下颌磨牙牙槽突重度萎缩吸收区施行CT介导联合微创牙种植的探讨
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摘要
目的探讨下颌磨牙牙槽突重度萎缩吸收区施行CT介导联合微创牙种植的临床效果。方法将我院2014年2月至2017年3月期间的82例下颌磨牙区牙槽突重度萎缩吸收患者随机分为研究组和对照组,研究组采用CT介导联合微创牙种植,对照组患者采用CT介导联合传统牙种植;对比患者手术时间、疼痛程度、骨密度、牙种植前后牙槽高度和厚度的变化、患者牙种植后不良反应、患者牙种植3、6、9个月后骨丧失状况及患者满意度。结果研究组的手术时间与疼痛程度明显低于对照组,研究组患者的骨密度明显好于对照组(P<0.05);两组患者牙槽骨高度和厚度均明显增高,接近正常,差异不明显(P>0.05);两组患者牙种植后均无明显不良反应和明显骨丧失(P>0.05);研究组患者满意度明显高于对照组(P<0.05)。结论 CT介导下,在下颌磨牙区牙槽突重度萎缩吸收区行微创牙种植有较好的临床效果,适合在临床推广应用。
Objective To evaluate the feasibility of using CT and to evaluate the clinical effect of microdental implant and traditional dental implant.Methods 82 patients with severe alveolar atrophy in mandibular molars were randomly divided into research group and control group.The patients in research group were given CT-mediated combined minimally invasive dental cultivation,and the control group were given CTmediated combined traditional dental cultivation.The operative time,the degree of pain,bone density,change of alveolar height and thickness before and after dental implantation,adverse reaction after dental implantation,bone loss after 3,6,9 months,and patient satisfaction were compared and analyzed between two groups.Results The operative time and the degree of pain of the research group were significantly shorter and lower than those of the control group,and the bone density of the research group was significantly higher than that of the control group(P<0.05).The height and thickness of alveolar bone in both groups increased evidently,and the difference was not significant(P>0.05).No obvious adverse effects were observed after tooth implantation in both groups,the difference of the two groups was not significant(P>0.05).No obvious bone loss was observed in both groups,the difference of the two groups was not significant(P>0.05).The satisfaction rate of the research group was significantly higher than that of the control group(P>0.05).Conclusion CT-mediated minimally invasive dental implantation in the area of mandibular molars with severe atrophy of the alveolar process has better clinical effect and is suitable for further application.
Objective To evaluate the feasibility of using CT and to evaluate the clinical effect of microdental implant and traditional dental implant.Methods 82 patients with severe alveolar atrophy in mandibular molars were randomly divided into research group and control group.The patients in research group were given CT-mediated combined minimally invasive dental cultivation,and the control group were given CTmediated combined traditional dental cultivation.The operative time,the degree of pain,bone density,change of alveolar height and thickness before and after dental implantation,adverse reaction after dental implantation,bone loss after 3,6,9 months,and patient satisfaction were compared and analyzed between two groups.Results The operative time and the degree of pain of the research group were significantly shorter and lower than those of the control group,and the bone density of the research group was significantly higher than that of the control group(P<0.05).The height and thickness of alveolar bone in both groups increased evidently,and the difference was not significant(P>0.05).No obvious adverse effects were observed after tooth implantation in both groups,the difference of the two groups was not significant(P>0.05).No obvious bone loss was observed in both groups,the difference of the two groups was not significant(P>0.05).The satisfaction rate of the research group was significantly higher than that of the control group(P>0.05).Conclusion CT-mediated minimally invasive dental implantation in the area of mandibular molars with severe atrophy of the alveolar process has better clinical effect and is suitable for further application.
引文
1 杨彤彤,王之瑜,李静.正畸关闭萎缩性牙槽骨间隙前后牙槽骨形态的口腔锥形束CT评价.中国药物与临床,2017,17(7):962-964.
2 朱正娴,宋萌,潘劲松,等.锥形束CT对牙种植区骨密度测量的应用.口腔颌面外科杂志,2017,27(1):39-42.
3 李敏,孟翔峰.下颌牙槽嵴重度吸收的两种型全口义齿临床比较研究.口腔医学,2017,37(11):1016-1020.
4 Anitua E,Alkhraisat MH.Minimally Invasive Removal of Nonmobile Zygomatic Dental Implants Affected by PeriImplantitis and Chronic Sinusitis.J Oral Implantol,2017,43(5):392-394.
5 杨烁,郭泳彤,张祥成,等.倾斜种植在严重萎缩的下颌无牙患者中的应用.实用医学杂志,2017,33(11):1810-1813.
6 刘映鸿,周泽渊,赵奎,等.青少年患者前牙内收过程中牙槽骨改建情况的锥形束CT研究.华西口腔医学杂志,2016(1):78-84.
