改良粘接固位后牙种植义齿修复对种植体周围组织的影响

发布时间：2018-04-04 14:18

本文选题：粘接固位　切入点：牙种植　出处：《实用口腔医学杂志》2017年04期

【摘要】：目的:考察改良粘接固位后牙种植义齿修复对种植体周围组织的近期影响。方法:纳入后牙缺陷的患者182例,随机分为2组,对照组(n=89)接受传统粘接固位,观察组(n=93)接受改良粘接固位,考察治疗后1年的种植体周围骨吸收量、牙槽骨高度和厚度、粉红美观计分标准(pictorial view of pink esthetic score variables,PES)、改良菌斑指数(modified plaque index,m PLI)、改良出血指数(modified sulcus bleeding index,m SBI)和患者对种植义齿的满意度。结果:与对照组比,观察组的近和远中边缘骨吸收量明显降低(P0.05),牙槽骨高度和厚度明显增高(P0.05),舒适程度、咀嚼功能、语言功能、固位功能、美观功能、PES、m PLI和m SBI均有不同程度的改善(P0.05)。结论:改良粘接固位较传统粘接固位在稳定种植体的骨支持和降低细菌感染方面具有明显的优势。
[Abstract]:Objective: to investigate the effect of modified adhesive retentive implant denture on the surrounding tissue of implant.Methods: 182 patients with posterior tooth defects were randomly divided into two groups: the control group (n = 89) received traditional adhesive retention, the observation group (n = 93) received modified adhesive retention, and the amount of bone resorption, the height and thickness of alveolar bone around the implant were investigated one year after treatment.The standard of pictorial view of pink esthetic score variablesus, modified plaque index, modified sulcus bleeding index and patient's satisfaction with implant denture were included in the standard of pictorial view of pink esthetic score, modified plaque index m Pi, modified sulcus bleeding index m SBI, and the satisfaction of patients with implant denture.Results: compared with the control group, the proximal and distal margin bone resorption in the observation group was significantly decreased, and the alveolar bone height and thickness were significantly increased (P 0.05). The degree of comfort, masticatory function, language function and retention function were significantly increased in the observation group.The aesthetic function of PESm PLI and m SBI were improved to some extent (P0.05).Conclusion: the modified adhesive retainer has obvious advantages in stabilizing implant bone support and reducing bacterial infection.
【作者单位】：河北医科大学附属华北石油管理局总医院;保定市第一中心医院;
【分类号】：R783.6

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