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改良盾构术与传统即刻种植术的临床效果对比研究

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目的:对比研究美学区改良盾构术(socket-shield technique,SST)与传统即刻种植术后牙槽嵴体积变化以及软组织的长期稳定性.方法:选取 24 例行上颌前牙区单颗即刻种植患者,实验组 12 例,行改良盾构术,对照组12 例,行传统即刻种植术.随访 3 年,对比两组患者的种植成功率、唇侧骨板吸收情况、以及红色美学指数(pink es-thetic score,PES).结果:术后 3 年,两组患者种植成功率均达 100%,实验组PES评分高于对照组,唇侧骨板吸收低于对照组.结论:与传统即刻种植相比,改良根盾技术种植能够保持唇侧骨组织轮廓,从而获得长期稳定的软组织美学效果.
Comparison of clinical effects of a modified socket shield technique and the conventional immediate implant placement
Objective:To compare the long-term stability of alveolar ridge volume and soft tissue of a modified sock-et-shield technique(SST)and the conventional immediate implant placement in the esthetic zone.Methods:Twenty-four pa-tients with immediate implants in the maxillary anterior region were selected,12 patients in the experimental group who un-derwent a modified socket shield technique,whereas the others in the control group who underwent a conventional proce-dures.Radiographic and clinical data were obtained preoperatively,immediately after surgery,and 3 years after surgery.The success rate of the implants,the pink esthetic score(PES)were analyzed.Results:Three years after operation,the success rate of the implants was 100%in both groups.The PES of the experimental group were significantly higher than those of the control group(P<0.05).The buccal bone plate resorbed less in the experimental group than in the control group(P<0.05).Conclusion:The modified SST is advantageous over the conventional immediate implant placement in terms of buccal bone,resulting in a long-term stability soft tissue aesthetic result.

Modified socket shield techniqueImmediate implant placementBuccal bone plateEsthetic outcomes

尹曦、郭琳、陈亮

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武汉爱尚大众口腔医院 湖北 武汉 430000

改良盾构术 即刻种植 唇侧骨板 美学区

2024

临床口腔医学杂志
华中科技大学同济医学院附属同济医院,中华口腔医学会口腔黏膜病专业委员会 中华医学会武汉分会

临床口腔医学杂志

CSTPCD
影响因子:0.783
ISSN:1003-1634
年,卷(期):2024.40(12)