:2019-03-08 Online:2019-08-25 Published:2019-09-23

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摘要： 目的 观察个性化愈合基台对后牙种植修复患者的治疗效果,以及对种植体稳定性、食物嵌塞等的影响。方法 选取2013年6月—2018年6月在江苏省口腔医院接受后牙种植的80例患者为研究对象,根据其愈合基台使用情况分为传统手术组（40例）和实验组（40例）,实验组在传统种植牙的基础上采用个性化愈合基台。比较2组患者种植修复完成后种植牙的稳定性、食物嵌塞评分、咀嚼效能和并发症发生率的差异。采用SPSS 13.0软件包对数据进行统计学分析。结果 术后1、3和6个月,实验组患者种植牙稳定性均显著高于对照组（P<0.01）;术后1、3和6个月,实验组患者食物嵌塞评分均显著低于传统手术组（P<0.01）;治疗前2组患者的咀嚼效能无差别,治疗后实验组患者的咬合力和咀嚼效率均显著高于传统手术组（P<0.05）;实验组患者牙松动、牙周炎等并发症发生率显著低于传统手术组（P<0.05）。结论 个性化愈合基台对后牙种植修复患者的治疗效果较好,可明显改善食物嵌塞和并发症发生率,具有良好的应用价值。

关键词: 基台, 种植牙, 嵌塞, 稳定性

Abstract: PURPOSE: To observe the effect of individualized healing abutment on patients with posterior dental implant prosthesis and its influence on implant stability and food impaction. METHODS: Eighty patients who received posterior dental implants in Jiangsu Stomatological Hospital from June 2013 to June 2018 were selected as the study subjects. According to the different healing abutment, they were divided into traditional operation group (40 cases) and experimental group (40 cases). Patients in the experimental group used personalized healing abutment on the basis of traditional dental implants. Differences in dental implant stability, food impaction score, masticatory efficiency and incidence of complications between the two groups after implant restoration were compared. SPSS 13.0 software package was used to analyze the data. RESULTS: At 1, 3 and 6 months after operation, the stability of implants in the experimental group was significantly higher than that in the control group (P<0.01); One, 3 and 6 months after operation, the food impaction score in the experimental group was significantly lower than that in the traditional operation group(P<0.01); There was no significant difference in masticatory ability between the two groups before operation; After treatment, the occlusive force and masticatory efficiency in the experimental group were significantly higher than those in the traditional operation group (P<0.05). The incidence of complications such as tooth loosening and periodontitis in the experimental group was significantly lower than in the traditional operation group (P<0.05). CONCLUSIONS: Individualized healing abutment has a good therapeutic effect on patients with posterior implant prosthesis, and can significantly improve the incidence of food impaction and complications with a good application value.

Key words: Abutment, Dental implant, Impaction, Stability

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