即刻种植牙龈组织特点及其伤口生长愈合方式研究

Study of the characteristics of immediate planting gum tissues and ways of wound healing

目的分析与探讨采用即刻种植牙龈组织的特点及伤口生长愈合方式。方法选择2011年7月～2013年7月浙江省台州市温岭第三人民医院口腔科及富阳市人民医院口腔科共收治的36例需要拔牙患者作为研究对象，将其分为闭合组与开放组，每组各18例。闭合组采用闭合式治疗，开放组采用开放式治疗，采用即刻种植存活标准与种植成功评价标准观察两组患者的治疗效果。结果治疗后，闭合组中3例患者术后并未出现任何不良情况，手术效果优；3例手术效果差；10例出现了伤口裂开、骨粉流失的情况，但牙龈最终生长在封闭的牙槽窝中。开放组中有15例效果优；2例骨粉流失，但牙龈最终生长在封闭的牙槽窝中；1例种植体出现了松动情况，无法进行固定，治疗效果差。开放组治愈率（94％）高于闭合组（72％），两组相比，差异有统计学意义（P〈0．05）。结论口腔牙龈组织常常会出现各种病症，如牙龈炎症、骨质缺损等，采用即刻种植牙龈组织的方式治疗这些症状，能够取得良好的效果。

Objective To discuss and analyze the characteristics of immediate planting gum tissues and the ways of wound healing. Methods 36 patients with tooth extraction from July 2011 to July 2013 in Stomatology Department of the Third People＇s Hospital of Wenling City and the People＇s Hospital of Fuyang City were selected as study objects, and they were divided into closed group and open group, with 18 cases in each group. The closed group was given the treatment of closed type, and the open group was given the treatment of open type. The therapeutic effect of two groups was observeded by the survival standard of immediate planting and evaluation standard of grow successfully. Results In the closed group, 3 cases without any adverse conditions＇ after the operation and had a good operation effect; 3 cases of poor operation effects; 10 cases of wound dehiscence and bone loss after treatment, but ultimately growned in closed tooth sockets. In the open group, 15 cases had a good operation effect; 2 cases of bone loss, but ultimately grown in closed tooth sockets; 1 cases of loose tooth and could not be fixed, with poor operation effect. The cure rate of the closed group （72%） was lower than that of the open group （94%）, the difference was statistically significant （P 〈 0.05）. Conclusion Oral gum tissue often appear all sorts of diseases, such as gum inflammation and bone defect ere, immedi- ate planting gum tissue will have a zood effect in those treatment of the svmotoms.