下颌骨缺损腓骨肌皮瓣重建后种植义齿修复的临床效果评价
Clinical evaluation of implant-supported prosthetic rehabilitation after reconstruction with fibular muscle flap for mandibular defect
周卓靓 1袁之然 1杜一飞 2曹亚男 1戈善为 1王瑞霞1
作者信息
- 1. 南京医科大学附属口腔医院口腔种植科,江苏省口腔疾病研究重点实验室,江苏省口腔转化医学工程研究中心,江苏 南京 210029
- 2. 南京医科大学附属口腔医院口腔颌面外科,江苏 南京 210029
- 折叠
摘要
目的:评价下颌骨缺损腓骨肌皮瓣重建后种植义齿修复的临床疗效.方法:纳入 15 例因肿瘤行下颌骨缺损腓骨肌皮瓣重建后的患者,评价在种植义齿修复后 2 年种植体的存留率、种植体周探诊深度(PD)、改良龈沟出血指(mSBI)、种植体边缘骨高度(MBL).结果:62 枚种植体在行使功能后 2 年种植体存留率 100%;种植修复 2 年后,与修复前相比,MBL、PD及mSBI未见统计学差异(P＞0.05);PD＞4 mm时,mSBI显著增加(P＜0.05).结论:下颌骨缺损腓骨肌皮瓣重建后种植义齿修复取得了良好的临床疗效,PD≤4 mm的种植体表现出更好的稳定性.
Abstract
Objective:To analyze the clinical effect of implant-supported prosthetic rehabilitation after reconstruction with fibular muscle flap for mandibular defect.Methods:Fifteen patients who underwent mandibular defect reconstruction with fibular muscle flap due to tumor were included.Evaluate the retention rate of implants,marginal bone level of implants,depth of soft tissue exploration,and modified sulcus bleeding index 2 years after implant restoration.Results:A total of 62 implants were included,and the implant re-tention rate was 100%after 2 years of functional use.There was no statistically significant difference in the marginal bone level of the implant,and there was no statistically significant difference in the depth of soft tissue exploration around the implant and the modified sulcus bleeding index(P＞0.05).When the depth of implant probing is greater than 4 mm,the modified sulcus bleeding index signifi-cantly increases(P＜0.05).Conclusions:The reconstruction of mandibular defect with fibular muscle flap and implantation of dentures has achieved good clinical efficacy.Implants with a soft tissue depth of less than 4 mm around the implant exhibit better stability.
关键词
下颌骨缺损/腓骨肌皮瓣/种植体Key words
mandibular defect/fibular muscle flap/implant引用本文复制引用
基金项目
江苏省科教能力提升工程江苏省研究型医院项目(YJX-YYJSDW4)
江苏省医学创新中心项目(CXZX202227)
江苏省自然科学基金(BK20221301)
出版年
2024
NETL
NSTL
万方数据