上颌中切牙微创拔牙即刻种植联合牙龈诱导的美学效果

发布时间：2018-06-08 11:47

本文选题：即刻拔牙 + 即刻种植　；参考：《口腔医学研究》2017年12期

【摘要】：目的:观察并探讨上颌中切牙微创拔牙即刻种植联合牙龈诱导的美学效果。方法:选择2014年5月~2016年12月就诊的上颌中切牙因疾患无法保留的患者共16例,共18颗上颌中切牙,均采取微创拔除后即刻植入,2.5~3个月行种植体支持临时义齿牙龈诱导成形术,6个月进行永久冠修复。采用牙槽骨吸收水平、红色美学评分、患者满意率来对种植美学效果进行评价。结果:18枚种植体均获得良好的骨结合,修复后6个月种植体唇侧骨板厚度(2.13±0.78)mm,近中侧骨吸收量为(0.21±0.54)mm,远中侧骨吸收量为(0.24±0.41)mm;PES为(7.78±1.11),与拔牙前无显著性差异。患者美观满意度平均为97.5%。结论:上颌中切牙微创拔牙后即刻种植联合牙龈诱导的修复美学效果良好,微创拔牙、种植体唇侧骨板的厚度、近远中骨量保存和永久修复前牙龈诱导是成功的关键。
[Abstract]:Objective: to observe and explore the aesthetic effect of immediate implant and gingival induction in maxillary central incisor. Methods: from May 2014 to December 2016, 16 patients (18 maxillary incisors) with maxillary central incisor were selected. All patients were treated with gingival induction with implant-supported denture for 2.5 ~ 3 months immediately after minimally invasive extraction and permanent crown restoration at 6 months. Alveolar bone resorption level, red aesthetic score and patient satisfaction rate were used to evaluate the aesthetic effect of implant. Results all of the 18 implants had good osseous union. The thickness of the labial plate was 2.13 卤0.78 mm, the proximal bone resorption was 0.21 卤0.54 mm, the distal bone resorption was 0.24 卤0.41 mm and the PES was 7.78 卤1.11, which was not significantly different from that before tooth extraction. The average aesthetic satisfaction of patients was 97.5. Conclusion: the aesthetic effect of immediate implants and gingival induction after minimally invasive extraction of maxillary central incisor is good. The key to success is the minimally invasive extraction, the thickness of the labial bone plate, the preservation of proximal distal bone mass and the permanent restoration of the gingival.
【作者单位】：江苏昆山城北牙博士口腔门诊部;南京医科大学附属口腔医院;南京大学医学院附属口腔医院南京市口腔医院口腔种植科;
【分类号】：R783.6

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