摘要
目的:探讨牙槽突扩张术联合骨引导再生(GBR)植骨术同期种植牙在牙齿发育异常患者中的应用效果。方法:纳入87例(94牙)牙齿发育异常患者为研究对象,根据治疗方式不同分为常规组(n=37,40牙)和GBR组(n=50,54牙)。常规组行牙槽骨劈开术治疗;GBR组行牙槽突扩张术联合GBR植骨术治疗,术后随访1年。比较两组患者治疗有效率、手术基本情况(手术时间、离院时间及骨愈合时间);术后1个月及6个月种植体稳定性[稳定系数(ISQ)];术后1年种植体周围软组织情况[红色美学标准(PES)评分]、种植体周围牙槽骨吸收值及种植体周围牙整齐度;手术并发症及术后1年修复体并发症发生情况。结果:GBR组患者治疗有效率高于常规组(P<0.05);骨愈合时间短于常规组(P<0.05);两组患者手术时间及离院时间比较,差异无统计学意义(P>0.05)。术后1个月及6个月,GBR组患者种植体ISQ高于常规组(P<0.05)。术后1年,GBR组患者种植体周围软组织PES评分、种植体周围牙槽骨吸收值、牙整齐度高于常规组(P<0.05)。两组患者手术并发症比较,差异无统计学意义(P>0.05);GBR组患者术后1年修复体并发症总发生率低于常规组(P<0.05)。结论:牙槽突扩张术联合GBR植骨术同期种植牙治疗有效率高,且牙齿发育异常患者预后效果更好。
Objective:To explore the application effect of alveolar process expansion combined with guided bone regeneration(GBR)bone grafting simultaneous dental implantation on patients with abnormal tooth development.Methods:87 patients(94 teeth)with abnormal tooth development were included as the observation subjects.According to different treatment methods,they were divided into routine group(alveolar bone splitting,n=37,40 teeth)and GBR group(alveolar process expansion combined with GBR bone grafting,n=50,54 teeth).The effective rate of treatment,basic conditions of surgery(surgery time,hospital discharge time,and bone healing time)and the stability of implants[Stability coefficient(ISQ)]1 and 6 months after operation,soft tissue around the implant,alveolar bone absorption value around the implant and uniformity of the teeth around the implant at 1 years after surgery were compared between the two groups.The incidence rates of postoperative complications and implant complications in the two groups were statistically analyzed.Results:The effective rate of treatment in GBR group was higher than that in routine group(P<0.05),and the bone healing time was shorter than that in routine group(P<0.05).There was no statistically significant difference in the surgical time and discharge time between the two groups(P>0.05).The implant ISQ,soft tissue PES score around the implant,alveolar bone absorption value around the implant and tooth uniformity in GBR group were higher than those in routine group(P<0.05).There was no statistically significant difference in surgical complications between the two groups(P>0.05).The incidence rates of postoperative implant complications in GBR group were lower compared with those in routine group(P<0.05).Conclusion:The effective rate of alveolar process expansion combined with GBR bone grafting simultaneous dental implantation is higher,and the prognosis of patients with abnormal tooth development is better.
作者
许志鹏
张晓浩
李眉
XU Zhi-peng;ZHANG Xiao-hao;LI Mei(Department of Oral Cavity,1.Shaanxi Provincial People's Hospital,Xi'an 710068;Xi'an Aerospace General Hospital,Xi'an 710100,Shaanxi,China)
出处
《川北医学院学报》
CAS
2024年第9期1213-1216,共4页
Journal of North Sichuan Medical College
基金
陕西省社发攻关项目(2015SF159)。
关键词
牙齿发育异常
牙槽突扩张术
种植牙
骨引导再生植骨术
牙槽骨吸收值
Abnormal tooth development
Alveolar process expansion
Dental implant
Guided bone regeneration bone grafting
Alveolar bone resorption value
