翻瓣与不翻瓣种植二期手术牙龈美学效果评价
The Clinical Evaluation on Aesthetic Effectiveness of flap and flapless implant stage -two surgery
杨小竺 1王琳 2李晓东 1裴仲秋 1白石1
作者信息
- 1. 重庆医科大学附属口腔医院种植科，重庆 401147
- 2. 重庆医科大学附属口腔医院预防科，重庆 401147
- 折叠
摘要
提目的：评价翻瓣、不翻瓣两种种植二期软组织手术成形方法对种植义齿修复前牙区牙列缺损的临床效果及美学意义。方法：观察46例患者单颗种植义齿周围的牙龈美观状况及软组织健康情况，并对患者满意度进行调查。结果：2组共46颗种植体均获得良好的骨结合；不翻瓣组有87％的患者牙龈乳头指数（Papilla index score ，PIS）达到了Ⅱ至Ⅲ级和改良红色美学指数（Defined pink esthetic score ，DPES）为高度小于2mm以内；患者牙周组织基本健康对种植义齿的美学效果总体满意。结论：在严格掌握适应症前提下，采用软组织扩增的不翻瓣种植二期手术可以获得更理想的修复效果。
Abstract
Objective :The aim of this study was to evaluate the aesthetic effectiveness of flap and flapless implant stage -two surgery .Methods :Thirty -six patients were included in this study , the aesthetic status of peri - implant gingival and the correlated soft tissue health of implant supported dentures were investigated ,the questionnaire of the patients ’ satisfaction on aesthetic effectiveness had also been collected .Results :All 36 implants acquired osseointegration , and the level of marginal bone were stable .Flapless group there were 87% patients had Ⅱ - Ⅲclass in PIS index ,and less than 2mm papillae height between implant supported denture and nature tooth in DPES .All patients had soft tissue health and almost patients were satisfied with the esthetic effectiveness of implant supported dentures .Conclusion :After a careful and strict selection of patients ,the keyhole access expansion technique for flapless implant stage -two surgery can achieve success in the anterior esthetic zone .
关键词
不翻瓣种植二期手术/位点扩增/美学效果/牙乳头Key words
flapless implant stage -two surgery/keyhole access expansion/aesthetic effectiveness/dental papillae引用本文复制引用
出版年
2013
NETL
NSTL
维普
万方数据