骨水平种植体与软组织水平种植体应用于后牙区的临床效果比较

发布时间：2018-05-14 19:02

本文选题：种植体 + 软组织水平　；参考：《安徽医科大学》2017年硕士论文

【摘要】：目的评价士卓曼(Straumann)种植系统的软组织水平种植体和骨水平种植体应用于后牙缺失区的临床效果。方法选取2013年1月至2014年12月期间在我院种植中心接受后牙区单颗种植修复的108例患者,均缺牙区骨量充足无需行骨增量手术,其中男性60例,女性48例。分别植入58颗Straumann软组织水平种植体(A组)和50颗骨水平种植体(B组),共108颗种植体,术后3个月行冠修复。随访2年,统计两组种植成功率,术前及术后3月、6月、12月、24月拍摄X线片测量种植体周围骨高度,通过牙周检查得到的探诊深度、改良菌斑和改良龈沟出血指数评估牙周探诊软组织情况及调查患者的满意度。结果术后2年内108颗种植体无一脱落,成功率均为100%。软组织水平种植体周围骨呈递减式吸收,骨水平种植体周围骨缓慢均匀吸收,骨水平种植体骨高度优于软组织水平种植体。术后一年牙周探诊检查,两组牙周软组织健康相当,P0.05,种植体周围无明显炎症,牙周探诊深度A组为2.86±0.56mm,B组为2.78±0.54mm。两组的改良龈沟出血指数为0或1,改良菌斑指数为0、1或2。两组患者满意程度相近,不满意各仅为1~2例。结论在规范的手术操作及恰当的适应症前提下,后牙区种植体植入后效果显著,成功率高,牙周软组织情况良好,骨水平种植体周围的骨吸收较之软组织水平种植体相对平缓且少量。但长期临床效果和成功率有待进一步观察研究。
[Abstract]:Objective to evaluate the clinical effects of the soft tissue horizontal implants and bone implants in the Stroman (Straumann) implant system for the missing posterior teeth. Methods 108 patients who received a single implant in the posterior teeth area from January 2013 to December 2014 were selected and repaired in the posterior teeth area. 60 male and 48 women were implanted in 58 Straumann soft tissue implants (group A) and 50 bone horizontal implants (group B). A total of 108 implants were planted, and the crown was repaired in 3 months after the operation. The success rates of two groups were followed up for 2 years. The bone height around the implant was measured before and after the operation, in June, December, and 24 months, through the periodontal examination. The depth of detection, improved plaque and improved gingival bleeding index were used to evaluate the soft tissue of the periodontal tissue and the satisfaction of the patients. Results 2 years after the operation, 108 implants were not dropped, the success rate was subtractive absorption around the 100%. soft tissue level implants, bone water level around the implant bone slowly and evenly absorbed, bone level species. The height of bone graft was better than that of soft tissue. After one year of periodontal examination, the two groups of periodontal soft tissues were healthy, P0.05, no obvious inflammation around the implant, 2.86 0.56mm in group A, and 0 or 1 in group B with 2.78 + 0.54mm. two groups, and the improved plaque index was 0,1 or 2. two. Conclusion in the precondition of standardized operation and proper indications, the effect of implant in the posterior teeth area is remarkable, the success rate is high, the periodontal soft tissue is good, the bone absorption around the bone level implants is relatively gentle and small compared with the soft tissue level implants, but the long-term clinical effect and success rate are the same as the standard operation and appropriate indications. Further observation and research are needed.

【学位授予单位】：安徽医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R783.6

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