2种羟基磷灰石复合材料在上颌窦内提升术植骨同期植入种植体中的临床效果

doi:10.19439/j.sjos.2022.03.008

上海口腔医学 ›› 2022, Vol. 31 ›› Issue (3): 265-269.doi: 10.19439/j.sjos.2022.03.008

2种羟基磷灰石复合材料在上颌窦内提升术植骨同期植入种植体中的临床效果

刘芳¹, 李振², 谢小飞¹, 路晓淼¹, 张容秀¹, 徐丽¹, 张凯¹

1.蚌埠医学院第一附属医院口腔科,安徽蚌埠 233004;
2.南京市口腔医院种植科,江苏南京 210018

收稿日期:2021-07-29 修回日期:2021-09-24 出版日期:2022-06-25 发布日期:2022-07-07
通讯作者: 张凯,E-mail：22353979@qq.com
作者简介:刘芳（1983-）,女,硕士,主治医师,E-mail：DentistLiu711F@163.com
基金资助:
安徽省科学技术厅攻关项目（1804h08020290）

Clinical effects of two different hydroxyapatite bone graft materials during maxillary sinus lifting surgery with bone grafting and simultaneous implantation of implants

LIU Fang¹, LI Zhen², XIE Xiao-fei¹, LU Xiao-miao¹, ZHANG Rong-xiu¹, XU Li¹, ZHANG Kai¹

1. Department of Stomatology, First Affiliated Hospital of Bengbu Medical College. Bengbu 233004, Anhui Province;
2. Department of Implantology, Nanjing Stomatological Hospital. Nanjing 210018,Jiangsu Province,China

Received:2021-07-29 Revised:2021-09-24 Online:2022-06-25 Published:2022-07-07

摘要/Abstract

摘要： 目的: 比较2种羟基磷灰石复合材料在上颌窦内提升术植骨同期植入种植体中的临床效果。方法: 收集2018年3月—2019年4月蚌埠医学院第一附属医院收治的上颌后牙区种植、骨量不足患者72例,以随机数字表法分为实验组（36例）和对照组（36例）,对照组放置羟基磷灰石复合材料,实验组放置纳米羟基磷灰石复合材料。比较2组种植体植入的临床效果、骨增量、骨密度等情况,统计2组术后种植体稳定性及并发症发生情况。采用SPSS 18.0软件包进行统计学分析。结果: 实验组24个月的种植体存留率显著高于对照组（P<0.05）,实验组术后6个月的牙槽骨骨吸收量显著低于对照组（P<0.05）,实验组术后6个月、12个月的种植体牙槽骨骨密度显著高于对照组（P<0.05）,实验组术后12个月的种植体稳定系数值显著高于对照组（P<0.05）。2组术后总并发症发生率相比无统计学差异（P>0.05）。结论: 上颌窦内提升术放置纳米羟基磷灰石复合材料同期植入种植体存留率高,可改善术后骨代谢,增强种植体稳定性,且安全性良好。

关键词: 植骨材料, 种植体, 效果

Abstract: PURPOSE: To compare the clinical effects of two different hydroxyapatite bone graft materials in maxillary sinus lifting surgery with bone grafting and implantation at the same time. METHODS: Seventy-two patients with implantation in the maxillary posterior dental area and insufficient bone mass admitted to the First Affiliated Hospital of Bengbu Medical College were collected from March 2018 to April 2019, and they were divided into experimental group(n=36) and control group(n=36) by random number table. Patients in the control group used hydroxyapatite composite material, while patients in the experimental group used nano-hydroxyapatite composite material. The clinical effects, bone increment and bone density changes of the two groups of implants were compared, and postoperative implant stability and complications of the two groups were compared. Statistical analysis was performed with SPSS 18.0 software package. RESULTS: The survival rate of implants in the experimental group was significantly higher than that in the control group at 24 months (P<0.05). Alveolar bone resorption in the experimental group was significantly lower than the control group 6 months after surgery(P<0.05). The bone mineral density of implants in the experimental group was significantly higher than the control group 6 months and 12 months after operation(P<0.05). The implant stability coefficient value of the experimental group was significantly higher than the control group 12 months after operation(P<0.05). There was no significant difference in the total complication rate between the two groups(P>0.05). CONCLUSIONS: In maxillary sinus lift, the survival rate of nano-hydroxyapatite composite material implanted in the same period is high, which can improve postoperative bone metabolism and increase implant stability with good safety.

Key words: Bone graft material, Implant, Effect

中图分类号:

R782.1

刘芳, 李振, 谢小飞, 路晓淼, 张容秀, 徐丽, 张凯. 2种羟基磷灰石复合材料在上颌窦内提升术植骨同期植入种植体中的临床效果[J]. 上海口腔医学, 2022, 31(3): 265-269.

LIU Fang, LI Zhen, XIE Xiao-fei, LU Xiao-miao, ZHANG Rong-xiu, XU Li, ZHANG Kai. Clinical effects of two different hydroxyapatite bone graft materials during maxillary sinus lifting surgery with bone grafting and simultaneous implantation of implants[J]. Shanghai Journal of Stomatology, 2022, 31(3): 265-269.

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2种羟基磷灰石复合材料在上颌窦内提升术植骨同期植入种植体中的临床效果

Clinical effects of two different hydroxyapatite bone graft materials during maxillary sinus lifting surgery with bone grafting and simultaneous implantation of implants

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