摘要
目的观察微创环切术联合浓缩生长因子在口腔种植中的应用及修复效果。方法选取2017年1月至2018年12月在我院接受口腔种植的患者100例,按照随机数字表法将所有患者随机分为常规组和联合组各50例。常规组患者行微创环切术,联合组患者行微创环切术联合浓缩生长因子种植。对两组患者临床指标、咀嚼效率、种植体周围边缘骨吸收量、唇侧骨厚度、美学效果、牙龈乳头高度、治疗效果进行评价,并作随访统计种植体成功率。结果联合组患者术后疼痛、肿胀时间、咀嚼效率恢复时间均短于常规组(P <0.05);两组患者牙槽嵴的骨吸收量比较,差异无统计学意义(P> 0.05)。种植后两组患者咀嚼效率均高于治疗前,且联合组患者咀嚼效率高于常规组(P <0.05);联合组患者种植后固定功能、咀嚼功能、语言功能、舒适功能、美学效果各项评分均高于常规组(P <0.05)。联合组患者种植体周围边缘骨吸收量低于常规组,种植体唇侧骨厚度高于常规组(P <0.05)。两组患者牙龈乳头增生高度0度、1度、2度比较,差异无统计学意义(P> 0.05);联合组患者牙龈乳头增生高度3度高于常规组,4度低于常规组(P <0.05)。联合组患者治疗总有效率高于常规组(P <0.05)。联合组患者种植体成功率高于常规组,但两组比较差异无统计学意义(P> 0.05)。结论微创环切术联合浓缩生长因子应用于口腔种植中,可有效促进患者种植体和周围骨组织的结合,促进患者咀嚼功能的快速恢复,固定效果较好,美观度高,临床效果显著。
Objective To observe the effect of minimally invasive circumcision combined with concentrated growth factor in oral implantation. Methods 100 patients who had received oral implantation in our hospital from January 2017 to December 2018 were included in the study group. All patients were randomly divided into routine group and combination group with 50 cases in each group according to random number table method. Routine group received minimally invasive circumcision,combination group received minimally invasive circumcision combined with concentrate growth factor implantation. The clinical indicators,masticatory efficiency,bone absorption around the implanting margin,lip bone thickness,aesthetic effect,gingival papilla height and therapeutic effect of the two groups were evaluated,and the follow-up was performed to calculate the successful rate of the implantation.Results Postoperative pain,swelling time and masticatory efficiency recovery time in the combination group were shorter than those in the conventional group(P < 0.05);there was no significant difference in bone resorption of alveolar ridge between the two groups(P > 0.05). The masticatory efficiency after implantation of the two groups was higher than that before treatment,and the masticatory efficiency of the combination group was higher than that of the conventional group(P < 0.05);the scores of fixed function,masticatory function,language function,comfort function and aesthetic effect of the combination group after implantation were higher than those of the conventional group(P < 0.05). The bone absorption around the implanting edge in the combination group was lower than that in the conventional group,and the thickness of the labial bone of the implants was higher than that in the conventional group(P < 0.05). There was no significant difference in the height of gingival papilla hyperplasia between the two groups at 0,1 and 2 degrees(P > 0.05);the height of gingival papilla hyperplasia in the combination groupwas 3 degrees higher than that in the conventional group,and 4 degrees lower than that in the conventional group(P < 0.05). The total effective rate of the combination group was higher than that of the conventional group(P <0.05). The success rate of the implantation in the combination group was higher than that in the conventionalgroup,but there was no significant difference between the two groups(P > 0.05). Conclusions Minimally inva-sive circumcision combined with concentrated growth factor in oral implantation can effectively promote the combi-nation of implants and surrounding bone tissue as well as accelerating recovery of masticatory function for the pa-tients and own the advantages of positive fixation effect,high level of aesthetics and remarkable the clinical thera-peutic effect.
作者
来卫东
郝淑青
杨娜娜
刘洁
左丁
LAI Weidong;HAO Shuqing;YANG Nana;LIU Jie;ZUO Ding(VIP Clinic,Han?dan Stomatological Hospital,Handan 056001,China)
出处
《实用医学杂志》
CAS
北大核心
2019年第22期3517-3521,共5页
The Journal of Practical Medicine
基金
邯郸市科学技术研究与发展计划项目(编号:1223108087-11)
关键词
微创环切术
浓缩生长因子
口腔种植
修复
种植体周围边缘骨吸收量
种植体唇侧骨厚度
minimally invasive circumcision
concentrated growth factor
oral implantation
bone restoration
resorption at peri-implant margin
labial bone thickness of implants
