美学区单牙种植修复龈乳头高度相关影响因素的回顾性研究

发布时间：2018-06-18 07:30

  本文选题：美学区 + 种植体　； 参考：《滨州医学院》2014年硕士论文

【摘要】：[目的]分析邻接处最低点到牙槽嵴顶的距离(CPB)和种植体与邻牙之间的水平距离(ITD)两个因素对上颌前牙美学区单个种植修复体龈乳头高度的影响。为临床医生准确地判断治疗效果,科学的设计手术方案、规避风险以及评估龈乳头的再生可能提供参考。[方法]对2009年6月——2012年6月于烟台市口腔医院进行上前牙美学区单牙种植修复并行使功能一年以上的患者进行回顾性研究。共46例患者46枚Ankylos种植体纳入本研究。患者年龄19～66岁,平均41.5岁,其中男性25例,女性21例。患者复诊时记录临床资料、拍摄口内照片以及标准平行投照的X线片,将数字化的X线片导入电子测量软件测量邻接处最低点到牙槽嵴顶的距离(CPB),种植体与邻牙之间的水平距离(ITD)。以统计软件SPSS17.0进行统计分析两因素对龈乳头存在的影响。[结果]对46名患者92个牙龈乳头的研究显示,ITD近远中的平均值分别为3.20±0.95mm,3.13±0.87mm, CPB近远中的平均值分别为5.6±1.7mm,5.6±1.6mm。当邻接处最低点到牙槽嵴顶的距离(CPB) 3-5mm,种植体与邻牙之间的水平距离(ITD) 2.5-4mm时,对于上颌前牙区单个种植体的牙龈乳头的高度有显著的影响(p0.05)。[结论]当邻接处最低点到牙槽嵴顶的距离(CPB) 3-5mm,种植体与邻牙之间的水平距离(ITD) 2.5-4mm时,容易获得较理想的牙龈乳头。可以作为临床医师评估前牙区单个种植修复体的美学效果,制定完善的治疗计划,准确地预测治疗效果的依
[Abstract]:[objective] to analyze the influence of the distance from the lowest point adjacent to the alveolar crest (CPB) and the horizontal distance between implant and adjacent teeth (ITD) on the height of gingival papilla in the aesthetic area of maxillary anterior teeth. It may provide a reference for clinicians to accurately judge the therapeutic effect, to design the surgical plan scientifically, to avoid the risk and to evaluate the regeneration of the gingival papilla. [methods] A retrospective study was carried out on the patients with single-tooth implant restoration in the aesthetic area of anterior teeth from June 2009 to June 2012 in Yantai Stomatological Hospital. A total of 46 Ankylos implants were included in this study. The age of the patients was 19- 66 years (mean 41.5 years), including 25 males and 21 females. Clinical data were recorded, intraoral photographs were taken and standard parallel radiographs were taken. The digital X-ray film was introduced into electronic measurement software to measure the distance between the lowest point of adjacent site and the top of alveolar ridge, and the horizontal distance between implant and adjacent teeth was measured. The influence of two factors on gingival papilla was analyzed by SPSS 17.0 software. [results] A study of 92 gingival papillaries in 46 patients showed that the average values of ITD in the proximal distance were 3.20 卤0.95mm / 3.13 卤0.87mm, and those of CPB were 5.6 卤1.7mm / 5.6 卤1.6mm. When the distance from the lowest point adjacent to the alveolar crest is 3-5 mm, and the horizontal distance between implant and adjacent teeth is 2.5-4mm, the height of gingival nipples of a single implant in the maxillary anterior tooth region is significantly affected. [conclusion] when the distance from the lowest point adjacent to the alveolar crest is 3-5 mm and the horizontal distance between implant and adjacent teeth is 2.5-4mm, it is easy to obtain ideal gingival papilla. It can be used as a clinician to evaluate the aesthetic effect of a single implant prosthesis in the anterior tooth area, formulate a perfect treatment plan, and accurately predict the efficacy of the treatment.
【学位授予单位】：滨州医学院
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R783.6
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本文编号：2034690