首页|3D打印数字化种植导板辅助种植修复在牙列缺损患者中的应用效果

3D打印数字化种植导板辅助种植修复在牙列缺损患者中的应用效果

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目的 探讨 3D打印数字化种植导板辅助种植修复对牙列缺损患者种植牙质量、种植精确度、咬合情况及预后情况的影响。方法 回顾性分析医院 2018 年 1 月至 2021 年 12 月收治的 70 例牙列缺损患者的临床资料,按种植修复方式将其分为对照组与观察组,每组 35 例。对照组采用常规种植修复方案,观察组采用3D打印数字化种植导板辅助种植修复方案。比较两组的种植牙质量、种植精确度、咀嚼效率、咬合、探诊深度(PD)、菌斑指数(PLI)评分、口腔健康影响程度量表(OHIP-14)评分。结果 观察组的种植成功率高于对照组(P<0。05)。观察组的顶端、根端的垂直向与水平向误差均小于对照组(P<0。05)。治疗前、后,两组的咀嚼效率与咬合力比较,差异无统计学意义(P>0。05)。观察组的PD小于对照组,PLI评分低于对照组(P<0。05);治疗后,观察组的OHIP-14评分低于对照组(P<0。05)。结论 3D打印数字化种植导板辅助种植修复治疗牙列缺损效果显著,可改善种植精确度、种植成功率及牙周预后,且不会对术后咬合能力的恢复产生不利影响。
Application effect of 3D printed digital implant guide assisted implant restoration in patients with dentition defect
Objective To investigate the effects of 3D printed digital implant guide assisted implant restoration on dental implant quality,implant accuracy,occlusion and prognosis in patients with dentition defect.Methods The clinical data of 70 patients with dentition defect admitted in the hospital from January 2018 to December 2021 were retrospectively analyzed.According to the method of implant restoration,the patients were divided into control group and observation group,with 35 cases in each group.The control group was treated with conventional implant restoration scheme,and the observation group was treated with 3D printed digital implant guide assisted implant restoration scheme.The dental implant quality,implant accuracy,masticatory efficiency,occlusal ability,probing depth(PD),plaque index(PLI)score,and Oral Health Impact Profile-14(OHIP-14)score were compared between the two groups.Results The success rate of implantation in the observation group was higher than that in the control group(P<0.05).The vertical and horizontal errors of the top and root ends of the observation group were smaller than those of the control group(P<0.05).Before and after treatment,there were no significant differences in masticatory efficiency and occlusal force between the two groups(P>0.05).The PD of the observation group was lower than that of the control group,and the PLI score was lower than that of the control group(P<0.05);after treatment,the OHIP-14 score of the observation group was lower than that of the control group(P<0.05).Conclusion The 3D printed digital implant guide assisted implant restoration in the treatment of dentition defect has significant effect,which can improve the implant accuracy,success rate of implantation and periodontal prognosis,and will not adversely affect the recovery of postoperative occlusal ability.

digital implant guide3D printing technologydentition defect

陈静海、赵向阳、陈赵宇轩

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陕西省西安市阎良区人民医院口腔科,陕西 西安,710089

新疆医科大学,新疆 乌鲁木齐,830011

数字化种植导板 3D打印技术 牙列缺损

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(27)