下颌无牙颌All-on-four种植固定义齿修复的临床研究
摘要
目的比较下颌无牙颌all-on-four种植固定义齿与相同植体数的种植覆盖义齿效果。方法下颌无牙颌all-on-four种植固定义齿(A组)或4颗种植支持覆盖义齿(B组)修复。分析其满意度、成功率、咀嚼效率、植体牙周状况及周围骨高度变化。结果永久修复1个月,A组满意度优于B组,差异有统计学意义(P<0.05)。永久修复12个月,两组成功率、植体牙周状况及周围骨高度变化无统计学差异,差异无统计学意义(P>0.05),咀嚼效率A组高于B组,差异有统计学意义(P<0.05)。结论 All-on-four植体数仅4颗即固定修复下颌无牙颌。观察期内与种植体支持式覆盖义齿相比,咀嚼效率和满意度更高,修复成功率、植体牙周及周围骨高度变化无统计学差异。
引文
[1]周磊,岳新新.all-on-four技术在口腔种植领域中的应用进展[J].口腔疾病防治,2017,25(1):1-7.
[2]MalóP,Rangert B,Nobre M,et al.〝All-onFour〞immediate-function concept with Br?nemark System implants for completely edentulous mandibles:a retrospective clinical study[J].Clin Implant Dent Relat Res,2003;5Suppl.1:2-9.
[3]亓莱滨.李克特量表的统计学分析与模糊综合评判[J].山东科学,2006,19(2):18-23,28.
[4]Albrektsson T,Zarb G,Worthington P,et al.The longterm efficacy of currently used dental implants:a review and proposed criteria of success[J].Int J Oral Maxillofac Implants,1986;1(1):11-25.
[5]马春敏,戴文安.三种型全口义齿咀嚼效能的比较[J].实用口腔医学杂志,2016,32(2):260-262.
[6]苗辉.无牙颌患者种植覆盖义齿与固定义齿临床疗效对比研究[D].暨南大学,2014.
[7]Chen KW,Lin TM,Liu PR,et al.An analysis of the implant-supported overdenture in the edentulous mandible[J].J Oral Rehabil,2013;40(1):43-50.
[8]Friberg B,Grondahl K,Lekholm U,et al.Longterm follow-up of severely atrophic edentulous mandibles reconstructed with short Br?nemark implants[J].Clin Implant Dent Relat Res 2000:2:184-189.
[9]Abi Nader S,Eimar H,Momani M,et al.Plaque Accumulation Beneath Maxillary All-on-4?ImplantSupported Prostheses[J].Clin Implant Dent Relat Res.2015Oct;17(5):932-7.
[10]Frauke Müller,Marta Hernandez,Linda Grütter,et al.Masseter muscle thickness,chewing efficiency and bite force in edentulous patients with fixed and removable implant-supported prostheses:a cross-sectional multicenter study[J].Clin.Oral Impl.Res.23,2012 144-150.
[2]MalóP,Rangert B,Nobre M,et al.〝All-onFour〞immediate-function concept with Br?nemark System implants for completely edentulous mandibles:a retrospective clinical study[J].Clin Implant Dent Relat Res,2003;5Suppl.1:2-9.
[3]亓莱滨.李克特量表的统计学分析与模糊综合评判[J].山东科学,2006,19(2):18-23,28.
[4]Albrektsson T,Zarb G,Worthington P,et al.The longterm efficacy of currently used dental implants:a review and proposed criteria of success[J].Int J Oral Maxillofac Implants,1986;1(1):11-25.
[5]马春敏,戴文安.三种型全口义齿咀嚼效能的比较[J].实用口腔医学杂志,2016,32(2):260-262.
[6]苗辉.无牙颌患者种植覆盖义齿与固定义齿临床疗效对比研究[D].暨南大学,2014.
[7]Chen KW,Lin TM,Liu PR,et al.An analysis of the implant-supported overdenture in the edentulous mandible[J].J Oral Rehabil,2013;40(1):43-50.
[8]Friberg B,Grondahl K,Lekholm U,et al.Longterm follow-up of severely atrophic edentulous mandibles reconstructed with short Br?nemark implants[J].Clin Implant Dent Relat Res 2000:2:184-189.
[9]Abi Nader S,Eimar H,Momani M,et al.Plaque Accumulation Beneath Maxillary All-on-4?ImplantSupported Prostheses[J].Clin Implant Dent Relat Res.2015Oct;17(5):932-7.
[10]Frauke Müller,Marta Hernandez,Linda Grütter,et al.Masseter muscle thickness,chewing efficiency and bite force in edentulous patients with fixed and removable implant-supported prostheses:a cross-sectional multicenter study[J].Clin.Oral Impl.Res.23,2012 144-150.