首页|正畸联合骨水平种植体修复在牙列缺损中的应用效果评价

正畸联合骨水平种植体修复在牙列缺损中的应用效果评价

Effects of orthodontic treatment combined with bone level implant in repairing dentition defect

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目的:评价正畸联合骨水平种植体修复在牙列缺损中的应用效果.方法:回顾分析2020年1月—2022年1月因牙列缺损就诊的88例下颌后牙区单牙种植患者的资料,其中,骨水平种植体修复44例(对照组),正畸联合骨水平种植体修复44例(试验组).比较2组种植体植入成功率、种植体牙周健康情况、咀嚼功能、种植体稳定情况、术后并发症及患者满意度.采用SPSS 18.0软件包对数据进行统计学分析.结果:2组植入3个月、6个月的成功率相比,差异无统计学意义(P>0.05),试验组植入12个月的成功率显著高于对照组(P<0.05).试验组植入12个月的龈沟出血指数(gingival sulci bleeding index,SBI)、探诊深度(probing depth,PD)显著低于对照组(P<0.05),2 组植入 12 个月的骨吸收量相比,差异无统计学意义(P>0.05).2组治疗后最大力咬合时咬肌、颞肌肌电活动显著高于治疗前(P<0.05),试验组治疗后最大力咬合时咬肌、颞肌肌电活动显著高于对照组(P<0.05).2组6个月、12个月时的种植体稳定系数显著高于3个月(P<0.05),2组12个月时的种植体稳定系数显著高于6个月(P<0.05),试验组6个月、12个月时的种植体稳定系数显著高于对照组(P<0.05).2组总并发症发生率相比,差异无统计学意义(P>0.05).试验组患者满意度显著高于对照组(P<0.05).结论:正畸联合骨水平种植体修复牙列缺损可提高种植成功率及咀嚼效能,改善种植体牙周健康情况,提升患者满意度.
PURPOSE:To analyze the effect of orthodontic treatment combined with bone level implant in repairing denti-tion defect.METHODS:The data of 88 patients with single dental implant in mandibular posterior region who were treated for dentition defect from January 2020 to January 2022 were retrospectively analyzed,including 44 patients with bone level implant repair(control group)and 44 patients with orthodontic treatment combined bone level implant repair(experimental group).The success rate of implant implantation,periodontal health status,masticatory function,implant stability,postopera-tive complications and implant satisfaction were compared between the two groups.Statistical analysis was performed with SPSS 18.0 software package.RESULTS:There was no significant difference in the success rate of implant implantation at 3 months and 6 months between the two groups(P>0.05).The success rate of implant implantation at 12 months in the experi-mental group was significantly higher than that in the control group(P<0.05).The gingival sulci bleeding index(SBI)and probing depth(PD)of the experimental group were significantly lower than those of the control group at 12 months after im-plantation(P<0.05),and there was no significant different in bone absorption between the two groups at 12 months after im-plantation(P>0.05).The EMG activities of masseter muscle and temporal muscle in the two groups were significantly higher than those before treatment(P<0.05),and those of masseter muscle and temporal muscle in the experimental group were sig-nificantly higher than those in the control group(P<0.05).The implant stability coefficient values of 6 months and 12 months in 2 groups were significantly higher than those of 3 months(P<0.05),the implant stability coefficient values of 12 months in 2 groups were significantly higher than those of 6 months and 12 months in 2 groups(P<0.05),and the implant stability coefficient values of 6 months and 12 months in the experimental group were significantly higher than those in the control group(P<0.05).There was no significant difference in the total complication rate between the two groups(P>0.05).The implant satisfaction of the experimental group was significantly higher than that of the control group(P<0.05).CONCLU-SIONS:Orthodontic treatment combined with bone level implants can improve the success rate of implantation and mastica-tory efficiency,enhance the periodontal health of implants,and increase the patients'satisfaction with implants.

Dentition defectOrthodontic treatmentBone level implantRepair effect

宫汝娟、何磊

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常州市第二人民医院 口腔科,江苏 常州 213004

牙列缺损 正畸治疗 骨水平种植体 修复效果

江苏省自然科学基金面上项目常州市卫生健康人才国内研修资助项目

BK20221229GN2023012

2024

上海口腔医学
上海交通大学医学院附属第九人民医院

上海口腔医学

CSTPCD
影响因子:0.776
ISSN:1006-7248
年,卷(期):2024.33(1)
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