美学区改良盾构术在上颌前牙区单颗牙种植中的应用效果评价

doi:10.19439/j.sjos.2024.06.015

上海口腔医学 ›› 2024, Vol. 33 ›› Issue (6): 651-655.doi: 10.19439/j.sjos.2024.06.015

美学区改良盾构术在上颌前牙区单颗牙种植中的应用效果评价

胡钟月, 牛薇, 陈代远, 邹晋阳, 谢辉

长沙市口腔医院, 湖南中医药大学口腔医（学）院口腔修复科, 湖南长沙 410000

收稿日期:2024-08-07 修回日期:2024-09-04 出版日期:2024-12-25 发布日期:2025-01-07
通讯作者: 谢辉,E-mail: kqyyxh@126.com
作者简介:胡钟月（1990-）,女,硕士研究生,主治医师,E-mail： tsuki0731@163.com
基金资助:
湖南省自然科学基金（2023JJ6007）

Study on the effects of improved shield technique in the aesthetic zone for single tooth implantation in the maxillary anterior region

HU Zhong-yue, NIU Wei, CHEN Dai-yuan, ZOU Jin-yang, XIE Hui

Department of Prosthodontics, Stomatological Hospital of Changsha City; School of Stomatology(Stomatological hospital), Hunan University of Chinese Medicine. Changsha 410000, Hunan Province, China

Received:2024-08-07 Revised:2024-09-04 Online:2024-12-25 Published:2025-01-07

摘要/Abstract

摘要： 目的: 探讨美学区改良盾构术在上颌前牙区单颗牙种植中的应用效果。方法: 选择2020年1月—2023年1月上颌前牙区单颗牙种植患者84例（84颗牙）,按照随机数字表法分为对照组和试验组,每组42例（42颗牙）。对照组采用传统即刻种植治疗,试验组采用美学区改良盾构术。记录2组患者种植成功率,比较术前和术后6个月患者牙周指标、术后即刻和术后1年红色美学指数（pink esthetic score,PES)、术后1年骨吸收量和植体稳定系数（implant stability quotient,ISQ）。记录不良反应发生率（红肿、出血、疼痛和位点感染）。采用SPSS 26.0软件包对数据进行统计学分析。结果: 2组种植成功率均为100%,试验组术后6个月牙周指标显著低于对照组,术后1年PES、ISQ评分显著高于对照组,骨吸收量显著低于对照组,且不良反应发生率更低,差异有统计学意义（P<0.05）。结论: 美学区改良盾构术可提高患者前牙区美学指数和种植体稳定性,降低骨吸收量。

关键词: 上颌前牙区, 改良盾构术, 即刻种植, 骨吸收量

Abstract: PURPOSE: To explore the effects of improved shield technique in the aesthetic zone for single tooth implantation in the maxillary anterior region. METHODS: Eighty-four patients(84 teeth) who underwent single tooth implantation in the maxillary anterior region from January 2020 to January 2023 were selected,randomly divided into the control group and experimental group using digital table method, each with 42 patients(42 teeth). The success rate of implant in 2 groups was recorded, and periodontal index, pink esthetic score (PES), bone absorption and implant stability quotient (ISQ) preoperatively and 6 months after surgery were compared. The incidence of adverse reactions (redness, bleeding, pain and site infection) was recorded. SPSS 26.0 software package was used for statistical analysis of the data. RESULTS: The success rate of implantation in both groups was 100%. Six postoperative pericrescent indexes of the experimental group were significantly lower than that of the control group, PES and ISQ scores of the experimental group were significantly higher than that of the control group one year after surgery, bone absorption volume was significantly lower than that of the control group and the incidence of adverse reactions was significantly decreased(P<0.05). CONCLUSIONS: The improved shield technique in the aesthetic zone can enhance the esthetic index and implant stability in the anterior region, and reduce bone resorption volume.

Key words: Maxillary anterior region, Improved shield technique, Immediate implantation, Bone resorption volume

中图分类号:

R783.4

胡钟月, 牛薇, 陈代远, 邹晋阳, 谢辉. 美学区改良盾构术在上颌前牙区单颗牙种植中的应用效果评价[J]. 上海口腔医学, 2024, 33(6): 651-655.

HU Zhong-yue, NIU Wei, CHEN Dai-yuan, ZOU Jin-yang, XIE Hui. Study on the effects of improved shield technique in the aesthetic zone for single tooth implantation in the maxillary anterior region[J]. Shanghai Journal of Stomatology, 2024, 33(6): 651-655.

