|
- 2018
锥形锁柱种植体应用于牙周病患者后牙即刻种植的临床回顾性研究
|
Abstract:
摘要 目的: 比较锥形锁柱种植体在慢性中重度牙周炎患者行后牙区即刻种植和延期种植2种种植方式的短期临床疗效。方法: 收集2015年1月~2015年12月接受种植修复的26例慢性中重度牙周炎患者,共植入种植体52枚,其中即刻种植组(A组)28枚,延期种植组(B组)24枚,术后3~6个月完成冠修复,修复后追踪观察时间(14.4±2.3)月,观察种植体存留情况、修复后种植体周围骨吸收量和调查患者满意度。结果: 即刻种植组1枚植体因感染取出,延期种植组失败0枚,存留率分别为96.4%和100%;修复后1年实验组和对照组的种植体近中边缘骨吸收分别为(0.027±0.340) mm和(0.024±0.292) mm,远中边缘骨吸收分别为(0.011±0.252) mm和(-0.002±0.360) mm;2组患者总体满意度较高,上述差异均无统计学意义(P>0.05),观察期内存留的种植体正常行使功能,种植体周围软组织健康状况良好。结论: 慢性中重度牙周炎患者经过完善的牙周系统治疗后,在牙周状况良好的条件下,应用锥形锁柱种植体进行后牙区即刻种植,与延期种植在短期内临床效果相当
[1] | Dibart S, Warbington M, Su MF, et al. <i>In vitro</i> evaluation of the implant-abutment bacterial seal: the locking taper system [J]. Int J Oral Maxillofac Implants, 2005, 20(5)∶732-737 |
[2] | 孟焕新.牙周病学[M].第4版.北京:人民卫生出版社,2012∶174-174 |
[3] | Chrcanovic BR, Martins MD, Wennerberg A. Immediate placement of implants into infected sites: a systematic review [J]. Clin Implant Dent Relat Res, 2015, 17(S1)∶e1-e16 |
[4] | Sousa V, Mardas N, Farias B, et al. A systematic review of implant outcomes in treated periodontitis patients [J]. Clin Oral Implants Res, 2015, 27(7)∶787-844 |
[5] | Correia F, Gouveia S, Felino AC, et al. Survival rate of dental implants in patients with history of periodontal disease: a retrospective cohort study [J]. Int J Oral Maxillofac Implants, 2017, 32(4)∶927-934 |
[6] | 周永敏, 徐燕, 王晓静,等.重度慢性牙周炎患者上颌磨牙区拔牙后即刻种植与位点保存术后延期种植短期疗效观察[J].口腔医学研究,2017,33(1)∶78-82 |
[7] | Konstantinidis IK, Kotsakis GA, Gerdes S, et al. Cross-sectional study on the prevalence and risk indicators of peri-implant diseases [J]. Eur J Oral Implantol, 2015, 8(1)∶75-88 |
[8] | Bharuka SB, Mandroli PS. Single-versus two-visit pulpectomy treatment in primary teeth with apical periodontitis: A double-blind, parallel group, randomized controlled trial [J]. J Indian Soc Pedod Prev Dent, 2016, 34(4)∶383-390 |
[9] | Cassetta M, Di MA, Giansanti M, et al. A 36-month follow-up prospective cohort study on peri-implant bone loss of Morse Taper connection implants with platform switching [J]. J Oral Sci, 2016, 58(1)∶49-57 |
[10] | Roccuzzo M, Bonino F, Aglietta M, et al. Ten-year results of a three arms prospective cohort study on implants in periodontally compromised patients. Part 2: clinical results [J]. Cli Oral Implants Res, 2012, 23(4)∶389-395 |
[11] | Chrcanovic BR, Albrektsson T, Wennerberg A. Periodontally compromised vs. periodontally healthy patients and dental implants: A systematic review and meta-analysis [J]. J Dent, 2014, 42(12)∶1509-1527 |
[12] | Zangrando MS, Damante CA, Sant’Ana AC, et al. Long-term evaluation of periodontal parameters and implant outcomes in periodontally compromised patients: a systematic review [J]. J Periodontol, 2015, 86(2)∶201-221 |
[13] | Monje A, Aranda L, Diaz KT, et al. Impact of maintenance therapy for the prevention of peri-implant diseases: a systematic review and Meta-analysis [J]. J Dent Res,2016,95(4)∶372-379 |