Application analysis of minimally invasive tooth extraction combined with gingivoplasty in aesthetic restoration of dentures
Objective To explore the clinical effect of minimally invasive tooth extraction combined with gingivoplasty in the aesthetic restoration of dentures.Methods 90 patients who underwent aesthetic restoration of dentures were divided into a control group and an observation group based on"random number table",with 45 cases in each group.The control group underwent routine tooth extraction,and the observation group underwent minimally invasive tooth extraction combined with gingivoplasty.Comparison was made on alveolar process morphology,inflammatory factors[tumor necrosis factor-α(TNF)-α),C-reactive protein(CRP)],aesthetic effects[pink esthstic score(PES)],implant stability[implant stability quotient(ISQ)],periodontal indicators(probing depth,plaque index,sulcus bleeding index),and incidence of complications between the two groups.Results The alveolar process morphology in the observation group after restoration were significantly better than those in the control group(P<0.05).After 1,3 and 6 months of repair,PES scores were(9.28±1.85),(10.32±2.17),(11.15±1.36)points,ISQ scores were(65.17±6.28),(69.18±7.25),(71.25±8.25)points,which were higher than(8.21±0.51),(9.31±1.26),(10.38±1.21)and(59.67±5.84),(62.47±6.33),(62.44±6.78)points in the control group(P<0.05).After 7 d of repair,CRP and TNF-α levels in both groups showed varying degrees of decrease compared to those before repair;and CRP of(1.43±0.36)mg/L and TNF-α of(4.36±1.02)in the observation group were lower than(5.04±0.87)mg/L and(6.05±1.33)in the control group(P<0.05).After 3 months of repair,the probing depth,plaque index and sulcus bleeding index in the observation group were(2.41±0.87)mm,(1.10±0.24)and(1.84±0.63)points,while those in the control group were(3.78±1.12)mm,(1.46±0.42)and(2.51±0.86)points.After 3 months of repair,the probing depth,plaque index and sulcus bleeding index in the observation group were lower than those in the control group(P<0.05).The incidence of complications in the observation group was 6.67%,which was lower than 28.89%in the control group(χ2=7.601,P=0.006<0.05).Conclusion Compared to conventional tooth extraction,the implementation of minimally invasive tooth extraction combined with gingivoplasty in the aesthetic restoration of dentures can better protect the soft tissue in the restoration area,improve the quality of implant restoration,achieve good aesthetic effect and stability,reduce the level of inflammatory factors,and reduce the occurrence of complications.
Minimally invasive tooth extractionGingivoplastyAesthetic restoration of denturesInflammatory factorsAesthetic effect
万方数据
维普