7 李春山,张祥林,陈斌,等.下颌骨磨牙区螺旋CT测量方法的规范性研究.中国临床医学影像杂志,2015,26(6):424-426.
8 童庆春,张兴文,徐嘉莉,等.GBR技术在重度牙槽嵴萎缩牙种植中的临床应用.口腔颌面外科杂志,2017,27(2):121-125.
9 朱志高,谢春,刘阳.锥形束CT介导下超声骨刀联合微创拔牙术拔除下颌阻生第三磨牙的效果.中国医药导报,2015,12(21):93-96.
10 郭小龙,王照五,吕岩,等.上颌牙槽突颊舌向生理倾斜角的锥形束CT研究.中国实用口腔科杂志,2016,9(3):171-177.
11 Garg R,Mishra N,Alexander M,et al.Implant Survival between Endo-osseous Dental Implants in Immediate Loading,Delayed Loading,and Basal Immediate Loading Dental Implants a 3-Year Follow-up.Ann Maxillofac Surg,2017,7(2):237-244.
12 卢曦,苏怡.锥形束CT与曲面断层片在后牙区可用骨高度测量与种植模拟中的临床评价.中国组织工程研究,2017,21(20):3152-3157.
13 翟敏,吴益鸣,蔡建英.下颌双侧低位近中阻生第三磨牙微创与传统拔除的对照研究.口腔颌面外科杂志,2016,26(2):119-123.
14 张弘.种植覆盖义齿与固定义齿修复下颌牙槽嵴萎缩疗效观察.解放军医药杂志,2016,28(5):62-65.
15 王陈保,何磊,吴楠,等.锥形束CT在下颌阻生第三磨牙微创拔牙术中的应用.现代口腔医学杂志,2015,29(2);101-103.
16 栗洪师,王雅迪,刘洪臣.CBCT在骨质疏松老年人微创种植牙上颌窦底内提升术中的应用.中华老年口腔医学杂志,2015,12(2):97-100.
2 朱正娴,宋萌,潘劲松,等.锥形束CT对牙种植区骨密度测量的应用.口腔颌面外科杂志,2017,27(1):39-42.
3 李敏,孟翔峰.下颌牙槽嵴重度吸收的两种型全口义齿临床比较研究.口腔医学,2017,37(11):1016-1020.
4 Anitua E,Alkhraisat MH.Minimally Invasive Removal of Nonmobile Zygomatic Dental Implants Affected by PeriImplantitis and Chronic Sinusitis.J Oral Implantol,2017,43(5):392-394.
5 杨烁,郭泳彤,张祥成,等.倾斜种植在严重萎缩的下颌无牙患者中的应用.实用医学杂志,2017,33(11):1810-1813.
6 刘映鸿,周泽渊,赵奎,等.青少年患者前牙内收过程中牙槽骨改建情况的锥形束CT研究.华西口腔医学杂志,2016(1):78-84.
7 李春山,张祥林,陈斌,等.下颌骨磨牙区螺旋CT测量方法的规范性研究.中国临床医学影像杂志,2015,26(6):424-426.
8 童庆春,张兴文,徐嘉莉,等.GBR技术在重度牙槽嵴萎缩牙种植中的临床应用.口腔颌面外科杂志,2017,27(2):121-125.
9 朱志高,谢春,刘阳.锥形束CT介导下超声骨刀联合微创拔牙术拔除下颌阻生第三磨牙的效果.中国医药导报,2015,12(21):93-96.
10 郭小龙,王照五,吕岩,等.上颌牙槽突颊舌向生理倾斜角的锥形束CT研究.中国实用口腔科杂志,2016,9(3):171-177.
11 Garg R,Mishra N,Alexander M,et al.Implant Survival between Endo-osseous Dental Implants in Immediate Loading,Delayed Loading,and Basal Immediate Loading Dental Implants a 3-Year Follow-up.Ann Maxillofac Surg,2017,7(2):237-244.
12 卢曦,苏怡.锥形束CT与曲面断层片在后牙区可用骨高度测量与种植模拟中的临床评价.中国组织工程研究,2017,21(20):3152-3157.
13 翟敏,吴益鸣,蔡建英.下颌双侧低位近中阻生第三磨牙微创与传统拔除的对照研究.口腔颌面外科杂志,2016,26(2):119-123.
14 张弘.种植覆盖义齿与固定义齿修复下颌牙槽嵴萎缩疗效观察.解放军医药杂志,2016,28(5):62-65.
15 王陈保,何磊,吴楠,等.锥形束CT在下颌阻生第三磨牙微创拔牙术中的应用.现代口腔医学杂志,2015,29(2);101-103.
16 栗洪师,王雅迪,刘洪臣.CBCT在骨质疏松老年人微创种植牙上颌窦底内提升术中的应用.中华老年口腔医学杂志,2015,12(2):97-100.