微创技术在老年患者牙种植术中的应用效果探讨

Application of minimally invasive technique in dental implantation in elderly patients

目的:探讨微创技术在老年患者牙种植术中的应用效果。方法:选取接受牙种植术的94例老年患者为研究对象,随机分为两组,分别进行微创技术牙齿种植(观察组)和常规牙种植术(对照组)。比较两组术中术后情况、种植成功率、患者满意度及疼痛程度。结果:观察组手术时间、疼痛不适时间、术后抗生素、激素使用时间分别为(14.76±3.08)min、(0.96±0.25)d、(1.46±0.41)d、(1.15±0.43)d;对照组手术时间、疼痛不适时间、术后抗生素、激素使用时间分别为(33.57±5.29)min、(3.01±0.52)d、(7.71±0.42)d、(3.88±0.64)d。两组术中术后情况比较,差异具有统计学意义(P<0.05)。观察组种植成功率、患者满意度分别为97.87%、95.74%;对照组种植成功率、患者满意度分别为95.74%、70.21%。两组患者满意度比较,差异具有统计学意义(P<0.05)。观察组疼痛程度患者自评、临床评定均低于对照组,差异具有统计学意义(P<0.05)。结论:微创技术用于老年患者牙种植术中成效显著,能够明显降低术后疼痛感,有利于患者恢复,值得临床推广。

Objective To investigate the effect of the application of minimally invasive techniques in elderly patients of dental implants. Method 94 cases of dental implant surgery in elderly patients in this study were randomly divided into two groups,the teeth were planted minimally invasive techniques（ study group） and conventional dental implants（ control group）. intraoperative and postoperative conditions,planting success rate,patient satisfaction and pain were compared. Results The operative time,pain and discomfort,postoperative antibiotics,hormones and the use of time was（14. 76 ± 3. 08） min,（0. 96 ± 0. 25） d,（1. 46 ±0. 41） d,（ 1. 15 ± 0. 43） d,respectively;the control group operative time,pain and discomfort,postoperative antibiotics,hormones time was（33. 57 ± 5. 29） min,（3. 01 ± 0. 52） d,（7. 71 ± 0. 42） d,（3. 88 ± 0. 64） d,respectively. Two intraoperative and postoperative cases,the difference was statistically significant（ P〈 0. 05）. Observation group planting success rate,patient satisfaction were 97. 87%,95. 74%,respectively; control group planting success rate,patient satisfaction were 95. 74%,70. 21%,respectively. Two groups of patient satisfaction,the difference was statistically significant（ P 〈0. 05）. Observation group were pain self-assessment,clinical assessment were lower than the control group,the difference was statistically significant（ P〈 0. 05）. Conclusion Minimally invasive techniques for dental implant surgery in elderly patients with remarkable results,can significantly reduce postoperative pain,help patients recover,worthy of promotion.