参考文献

[1] Slagter KW, Raghoebar GM, Hentenaar DFM, et al.Immediate placement of single implants with or without immediate provisionalization in the maxillary aesthetic region: a 5-year comparative study[J]. J Clin Periodontol, 2021, 48(2):272-283.
[2] 王培, 苏小营, 后岷红. 上颌前牙区牙槽骨缺损形态与种植修复术后植骨吸收率的相关性及影响移植骨吸收的因素分析[J]. 中国现代医学杂志, 2023, 33(4): 6-10.
[3] Chen Z, Zhang S, Zhou J, et al.Immediate versus delayed implantation for single-tooth restoration of maxillary anterior teeth: a comparative analysis on efficacy[J]. Comput Math Methods Med, 2022, 2022:4490335.
[4] Salem AS, Mowafey B, El-Negoly SA, et al.Socket-shield technique vs conventional immediate implant placement for esthetic rehabilitation: a systematic review and meta-analysis[J]. J Contemp Dent Pract, 2022, 23(2): 237-244.
[5] Shadid RM.Socket shield technique and delayed implant placement in maxilla: a series of five case reports[J]. BMC Oral Health, 2022, 22(1): 110-121.
[6] 宿玉成. 种植成功标准[J]. 中国口腔种植学杂志, 2023, 28(6): 472.
[7] Smojver I, Vuletic M, Illes D, et al.Pink esthetic score around single-tooth implant crowns after socket-shield technique: a prospective cohort study[J]. Int J Periodontics Restorative Dent, 2023(7): s283-s294.
[8] Peeraprasompong W, Aunmeungtong W, Khongkhunthian P.Correlation between implant stability quotient and percussion sound frequency[J]. Clin Exp Dent Res, 2024, 10(4): e917.
[9] Ikbal M,Shen YW, Ruslin M, et al.Evaluation of sagittal root position and labial alveolar bone concavity in the maxillary anterior tooth area for immediate implant placement[J]. J Chin Med Assoc, 2023, 86(6): 565-570.
[10] Kim YT, Lee JH.Profilometric, esthetic, and patient-reported outcomes of the L-shape technique combined with delayed connective tissue grafting in the maxillary anterior region: a 3-year case series study[J]. J Esthet Restor Dent, 2024, 36(7): 967-975.
[11] Siormpas KD, Mitsias ME, Kotsakis GA, et al.The root membrane technique: a retrospective clinical study with up to 10 years of follow-up[J]. Implant Dent, 2018, 27(5): 564-574.
[12] 周亦凝, 顾迎新. “盾构术”应用于美学区种植的研究进展[J].中国口腔颌面外科杂志, 2022, 20(2):198-201.
[13] Di Carlo S, Ciolfi A, Grasso E, et al.A retrospective analysis of treatment outcomes following guided bone regeneration at sites exhibiting severe alveolar ridge atrophy[J]. J Craniofac Surg, 2021, 32(6): e572-e578.
[14] Jiang C, Yao S, Guo Y, et al.Angiopoietin-like protein 2 deficiency promotes periodontal inflammation and alveolar bone loss[J]. J Periodontol, 2022, 93(10): 1525-1539.
[15] An YZ, Ko KA, Kim CS, et al.Do periodontal defects affect periodontal inflammation and destruction? histological/microbiological changes and gene expression profiles of a pilot study in beagle dogs[J]. J Periodontol, 2021, 92(7): 1007-1017.
[16] Tribst JPM, Dal Piva AMO, Borges ALS, et al.Influence of socket-shield technique on the biomechanical response of dental implant: three-dimensional finite element analysis[J]. Comput Methods Biomech Biomed Engin, 2020, 23(6): 224-231.
[17] Abo-El-Saad MM, Melek LNF, Abdel Fattah HS, et al. Autogenous dentin graft versus alloplastic graft combined with socket shield for pre-implant socket preservation: a split-mouth randomized clinical trial[J]. Int J Oral Maxillofac Surg, 2023, 52(10): 1090-1096.
[18] 唐晓枫, 吴庆庆, 陈曦, 等. 改良牙根屏障技术即刻种植即刻修复后口内美学区软组织轮廓动态监测及美学评估[J]. 中华口腔医学杂志, 2024, 59(6): 551-558.
[19] 周麟, 李戎. 改良盾构术在前牙美学区即刻种植中的应用效果及对红色美学指数的影响[J]. 中国美容医学, 2023, 32(3): 120-123.
[20] Huynh-Ba G, Oates TW, Williams MAH.Immediate loading vs. early/conventional loading of immediately placed implants in partially edentulous patients from the patients' perspective: a systematic review[J]. Clin Oral Implants Res, 2018, 29(Suppl 16): 255-269.
[21] 邹晶, 丁丽. 改良盾构术即刻种植对上颌前牙区唇侧骨量、牙周组织及美学效果的影响[J]. 医学临床研究, 2022, 39(9): 1353-1355,1359.
[22] Ye Z, Ye H, Wu Y, et al.Effect of bone mass density and alveolar bone resorption on stress in implant restoration of free-end edentulous posterior mandible: finite element analysis of double-factor sensitivity[J]. Ann Anat, 2024, 253: 152210.
[23] Oliva S, Capogreco M, Murmura G, et al.The socket shield technique and its complications, implant survival rate, and clinical outcomes: a systematic review[J]. J Periodontal Implant Sci, 2023, 53(2): 99-109.

美学区改良盾构术在上颌前牙区单颗牙种植中的应用效果评价

Study on the effects of improved shield technique in the aesthetic zone for single tooth implantation in the maxillary anterior region

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